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IUI vs IVF: Know What is Right for You

January 22, 2021
by Eva Hospital

IUI and IVF are two infertility treatment options for couples who have trouble conceiving. The main difference between the two being that fertilization happens inside the female’s body in IUI, while it occurs outside the body in IVF. Since every case of infertility is unique to each couple, the option considered entirely depends on the type of abnormality.

We will discuss the scenarios where IUI is considered, and those where IVF is preferred.

What is IUI & IVF? Basic differences.

IUI stands for Intrauterine Insemination and IVF stands for In-vitro Fertilization. Both are Assisted Reproductive Techniques ( ART), that aid in conception or pregnancy.

IUI is an alternative way of putting the sperm directly into the uterus, using aids and instruments.

During the IVF ART, reproductive cells are retrieved from the female and male, combined in a glass dish for fertilization, and the resulting embryo(s) implanted in the uterus.

IUI is less invasive and kinda more natural. IVF is a little invasive, but more advanced and includes the use of donor eggs.

InVitro process includes several steps, such as ovary stimulation, egg retrieval, fertilization, and embryo transfer. On the other hand, intrauterine insemination only involves injecting sperm inside the uterus during ovulation to facilitate sperm’s entry into the egg.

Reasons for choosing IUI vs IVF

According to Dr. Shivani Bhutani, Infertility Specialist at Eva Hospital, in some cases IUI is tried before going ahead with IVF. With an evaluation of the reproductive health of the couple, the right ART is suggested via discussions.

Reasons for choosing IUI

Intrauterine insemination is mainly used when you fail to conceive with normal intercourse or hormonal supplements. It could be due to the following reasons:

Poor sperm motility – In some cases, the sperm cells contained in the semen do not have good mobility. So, they fail to reach the eggs and fertilize them. Sperm motility can be easily tested by providing a semen sample of the male partner.
Physical issues in consummating sex – Some women suffer from vaginismus, an abnormality where the vaginal muscles contract involuntarily while having sex. Intercourse becomes painful and infrequent for both partners.
Endometriosis– It is a condition in women where the uterine tissue starts growing outside of it. Abnormal tissue growth in fallopian tubes or ovaries stops semen from meeting the oocytes. Mild cases of endometriosis are fairly resolved via IUI.
Hostile environment- Though uncommon, sometimes the vaginal fluid contains sperm antibodies that kill the sperm in the semen. IUI solves this problem by injecting the sperm directly into the uterus, bypassing the hostility of the cervix.
Irregular Ovulation – Irregular or absent ovulation often caused by a deficiency in one of the sexual hormones makes natural conception difficult.
Low sperm count – If the sperm count is only a little low, IUI helps by screening the semen and inseminating artificially.
Ejaculation problem – Anatomical or psychological problems with erection, penis, or retrograde(reverse) ejaculation also find a solution in intrauterine insemination.
Unexplained infertility- All tests are normal, you have been trying, but there is no natural conception. We call it unexplained infertility. IUI can remedy it.

Reasons for choosing IVF

In- Vitro-Fertilization is a choice for couples for many varied reasons. Any of the following could be right for you.

Low sperm count or motility- When the male has a low quantity of sperm in the semen, IVF facilitates fertilization with a high concentration of sperm from you or a donor.
Ovulation problems – Faulty ovulation due to conditions like PCOS may not be solved with IUI alone.
Fallopian tube problems – A damage or blockage in the fallopian tubes doesn’t provide enough access for intrauterine insemination.
Timing your baby – IVF provides more control over the timing of the baby. You can freeze and store sperm as well as eggs. Also, for immediate pregnancy, there is no wait and watch interval.
Acute Endometriosis – In acute cases of endometriosis, the sperm is unable to fertilize the eggs inside the body. In vitro technique is preferred in this condition.
Using donor eggs – Whenever donor eggs from another woman are utilized, the embryos are developed in the lab and transferred to the mother to carry the pregnancy forward.
Surrogacy – Due to age, fibroids, or other factors, a female partner is unable to go through a successful pregnancy. So, you provide the gametes, they are fertilized in-vitro and implanted in a healthy woman’s uterus to carry the child to full term.
Genetic Disorder Screening – If you are afraid that one of you may pass on a genetic disease to the child, IVF helps you out. After fertilization, the resulting embryos undergo genetic screening. Only healthy embryos are chosen for implantation.

