If you are tall and slim, you maybe unable to Conceive - Gynecologist in Noida

Many couples from across the globe face a common problem of not being able to enjoy parenthood even after unprotected sex for more than a year. Data suggests that about 10% of couples in their reproductive age face this problem and out of them about 30% of the problem is due to female infertility cases. Many of the cases are also left unexplained and involve problems with both the partners. It is always advisable for such couples to refer and consult a genetic counselor which can counsel both for problems related to female fertility and also the possibilities of the baby acquiring any such condition. In rarest of the cases, a couple may have multiple fertility problems.

One of the major causes of female infertility is endometriosis. It is an abnormal growth of the cells and tissues lining the endometrial wall of the uterus to which the embryo attaches and which is shed during menstruation. The cells of the endometrium attach to a location other than the uterus which may be ovaries, fallopian tubes or the abdominal-pelvic region. A number of studies have been done on this but the exact cause of endometriosis is still unknown. The possible symptoms of endometriosis include:

• Very painful menses along with menstrual cramps
• Painful intercourse, and the pain may not recede
• Pain in the bowel movements and during urination
• Some women may also experience blood in urine

It is also a major reason for infertility in majority of infertile females. The depositions of the endometrial cells on the regions outside the uterus are known as endometrial implants. The exact cause of these implants is unknown but many theories have been suggested for the same. One theory states that during menstruation, there is a back flow of the blood in the uterus. This condition is known as retrograde menstruation, but, however not all females with retrograde menstruation develop endometriosis. Another theory says that the organs in the abdominal pelvic region have some form of primitive cells which outgrow in a different manner and result in endometrial implants. Approximately, 20-50% of women who are treated for infertility have this problem.

Endometriosis is most common in women who are tall, slim and have a very low body mass index (BMI). But this kind of problem is uncommon in post menopausal women. The pain associated with endometriosis varies from time to time and also from one female to another. Not all, but in some females the pain may resolve automatically even without a prescribed treatment. The endometrial implants may inhibit the entry or passage of egg in the fallopian tube and also releases hormones which have a negative impact on ovulation of the egg, fertilization of the sperm and implantation of the embryo.

With improved IVF procedures and state of the art techniques, we are capable to cope up with this infertility problem and help such females to become pregnant and enjoy motherhood with a success rate of about 45-50%.

8 Myths about Trying to Conceive - Gynecologist in Noida

Couples who are trying and not being able to conceive is one of the greatest challenges they face in their lives. It can lead them into depression if conception myths and common misconception revolve around their minds about conception. Here we try to cut through your confusion about the common myths and realities relating to misconception.

1. Everyday sex makes pregnancy faster

Just because you are having everyday sex does not mean you will carry the pregnancy faster. The best thing your sex should coincide with ovulation-that help sperm travel towards the fallopian tubes which eventually makes your fertilization process successful.

2. You don’t have to worry about age

It is an established fact that fertility decreases with the increase in age. According to studies, the best age for woman trying to conceive is 21-30. For both men and women, age is a critical component of fertility potential. So, get married soon.

3. The positions during intercourse matters when trying to conceive

In order to achieve a goal for positive pregnancy it is important you are having intercourse when you ovulate, the best time for successful conception in your ovulation cycle.

4. Orgasm is important to get pregnant

The female orgasm is biologically unnecessary for conception to occur. But that does not mean it cannot help fertilization process. One of the studies done by British biologists found that women retained more seminal fluid when they had an orgasm anywhere from a minute to 45 minutes after a man’s ejaculation during copulation.

5. Ovulation Happens 14 Days after a Period

It is the most accurate way to predict fertility but it is not always that your ovulation happens on 14^th day. For the most accurate prediction, you need to follow ‘fertile window’ i.e when your period begins and ends.\

6. You will conceive more quickly if you have sex during the day

There is no clinical proof that having sex during the day increases you the chances of getting pregnant. However, some studies suggest sperm levels are somewhat higher in the morning.

7. Adopt a child, you will get pregnant

It is one of the oldest myths between couples about conception and continues to spread like wildfire even to this day. There is nothing as such adopting a child increases the chances of getting pregnant. If you are struggling with fertility, consult a doctor as early as possible.

Your Pregnancy To-Do List - Gynaecologist in Noida

 Week 1

Congratulations! You're actively "trying" -- and you might even be pregnant already! Here's what you need to do now:
1. Start taking a prenatal vitamin if you haven't already.
2. Write down the date of your last period or two.
3. With your partner, create a family health history, including any genetic or chromosomal disorders.
4. Quit smoking, and cut out any other bad health habits.

Week 2

1. Reduce your caffeine intake.
2. Talk to your doctor about safe medications during pregnancy.
3. Eat a healthy, balanced diet.
4. Don't overdo it when you exercise.

Week 3

1. Look for the early signs of pregnancy.
2. Buy an at-home pregnancy test.
3. Learn what foods you should avoid during pregnancy.

