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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1146 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  |30 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  |30 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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Ravi

Ravi Mittal  |469 Answers  |Ask -

Dating, Relationships Expert - Answered on Dec 16, 2024

Ravi

Ravi Mittal  |469 Answers  |Ask -

Dating, Relationships Expert - Answered on Dec 16, 2024

Asked by Anonymous - Dec 15, 2024Hindi
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Relationship
We met through Arranged Marriage Platform & after a few Months of Courtship, we got Engaged & some Gifts were Exchanged between both Families. His Family never asked for any Dowry at all & my Fiance vehemently refused to accept any Dowry. I liked their Progressive Values. Our Wedding is Scheduled for February 2025. But, since the Tragic Case of Atul Subhash committing Suicide due to False Harassment Case by his Wife, has become a Sensation, my Fiance has been feeling quite Disturbed & Apprehensive. He has proposed that both of us Sign a Pre-Nuptial Agreement, wherein I & my Family Members would give a Written Declaration that there was absolutely No Dowry, Demanded by them or Given by us. And he also wants me to give it in Writing, that, in case, we have to get Divorced, I wouldn't be Demanding any Alimony from him (unless it's for the Maintenance of Children, if any). He has also proposed many other Clauses in the Agreement that describe in detail, how we would be Sharing our Finances, Assets & Liabilities and what would be done about our Joint Assets & Liabilities, in case of Divorce. He wants me to Refuse any Share of his Parental or Ancestral Property as he too wouldn't want any of my Familial Property. I feel that signing an Agreement of Divorce, before getting Married, is Inauspicious for our Marriage & I want our Marriage to begin with the Belief that it would last for a Lifetime, not like this. I have Discussed this with my Family Members & they are strongly advising me against Signing any such Agreement. But he insists that Signing this Pre-Nuptial Agreement is a Must, before we go ahead with the Wedding. He's not Pressurizing me & has allowed me ample Time to Think through it, Discuss & Debate over it with him & Family and also include any more Suggestions from my side, based on the Recommendations of my Family. He has been indirectly hinting that he may not want to go ahead with the Marriage, if I don't Sign the Agreement. Now I am in Dilemma. I Love my Fiance & his Family & I have the Faith that our Married Life would be Fairly Good, if not Wonderful. But I am skeptical about Signing the Agreement, please advise me.
Ans: Dear Anonymous,
I cannot make the decision for you, but I can tell you that his points are not invalid. They have been decent and what they are asking for is very basic. Please remember that this is just my opinion; you do not have to feel the same way. And there is nothing inauspicious about signing a prenup. Think of it like health insurance- when you get that, do you indirectly wish for health issues? No. It's just a precaution.

While the choice of signing any agreement is yours, he has every right to rethink the relationship in case you refuse to do so. It does not make him a bad person. He is merely looking out for himself and his family. Please take ample time to make a decision; if you are not comfortable with it, or you think signing the contract and going ahead with the wedding might cause friction between you two, please reconsider the relationship. But I want to remind you again, he is not in the wrong for taking precautions. It does not mean he thinks you are in it for the money; it just keeps the money away from the equation.

Hope this helps.

...Read more

Ravi

Ravi Mittal  |469 Answers  |Ask -

Dating, Relationships Expert - Answered on Dec 16, 2024

Asked by Anonymous - Nov 30, 2024Hindi
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Myself and a guy came to know each other through an online friendly chat app.It's been 7 months we are talking on calls and video calls.From the beginning he was interested to marry me n i saw him as a good friend.Later my feelings turned into love towards him.But,he has a past which he told me in the beginning and said that his ex girlfriend of 1 year whom he know through online has married another guy n left him.I thought he has no feelings towards his ex gf.But,after i developed feelings for him n having clearly told that i love him..he gets his ex gf topic saying they used to talk hours n hours n now he is not able to be with me the same way.He even says she loved him a lot n is unable to forget her love.He says she used to call him always n talk and i am talking only when he calls..he is comparing my love with her.I feeling bad..When i asked before he told he has no feelings on his ex gf but now seems different.He even told me that she is trying to get divorced from her husband n has called him once too.I told about my love to my parents too n they agreed for our marriage.Now i am feeling bad..what should i do?..cut off all ties with him or go a head.Please suggest.I am 24 and he is 25 yrs old
Ans: Dear Anonymous,
First of all, have you met this person in real life? A lot of true love stories start online, but it is very important to meet face-to-face before making any commitments. Secondly, not being able to forget his ex can either be the truth or a ploy to end this relationship with you. Either way, it seems like a zone of conflict and I would like to remind you that you deserve better. I know you love him but don't you think you deserve someone who loves you and only you? Would you really like to be with someone who treats you like an option and draws comparisons with the ex? I suggest you rethink the relationship.

Best Wishes.

...Read more

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