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I'm 32 and Diagnosed with Breast Cancer: Can I Still Have Kids After Treatment?

Dr Nandita

Dr Nandita Palshetkar  |39 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Jan 03, 2025

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
Asked by Anonymous - Dec 31, 2024Hindi
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Hi Doctor, I’m 32 years old and recently got diagnosed with breast cancer. I’ve been advised to start treatment soon, but I’ve always wanted to have kids, and I’m unsure if I’ll be able to have children after this treatment. My doctor mentioned the option of egg freezing, and I’m a little confused about the whole process. On top of that, my partner and I are also thinking about waiting a few more years before starting a family due to career and personal goals. I’m really torn about what to do. Could you help me understand the whole egg freezing process? What are the risks involved, how long does it take, and how much does it cost? Should I freeze my eggs now, or is it okay to wait until later?

Ans: Hello, sorry to hear about your breast cancer, but the best part is breast cancer is curable
Since you are 32 years of age, and you might undergo chemo, radiotherapy which might affect your fertility. So best option is to undergo egg freezing.
Before we start the procedure, we need to know your AMH level (to know your ovarian reserve) and basic blood work up to get your fitness fir the procedure
The procedure normally needs first 15 days of your cycle where you will need to undergo 3 to 4 scans to monitor the egg growth (follicle growth) and injections from day 2 of your periods till the eggs grow and mature
These injections are safe in form of LH OR FSH hormone. It can sometimes cause
Nausea vomit, constipation, mood swings, low abdominal heaviness, breast tenderness.
These are experienced by some.
Once you are ready then you will be admitted as day care procedure and egg retrieval done under short anesthesia. You will be able to go home in 6 to 7 hours.
During this period of stimulation, you can do regular routine work.
Zumba, jumping and heavy activities avoided during stim.
So, freezing your eggs now is a better. Option
If you delay further the quality and quantity of eggs gets hampered.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Nandita

Dr Nandita Palshetkar  |39 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 09, 2024

Asked by Anonymous - Dec 05, 2024Hindi
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Hi Doctor, I am Neha, 34 years old, a marketing professional from Mumbai. My job can be pretty stressful at times. My husband and I have been trying to conceive for the past three years without success. Recently, my gynecologist suggested we consider IVF. While I’m open to the idea, I’m also anxious about what lies ahead. Could you please explain what tests and evaluations are required before starting the IVF process? I want to know if these tests can predict the chances of success. Also, considering my hectic work schedule, should I make any lifestyle changes to improve our odds?
Ans: Hello Neha considering you are 34 years, and trying to conceive since 3 years
First of all, you both need to undergo blood test
1) Neha:
CBC, Blood Sugars, Vit B12, Vit D, Liver and Kidney screening, hormonal (TSH AND PROLACTIN), viral markers test and most important AMH LEVEL to know ovarian reserve.
Usg pelvis tp rule out fibroids, ovarian cyst
2) Husband:
Blood Sugars
Semen analysis to know about sperm count, motility.
These tests can give an idea about both. Fertility level and any particular supplements needed and chances of successful pregnancy.
Considering hectic lifestyle certain measures to be taken
1) stress management: yoga, walks, exercise, meditation
2) adequate sleep at least 6 to 7 hours
3) Adequate exercise and walks which releases endorphins , dopamine and good hormones needed for hormone circulation.
4) Good nutrition:
Contains antioxidants
Vit B6, Vit B12, Omega 3 fatty acids, iron, zinc, magnesium, calcium, Vit D, green veggies, fruits, eggs, chicken for protein
5) your gynec will advise certain supplements to be taken for additional supplements.

..Read more

Dr Nandita

Dr Nandita Palshetkar  |39 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 16, 2024

Asked by Anonymous - Dec 06, 2024Hindi
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My name is Priya, and I’m 36 years old. I work at a school in Pune. My husband and I have recently decided to go ahead with IVF after struggling with unexplained infertility for four years. While I’m hopeful about becoming a mother, I’m also quite nervous about the ovarian stimulation process and the egg retrieval procedure. Could you please explain the potential risks and side effects of these steps? I have read about complications like ovarian hyperstimulation syndrome. I want to be as informed and prepared as possible before we start this journey. Thank you for your guidance.
Ans: Hello Priya, since you are 36 years, married since 4 years, primary infertility, yes, ivf is a better option.
Many patients have lots of myths regarding ivf treatment. But with modern injections and process of egg retrieval it's not that difficult as it seems to be.
The injections which have to be given for 10 to 12 days are either intramuscular in the muscle) or subcutaneous (just below the skin). Easy to be taken. We get injections in PEN form too like insulin injection which is easy to operate and can be self-injected. The effects of the injections are till the process. It doesn't have long lasting side effects.
The main side effects:
1) nausea vomit
2) breast tenderness
3) bloating
4) headache
5) mood swings and hot flushes
6) fatigue
7) pain after egg retrieval
8) cramping
9) constipation due to progesterone therapy
10) ovarian hyperstimulation
Ovarian hyperstimulation syndrome (OHSS) occurs when fertility drugs overstimulate the ovaries, causing them to swell and release chemicals into the bloodstream.
Symptoms:
Severe abdominal pain.
Severe, persistent nausea and vomiting.
Blood clots.
Decreased urination.
Shortness of breath.
Tight or enlarged abdomen.
To consult the doctor if above symptoms to decide if need of hospitalization
So, tat investigations and necessary treatment can be done
But with regular ultrasound and modern injections, ohss is become very rare and treatable

