Friday, 25 September 2015

Best Ante Natal Care in Madurai

It is a preventive healthcare treatment provided at the time of pregnancy. It allow doctors to treat and prevent potential health problems at the period of pregnancy. In this time women need prenatal vitamins for the healthy growth of the child. For this prenatal vitamins, women must go for the regular check-ups in the hospital and must receive the medical information about the food supplements and vitamins. 


At the period of pregnancy an ultra sound scan is needed during the 8th and 12th week. This ultra sound scan will provide certain important points
-Fetal development. Growth of baby is roughly calculated by measuring the distance between pelvic bone & top of the womb.
-Diet and nutrition.
-Information on exercises like pelvic floor exercises, general exercises etc.
-Screening test information.

Wednesday, 16 September 2015

IVF: Mild Milder Mildest

IVF in the initial days was done in the natural cycle, in other words no medicines were used to boost or prevent ovulation. As a result, the success in getting an egg and achieving a pregnancy was very inefficient. Louise Brown, world’s first IVF baby was conceived after a whopping 102 failed embryo transfers!

In the pursuit of better success, new drugs and protocols were developed so as to enable more number of eggs. To get more eggs, ovarian stimulation was warranted. To prevent premature ovulation required the use of GnRH analogue and antagonist injections.

Ovarian stimulation can get into trouble when the stimulation is too much. Unfortunately, it is not always possible to give the 'right' degree of stimulation. This is especially the case in ladies with PCOS as these women are at higher risk of developing the complication of Ovarian hyperstimulation syndrome or OHSS. The need to make IVF safer has over the years turned the clock back to natural or milder IVF. 

While natural IVF continues to be quite inefficient, Mild IVF can enable a middle path to achieve reasonable pregnancy rates at a cost effective price. Mild IVF is also of benefit to women with lower ovarian reserves who do not respond well to stimulation. In these women, a specially designed protocol using Clomiphene tablets and low doses of FSH/hMG injections. The eggs retrieved are fertilised and frozen. Multiple cycles are usually required to accumulate embryos which are then transferred to enable pregnancy.

It is therefore best to consult an IVF specialist to enable a treatment that is best suited to you that would enable you to achieve your dream in a safe and cost-effective manner. 


Monday, 31 August 2015

Poor ovarian response

When ovarian stimulation is commenced the aim is to get 10-12 follicles. As worrying as overstimulation, is the scenario when too few follicles grow in response to stimulation. The cut off that most doctors adhere to is 6 follicles. So when less than 6 follicles are present the response is said to be low.

When I counsel my patients facing this problem, the commonest questions asked are "Why?", "What are the implications?" and "Does this mean I cannot get pregnant?". Let me answer these one at a time. Please do feel free to write to me if you have any further queries.

Why?
The reasons of low response can be :
  • Insufficient dose of FSH/hMG
  • Ineffective Drug (Good quality injections need to be maintained at the right temperatures in order to work well)
  • Unresponsive ovary/Low reserve of eggs in ovary
What are the implications?
The implication of low number of follicles is the retrieval of lower number of eggs and this in turn means a lower number of embryos. On an average, eggs may be retrieved from 70% of follicles. In other words if there are 3 follicles the number of eggs may be only 2. Of these not all eggs may be mature (or usable for making embryos). The outcome would then be a low number of embryos or even no embryo. If there are no embryos there can be no pregnancy! 

Your doctor may advise you to either cancel the cycle in case of a poor response or try Intrauterine Insemination. This may prove to be more cost-effective than an IVF cycle as the success rates are bound to be low. 

Does that mean I cannot get pregnant?
The further course of action after the cycle with poor response depends on the cause. Treatment may be repeated using a higher dose of gonadotrophins or changing the drug. In case of low ovarian reserve being the reason for poor ovarian response, the situation becomes a little tricky. Treatment using drugs like DHEA and Arginine may be tried with variable success. The other option may be Minimal Stimulation IVF using Clomiphene to augment stimulation. The last resort would be Donor egg IVF.
The answer to this question is not easy but is certainly not a "No"!

Saturday, 15 August 2015

Good Things Happen To Other People

On this Feast of the Assumption, Catholics recognize the miraculous moment when Mary was ascended into Heaven, bodily. It's hard to imagine a human body ascending into Heaven, isn't it? I find myself wondering whether we have any real sense of Mary's journey through life - or the details surrounding her Assumption - from our vantage point in the year 2015. Are we so far removed that we can't relate anymore? 