Week 4

1. Take a pregnancy test if you've missed your period
2. Tell your partner the news!
3. Make an appointment to see your doctor to confirm your pregnancy.
4. Consider the alternative of a certified nurse-midwife

Week 5

1. Pick up a pregnancy book.
2. Download a pregnancy app to help you stay organized for the next 8 months.
3. Buy a journal or memory book to record your milestones, symptoms, and questions for the next nine months.
4. Sign up for your Due Date club or join an in-person pregnancy support group.
5. Be sure to drink lots of water.
6. Talk to your insurance company to find out which local doctors and hospitals are covered by your plan.

Week 6

1. If you're ready, start sharing the good news with family members and close friends.
2. Make your partner the official kitty litter changer.
3. Experiment with morning sickness remedies.
4. Decide whether you like your doctor enough to stick with him or her through delivery. If not, start looking for a new one.

Week 7

1. Schedule and prepare for your first prenatal visit, which should happen between 8 and 12 weeks.
2. Compile a list of questions for your first doctor's appointment.
3. Clear your beauty cabinet of any chemical-laden products like DEET-filled insect repellent.
4. Buy a belly band to extend the life of your pants.

Week 8

1. Shop for a new bra, whether it's a maternity bra or just a bigger, softer style.
2. Make Kegel exercises a part of your daily routine.
3. Pick up antacids in preparation for pregnancy heartburn, along with other drugstore staples.
4. Make a dentist appointment.
5. Discuss recommended prenatal tests with your doctor.

Week 9

1. Create a baby budget.
2. Make a pre-baby to-do list of all the things you want accomplish or enjoy before the baby arrives.
3. Look at your household cleaners and swap in eco-friendly ones for any toxic ones.
4. Eat plenty of fruits and vegetables.
5. Go for a walk, or do 30 minutes of another moderate exercise, and make it a part of your daily routine now.

Week 10

1. Wash your hands frequently to avoid getting a cold or the flu.
2. Try natural remedies for indigestion.
3. Go shopping for maternity clothing.
4. Review your company's maternity leave policy.
5. If you're hoping for a V-BAC (vaginal birth after cesarean) but your doctor isn't on board, consider jumping ship for a practitioner who will consider it

Week 11

1. Moisturize your belly, hips and thighs daily to prevent itchy, dry skin as it stretches.
2. Avoid hot tubs, saunas, steam rooms, intense hot-weather workouts, super-hot baths, or anything else that could raise your body temperature above 102 degrees.
3. Get a first-trimester screening to help your practitioner decide what tests may be warranted.
4. If it's recommended by your doctor, get tested for chromosomal abnormalities through a nuchal translucency (NT) and chorionic villus sampling (CVS).
5. Listen to the baby's heartbeat with a Doppler at your doctor's appointment, if possible.

Week 12

1. Plan a babymoon vacation.
2. Buy a body pillow for sleeping.
3. Be sure to stretch and warm up before exercise because your ligaments and joints are loosened up now.
4. Until you give birth, avoid any exercises that require you to lie flat on your back (crunches, Pilates, etc.).
5. If you're having multiples, your doctor will be able to spot the extra babies at your next ultrasound.

Week 13

1. Begin thinking about baby names.
2. Start sleeping on your side.
3. Research pediatricians.
4. Eat smaller meals more frequently to stave off heartburn.
5. Consider borrowing previously worn maternity clothing from friends or family.

Week 14

1. Tell your family and friends your good news if you haven't already.
2. Break the news to your boss, too.
3. Take advantage of your energy boost by checking things off your to-do list at home and at work.
4. Start taking weekly pictures of your beautiful belly.

Week 15

1. Sign up for a prenatal yoga class.
2. Strengthen your abs with pelvic tilts.
3. Talk to you partner about finding out the sex of your baby.
4. Over 35? Schedule an amniocentesis if it's recommended.
5. As your doctor about the quad marker screen.

Week 16

1. Be sure to get plenty of calcium now, from low-fat dairy foods or supplements.
2. Tour local birth centers.
3. Start your baby registry.
4. Ask your mother or grandmother about their birthing experiences.

Week 17

1. Combat your forgetful "pregnancy brain" with lots of notes and reminders.
2. Treat yourself to a prenatal massage.
4. Sign up for a childbirth class.
5. Start a college fund for baby-to-be by opening a 529 account or a special savings account.
6. Pick up a saline spray or humidifier to alleviate congestion caused by pregnancy.

Week 18

1. Consider signing up for infant CPR, prenatal breastfeeding, or newborn-care classes.
2. Check your desk chair to see if a more supportive one or a footstool could help with back pain.
3. Is it a boy or is it a girl? Find out if desired at your mid-pregnancy ultrasound.

Week 19

1. Scan your pix from your ultrasound and share them via e-mail and Facebook.
2. Have a date night.
3. Research nursery furniture.
4. Considering a home birth? Research the pros and cons.

