Tag: <span>miscarriage</span>

miscarriage

Can Vitamin D help stop recurrent miscarriages?

December 28, 2022March 27, 2024
by Eva Hospital

Surprisingly, Vitamin D deficiency is quite common among Indians despite most parts of the country getting abundant sunlight throughout the year. If the findings of a 2020 study are to be believed, over 76% Indians were suffering from various levels of Vitamin D deficiency.

However, the role of this vitamin is proven to be crucial in conception and full-term pregnancy.

New research has proven that pregnant women are at high risk of recurrent miscarriage.

As a result of this, expecting women and women planning to start a family are invariably prescribed Vitamin D supplements by their healthcare providers to ensure a healthy pregnancy and improve their chances of conception.

While the sunshine vitamin is considered instrumental in maintaining overall health and wellbeing of the mother and the future child through bone building and calcium absorption works, it also lowers the risk of miscarriages among pregnant mothers.

How does it help?

Newer research has established that Vitamin D deficiency as well as insufficiency are associated with miscarriage.

Experts at the University of Birmingham in association with experts at Tommy’s National Centre for Miscarriage Research found that there is a significant association between Vitamin D levels and the risk of miscarriage or recurrent miscarriage. Women deficient in Vitamin D were found to be twice as likely to suffer from a miscarriage, the study revealed.

According to a study by the US National Institute of Health, 10 ng/mL increase in preconception Vitamin D level was associated with a 12% lowered risk of miscarriages in women who became pregnant.

The study showed women who had sufficient preconception Vitamin D concentrations were 10% more likely to become pregnant and 15% more likely to have a live birth, compared to those with insufficient concentrations of the vitamin.

This basically means that women with Vitamin D deficiency have an increased risk of miscarriage when compared to women with proper levels of Vitamin D.

Vitamin D-rich food

Salmon
Tuna
Mackerel
Sunlight exposure
Red meat
Liver
Egg yolks
Foods that have been fortified

Women at higher risk of Vitamin D deficiency:

Have darker skin
Have a body mass index of above 30
If they rarely go outside
Always cover their skin

What is the prescribed Vitamin D dose for pregnant women?

While medical opinion on the matter differs widely, several studies indicate Vitamin D blood levels of 30 ng/mL or higher can improve chances of pregnancy and ensure full-term delivery.

Other researchers define a Vitamin D level of below 30 nanograms per milliliter as insufficient. Some health agencies across the world recommend a maximum of 100 micrograms of Vitamin D per day for any pregnant and breastfeeding woman. The same is true for all adults.

Vitamin D does for miscarriage prevention

Deficient: Below 20 ng/ml

Insufficient: 20-30 ng/ml

Sufficient: At least 30 ng/ml

Optimal: At least 40 ng/ml

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.

Eva Hospital

What is an Ovarian Cyst Symptoms and Treatment?

May 23, 2020
by Eva Hospital

Have you been feeling unusual pressure, bloating, swelling, or pain in the lower abdomen? Has there been pain during the process of sexual intercourse? Are you worried about mild breast tenderness or inexplicable weight gain?

All these or any of the above may be the symptoms of cysts in the ovaries. Women have two ovaries on each side of the uterus where eggs (ova) develop and mature and are released in monthly cycles during the fertile years. During this process of ovulation, many women develop cysts.

Ovarian cysts form in or on the ovaries. Cysts are fluid-filled sacs or pockets (sacs) within or on the surface of the ovary and are mostly harmless.

They may not even cause any symptoms or problems. However ovarian cysts, especially those which have ruptured, can be potentially dangerous and can cause serious implications.

What are the Types of Cysts?

Usually, ovarian cysts grow as a part of ovulation when the normal monthly follicle keeps growing. These are called Functional Cysts. The best gynecologist in Punjab, Dr. Shivani Bhutani, EVA Hospital, says that functional cysts are usually harmless and benign (non-cancerous) and can disappear without any treatment. There are two types of functional cysts:

Follicular Cysts

During the monthly menstrual cycle, when the ovaries release an egg, the egg grows inside a sac called follicle. As the egg matures, the follicle breaks open and releases the egg. When the follicle does not break open to release the egg but continues to grow, follicular cysts are formed. These are harmless and have no symptoms. They disappear in a span of one to three months gradually.

Corpus Luteum Cyst

Once the follicle releases eggs, it is an empty follicle sac and starts producing estrogen and progesterone for further conception.

