Ornate Hospital

Hello,

Main Dr. Shubhangi Adate. Main gynecologist hun aur main pichhle 10 sal se practice kar rahi hoon. Aaj ka maine topic decide kiya hai intrauterine insemination jise hum IUI kehte hain. Ye IUI hota kya hai, isme exactly karte kya hai? Actually ye aisa procedure hai jaha pe jo couples pregnancy nahin kar sakte un logon ke liye hai yeh ek procedure hai. Iska process day 2 matlab second day of periods se start hota hai. Iske liye hum pehle usdin sonography karke dekte hain ki iski previous cycle ka koi cyst ya koi abnormal growth vagrah bacha to nahi. Iske bad ek series sonographies hoti hai jisko bolte hai follicular study. Uske pehle hum anda badhne ke liye dawiyan dete hain jo 5 dino ki hoti hain. Jab ye follicles ka sonography hota hai usme hum ye dekhte hai ki apki ande mein jo beej hai vo kitna badh raha hai. Jab vo 18-20 mm size ka tak pahuch jata hai us time pe hum ek injection lagate hai jise hum trigger injection kehte hai.

Trigger injection karta kya hai? Vo aapke ande banane ki prakriya ko complete karke anda fodta hai, isko hum ovulation kehte hain. Ye ovulation hota kab hai? Ye exactly injection ke 36 to 48 hours ke bad ye ovulation hota hai and that is exactly the day jisdin hum log IUI karte hain. This is a planned procedure. Abi IUI ke din kya hota hai? Usdin apke husband ko ya fir agar koi donor semen ka arrangement karna hai to us hisab se vo sample processing ke liye lab mein jata hai. Iss process ko around 1-1.5 ghanta lagta hai. Iss process mein sperm samples mein se jo sperms motile nahi hai ya fir jinke motions nahi ho rahe hai, jo ache viable sperms nahi hai ya fir unme abnormal jo sperms hai, abnormal dikhne wale sperms ye sare sperms ko usme se hataya jata hai aur ekdum ache quality ke jise hum achi motility vale sperms jo hote hai unka ek sample banake vo apko send kiya jata hai.

IUI ke time pe apko procedure room mein liya jata hai, vaha pe aapko lithotomy position di jati hai, us position mein ek choti nali ke sahayata se 1-2 ml jitna bhi sample aya ho vo directly apke garbh thaili mein means uterus mein istill karte hai aur use hi intrauterine examination kehte hain. Isme pain hota hai, to mai kahungi itna nahi jitna aap soch rahe hai. Isme jitna aap internal checkup par gynaec se jo pain hota hoga utna hi pain aapko iss procedure ka hota hai. Iska na hi koi side effect rehta hai, na aapko ye pain bahut time tak rahega aur na hi aapko isse kuch tension leni ki bat hai. IUI ke bad aapko ek 15-20 min ke aas pass procedure room mein rakha jata hai, uske bad aapko procedure room se bahar lenge. Fir aap aapki gynaec se milenge, vo aapko aage ki medications inform karenge aur aapko bataenge aap ka procedure kaise hua. Ye raha aapke IUI ke bare mein. Abhi sabse important cheez jo mujhe sab log puchte hain ki IUI ke baad kya karna hai, kya cheeze nahi karni hai, kya khana khana hai, kaise rehna hai, kya mai chal sakti hoon, kya main kaam pe ja sakti hoon. Ye sab cheeze. Aap IUI ke baad sari aapki puri ki puri life normal tareeke se aap bita sakte ho.

Aapko na hi sona hai na hi sirf aram karna hai, khane peene mein koi parhej nahin hota at the same time aap apna job bhi join kar sakte hain usi din se. Agar mujhe IUI ke success rate ke bare mein agar koi puche, I would like to tell ki jitna success rate normally try karne mein hota hai IUI usse double deta hai. Agar normally try karne mein aap 5-10% agar aap soch rahe hain to with IUI aapko 15-20% tak success rate mil sakta hai. Abhi agar decide karein ki kin logon mein IUI karna chahiye aur kin logon mein IUI nahi karna chahiye, IUI karne ke indications hai jo log ek saal ke upar se try kar rahe hai aur vo bachcha nahi ho paa raha, jinke sperm counts thode se kam hai ya fir jinko ejaculatory dysfunction hai ya fir jo intercourse mein koi problem ho rahi hai ya fir painful intercourse ho raha hai ya fir koi female pelvic mein problem hai jiski vajah se female position nahi de paa rahi ye sab cases mein aap IUI kar sakte hain.