Week 20

1. Talk to your other half about how you'll handle life after baby.
2. Make sure you have flats or sensible shoes -- not 3-inch heels -- to live in for the next four months.
3. Know the symptoms and risks of preeclampsia.

Week 21

1. Research the pros and cons of breastfeeding. Decide what's best for you and your baby once you have all the facts.
2. Get organized and tackle pending projects around the house.
3. Buy a new maternity bra -- again.

Week 22

1. Work with your gracious baby shower host to plan party logistics.
2. Now that you know the sex of the baby, take a second look at baby names.
3. Prevent varicose veins. Avoid crossing your legs and long periods of sitting or standing, which may result in blood pooled in the legs.

Week 23

1. Go shopping for more maternity clothes.
2. As you think about the baby's first name, don't forget to consider what last name he will take.
3. Test your carbon monoxide and smoke detectors.

Week 24

1. Look into childcare options if you're planning to return to work.
2. Start planning the nursery.
3. Get tested for gestational diabetes.

Week 25

1. Update or attain life and disability insurance, and add chosen guardianship to your will.
2. Write a birth plan.
3. Pre-register at your hospital or birthing center, if possible.

Week 26

1. Interview potential pediatricians. Find out which local doctors are covered by your insurance and seek recommendations.
2. Do any last-minute travel. It's best to avoid travel once the third trimester hits.
3. Take the glucose-screening test.

Week 27

1. Choose a color for the nursery.
2. Research cord blood banking.
3. Find a birth doula, if desired.

Week 28

1. Start seeing your doctor or midwife every two weeks.
2. Update your retirement beneficiaries.
3. Babyproof your house.
4. Help your partner to feel the baby's kicks.
5. If your fingers are swollen, take your rings off and store them in a safe place until after delivery.
6. Depending on your and your partner's blood types, you may receive an injection of RhoGAM

Week 29

1. Enjoy your baby shower!
2. Start shopping for birth announcements and decide whether you'll choose paper or electronic ones.
3. If you live in an older home, ask your partner to test for lead-based paint in the nursery and remove it if necessary.
4. Eat a high-fiber diet to help prevent constipation and hemorrhoids.

Week 30

1. Buy a car seat, stroller, and any other important baby gear that you didn't receive at your shower.
2. Count fetal kicks.
3. Pack your hospital bag and one for your partner.
4. Know the signs of premature labor.
5. Try exercises designed to help prepare your body for D-day.

Week 31

1. Eat foods rich in iron.
2. If you plan to hire a baby nurse, start seeking recommendations.
3. Plan your maternity leave.
4. Prepare a baby first-aid and an emergency kit.

Week 32

1. Plan care for your other children or your pets for when you go into labor.
2. Get a haircut.
3. Set up the baby's nursery.
4. Start seeing your doctor or midwife weekly through delivery.

Week 33

1. Start reading about newborn care.
2. Clean out your car to make room for baby.
3. Install your car seat and visit the National Highway Traffic Safety Administration's Web site to locate an inspection station near you so you can be sure you did it correctly.

Week 34

1. Call your insurance company to add your baby-to-be to your policy.
2. Get tested for Group B strep (GBS).
3. Buy any items you'll need for postpartum recovery.
4. Meet with several pediatricians to make your final choice.

Week 35

1. Buy a baby book.
2. If you plan to try breastfeeding, get the number of a recommended lactation consultant or join a local La Leche League International group.
3. Review your baby registry to see what items you still need to purchase before baby's arrival.

Week 36

1. Schedule a non-stress test if it's recommended.
2. Review your birth plan with your doctor, midwife, doula, or any others involved.
3. Sleep in, take naps and get as many extra Z's as you can.

Let's Talk About Breastfeeding

How long do you think you should talk to your prenatal doctor about breastfeeding? While you may not have a specific amount of time in mind, if the duration 39 seconds sounds a bit short, it is. But a new study published in Gynecology found just that: Researchers recorded conversations from people’s first prenatal visits, and found that doctors spent an average of 39 seconds talking to women about breastfeeding.

Even more concerning: They found that doctors initiated breastfeeding discussions only 29 percent of the time. And even then, they sounded ambivalent about the topic.

“They usually asked a brief question, like ‘breast or bottle?," just to make a note of it,’” says obstetrics, gynecology and reproductive sciences “But it’s important to discuss the benefits—and challenges—of breastfeeding early on so that women have the tools they need to prepare.” After all, you may encounter breastfeeding problems, so it’s important to know how you’ll address them ahead of time, and why it’s worth overcoming them in the first place.

If your doctor hasn’t discussed breastfeeding with you yet—speak up! Ask her about the breastfeeding benefits for mom and baby, and what you should know about lactation consultants, nutrition, alcohol, medication, and any existing health issues in relation to breastfeeding.