Don’t give up hope

Never lose hope! Visit an infertility clinic and evaluate your candidacy for the procedure that is best for your, your partner’s, and your future baby’s health. Your miracle baby is waiting for you.

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Current State of the Art in Arthroplasty

January 9, 2021March 30, 2024
by Eva Hospital

Every year, hundreds of people in Ludhiana undergo Arthroplasty or joint replacement surgery.

At Eva Hospital, state of art in arthroplasty technology has made these implants easier, and faster to recover from. The joints are made from more durable materials and operated with the most advanced tools and techniques.

Let us take a look at the ways in which advancement in medical science is making a difference in the field of total joint replacement operations.

Superior Joint Materials: Art in Arthroplasty

Robust and longer-lasting materials are now being used to fashion the implants used in Arthroplasty.

A contemporary plastic compound called highly cross-linked polyethylene is now being used as a better material that doesn’t oxidize inside the body and has a longer life.

Modern combinations of plastic and ceramic components in implants are also more durable and have lesser may last much longer than previous materials, with fewer side effects.

The Increasing Number of Joint Replacements

Nowadays, more and more people in the age group of 45 to 65 years are undergoing arthroplasty.

People want more active lives. Not only knees but other kinds of joint replacement have also increased – shoulder, hip, ankle, elbow, and wrists.

At Eva Orthopedic Care Centre, the most advanced techniques, newest methods, and joint materials are applied.

The aim is to achieve pain-free, active, and long-lasting health of joints.

The minimally invasive surgery and non-surgical options can also be discussed to get the best alternative for your bone and joint health.

Kinematically Aligned Total Knee Replacement

With the traditional TKR or knee arthroplasty, a significant number of patients may complain of restricted knee flexibility or having a normal gait.

But, combining the principles of Kinematic Alignment provides a superior outcome and patient satisfaction. KA restores the three kinematic axes of the knees, namely,

Transverse axis in the femur that flexes the tibia,
Transverse axis in the femur that controls patella extension,
Longitudinal axis in the tibia, that rotates it on the femur.

The main principle of the KA method is the rehabilitation of the three axes, the JLOA( joint line orientation angle), as well as the soft tissue. It also improves the walk, and the extent of knee motion(ROM).

State of the Art Hip Replacement

Healthy joints and pain-free movement is a prerogative for life.

When your orthopedic surgeon suggests that surgical replacement of your hip joint is the best alternative for being active and pain-free, you are bound to be curious about the state of the art in hip arthroplasty.

In the minimally invasive hip replacement, the damaged ball and socket of the hip are removed and replaced with a synthetic ball & socket joint.

The new implants are attached to your own bones, with a new sliding surface in between. The outcome is a relief from pain and a quick return to a normal and active lifestyle.

Traditional hip arthroplasty involves long incisions. The recovery period is also long. In the latest method of minimally invasive hip replacement surgery, the surgeon uses special instruments to make smaller incisions.

It renders minimum or no damage to the healthy tissue and tendons around the joint. The result is reduced downtime and speedy recovery.

According to Dr. Tanveer Bhutani, another promising surgical technique is biological hip joint replacement, in which the new joint is not made of artificial material, but from donated bone and cartilage.

The current state of the art in hip replacement achieves excellent patient outcomes with minimum rehabilitation.

Eva Hospital

Have PCOS? Yes, you can still get Pregnant!

December 30, 2020March 30, 2024
by Eva Hospital

If you have PCOS, you can still get pregnant and have a healthy pregnancy with various treatment options available.
PCOS is a condition where the female fails to ovulate regularly.

Ovulation is the process of release of eggs by the ovarian cells – once in every menstrual cycle. When the eggs do no release, they remain in the ovarian cells as cysts. This is called Polycystic Ovarian Syndrome.

Infertility is the first consequence of PCOS because fertilization can not occur when the eggs are not available.
Most women can conceive with a combination of :

● Fertility drugs,
● IVF, and
● Lifestyle changes

Fertility Medications

Clomiphene Citrate- Most women with PCOS can get pregnant with Clomid. Clomiphene or Clomid stimulates the ovaries to regularise ovulation. Nevertheless, it’s not effective for everybody.

Females with Clomid resistance do not respond to the drug and ovulation does not occur. A combination of metformin with Clomid is found to benefit such women and enable the release of eggs.