..Read more

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Kanchan

Kanchan Rai  |469 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 05, 2025

Asked by Anonymous - Jan 05, 2025Hindi
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How to overcome from past memories
Ans: Healing from painful past memories is an intimate and deeply emotional journey. It’s not just about forgetting what happened but learning to carry those experiences in a way that doesn’t weigh you down.

Start by honoring your feelings. These memories are a part of your story, and the emotions tied to them are valid. Allow yourself to sit with the pain, the sadness, or even the anger, without rushing to push it away. Sometimes, simply acknowledging the hurt can bring a sense of release.

Mindfulness can be a gentle companion in this process. When the past pulls you back, focus on the present moment. Notice the feel of your breath, the warmth of the sun, or the grounding sensation of your feet on the floor. These small acts remind you that you are here, now, safe and capable of healing.

Embrace self-compassion. Speak to yourself as you would to a dear friend. Remind yourself that it’s okay to have scars and that healing takes time. You don’t have to be perfect or have it all figured out. It’s enough to take one step at a time.

Sometimes, letting go means forgiving—not just others, but yourself too. Forgiveness doesn’t mean forgetting or condoning what happened. It’s about freeing yourself from the chains of resentment and allowing space for peace and growth.

Surround yourself with warmth and support. Lean on those who uplift you, who remind you of your strength, and who offer you love without judgment. These connections can be a soothing balm for the soul.

Lastly, be patient with yourself. Healing is not linear, and it’s okay to have days when the past feels heavy again. Trust in your resilience and know that each day, you are growing stronger, finding new ways to hold your memories with tenderness rather than pain. You are worthy of peace, love, and joy in your present and future.

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Kanchan

Kanchan Rai  |469 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Jan 05, 2025

Asked by Anonymous - Jan 02, 2025Hindi
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Relationship
Two years ago, I met someone, at a workplace inclusion workshop in Mumbai. He identified himself as a transgender man, We clicked instantly, and our friendship turned into a romantic relationship over time. He is incredibly supportive, kind, and ambitious. I admire him deeply because he has faced many struggles to be where he is today. My parents found out about him recently, and the backlash has been immense. They’ve threatened to disown me, saying I’m bringing shame to the family. They’re pushing me to break up with him and marry someone 'normal.' The societal pressure, whispers from neighbours, and even judgment from some colleagues are making things unbearable. I love him but I also feel torn between my family, cultural expectations, and my happiness. What should I do?
Ans: First, it's important to acknowledge your feelings of being torn. This is a natural response to the competing demands of love, family loyalty, and cultural expectations. Allow yourself to feel these emotions without judgment; they are valid and understandable.

Next, consider the core values and priorities in your life. What kind of life do you envision for yourself? What role do love, authenticity, and personal happiness play in that vision? Reflecting on these questions can help clarify your path forward.

Communication with your family is crucial, though it may be difficult. Express your feelings, the depth of your love for your partner, and the happiness he brings into your life. It might not change their perspective immediately, but it's important for them to hear your truth. Seek moments of calm and understanding, and try to create a space for dialogue rather than confrontation.

It’s also essential to build a support system beyond your family. Surround yourself with friends, mentors, or support groups who understand and affirm your relationship. This community can provide emotional strength and perspective, reminding you that you are not alone in facing these challenges.

Lastly, prioritize your emotional well-being. Engage in activities that bring you peace and joy, whether it's spending time with supportive friends, pursuing hobbies, or even seeking professional counseling. A therapist or coach can offer a safe space to explore your feelings and help you develop strategies to navigate this complex situation.

Remember, the decision about how to proceed must ultimately align with what brings you the most peace and fulfillment. Balancing love and family expectations is difficult, but staying true to yourself and your values is essential for long-term happiness.

