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gynecologist holding trans vaginal ultrasound wand to exam a woman

<h2>Is the IVF procedure painful?&nbsp;</h2><a data-mce-href="https://shradhaivf.com/blog/kya-ivf-me-dard-hota-hai" href="https://shradhaivf.com/blog/kya-ivf-me-dard-hota-hai" title="क्या आईवीएफ़ मे दर्द होता है " target="_blank" rel="noopener">हिन्दी मे इस विषय मे जानकारी के लिये यह क्लिक करे :-</a><figure id="figure-3dvwl1vqvpm1noyb3b"><iframe id="3dvwl1vqvpm1noyb3b" src="https://www.youtube.com/embed/k69QGKXM4FY" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtube.com/shorts/k69QGKXM4FY?si=xEv7ChtxapQML-9a" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/k69QGKXM4FY" data-mce-style="aspect-ratio: 16/9;"></iframe></figure>IVF is a medical procedure that allows childless couples to enjoy parenthood. But the process is painful.&nbsp; Let's talk about this dilemma today.&nbsp;Today we talk about what happens in IVF and what medicine is given.&nbsp; After meeting with an IVF consultant for the first time, you have some blood tests, which are done using a thin needle, and you also have an ultrasound. Both tests are painless. Men are also tested for sperm quality &amp; quantity, which is a normal procedure.&nbsp;<h3>What happens once IVF is started?</h3>Upon starting IVF, the woman begins ovarian stimulation, in which an injection is given under the skin at the same time every day. After ten to twelve days, a different injection is given, which is called a trigger; this is also given under the skin. Both injections are liquid-based, and hence they are not painful.&nbsp;<h3>Then comes the day for Ovum pick-up. &nbsp;</h3>In this procedure, It is assured that no incision is made; the eggs are removed by a simple but long needle with the help of ultrasound. This procedure is under anaesthesia for a short duration, so that the process is entirely painless. The woman is able to go home in 4-5 hours. Some women may have abdominal pain for which analgesics can be administered; it is advised not to do heavy work for a few days.&nbsp;<a data-mce-href="https://shradhaivf.com/blog/ovum-pickup" href="https://shradhaivf.com/blog/ovum-pickup" title="Ovum Pickup" target="_blank" rel="noopener">Click here to know more about ovum pickup:-</a><h3>What is done in embryo transfer ?</h3>After this, on the right day when your uterus is ripe with good endometrium, the embryo developed in the incubator is put in the woman's womb; this process is called embryo transfer. In this process, the foetus is inserted into the uterus through a thin tube with the help of ultrasound Without anaesthesia, the woman can go home after some time. This is a painless procedure; in some women in whom the passage of the uterus is narrow, this procedure is done under anesthesia.<a data-mce-href="https://shradhaivf.com/blog/embryo-transfer" href="https://shradhaivf.com/blog/embryo-transfer" title="Embryo Transfer" target="_blank" rel="noopener">Click here to know more about Embryo Transfer:-</a> After this, the woman can &nbsp;do her daily housekeeping activity; just do not try to do any heavy work and <a data-mce-href="https://shradhaivf.com/blog/bible-for-infertility" href="https://shradhaivf.com/blog/bible-for-infertility" title="Bible for Infertility" target="_blank" rel="noopener">God willing</a>, you can get the good news of becoming a mother after 14 days.&nbsp;<a data-mce-href="https://shradhaivf.com/blog/how-do-we-know-that-my-embryo-transfer-is-successful" href="https://shradhaivf.com/blog/how-do-we-know-that-my-embryo-transfer-is-successful" title="Successful Embryo transfer" target="_blank" rel="noopener">Click here to know more on - If your embryo transfer is successful?</a><h3>Is there more injection after getting pregnancy-positive?</h3>After conception, some injections may need to be taken, which can be taken by self at home; this will help increase the chances of pregnancy.&nbsp; But in overall, there is not much pain in any method, so do not be afraid; come forward and get the joy of parenthood.<figure id="figure-cpervc5g6m3n3g87w"><iframe id="cpervc5g6m3n3g87w" src="https://www.youtube.com/embed/oMs5swoQMA4" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9" allow="autoplay; encrypted-media" allowFullScreen="" data-url="https://youtube.com/shorts/oMs5swoQMA4" data-corners="default" data-fullWidth="false"></iframe></figure>

Is IVF Painful?