This empty mass of cells is called Corpus Luteum. Most corpus luteum gradually wanes itself after a few weeks. However, the trouble arises when the cysts grow big, sometimes as big as four inches wide, and can cause bleeding and pain in the ovary.

Functional cysts are considered to be part of the menstrual cycle and deemed harmless as they gradually disappear within two to three menstrual cycles.

There are other types of cysts that aren’t a process of the normal menstrual cycle:

Cystadenomas

These sacs develop on the surface of the ovaries and are usually filled with watery or mucous substances. If cystadenomas enlarge unusually, they can cause the ovary to move out of position.

Dermoid Cysts

Dermoid cysts form from cells present by birth (embryonic cells). They may not show any symptoms and are rarely cancerous. However, if dermoid cysts become large it may displace the shape and position of the ovaries.

Endometriomas

As the name suggests, these sacs develop as a result of endometriosis. Endometriosis happens when the lining of the uterus grows outside the uterus. Some of the tissue attaches to the ovary and forms an external growth outside the uterus.

Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder with enlarged ovaries and small cysts on the surface of the ovaries. PCOS affects skin, hair, obesity adversely, and also hampers the menstrual cycle negatively. The reasons for PCOS can be genetic as well as environmental factors. Dr. Bhutani insists that the diagnosis and treatment of PCOS are essential in the early stages to reduce long-term medical complications.

Also, read what should be the diet and nutrition recommended for PCOS.

Are all Cysts Dangerous?

Cysts can be tiny or large and not all of them are cancerous. Usually, most of the cysts clear up without much intervention. Dr. Bhutani advocates that cysts that form post-menopause have a high chance of being cancerous.

If you suffer experience symptoms like pelvic pain, abdominal discomfort, and loss of appetite, trouble in urination, abnormal periods, or sudden abdominal pain, you must consult the best gynecologist near you and get the problem diagnosed.

Can I get Ovarian Cysts?

If you have started menopause, there are rare chances that you get cysts. However, women with regular periods are more susceptible to cysts.

Functional cysts- follicular cyst or corpus luteum cysts are formed every month and are not dangerous. However, when they become of a formidable size, they can cause problems and need treatment.

If you are a woman in the premenopausal stage, you must consult a reliable gynecologist when you experience the need to urinate more often, or pelvic pressure and pain and abnormal vaginal bleeding.

Do Ovarian Cysts Affect Pregnancy?

Ovarian cysts can be formed during pregnancy and are usually not harmful. The best gynecologist in Ludhiana, Dr. Shivani Bhutani insists that you must get the cysts checked during pregnancy. They can be risky and can cause problems during childbirth if they rupture or twist.

What is the treatment of Cysts?

You will be advised an ultrasound, blood test, and pelvic exam to get the cysts diagnosed. Functional cysts disappear themselves and do not need any treatment.

However larger cysts may have to be removed through surgery. The type of surgery depends on your age, the size of the cyst, how the cysts would appear on the ultrasound, and how the symptoms appear.

Your doctor may suggest watchful waiting to see if the cyst gets removed on its own. In some cases even medication like hormonal contraceptives to prevent the recurrence of ovarian cysts.

If the cyst continues to grow from the last two or three menstrual cycles and causes pain, surgery may be recommended. Usually, persistent cysts larger than 10 cm are considered for surgical removal. The following are the two types of surgeries that the doctor may recommend:

Laparoscopy

Laparoscopy is a minimally invasive technique. A small device is inserted through a small incision and the doctor uses this to examine the reproductive organs and pelvic cavity. The cyst can be removed through tiny incisions. This process involves a faster recovery than open surgeries.

Laparotomy

Laparotomy is a process more intense procedure than laparoscopy and is performed if the cyst is large and suspected to be cancerous.

The surgery uses a large cut in the abdomen to remove the cyst and the cyst is then taken to check if it is cancerous. Dr. Shivani says if the cyst is diagnosed cancerous the patient will be advised to remove the ovaries, uterus, and fallopian tubes and may further have to undergo chemotherapy or radiation therapy.

Last words

You get ovarian cysts each month with the menstrual cycle and they aren’t a cause of worry. But if the cysts prolong and grow in size and you experience painful symptoms, you must consult your doctor.

For the most genuine advice and consultation, contact the most experienced gynecologist, Dr. Shivani Bhutani, EVA Hospital, Ludhiana, and seek her opinion. Don’t let the cyst grow and become cancerous or rupture.

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.