...Read more

Ramalingam

Ramalingam Kalirajan  |7438 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jan 05, 2025

Money
Hello Sir, I am 44 years old man. I want to start SIP for my children, 6.5 years old daughter and 2.5 years old son. The objective is to secure their future and the funds can be used when they want to go for graduation/higher studies. I have shortlisted the following funds, please let me know if you recommend any changes. Thank you! 1-UTI Nifty50 Index Direct: Rs.2000 2-ICICI Prudential Nifty Next 50 Index Fund: Rs.2000 3-Canara Robeco Bluechip Equity Fund: Rs.2000 4-ICICI Prudential Value Discovery Fund: Rs.3000 5-Parag Parikh Flexi Cap Fund: Rs.2000 6-ICICI Prudential Equity & Debt Fund: Rs.3000 7-Quant Active Find: Rs.3000 8-SBI Contra Fund: Rs.3000 9-Nippon India small cap fund: Rs.3000 10-Nippon India ETF Gold BeES: Rs.2000
Ans: Creating a portfolio for your children’s future is a thoughtful and responsible step. Ensuring the right mix of funds can maximise returns, manage risks, and help achieve your financial goals effectively. Below is an evaluation of your selected portfolio, along with recommendations to streamline and optimise it.

Evaluating Your Portfolio
1. Too Many Funds
You have selected 10 funds, which might lead to over-diversification.
Over-diversification can dilute returns and make tracking difficult.
2. Balanced Allocation Missing
There’s a heavy tilt towards equity with insufficient diversification across asset classes.
Adding a debt component can provide stability and reduce volatility.
3. Index Funds
UTI Nifty50 Index Fund and ICICI Prudential Nifty Next 50 Index Fund:
Index funds lack flexibility and cannot outperform during bear markets.
Actively managed funds might be better for your long-term goals.
4. Mid-Cap and Small-Cap Exposure
Nippon India Small Cap Fund:
High risk but high return potential.
Retain for diversification but limit exposure to 10%-15% of your total investments.
5. Thematic and Contra Funds
SBI Contra Fund and Quant Active Fund:
Thematic and contra funds have niche strategies, making them riskier.
Retain only one if aligned with your risk appetite.
6. Gold ETF
Nippon India ETF Gold BeES:
Adds diversification and inflation protection.
However, limit allocation to 5%-10% of your portfolio.
Recommended Portfolio for Your Goals
1. Core Equity Allocation (60%-70%)
Focus on funds that provide long-term stability and growth.

Large-Cap Funds: Replace index funds with actively managed large-cap funds for better returns.
Flexi-Cap Funds: Retain Parag Parikh Flexi Cap Fund for its global diversification and balanced approach.
Mid-Cap and Small-Cap Funds: Retain one small-cap fund (Nippon India Small Cap Fund) for growth potential.
2. Hybrid Funds (20%-25%)
Include hybrid funds to balance equity and debt.

Retain ICICI Prudential Equity & Debt Fund for stability and moderate returns.
3. Gold (5%-10%)
Continue investing in Nippon India ETF Gold BeES for diversification.

Proposed Allocation
To streamline your portfolio, allocate investments more strategically:

Large-Cap Equity Fund: Invest Rs. 4,000 monthly in a strong actively managed large-cap fund like Canara Robeco Bluechip Equity Fund. Large-cap funds provide stability and consistent growth for long-term goals.

Flexi-Cap Fund: Continue investing Rs. 4,000 monthly in Parag Parikh Flexi Cap Fund. This fund offers global diversification and a balanced approach to equity exposure.

Small-Cap Fund: Retain Nippon India Small Cap Fund and allocate Rs. 3,000 monthly. Small-cap funds add high-growth potential but keep the exposure minimal to manage risk.

Hybrid Fund: Allocate Rs. 5,000 monthly to ICICI Prudential Equity & Debt Fund. This hybrid fund balances equity and debt exposure, providing stability with moderate growth.

Gold ETF: Continue Rs. 2,000 monthly in Nippon India ETF Gold BeES. Gold adds a hedge against inflation and enhances portfolio diversification.

Additional Recommendations
1. Debt Component for Stability
Consider short-term debt funds or liquid funds for low-risk capital appreciation.
These can be used for nearer-term educational needs like school fees.
2. Gradual SIP Increases
Increase SIPs by 10%-15% annually as your income grows.
This ensures your investments grow in tandem with inflation.
3. Portfolio Review and Rebalancing
Review your portfolio annually to evaluate performance.
Rebalance if any fund consistently underperforms for over 2-3 years.
4. Tax Planning
Retain an ELSS tax-saving fund to maximise tax benefits under Section 80C.
Final Insights
Your disciplined approach to securing your children's education is commendable. This revised portfolio offers a balanced mix of growth and stability. It ensures you can meet future education milestones confidently. Stay consistent, increase contributions periodically, and monitor performance regularly.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |7438 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jan 05, 2025

Asked by Anonymous - Jan 04, 2025Hindi
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I have 60 lakhs inr as retirement money.Where to invest to generate an income of 40000-50000 plus appreciate the capital and im what ratio to invest to save the capital in case of a rainy day?
Ans: To generate a monthly income of Rs. 40,000 to Rs. 50,000 while preserving and appreciating your retirement corpus of Rs. 60 lakhs, it is crucial to follow a balanced and diversified investment strategy. Here's a comprehensive plan that balances income generation, capital appreciation, and safety for rainy-day needs:

Investment Allocation for Income and Capital Growth
1. Fixed Income Instruments (30%-40%)
Objective: Stable monthly income and capital protection.