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Around every corner, there is another birth announcement. It seems birth is "in season" lately. I guess it makes sense though... as Christmas was 9 months ago. Almost all of the people who I began this walk through infertility with now have children in their arms - or they eagerly await impending births (biologically or through the gift of adoption) of children still in utero. And really, there seems hardly any greater joy than to be able to congratulate someone on the birth of a child after they have suffered the pains of infertility. We all jump at the chance to do it - myself included. What could be better? I mean, I have one idea... ;)

Good things happen to other people, so you can hardly begrudge someone at realizing their life's dream, just because your own dreams were the same and remain unfulfilled. It's one of the more complicated sets of emotions that get navigated when a couple experiences infertility: joy at the blessing you crave for yourself, bestowed on someone you care about.

For some, birth announcements (regardless of whose) become painful - stinging at the mere mention of children. And yet for others, the announcement of a birth itself isn't painful... but it is a reminder of their own infertility. And it's a reminder of the dull ache and sadness at childlessness that is still lived in their own life. Neither feeling is wrong. And feeling either way, in my opinion, is more a product of instinct than anything else. You don't aim to be upset and overjoyed at something simultaneously. It just happens that way.

Marian feast days have a way of stinging when you have experienced infertility though, don't they? Here we are, celebrating something beautiful and unbelievable that happened to a mother. Let's be honest - at it's core, that's what a Marian feast day is: celebrating a mother. Albeit an amazing mother... but there is no point in rationalizing the details and qualifying specialties with those who are in the throes of infertility. For some reading here - this is what the meme would look like, if they were honest about their feelings on a day like today:


You might be saying "yeah, but it's different". OK, great. It's different. But it's still a celebration of a mother. And for those who get lost in the pain of that - I write this post. My goal in writing here isn't always to have the neat or poetic answers. It isn't to tell beautiful stories that always end exactly the way we want. And it isn't even my goal to spin all the details into some neat, tidy, little package that in hindsight makes it all seem worth it. God isn't our magician. 

Sometimes life is hard. Infertility is always hard. And Marian feast days are tough when you navigate infertility. I'm validating that here. You aren't a bad person for feeling sad when good things happen to other people. You're human.

But today is a reminder that sometimes unbelievable things happen to humans. Sometimes the impossible happens - like getting carted up to Heaven with your skin on, and your soul still jiggling around on the inside. It's not a concession to your current pain. But it is a reminder that there is purpose in celebrating things that are painful. And that God does have a plan - and sometimes it involves the unimaginable. 

Infertility isn't something you were ever in control of to begin with, regardless of your 27-pills-a-day-regimen and your carefully plotted out diet. But if you are suffering on Marian feast days, struggling to find a relationship with the Blessed Mother, hurting from your own experiences with your own mother, confused at how to reconcile your faith with your pain, or otherwise feeling like you are flailing with this whole infertile-and-Christian thing... I have words of encouragement for you:

I am praying for you: The person who is reading this and crying. The person who is reading this while lurking silently online, never leaving a comment. The person who reads this and feels guilty, sad, alone, and forgotten. And I'm asking God to make His Plan a little clearer in your life so that you can see how hope is conceived in all things... even the things that seem difficult.

If you would like for me to pray for a specific intention, I am in the middle of a 54 day novena - praying only for others' intentions. I would love to add what's weighing on your heart to my prayer list. Just send me a message on the contact form above or comment below.

Good things are going to continue to happen to other people. And I hope you realize that to someone else, you are the other person. And they'd have given anything for the blessing they've watched you receive. Meanwhile, you'll continue to look at others' blessings the same way. This is human nature in our fallen world, isn't it? We aren't in a competition with each other, nor are our pains in vain. Nor am I ever going to say "get over it" to you.