IUI karne se pehle ye cheezo ka dhyaan dena zaruri hai ki husband ka semen analysis kaisa hai, agar vo semen analysis 10-15 million count se bhi kam hai to donor ke liye opt karna hota hai ya fir agar 10-15 millions ke upar rahega to husband semen analysis bhi chalte hai. Second cheez female ki fallopian tubes ki patency check karna bahut jaruri hai jise hum log garhb-nalika kehte hain kyunki uske bad hi male aur female gametes ka milan ho sakta hai. Teesri cheez IUI ki success rate ke bare mein aapko jankari hona bahut zaruri hai. Abi IUI hone ke bad kya? Abi pregnancy kab expect karni chahiye? Ye ab aapke period ke date ke upar nirbhar karta hai, ye hamesha ovulation ke 15-20 din ke baad aap check kar sakte hai ki whether aap pregnant hai ya nahi hai ya aapke period ki date cross hone ke 2 din ke baad aap apne gynecologist ke paas jaiye aur vo aapko confirmation denge. I hope mera yeh video aapko aapke successful pregnancy ke taraf le jaane mein madad kare. Thank you very much and do watch mere baki ke videos on lybrate page. Mai Dr. Shubhangi Adate.

Thank you

Hello,

 I am Dr. Shubhangi Adate. I am a gynecologist and laparoscopic surgeon. I am here to tell you something about PCOS, what we even called as PCOD that is nothing but polycystic ovarian disease. What exactly is it? a lot of people come to me everyday and ask me mera wajan badh raha hai madam, mere periods regular nahi hai, bacche hone mein problem ho rahi hai, pet mein undue weight gain ho raha hai. Why exactly this is? In my everyday practice one out of 10 patients I see which are of these categories, what exactly uski wajah se hota kya hai? Ismein the first thing is the male pattern hormones increase hote hain, which are the reason why you have excess of weight gain, abnormal baal aa jaate hain body mein, abnormal awaaz change hoti hai and irregular periods jo second cheez hai irregular periods iski vajah se there is difficulty ki aapko baccha hone mein problem hoti hai, third is increase in the blood sugar level jiski vajah se there are lot of chances of sugar ya diabetes in future. Iska cure kya hai? ab tak koi bhi parmanent cure science ne nahi nikala hai iske liye haan, but there are five things jo main logon ko bolati hoon jiske vajah se definitely unko isse symptom relief hone se unke baaki ke problems solve ho jaate hain.

First thing what I will advise is lifestyle modification very important ye because of your abnormal eating habits, abnormal working patterns, late night working or junk eating ye sab cheezen bohot important hai jiski vajah se aapki lifestyle modify ho jaati hai aur iski vajah se PCOD mein problem hoti hai, second is diet agar aap ye diet jaise good healthy fish eating, non-veg eating, reduce carbohydrate diet, less of oily, fried eating ye sab agar aap kam karte hain to isse bohot help hoti hai, you have to be strongly motivated ki aap exercise karen jisse aapka weight loose ho kyunki weight loose hone se kafi sari problem solve hoti hai. Stress ek bohot important factor hai jo aaj kal ham hamare day-to-day schedule mein dekhte hain, long working hours, target achievement iska kahin na kahin you have a setback and you have to really think about it.

The last but not the least because of diabetes there is a problem ki aapko old age mein sugar ho, young age mein irregular periods ho sakte hain, reproductive age mein there is difficulty conceiving( baccha hone mein problem hoti hai) aur very old age mein endometrial carcinoma. To ye sari cheezen avoid karne ke liye what you can do is? have a good lifestyle, have a good diet, exercise regularly, stress ko dur rakho and mostly medication jo aapko har cheez mein help karegi. If you want to watch more videos please visit lybrate page.