Metformin- One of the reasons for PCOS is the imbalance of insulin level in the blood. This interferes with conception. The imbalance may be caused by insulin resistance.

Metformin can cure insulin resistance, help in weight loss, and in conceiving. Although it is a medicine for diabetics, it’s used is safe for treating infertility.

It regulates ovulation, regularises the menstrual cycle, and considerably reduces the chances of miscarriage.

Letrozole – This medication is an ovulation stimulator for women with PCOS. According to Dr. Shivani Bhutani, Infertility& IVF specialist at Eva Hospital, some women respond better to Femara( letrozole brand name) than to Clomid.

Global research has substantiated its effectiveness for the treatment of polycystic ovary and ovulation disorder.

Fertility Injections – When the above drugs and their combination does not facilitate a woman with PCOS to get pregnant, hormone therapy is the next step.

It might be the first line of treatment if the infertility specialist thinks that hormonal imbalance is the underlying factor. Injectable drugs are called Gonadotropins. These consist of hormones such as FSH and LH or a combination of the two.

The doctor may even suggest gonadotropin along with oral medications( such as Clomid), or intrauterine insemination( IUI).

IVF or In Vitro Fertilization

IVF is a standard procedure for making pregnancy a reality for women with PCOS. When the medicinal treatments do not work, infertility specialists suggest in-vitro fertilization.

It involves using injectable fertility drugs to stimulate multiple ovulation, retrieving the eggs, and fertilizing them with sperm, in a petri dish. The sperm may be from your partner or a donor.

Agreeably, the sperm fertilizes some of these eggs. After allowing these embryos to grow for a while, one or more are implanted in the uterus. A pregnancy test confirms the success of the procedure.

Lifestyle Changes

To increase your chances of getting pregnant with PCOS, diet and lifestyle changes must be followed, with or without ongoing treatment.

Weight Loss

PCOS can be a consequence of obesity or vice versa. The occurrence of polycystic ovaries may also cause obesity. It is a condition where either there is no ovulation or irregular ovulation.

Weight loss can help with both. Regularizing your body weight can start ovulation as well as make it normal.

Diet and Exercise

Exercise and diet play an important role in pregnancy for women suffering from PCOS. Insulin production and weight management are the factors responsible for controlling the impact of the condition.

All dietary changes should be aimed at controlling insulin levels and weight. Take a low carb diet, push up the protein,s and stay away from alcohol and caffeine when you are trying to get pregnant.

A regular, (but not too heavy)workout regime helps in controlling body mass index, weight management,t and reducing stress levels.

Here Are a Few Dietary Tips to Try:

Boost Vitamin D: Studies have shown that good levels of vitamin D help women with PCOS to conceive and have a successful pregnancy. Low levels of vitamins may lower the odds of conception.

Include cinnamon: According to a study, taking 1.5 grams of cinnamon every day helps regulate insulin levels and stimulate ovulation.

You can sprinkle cinnamon powder on salads or vegetables and add it to your drinks. It is known to regulate periods

Eva Hospital

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.

Hip Replacement surgery

Total Hip Replacement Surgery- Procedure, Types and Recovery

June 3, 2020March 30, 2024
by Eva Hospital

Are you finding wearing socks and shoes difficult? If you have been finding the process of walking difficult without support, or if any past fracture or arthritis has damaged the hip, you must consider a total or partial hip replacement.

First performed in the 1960s, hip replacement surgery has come a long way in helping patients get out of the pain in the hip and any immobility that arises because of hip pain.

What is Hip Replacement Surgery?

Hip replacement is the procedure in which the parts of the hip joints are replaced by artificial implants called a prosthesis. You may be advised for total hip replacement surgery or even a partial hip replacement surgery. The portions of the femur (thigh bone) and pelvis that form the hip joint are removed and replaced.

Most people between the age of 60 and 80 years must consider the process of minimally invasive hip replacement. The surgeon makes an incision in the hip after giving you anesthesia and then removes the damaged hip to replace it with the artificial joint or implant.

Hip Replacement surgery is a process of almost two hours and is known to cure pain and immobility caused by arthritis or improperly growing hip. It is a complex surgery and the success involves dexterity in the hands of the surgeon.

Dr. Tanveer Bhutani, an acclaimed orthopedic in North India, is the best at hip replacement surgery. He has performed many hip replacement surgeries successfully with complete precision and perfection.