If I'm even remotely right that it's instinct that creates these reactions though - then that means we have a reliable source of ignition to let us put our suffering to work, doesn't it? It's the only way out of the self-centered-prison that infertility wants to build around us and reduce our lives into and I'm convinced prayer is the most powerful weapon. Let's burn the pain of our infertility and use the strength of the inferno to power good things to happen to other people. It doesn't diminish the deepest longing in our heart for children. It won't relieve our childlessness. But I'm pretty sure if there is anything that could impress Jesus and answer His call in our life and fulfill His plan for us - it would start a little something like humbly putting your most painful pains to work selflessly for others. And that you could pull yourself out of the emotional and spiritual (and sometimes physical!) paralysis of infertility would be a testament to how we may be broken, but that it will not dictate what we are capable of as Christians...

God be with everyone reading here on this Feast of the Assumption, and the good things can you make happen for other people. Think about it.

Wednesday, 24 June 2015

Infertility Treatments in India

What is LEEP ?

LEEP is Loop Electrosurgical Excision Procedure. An electrically heated wire loop is used in Loop Electrosurgical Excision Procedure (LEEP) for removing the the cells or tissues for the diagnosis of cancerous or abnormal conditions in female genital tract.

One of the abnormality in cervix is named as cervical dysplasia were cells grow abnormally on the surface. This is not cancerous in nature but can worsen and can lead to cancer in the future. Here LEEP technique is used for taking the cells for lab examination. This technique is also used for removing the abnormal cells and thus to allow the growth of healthy tissues.

Guru Infertility Center in Madurai provides the best Infertility Treatments in India including LEEP.


When is LEEP used ?

  • LEEP is a technique used in situations where vaginal or cervical abnormalities are found during the examination or on a Pap Test. 
  • LEEP is used to detect or diagnose cancer in the vagina or cervix.
  • LEEP is used to assist various treatments for conditions like genital warts, polyps etc..

Friday, 19 June 2015

Seven Quick Takes - (#12)



1. This is my new favorite piece of paper. I've waited a long, long time for this piece of paper. Longer
than I ever waited for a degree, and wayyy more anticipated. This was received after I made the final payment....and it represents 100% of my education paid off (from AA to MA to post graduate studies)!! If this isn't a form of conceiving hope, then I don't know what is!




2. This is my new favorite piece of glass. Because I made it! A dear friend showed me how to do it and I had a lot of fun making it. Before I learned the process, I had no idea how it worked. This was the result of 17 different shards of glass and a little bit of frit (glass dust) being fired at over 1300 degrees Fahrenheit for several hours. Here's the interesting thing I learned about glassmaking: you really have to know what you want to do and how you want to accomplish it. I didn't know either. But who can go wrong with a Little Flower tribute? She's been pretty present in my life for the past five years, so that's what I went with....but now to figure out what to do with my little handmade cabachon. Pendant? Part of a handmade shrine? Ideas?





3. This is my least favorite advice from this week: One of my best friends told me that he thought I was "choosing to live in the past" when he saw me acknowledge the life and death of my son on a facebook post months ago (read it here). It amazes me how almost 20 years of friendship can leave two people so disconnected on a topic they both completely agree on: the importance of family. He then went on to make it better by saying that "at least if I never have children, I can have a nice married life without kids". I'm pretty sure I'm done listening to people tell me how they are processing my experience with child loss and infertility. Even the people I love dearly! Go hug your infertile friends, people!!







4.WIWE: This is my new favorite recipe for the week. I don't use any spirulina, but I do use a little matcha powder. The flavor hearkens directly back to the after-dinner Andes mints my grandmother used to give me as a child, but with clean ingredients that I don't have to worry about! Next up to try is this pie. Last week I made this and these and they were amazing.







5. This is my new favorite probiotic. I gotta say, me and my 900 billion new friends... we're pretty tight. All puns intended. I saw a change in my digestion within 24 hours of starting these. None of the bloating I've read others talking about either! If you are on a mission to heal a leaky gut (like I am), then here's what my current regime entails: Bio Kult, Prescript Assist, and Ultimate Flora (Critical Care) all rotated with each other. I've read that using probiotic strains that are native to soil is a better way to begin repopulation... so that's where the Bio Kult came in. The others are just to keep the strains rotated to built back gut flora quicker. This new one is ridiculous. I lost 3 inches off my waist over NIGHT. Now granted, I don't have UC or IBS diagnosed and I definitely don't have an IP, so I suppose this is an off-label usage for me. But with my inflammation issues and history of endo... I figured it couldn't hurt to try it. UHmazing results. 