Reduced ovarian reserve is a term used to describe a situation where a person has fewer eggs left in their ovaries compared to others in their age group. This condition can hinder the fertility rate. Fertility treatment is a feasible option for those dealing with diminished ovarian reserve.<h2>What is low ovarian reserve, and how does it affect fertility?</h2><figure id="figure-fbakxte11m3n1xujm"><iframe id="fbakxte11m3n1xujm" src="https://www.youtube.com/embed/Wz86EF2_OC0" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtu.be/Wz86EF2_OC0" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/Wz86EF2_OC0" data-mce-style="aspect-ratio: 16/9;"></iframe></figure>Diminished ovarian reserve is a genetic condition that signifies a lower number of eggs in the ovaries compared to others of the same age. This condition is also referred to as low egg count or low ovarian reserve.&nbsp; Having a diminished ovarian reserve doesn't mean that you don’t have a chance of pregnancy. It simply means that you might face difficulties in getting pregnant and that you may need to consider fertility treatment like IVF.<figure id="figure-srkg8h6nim1hyojzv"><iframe id="srkg8h6nim1hyojzv" src="https://www.youtube.com/embed/b_tFzCxk2kc" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtube.com/shorts/b_tFzCxk2kc?si=xyEhpJ8WC5ZLNIGY" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/b_tFzCxk2kc" data-mce-style="aspect-ratio: 16/9;"></iframe></figure><h2>How many eggs does a woman have?</h2>At the time of birth, a female has all the eggs in her ovary, which she will release throughout life. . It gradually decreases with age, and the rate of decrease is accelerated after 35 years.Some average parameters are as below:• At birth, she has 1 to 2 million eggs.• At puberty, the count decreases to 300,000 to 400,000 eggs,&nbsp;but only 400 will mature and ovulate.&nbsp;• At age 40, the egg in the ovary demises to a mere 25,000 eggs.• At menopause, the count is almost depleted to less than 1,000 eggs. <h2>Can you get pregnant with a low ovarian reserve?</h2><h3>It takes only one egg to get pregnant.</h3>Rest assured that it is possible to get pregnant even with low ovarian reserve. Despite the fact that our chances of conception might be lower due to a diminished ovarian reserve, remember that it only takes one egg to get pregnant.&nbsp; The number of eggs is not the only factor that determines the possibility of pregnancy. The quality of the egg, the sperm's fertility, and the overall health of the uterus and fallopian tubes also play a crucial role in conception.<h3>What are the signs of a low ovarian reserve?</h3>Usually, the only symptom individuals might notice is difficulty in conceiving after several months or even years of regular sexual activity. There may be shortening in the menstrual cycle.In case of primary ovarian insufficiency, you might also experience symptoms of perimenopause, such as:• Hot flushes.• irregular periods.• Dryness of the vagina. <h3>What influences a decrease in ovarian reserve?</h3>Aging is a major factor that leads to a decrease in ovarian reserve, but there may be some other causes. Some genetic factors or medical treatments can cause a decrease in ovarian reserve.&nbsp; These include:• High consumption of Cigarette &amp; smoking• Diseases related to the X chromosome.• Cancer therapies, such as radiation or chemotherapy.• Undergoing an oophorectomy.• Ovarian atrophy, or the wasting away of one or both ovaries.• Autoimmune diseases.<h3> Does stress lead to a decrease in ovarian reserve?</h3>In fact, stress does not cause a decrease in ovarian reserve. Only smoking and tobacco use are the only lifestyle factors that has have scientific evidence and have been associated with a decrease in ovarian reserve.<h3>Are there any tests to detect diminished ovarian reserve?