Thank you

Hi everybody,

I am Dr. Shubhangi Adate. Hum aaj ek aise topic par baat karna chahenge jisse bahut sare logo ka hamesha ek question rehta hai laparoscopy jo infertility ke cases kari jaati hai. Actually laparoscopy hoti kya hai? Laparoscopy ek aisa procedure hai jahan par hum log pet par ek nabhi ke upar 1 centimetre incision aur pet ke baki ke do hisso mein aadha-aadha centimetre ki maybe 1 yeh 2 incisions late hain.

Hysteroscope, hysteroscopy ek or procedure hota hai jo hamesha hum laparoscopy ke saath combine karte hain ab ye hysteroscopy kya hoti hai? isme hum kya karte hain ek chhota sa camera hum log vagina ke raaste se uterus ke andar entry karate hain isse humko ye pata chalta hai ki vagina kaisa hai, vaginal walls kaise hai, cervix ka nichla hisaa wo kaisa hai wahan par koi spot to nahin hai, cervix ke andar ka hissa inner wall,internal os, external os ye sab dekhte hain aur iske baad jab uterus mein entry hoti to uterus ke inner walls, tubes ki entry ye sab hum isme check karte hain ismein se ager kuch bhi chhota growth like polyp ho, endometrial lining abnormal ho ya fir kisiko tuberclosis mein pregnancy ho ye bhi humko yahan se pata chal sakta hai.

Jis kisi ko TB hai garbh-thaili ka ya fir kisi mein small miso mucous fibroid ho to in sab cases mein hum log hysteroscopy se bhi nikal sakte hain ab ye laparoscopy kab karani chahiye, iska exact karne ka matlab periods ke baad aap ki bleeding rukne tak aur maybe periods ke 8vein ya 9vedin tak hum ye kar sakte hain, is mein aap ko kafi saari taariyan hoti hai matlab kaun right candidate hai ye laparoscopy or hysteroscopy karne ka. Jo ek ya usse bhi jyada salon se try kar rahe hai aur bachcha nahi kar pa rahe hai aur do jinko fibroid ki takleef hai, teen jinko apne andashay mein koi gaanth ho jisko hum ovarian cyst bolte hain ya fir kisi Ko jisko polycystic ovarian syndrome ho jinki ovary bahut bulky hai aur unko ovarian drilling karne ki jarurat hai, jinko tubal checking karni hai ki tubalblock to nahi, endometriosis hai ya fir kisi ko unknown reason hai ki kyo pregnancy nahi ho rahi aur hum sare IVF cases ke pahle diagnostic hysterolaparoscopy karte hain.

Pehale se hame kya karna chahie. On the day prior to surgery matlab procedure ke ek din pehle aap ko kya karna hai, suppose aap ka procedure next day morning mein hone wala hai to hum aapko ek din pahle se soft diet matlab naram khane par daalte hain isse hum aapka pet saaf karte hain jisse uske baad aap jab liquids par jab jayenge to pet saaf karne ke liye ek liquid diya jata hai jisse aapko kind of julaab hote hai wo ek ya do baar hote hain agar usme aisa kuch hai ki bahut baar hogye to hum apko tabhi admit karne ko bolege but aise bahut kam cases mein hota hai ye hone ke baad aapko raat ke baad kuch bhi khana Pina nahi matlab operation ke din subah jab aap aate hain to bhi khaana ya peena nhi hota ye hone ke bad operation ke din kya hone wala hai jis din aap admit hote ho us din aap ko antibiotics die jayenge procedure ke aadhe ghante pahle jaise aap ka procedure 9 baje hai to aap 8 baje admit ho jayenge aur ye procedure 9 baje start hoke maybe aadha yeah ek ghante ka hota hai.

Ye hone ke baad aap ko immediately OT ke bahar shift karte hain aur iss main aapko 4 se 6 ghante mein wapas pani deke khana chalu kar sakte hain aur aap ko same day discharge ho jata hai to iske baad aapko koi aaram ki jarurat nahi hai aap uth sakte hain, baith sakte hain, niche baith sakte hain, sidiyan chad sakte hain ye sari cheezein aap operation ke baad bhi bakhubi kar paynge to iska matlab hai minimal access surgery hum log isi ko kehte hain jisse aap ke din hi din cheezon ko aap is affect nahi hote hain, aap operation ke dusre din se aap kaam par lag sakte hain shayad isliye usko ek bahut hi growing procedure bolte hain aajkal or log prefer karte hain ki apna laparoscopy hi karein.

Thank you so much.