Options:

Senior Citizen Savings Scheme (SCSS): If you are 60+, invest up to Rs. 30 lakhs for quarterly payouts.
Post Office Monthly Income Scheme (POMIS): Offers reliable monthly income with low risk.
Bank Fixed Deposits (FD): Choose deposits with monthly interest payouts for stable cash flow.
Debt Mutual Funds: Consider high-quality short-term or dynamic bond funds for better tax efficiency and returns.
Approximate Allocation: Rs. 20-25 lakhs.

2. Equity Mutual Funds (40%-50%)
Objective: Long-term capital appreciation to counter inflation.

Options:

Balanced Advantage Funds (BAFs): Dynamically allocate between equity and debt for moderate risk.
Large Cap Funds: Focus on blue-chip companies for stability.
Multi-Cap Funds: Provide diversified exposure to large, mid, and small caps.
Approach: Start a Systematic Withdrawal Plan (SWP) from equity funds after 3 years for tax-efficient income.

Approximate Allocation: Rs. 25-30 lakhs.

3. Emergency Fund (10%-15%)
Objective: Cover unforeseen expenses or emergencies.

Options:

Keep 6-12 months’ expenses in liquid funds or high-interest savings accounts.
Use short-term FDs or sweep accounts for easy access to funds.
Approximate Allocation: Rs. 6-9 lakhs.

4. Alternative Investment (Optional - 5%-10%)
Objective: Enhance portfolio diversification.

Options:

Gold ETFs/Sovereign Gold Bonds: Hedge against inflation and economic uncertainty.
Corporate Bonds or Non-Convertible Debentures (NCDs): Ensure AAA-rated for safety.
Approximate Allocation: Rs. 3-5 lakhs.

Monthly Income Strategy
Fixed Income Source: Use interest from SCSS, POMIS, and FDs for regular monthly cash flow.
Equity SWP: Start withdrawing Rs. 15,000-20,000 monthly after 3 years. This ensures tax efficiency and steady income.
Rainy-Day Protection
Maintain a liquid fund with Rs. 6-9 lakhs for quick access during emergencies.

Avoid locking too much in illiquid instruments like long-term FDs or property.

Points to Remember
Rebalance Annually: Review and adjust allocation to align with market conditions.
Tax Efficiency: Debt instruments like SCSS and POMIS are taxable. Equity funds offer LTCG tax benefits.
Inflation Adjustment: Reinvest surplus income to ensure your corpus grows with inflation.
Final Insights
A balanced mix of fixed income and equity can provide regular income and capital growth. Prioritise liquidity for emergencies while optimising tax efficiency. This approach ensures financial independence throughout retirement.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Milind

Milind Vadjikar  |833 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Jan 05, 2025

Asked by Anonymous - Jan 04, 2025Hindi
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Pushpa

Pushpa R  |39 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Jan 05, 2025

Asked by Anonymous - Nov 13, 2024Hindi
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Hi Namita ji! I am a 41 yr old Male. I have always have too much of gas and keep passing odourless gas a lot through out the day. I have recently being diagnosed with early stages of ankylosing spondylitis. Please guide me. Also, is there any home medicines that I can take to relive from the gas.
Ans: Excessive gas can be caused by multiple factors, such as diet, gut health, or lifestyle habits. Since you've been diagnosed with ankylosing spondylitis, inflammation might also be contributing to gut issues. Here are some tips to help manage gas and improve digestion:

Yoga Practices:
Pawanmuktasana (Wind-Relieving Pose): This pose helps release trapped gas. Lie on your back, hug your knees to your chest one at a time, and gently press them down toward your abdomen.
Vajrasana (Thunderbolt Pose): Sit on your heels immediately after meals to aid digestion.
Cat-Cow Pose: This gentle movement improves spinal flexibility and stimulates digestive organs.
Home Remedies for Gas:
Ajwain (Carom Seeds) and Black Salt: Mix 1 tsp of ajwain with a pinch of black salt. Consume with warm water.
Fennel Tea: Boil fennel seeds in water, strain, and sip after meals.
Ginger and Lemon: Mix grated ginger with a few drops of lemon juice and chew before meals.
Important Notes:
Avoid gas-triggering foods like beans, carbonated drinks, and fried items.
Maintain a regular meal schedule and eat smaller portions.
Consult a healthcare provider for dietary guidance and a yoga coach for safe practice tailored to ankylosing spondylitis.

Warm Regards,
R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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