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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Jun 14, 2023

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Jun 05, 2023Hindi
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hello maam i have a histroy of having right ovarian cyct..2yrs back in an operation my right ovary and both Fallopian tubes are removed.i dnt have bp and sugar...my age is 38 and my weight is 69.5...can i go for ivf and how many cycles will it take me to concieve.i live in banagalore plz suggest some good ivf centres...thanks

Ans: Age is not a correlate for assessing the ideal weight.
What is your height, accordingly your weight will be assessed.
Ivf is a technique with 6 cycles as a package to try.
Some conceive in the first try itself.
Go with a positive attitude, which will make a lot of difference
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  | Answer  |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.

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Dr Nandita

Dr Nandita Palshetkar  | Answer  |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

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Dr Nandita

Dr Nandita Palshetkar  | Answer  |Ask -

Gynaecologist, IVF expert - Answered on Dec 26, 2024

Asked by Anonymous - Dec 19, 2024Hindi
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Dr, I’m 35 years old from Jamnagar, and my husband and I have been trying for a baby for the past year, but nothing seems to be working. I recently visited a fertility clinic in neighborhood , and after a few tests, they mentioned that I might have blocked fallopian tubes. The gynaec also talked about possible treatments like surgery or IVF, but I’m really confused and worried. Should I go for a laparoscopy to check the severity, or are there any other alternatives that could help me? I’m really anxious and just want to understand my options better before making any decisions.
Ans: History noted.
Considering your age 35 years, trying to conceive since, one year and few test done, one of which suggest possibility of tubal blockage, there are various modalities of treatment.
Firstly, you can do laparoscopy to note the severity if blockage and do tubal cannulation.
Tubal cannulation is often the first line of treatment for patients with blocked fallopian tubes because it's a non-invasive procedure that's widely available.
Tubal cannulation is a procedure that can unblock fallopian tubes and is highly successful for proximal tubal blockages, with a success rate of over 80%. However, it may not be successful for all patients and is not recommended for distal tubal occlusions.
This procedure if successful can avoid IVF procedure. Laparoscopy has…
Yes, before ivf get all your blood test, ecg, 2 D echo, xray chest to rule out any illness
Same with your husband to get semen analysis and viral markers with blood sugars to be done.

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MY SON JUST PASSED OUT CLASS X WITH JUST 76 %. HE IS INTERESTED IN CONTINUING SCIENCE AND MATH UPTO POST-GRADUATION. IS HE RIGHT?
Ans: Avijit Sir, To provide more specific guidance, it would be helpful to know how many marks your son scored in Mathematics and Science specifically, and what exactly has motivated his interest in pursuing these subjects up to graduation. Also, what are his long-term goals? Suggestion: Please arrange a Psychometric Test for him. It will offer a clearer picture of his aptitude, interests, and personality, helping to identify which career paths might align best with his strengths. Academic Preparedness:
Please note that Class XI Science—especially Physics and Mathematics—is highly conceptual and more rigorous than Class X. If he faced difficulties in these subjects earlier, it’s important to bridge that gap now through: A foundation course or Summer preparation by joining any Coaching Cenre Offline or online. Coaching can be helpful, but only if the motivation comes from within. Without genuine interest, coaching may lead to burnout. If he is aiming for competitive exams like JEE (IIT, NIT), NEET, or wants to explore pure sciences at institutes like IISc or IISER, it’s vital to develop a structured study routine early on. Maintain Career Flexibility. Even if he continues with Science and Math now, he can later explore interdisciplinary fields such as: Data Science | Finance | Architecture | Design Or even emerging tech fields Choosing Science now doesn’t limit him—it actually keeps more doors open for the future. All the Best for Your Son's Prosperous Future.

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Nayagam P

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Career Counsellor - Answered on Apr 17, 2025

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I get 81.2 percentile in jee main session 1 can I get any nit?
Ans: Priyanshi, Here is, How to Predict Your Chances of Admission into NIT or IIIT or GFTI After JEE Main Results – A Step-by-Step Guide.

Providing precise admission chances for each student can be challenging. Some reputed educational websites offer ‘College Predictor’ tools where you can check possible college options based on your percentile, category, and preferences. However, for a more accurate understanding, here’s a simple yet effective 9-step method using JoSAA’s past-year opening and closing ranks. This approach gives you a fair estimate (though not 100% exact) of your admission chances based on the previous year’s data.

Step-by-Step Guide to Check Your Admission Chances Using JoSAA Data
Step 1: Collect Your Key Details
Before starting, note down the following details:

Your JEE Main percentile | Convert the Percentile to AIR, based on the Formula available in Google.
Your category (General-Open, SC, ST, OBC-NCL, EWS, PwD categories)
Preferred institute types (NIT, IIIT, GFTI)
Preferred locations (or if you're open to any location in India)
List of at least 3 preferred academic programs (branches) as backups (instead of relying on just one option)
Step 2: Access JoSAA’s Official Opening & Closing Ranks
Go to Google and type: JoSAA Opening & Closing Ranks 2024
Click on the first search result (official JoSAA website).
You will land directly on JoSAA’s portal, where you can enter your details to check past-year cutoffs.
Step 3: Select the Round Number
JoSAA conducts five rounds of counseling.
For a safer estimate, choose Round 4, as most admissions are settled by this round.
Step 4: Choose the Institute Type
Select NIT, IIIT, or GFTI, depending on your preference.
If you are open to all types of institutes, check them one by one instead of selecting all at once.
Step 5: Select the Institute Name (Based on Location)
It is recommended to check institutes one by one, based on your preferred locations.
Avoid selecting ‘ALL’ at once, as it may create confusion.
Step 6: Select Your Preferred Academic Program (Branch)
Enter the branches you are interested in, one at a time, in your preferred order.
Step 7: Submit and Analyze Results
After selecting the relevant details, click the ‘SUBMIT’ button.
The system will display Opening & Closing Ranks of the selected institute and branch for different categories.
Step 8: Note Down the Opening & Closing Ranks
Maintain a notebook or diary to record the Opening & Closing Ranks for each institute and branch you are interested in.
This will serve as a quick reference during JoSAA counseling.
Step 9: Adjust Your Expectations on a Safer Side
Since Opening & Closing Ranks fluctuate slightly each year, always adjust the numbers for safety.
Example Calculation:
If the Opening & Closing Ranks for NIT Delhi | Mechanical Engineering | OPEN Category show 8622 & 26186 (for Home State), consider adjusting them to 8300 & 23000 (on a safer side).
If the Female Category rank is 34334 & 36212, adjust it to 31000 & 33000.
Follow this approach for Other State candidates and different categories.
Pro Tip: Adjust your expected rank slightly lower than the previous year's cutoffs for realistic expectations during JoSAA counseling.

Can This Method Be Used for JEE April & JEE Advanced?
Yes! You can repeat the same steps after your April JEE Main results to refine your admission possibilities.
You can also follow a similar process for JEE Advanced cutoffs when applying for IITs.

Want to Learn More About JoSAA Counseling?
If you want detailed insights on JoSAA counseling, engineering entrance exams, preparation strategies, and engineering career options, check out EduJob360’s 180+ YouTube videos on this topic!

Hope this guide helps! All the best for your admissions!

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