</h3>Having low ovarian reserve does not necessarily mean infertility. These tests do not reflect your natural fertility.<h3>Tests to detect ovarian reserve include:</h3>• Blood tests, which measure levels of anti-mullerian hormone (AMH), which is low, or follicle-stimulating hormone (FSH), which is high, and estradiol. These tests evaluate your potential response to ovarian stimulation or fertility treatment.Vaginal ultrasonography is a diagnostic method used to measure ovarian volume and count the number of follicles present. This is known as antral follicle count (AFC).<h3> Can diminished ovarian reserve be treated?</h3>Till date, science does not have any definite way to reverse diminished ovarian reserve or boost egg production.&nbsp; Potential treatment options include freezing of ovarian eggs for future use, attempts at natural conception, or in vitro fertilisation (IVF) using either your own eggs or donated ones.<h3>Can we preserve our eggs for the future?</h3>If you are diagnosed with low ovarian reserve, it is important to act fast, undergo fertility treatment, &amp; get as many eggs cryopreserved to avoid a potential decline in egg quality &amp; number.Egg cryopreservation involves the use of hormones to stimulate the ovaries for optimal egg production. Subsequently, the mature eggs are collected and stored for future in vitro fertilisation procedures.You may also opt for IVF &amp; get your embryos preserved; this process involves fertilising the mature eggs with sperm from your partner or a donor, then freezing them for future use or implanting them into your uterus for conception in the near future. Freezing your embryo does not guarantee future pregnancy, as the last point of hurdle, i.e., successful embryo implantation, is the determining step. With age, the rate of successful implantation also decreases.<h3>What is the concept behind Donor Egg?</h3>In case your ovarian reserve is nil or the quality of the egg is not good, legal provision for egg donation is there. The advantage is that your male partner's sperm is used to fertilise with a donor egg, &amp; so the child will have the gene of your husband. The embryo so formed will be implanted in your uterus at an appropriate time, &amp; after successful implantation, the child will be born in your womb. The counterpart scenario may be that if your partner's sperm is nil or of poor quality, then donor sperm may be used in a legal manner, from which embryos can be formed &amp; cryopreserved for the future.<h3>Is there any way to decrease the chance of diminished ovarian reserve?</h3>There is no scientific way to prevent the development of low ovarian reserve, but a healthy lifestyle like exercise, avoiding cigarettes, and eating healthy food will help in maintaining the quality of eggs. Even few healthy eggs may<h3>How does IVF treatment help in women with low ovarian reserve?</h3>Women with low ovarian reserve and who are not conceiving definitely have a very low chance to naturally get pregnant. IVF is hence the mainstay of treatment, despite the fact that success of IVF also decreases in patients with low ovarian reserve, &amp; the success rate of IVF is also lower with increasing age.&nbsp; It must be noted that all it takes is one egg &amp; one successful pregnancy.&nbsp; Science has advanced &amp; there are several methods of IVF treatment, medical &amp; surgical &amp; combination of both helps in retrieval of few good quality eggs which can be used to fertilise with husbands’ sperm &amp; lead to pregnancy.&nbsp; Even if we assume that IVF has a 50% success rate, you will appreciate that 50 out of 100 who conceive are those couple who had ZERO chance to conceive.&nbsp; Have faith in God &amp; science; if you have any chance of getting pregnant, we will make it happen.