6. The Twin Hearts Novena was prayed by 15 people this year (who shared with me). I have no idea who else might have been lurking... so I can only go off of those who commented on the novena post or who sent me a private message. Thank you to everyone who joined me in prayer! And thank you for letting me pray for you and your intentions. And THANK YOU for praying for mine. I hope everyone had a wonderful Feast of the Sacred Heart, as well as a blessed Feast of the Immaculate Heart of Mary. Lord, hear our prayers. Mother Mary, pray for us in our need.





7. Don't forget to give the 7QT host some love.

Friday, 12 June 2015

Seven Quick Takes (#11) - Blogiversary Edition


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1. So it's officially been a year since I sat down at the keys and figured out how to make a blog! And then, miracle-of-miracles, I kept up with it. So, umm, that's never happened before... And while it feels like an accomplishment unto itself, this blogiversary is also a stark realization that I am not yet a mother to a living child. It doesn't weigh on me as heavily every day as it did a year ago, and that's a good thing. There is no less desire in my heart for a child... but I focus on the likelihood of it happening a lot less now than I did when I first sat down and put my fingers on the keys. I've been conceiving hope in other ways, trying to make the best of this infertile prison... while I watch everyone else leave the island. It's a surreal feeling. I write this not so much as a depressing update, but as a reminder to all that the pains of infertility don't always end in having living children. So many of the people I have met online since this journey began (read: most) have moved on to family life raising children. That's just not our story. And I actually think it gives a little hope to others in the same situation to remind them that they aren't alone. Our dreams haven't come true either. We're praying with you.



2. I never set out to write a blog that got a lot of clicks. And it's a good thing I didn't measure any success on that. But while the traffic here stays low, the private interaction with my audience stays high. You all are searching for the same answers I'm searching for... and when I get up the courage to write a prayer, offer friendly advice, or seek to pray with you, it seems to matter to you. So thank you, dear readers. I hope you will continue on this journey with me as I try to make sense of the God's Plan. I'm slowly getting out of my blindered IF haze and starting to learn how to live life again. Gracious thanks for your encouragement! And thank you to everyone who prayed along with me on the Twin Novena that I finished today!



3. Y'all apparently love a good series, advice, prayers, recipes, and a little controversy! The most shared, read, pinned, and tweeted posts seem to be the ones that are really written with a raw heart here. One of the things I set out to do at the beginning of this was to write the posts I was looking for and couldn't find. I wanted to be able to have concrete words to give people to say this is what infertility really is and this is why IVF is wrong and any number of posts I haven't even been able to write and publish yet. My hope is that the traffic on these posts means you were looking for the same. Any time you comment, I feel encouraged... so keep it up if you find this content helpful! :)




4. There has been some change going on in my life recently (hence being at the keys a little less). I can't really talk about any of it publicly yet, even with this being an anonymous blog. Some of the change is for good, some of it isn't. We'll have to see how it all pans out. In the meantime, I'm trying to distract myself with my studies and to be the best at FCP-ing as I can be. So far, I'm about 1/4 the way through the program to certification. It's not much yet, but I'm doing really well with what I have already accomplished and hoping that streak continues. I'll reach the 1/2 way point in September 2015.... so keep me in your prayers for that? Thanks!




5. After many months (read: years!) of craziness in my luteal phase, I've reached a good and stable post peak phase of 15 days. PMS is gone for the most part, thanks to my post peak supplementation and the LDN. Now it's just a matter of trying to figure out the ovulation defect and how to improve that. A doctor recently mentioned that micro-hCG injections pre-peak could be the way to stimulate better ovulation for people like me. I'm interested in learning more and will let you know what I find in my research. But seriously... back to the absence of PMS... there needs to be a parade!!!




6. It's been a while since I gave an update on Duck Watch here on the blog. It's an idea I came up with last October that involves a mighty adventure. The adventure has not yet unfolded, nor have the ducky details. Right now, all you know is that it involves a duck. Potentially some water. Potentially a traveling adventure. And it will likely happen in 2015. Ravenous for a clue? Care to venture a guess? Here you go: It's American, French, and English at the same time...and manages to be very gassy while still being terribly classy, if you can imagine that.








7. Remember to give the 7QT host some love! It's been a while since I linked up, but I hope you enjoyed this little edition! :)