Should you consider Hip Replacement Surgery?

If arthritis has been a cause of worry and has caused severe hip pain that is not relieved by medications and physiotherapy, the hip replacement must be considered to relieve the debilitating pain.

If you feel the pain in the hip has been interfering with the regular movement and making walking or motion difficult, you are the right candidate for hip replacement surgery.

“Osteoarthritis is the main cause of hip immobility in many patients. It is the single most important cause of over 60% of hip replacement surgeries,” says Dr. Bhutani. If you have been ailing from osteoarthritis, rheumatoid arthritis, hip fracture, or septic arthritis, your surgeon may consider hip replacement surgery after monitoring and examining you physically.

Also, read- How to make your bones stronger with increasing age.

What is Better- Cemented or Uncemented Hip Replacement Procedure?

In the process of the surgery of hip replacement, the orthopedic surgeon will replace the existing hip joints with artificial prosthesis. The prosthetic element has to adhere to the patient’s natural bone. This can be achieved in either of the following two ways:

Cemented Joint Prosthesis

This procedure uses fast-drying bone cement to help the prosthesis adhere to the bone.

Uncemented Joint Prosthesis

This is called the cementless or the press-fit prosthesis. In this process, the cementless prosthesis is textured in a way that allows the bone to grow onto it and adhere to the prosthesis over a span of time.

The orthopedic surgeon may use cemented or cementless prosthesis or a combination of the two after talking to the patient.

The choice of the component is contingent on the following:

The type of hip replacement surgery done
The psychology of the patient
The requirement is according to the acumen of the surgeon.

Weigh the Pros and Cons of the Type of Prosthesis

The cemented prosthesis is majorly a layer of cement called acrylic polymer and this forms a layer between the patient’s natural bone and the prosthetic component.

This allows the bones which have become porous from osteoporosis to heal and affix to the prosthetic joint. The application of bone cement is a process of not more than a couple of minutes and this gives the orthopedic a surety of the positioning of the prosthetic joint component.

Another advantage of the cemented joint is that it comes with an antibiotic material that helps in the quick healing of any post-surgical infection.

However, Dr. Tanveer warns that the application of the cemented joint prosthesis has to be done by a proficient orthopedic.

There are chances that the artificial joint comes loose and the whole surgical process is rendered futile; there may be a chance that cement can enter the bloodstream and be detrimental to the lungs.

Seeing the negative impact of the cemented prosthesis, Dr. Tanveer advocates cementless or press-fit prosthesis.

The expertise of the orthopedic is in fitting the prosthesis in a way that the natural bone grows in the shape and direction of the prosthesis.

A cementless prosthesis holds the prosthesis and bone in a better way and rules out the risk of any loose cement entering the bloodstream. The orthopedic will observe the bone density according to the severity of osteoporosis and accordingly administer precautions.

What is the Recovery Time of Hip Replacement Surgery?

Hip Replacement is a procedure of four to six days to stay in the hospital. The orthopedic will start the physiotherapy within a day of the surgery and you will be advised to walk with support within one or two days of the surgery.

You will be able to resume your routine activities within 3 to 6 weeks of total hip replacement surgery. There may be surgical pain for the initial one or two days but you will be relieved from the excruciating arthritis pain right away after the surgery.

Dr. Tanveer says a hip replacement is a procedure more than 50 years old and has evolved ever since. It is a safe surgery to undergo if you want to alleviate the pain and suffering in the hips and enhance your mobility.

Conclusion

Nearly 30,000 total hip replacements take place in the U.S. each year. If the pain in the hip or arthritis has been affecting your daily life and movement, hip replacement is the cure. For the most effective surgery and the genuine diagnosis and check-up, rush to the best orthopedic in Punjab, Dr. Tanveer Bhutani, EVA Hospital, and get back to the normal pain-free routine. Check out our patient testimonial for hip replacement.

knee replacement surgery

What are the Benefits of Knee Replacement Surgery

May 29, 2020March 30, 2024
by Eva Hospital

If you are facing constant pain in the knee or if your daily movement is affected by the immobility in the knee, you must read on.

This blog will help people who have faced sports injuries or are in turmoil because of immobility in the knee. The secret to staying fit is out. It is the Knee Replacement Surgery.

Knee Replacement Surgery is the new age modern surgical process that helps patients get rid of the pain and damaged knee because of arthritis.

