Madaan Medical Centre

Here are causes, types, tests and management of Infertility.

Hello, good afternoon my name is Dr. Hitu Madan. I am a gynecologist practicing in the old part of Gurgaon. I am attached to many hospitals and corporate hospitals also. Today the topic of discussion is Infertility. The most common problem encountered nowadays. Infertility is basically a failure to conceive within one year of regular unprotected intercourse. However, there are many causes of infertility but the prime factor which I involve are the male factors which encounter for the 40 percent of the causes and the female factor 50 percent and 10 percent may be the both the causes or rest of the 10 percent may be the idiopathic causes.

Infertility is mainly of two types. Primary infertility and secondary infertility.

Primary infertility is the one in which the female has never conceived and the secondary infertility is the one in which the female has conceived once thereafter subsequently she is unable to conceive. There are many factors involved in this. The things which we have to evaluate in this is the male factor and female factor the both. The male factor only the one thing major included is the sperm count and the volume of the seminal fluid. Basically the motility of sperm is seen in this.

The other factors may be the anatomical disturbances and may be the difficulty in sexual intercourse and drug induced fertility may be there, alcohol induced and there may be some of the unknown causes. In female we see for the anatomical causes, the wearing causes and lastly the infection. The basic importance lies in the examination. The female has to be thoroughly examined to see any anatomical abnormality or any other abnormal dysfunction mainly related to the menstrual cycle. In males we have to go for semen analysis, urine routine and blood sugar for the baseline studies. In females we go for the ultrasound, the thyroid function test, prolactin, blood sugar test.

The other causes are to be ruled out as per the examination the problems are found. Regarding the management of infertility well you have to go as per your doctor and the other things which are to be seen are you should maintain and have a healthy lifestyle and control your weight and you should undergo the proper tests as per told by your doctor and most of the cases conceive only with the initial management only and baseline management only. But the cases which are not treated with the baseline things they might have to undergo surgeries and in the last resort they might have to go for IVF also.

If you have any other query or any other information you want to get from me you can consult me on lybrate.

Here are Causes, Symptoms, Precautions and Treatments of PCOS

Good afternoon. My name is Dr. Hitu Madan. I am a gynecologist. I practice in the old part of Gurgaon and attached to the corporate hospitals. I have got my own centre on Old Railway Road called New Madan Medical Centre. Today, the topic of discussion is PCOS that is the polycystic ovarian syndrome.

The rate of the incidence of PCOS is highly increasing because of changing of the lifestyle, weight gain, sedentary dietary habits, smoking, and alcohol. Of course, genetic phenotype also has a factor in this. PCOS is mostly encountered in the young girls and also a major cause of infertility nowadays. The main symptom encountered in this is the irregular menstrual cycle. Basically, what happens in this is that there an imbalance in the female sexual hormones mainly the estrogen and progesterone. They go out of balance and there is more production of the androgen that is one of the types of the male hormones. Then there are problems encountered in this are infertility, changes in appearance of a lady and in extreme cases there may be cardiac symptoms also.

The deranged ratio of the LH and the FSH hormone leads to all these problems. Certain other symptoms are the irregular periods, acne, weight gain, infertility, depression. Females in extreme cases may have diabetes, hypertension and increased cholesterol level. This is not curative but it can be controlled first by weight reduction- decreasing your BMI by less than 25. In cases of androgen excess, you can control it with the help of the hormonal pills. In the ladies who want to have pregnancy, ovulation induction can be done and if other management required per se, can be done. In certain cases, the lady might have to undergo surgical therapy.

If you have any other concern regarding PCOS, you can contact me on Lybrate.