The best orthopedic of Punjab, Dr. Tanveer Bhutani says osteoarthritis is the most common reason for patients to undergo knee replacement surgery.

He recommends that patients whose knee joints have been damaged by arthritis or any trauma must consider the surgical procedure and get relief from constant pain.

What are the Types of Knee Replacement Surgeries?

Knee Replacement or Knee Arthroscopy or sometimes called ‘knee resurfacing’, this surgery has helped many people live a pain-free life. In this surgery, the damaged bone and cartilage from the surface of the knee joint is replaced with an artificial component.

Knee replacement surgery is successful in people of all age groups- right from old age people with damaged knees to adults or sportsmen who have damaged knees because of injury.

Following are the types of most commonly performed knee replacement surgeries:

Partial Knee Replacement

PKR or partial knee replacement is the surgery that replaces only one side of the joint. This surgery is done when arthritis is present only in part of the knee.

Total Knee Replacement

In this surgery, the entire knee joint is replaced. The joint surface at the end of the thigh bone (femur) and the joint surface at the top of the shin (tibia) is replaced with a metal shell. The artificial components used in the surgery are called a prosthesis.

What are the Benefits of Total Knee Replacement Surgery?

If your knee gives you pain, stiffness, loss of function, and instability, your orthopedic will surely recommend a total knee replacement.

Dr. Tanveer says it’s not necessary that all patients who have arthritis need a knee replacement. But if the knee is damaged and made dysfunctional by arthritis, knee replacement surgery will be a boon to the body.

Following are the benefits of knee replacement surgery:

Relief from Pain

Total knee replacement gives relief from the excruciating knee pain which had made you immobile and dependent. EVA hospital is the best hospital for knee replacement surgeries and the testimonials from patients tell you that TKR has helped them to live a pain-free life.

Gain Stability and Mobility

Debilitating knee pain can make you handicapped to move about, climb the stairs, or even stand or walk for a longer duration. This can prevent you from living a normal life and can hamper your family life.

Knee replacement can help you lead an active life. Post-surgery recovery will help you walk without any support and move freely for your household chores.

High Success Rate and Recovery Rate

The best orthopedic in Punjab, Dr. Tanveer Bhutani, assures a high success rate with knee replacement surgery. Dr. Bhutani says if prolonged medications, injections, and other treatments do not help in combating pain, knee replacement is a sure treatment for pain and recovery.

After the surgery, you will be relieved of taking so many medicines and lead a free life.

Knee replacement is a highly successful surgery and it has a quick recovery rate. There is no age restriction for the surgery and more than 95% of the patients are satisfied with the results of knee replacement surgery.

Last Words

The quality of life of the patients after knee surgery is definitely better. To choose the best orthopedic, you must see the qualifications experience, and past records of the doctor along with the facilities of the hospital.

Dr. Tanveer Bhutani from EVA Hospital has a record of successful knee replacement surgeries and provides the best pre and post-surgery care.

EVA Hospital is equipped with modern equipment and facilities and a caring, skilled, and concerned staff. For knee check-up, consultancy or any advice get in touch with Dr. Bhutani.

Eva Hospital

What should be the Diet and Nutrition Plans for…

March 19, 2020March 30, 2024
by Eva Hospital

Usually one in every ten girls suffers from irregular periods, unwanted hair growth, and acne on the face.

This is the case of the dreadful Polycystic Ovary Syndrome (PCOS) which means no menstruation at all or irregular periods. PCOS causes delayed, infrequent, or prolonged menstruation.

Women with PCOS develop multiple cysts in their ovaries because of the overproduction of hormones in the body. This hormone is called androgens and is a male hormone.

Excess production of androgens can lead to hirsutism. Women of reproductive age can face serious implications because of PCOS.

Dr. Shivani Bhutani, the best gynecologist in Ludhiana, Punjab, says that women with PCOS suffer from infertility, miscarriage or premature birth, sleep apnea, Type 2 diabetes, depression, eating disorders, and cancer (in the outer lining) in the worst cases. Since the exact cause of PCOS is unknown, women suffering from PCOS must consult a gynecologist at the earliest.

Can Diet help in Relieving PCOS?

Dr. Bhutani states that more than 85% of women with PCOS are obese. This additionally exposes them to risks of heart diseases, diabetes, high blood pressure, and cancer.

The reason is that women with PCOS have a potentially higher insulin level than the normal range. The body pumps more insulin to keep the blood sugar levels normal as your body becomes insulin resistant.

As the body becomes insulin resistant, a vicious chain circle is triggered. High insulin resistance means the body pumps more insulin and this implies that any food or diet rich in carbohydrates can add to insulin resistance making weight loss difficult.

Dr. Shivani insists on incorporating the right kind of food and a few lifestyle changes to keep PCOS-related health disorders at bay.

At EVA Hospital, she guides all her patients to stay active, eat well and focus on healthy body weight. Stress affects fertility and pregnancy and Dr. Shivani advises her patients with PCOS a stress-free lifestyle.

What are the Foods to avoid in PCOS?

The best gynecologist in Punjab, Dr. Shivani Bhutani will outrightly recommend you to avoid these three categories of food strictly:

Sugary Foods and Drinks

Sugar is a carbohydrate and must be avoided. Packed juices, sugary aerated drinks, and canned fruits are high in sugar.

You must avoid any kind of drink or snack that mentions sucrose, high fructose corn syrup, and dextrose on the label.

The delicious morning cereals like frosted flakes and fruit loops are also high in sugar. While at work, mid-meal munching should also be fresh fruits and water infused with fruits (for flavor).

You must also avoid giving in to the temptations of sweet tooth and pop in a chunk of candies, cakes, and cookies. No matter what the ingredients are, sugar is always a prime component. For PCOS, you must switch to snacks with fiber-like popcorns or vegetable crackers.

Foods rich in Carbohydrates

Dr. Bhutani emphasizes understanding the role of different types of carbohydrates on your body. Carbohydrates with fiber such as whole grains, fruits, and vegetables are the best to lower insulin levels.

However, carbohydrates infused with sugar will make you hungry very soon and enhance insulin levels. Foods such as starchy potatoes, corn, and peas must be avoided.

Even refined carbohydrates aggravate inflammation and insulin resistance and food items like white bread, muffins, breakfast pastries, and white flour-based products must be removed from your plate.

Whole grains like whole-wheat pasta, brown rice, oats, and whole wheat bread are a must-to-be incorporated into the diet.

You must also be able to differentiate between items that are high in carbohydrates but low in fiber. Pasta made from bean or lentil flour must be preferred over pasta made from semolina or durum wheat flour. Always insist on purchasing high-fiber cereals that have at least 5gm of fiber per serving.

Inflammation-causing Foods

It is mandatory to remove food items that cause inflammation from your daily consumption. Fries, margarine, processed foods, and red meats are a strict-to-avoid food category.

What are the Foods that Must be Included in the Diet for PCOS?

For women with PCOS, a balanced diet with high fiber foods and vegetables is quite essential. Foods like high fiber vegetables (broccoli, cauliflower, Brussels sprouts, green and red peppers, beans, almonds, berries, sweet potatoes, and pumpkin) help in keeping insulin resistance low by slowing down digestion.
Dr. Shivani highly recommends foods that reduce inflammation like tomatoes, kale, walnuts, fruits like blueberries and strawberries, and fatty fish like salmon and sardines rich in Omega-3 fatty acids.
It is also notable that sometimes patients prefer a high protein diet (like Atkin’s diet). But for women and teenagers with PCOS, this diet isn’t recommended because this type of diet is usually low in fiber content and vitamins like Vitamin B and C. You must also focus on the right diet to improve fertility.

PCOS can be frustrating and depressing at times. For the best guidance about diet and lifestyle changes, get in touch with Dr. Shivani Bhutani at EVA Hospital and seek help.

Eat healthily and be proactive in responding to the lifestyle changes so that PCOS doesn’t reflect on infertility and other diseases. Happiness is the cure to many diseases and adopts a lifestyle pattern that endorses happiness.

Eva Hospital

Untitled

March 11, 2020
by Eva Hospital

Growing old or aging with grace- what is your status? Do you feel the lack of vitality and vigor as you are aging? Is weakness in bones a frequent complaint? You may be feeling it in the form of pain in the knees and legs, wrist and spine.

The bone mass intensity is at its highest by the age of 30 and it starts deteriorating as you age further. The levels of calcium drop down in the body and the bones become fragile and brittle, thus prone to fractures. This condition is called osteoporosis. If the research says that by the age of 50, you can easily break your bones, the condition is grave and needs serious attention.

“1 in every 2 women and 1 in every 4 men are prone to fractures during their lifetime. When the bones and body structures aren’t ready to support your body weight, the bone tends to break and it’s a visible sign of osteoporosis,” says Dr. Tanveer Bhutani, the best orthopedic in Punjab. He strongly recommends that women take extra care as their calcium and estrogen levels dwindle away after menopause and they are more likely to suffer from pain in the bones and fractures.

[wbc_heading title=”What are the Causes of Weaker Bones in Increasing Age?
“]

Bones tend to weaken when the new bone is formed at a lesser speed than its consumption. Factors like diet, menopause, lifestyle habits like smoking and tobacco, lack of exercise can be fatal to the bones after the age of 30. Men may start to experience osteopenia and osteoporosis after the age of 50 but women tend to face the problem soon after menopause. The worse of all is arthritis and its symptoms.

Weight is the biggest factor affecting the bones and anyone who is overweight by the standard norms is more likely to experience fractures and fragility in bones. Lack of vitamin D and calcium in body or not taking in the needful supplements can be risky for the bone health. Irregular hormonal balance and intake of some medications for longer period can affect bones adversely. You can also become more prone to sports injuries if you do not exercise caution.

[wbc_heading title=”What are the Ways to Strengthen the Bones?”]

Strengthening your bones should be in the priority list as bones and the skeletal system are the backbone of a well-functioning body. If the bones are weak, you will be gradually incapacitated to do your daily chores. Also you will be exposed to frequent fractures. Dr. Taneer Bhutani suggests a few measures which will help you to make your bones stronger as you age:

[wbc_heading title=”Load Necessary Supplements”]

Women after 30s and men after 45 must be watchful of the supplement intake. Consult a good orthopedic and revamp the intake of calcium supplements. Vitamin D and calcium supplements are mandatory and must be taken after getting the prescribed dosage and frequency.

[wbc_heading title=”Watch out what Goes in
“]

“What goes in the body determines the output of the body,” says Dr. Tanveer Bhutani. The diet must be loaded with dairy products like milk, cheese, low fat milk, soy milk and almonds. The most important sources of calcium are green, leafy vegetables, leguminous pulses, salmon and nuts. Eat your way to healthy bones and start nourishing the body with calcium from natural sources from a tender age.

[wbc_heading title=”Are you Still Doing this?
“]

After having read the fatal consequences of bone weakness, are you still smoking, drinking alcohol or consuming too much caffeine? If yes, you must stop it immediately as these vices are eating up your bones and are more likely to lead to osteoporosis sooner than expected. You must avoid tobacco and consume drinks as per the minimum allowed portions by your orthopedic.

[wbc_heading title=”Have you been Exercising?”]

However contrary it may sound, exercising, walking and strength exercises are the most effective ways to strengthen the bones. Strength building, weight training and forms like dancing, cycling and swimming strengthen the core muscles and make your body resistant to injuries and falls. Exercising minimum 30-45 minutes five times a week is a mandatory requirement. You must consult a good orthopedic around you to seek advice on the duration and the type of exercises that are beneficial to your body.

[wbc_heading title=”Sun is your Best Friend”]

Have you been spending time with sun absorbing the natural and free-of-cost Vitamin D that it provides? Spending about 10-15 minutes in the morning sun is like a therapy for the bones for the children and the adult alike. Stock up Vitamin D as you sit and read a book in sun or play with your children in the outdoors.

[wbc_heading title=”Read and Study your Genes
“]

Get regular Dexa scans done to check your bone density. Also if you study the past history of bone density of your parents, you will understand how much and at what age you need to start strengthening your bones. Since you cannot reverse the genes composition, you can at least start taking care of your bones at an earlier age so that you don’t fall in the trap of weak bones anytime soon.

[wbc_heading title=”Final Words”]

Bones disorder starts from middle age onwards and shows gruesome signals as you age. It is very important to build a good foundation of the bones from 30s onwards. Get regular checks done and for the best advice on strong bones health, get in touch with Ludhiana’s best orthopedic surgeon, Dr. Tanveer Bhutani, EVA Hospital and plan your way to healthy bones for a healthier old age.

Eva Hospital

What are Risks and Benefits of Social Freezing?

February 26, 2020March 30, 2024
by Eva Hospital

You will be surprised to know that men produce new sperm almost throughout their life but women’s fertility graph is almost hill-shaped; it increases as they grow and begins to deteriorate after their 35th birthday tentatively.

The egg cell is important for female fertility.

A unique egg reserve starts to form in the body of a new baby girl. As the girl grows, the majority of eggs are wasted in the process of growth and degeneration (apoptosis).

By the time of puberty, only about 4, 00,000 eggs are left and roughly only 300-500 eggs qualify for ovulation in the fertile years.

The regular menstrual cycle does not coincide with fertility and another fact is that fertility may terminate much before menopause sets in. This gave rise to the concept of Social Freezing where the woman could freeze the eggs at the most fertile period of her life to be able to get pregnant later.

What is Social Freezing?

Social freezing is like a new ray of hope for women who want to get pregnant. Women can lengthen their fertility period by getting the eggs (oocytes) frozen at the right age and time.

Fertility preservation or social freezing is gaining popularity as people are delaying childbirth for various inevitable and important reasons.

The oocytes or eggs are extracted, frozen, and stored. The women can choose to get the eggs thawed, fertilized and transferred to the uterus to get pregnant at any point in time in the future.

How does Social Freezing Happen?

Eggs (oocytes) are frozen using either a controlled rate (slow-cooling method) or the latest flash-freezing method called Vitrification. Vitrification is much faster but requires a high amount of cryoprotectants.

Also, vitrification has increased oocytes’ survival post-thaw and marked a significant improvement in pregnancy rates with social freezing.

The doctor first examines the ovarian reserve and the functioning of the woman’s ovaries. The process of retrieving and freezing the eggs takes about two weeks including hormone treatment and egg retrieval.

What are the Benefits of Social Freezing?

Egg freezing is a process carried on for more than three decades now. Social freezing is a boon for women who wish to get pregnant after 38 years of age. Following are the benefits of social freezing:

Pregnancy at Any Age

Social freezing has made pregnancy possible at an advanced age and avails the joys of parenting even after the 40s.

High Chances of Healthy Children

Social freezing reduces the chance of having children with chromosomal abnormalities considerably.

Egg freezing is considered a better and safer option than embryo freezing on social and moral grounds.

Who should opt for Social Freezing?

Women at all age groups prefer social freezing on account of the following important and unavoidable reasons:

Cancer Treatments

Women who have to face chemotherapies or cancer treatments prefer social freezing as the strong radiations tend to damage ovaries and the chances of healthy pregnancy go down.

Endometriosis

Women with severe endometriosis or any other autoimmune diseases opt for social freezing increasingly to be able to parent a child smoothly. Women with endometriosis prefer IVF for conception and pregnancy.

Pregnancy when prepared mentally

Work pressures, family stability, income status, or a rising career graph are some reasons when women tend to postpone family planning and having a baby. Social freezing gives them a chance to utilize their fertile eggs to get pregnant at any point in their lives when they are ready.

Suitable Partner

Sometimes women are unable to find a suitable partner and postpone the decision of having their own genetic baby till they find a suitable partner. Social freezing helps them to have their own baby when they are comfortable with a suitable partner.

What are the Risks of Social Freezing?

The best gynecologist and fertility expert of Punjab, Dr. Shivani Bhutani, EVA Hospital, states that the risks of social freezing are almost negligible.

Only one out of four women may report insignificant side-effects with social freezing.

There may be hormonal fluctuations temporarily with the medications and routine PMS-like symptoms such as mood swings, insomnia, headaches, or bloating.

Dr.Bhutani says that the side effects last only about 8-10 days till the time the medicines are injected. An experienced doctor will apprise you of the situation and make you comfortable.

Conclusion

With the scientific developments and technological advancements, social freezing has seen an upsurge in the process of postponing baby-making.

The success rates are high under the aegis of an experienced doctor like Dr. Shivani who is well-equipped with the best state-of-art facility to conserve and preserve eggs.

For more details or queries on social freezing, seek an appointment with Dr. Shivani and avail the benefits of social freezing at the right age.

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.

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evahospitalludhiana

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Last Words

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What is Social Freezing?

How does Social Freezing Happen?

What are the Benefits of Social Freezing?

Who should opt for Social Freezing?

What are the Risks of Social Freezing?

5 Precautions for the Female before the IVF Process

Over to You