Decreased Ovarian Reserve - What does it mean?

<h2>Obesity &amp; Infertility</h2>The global prevalence of obesity and overweight is steadily increasing and has reached epidemic proportions.&nbsp; Obesity rates in developed nations have risen due to lifestyle changes such as less physical activity, changes in eating choices, and increased calorie consumption.Fat women are three times more likely to experience infertility than non-obese women.&nbsp;<figure id="figure-eae05hg5akm152exx1"><iframe id="eae05hg5akm152exx1" src="https://www.youtube.com/embed/JckSt3Ah9Vw" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtu.be/JckSt3Ah9Vw?si=PJdtQxf3OdfXUwBn" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/JckSt3Ah9Vw" data-mce-style="aspect-ratio: 16/9;"></iframe></figure><h3>Obesity has a negative impact on all physiological systems, including reproductive health.</h3>Obesity is common among infertile women, and it is commonly acknowledged that there is a link between obesity and failure to conceive.&nbsp;Overweight women are more likely to experience menstrual disorders, miscarriage, and anovulation.Obesity-related infertility is caused by a variety of factors, including impaired ovarian follicular development, decreased qualitative and quantitative egg development, less fertilization, improper embryo development, and less chance of implantion.&nbsp;Obese women are less likely to have a healthy infant due to impaired implantation and conception rates, higher miscarriage rates, and increased maternal and fetal issues throughout pregnancy.&nbsp;<figure id="figure-f79877rl7em0xgpt0r"><img id="f79877rl7em0xgpt0r" src="https://cdn.durable.co/blocks/33CNJ5twGFfn8forPmMiTEf2WzZ6sm5dFhNgf647TT4rdFn0FRHvxz0mkVpnxWyo.png" alt="Couple talking with doctor in IVF clinic" title="Couple talking with doctor in IVF clinic" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://cdn.durable.co/blocks/33CNJ5twGFfn8forPmMiTEf2WzZ6sm5dFhNgf647TT4rdFn0FRHvxz0mkVpnxWyo.png" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure>Obese women's increased peripheral aromatization of androgens to estrogens disrupts gonadotropin synthesis.&nbsp;Insulin resistance and hyperinsulinemia in obese women result in hyperandrogenemia.&nbsp;Lower levels of sex hormone-binding globulin, growth hormone, and insulin-like growth factor-binding proteins are associated with higher levels of leptin.&nbsp;<figure id="figure-6aklyckikam3n4ckdr"><iframe id="6aklyckikam3n4ckdr" src="https://www.youtube.com/embed/H8CpR9TISJQ" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtube.com/shorts/H8CpR9TISJQ" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/H8CpR9TISJQ" data-mce-style="aspect-ratio: 16/9;"></iframe></figure>Adipokines are cytokines primarily produced by adipocytes. Leptin is one of several adipokines. Adipokines are hormones that serve as signaling molecules. Deviation from normal adipokine levels can cause inflammation and abnormal cell communication, leading to a reduction in cellular metabolism and function. Excess or deficiency of white adipose tissue is known to induce sexual development disorders, pubertal illnesses, and fertility problems.&nbsp;Leptin also influences reproductive processes by controlling embryo cleavage and development. This issue may contribute to obese women's poor reproductive outcomes.&nbsp;Adipose tissue buildup in women worsens polycystic ovarian syndrome (PCOS), anovulation, and can result in hypothalamic hypogonadism. Individuals with polycystic ovarian syndrome (PCOS) have elevated amounts of deleterious adipokines, including tumor necrosis factor-alfa (TNF-α), and reduced levels of helpful adipokines, such as adiponectin, due to adipose tissue failure.&nbsp;Adiponectin is the primary protein produced by adipose tissue and circulates throughout the body. Unlike other hormones related with adipose tissue, adiponectin levels in obese women exhibit a distinct pattern of fluctuation with weight loss. Adiponectin increases glucose absorption in the liver and muscle while decreasing glucose metabolism in the liver. As a result, insulin sensitivity is decreased.&nbsp;<h3>Polycystic Ovarian Syndrome</h3>Polycystic Ovarian Syndrome (PCOD) is a medical disease in which the ovaries overproduce immature or partially developed eggs. Poor lifestyle choices, obesity, stress, and hormonal imbalances are common causes of this illness.&nbsp;Polycystic ovaries are larger than normal ovaries and contain double number of follicles.&nbsp;Polycystic ovarian syndrome (PCOS) is a medical disorder that predominantly affects the menstrual cycle, fertility, hormone levels, and physical appearance.&nbsp;Endocrine problems in PCOS cause the ovaries to produce an excess of androgens, increasing the likelihood of cyst formation in eggs.&nbsp;PCOS is a metabolic disease characterized by elevated levels of androgens. Previously, PCOS was only categorized as a hyperandrogenic condition that can cause infertility. PCOS is related with an increased risk of metabolic illnesses such as insulin resistance, hyperinsulinism, impaired glucose tolerance, and obesity.&nbsp;Insulin resistance and hyperandrogenemia are significantly more common in obese women, particularly those with central obesity.&nbsp;Elevated androgen levels generated by high insulin levels promote granulosa cell death, which can impair ovarian function.&nbsp;Obesity and its influence in IVF treatmentHigher BMI status is linked to an increased risk of spontaneous miscarriage in patients who have received various forms of assisted reproductive technology (ART), including embryo transfer using donor oocytes. The likelihood of miscarriage in obese women was found to be 38.1%, while in patients with a normal BMI, the rate was 13.3%.&nbsp;Treating anovulatory infertility in obese women is difficult due to their lower chances of conceiving after assisted reproductive technology (ART). This is linked to their requirement for a higher dose of gonadotropin, a poor response to ovarian stimulation, and a greater chance of miscarriage.&nbsp;

Obesity &  Infertility

Obesity, unhealthy weight. Nutritionist inspecting a woman's waist using a meter tape to prescribe a weight loss diet

<h2>मोटापा और बांझपन&nbsp;</h2>आये जाने मुटापा कैसे बांझपन का कारण बन सकता है – गहराई से जाने।&nbsp;मोटापे और अधिक वजन की वैश्विक दर लगातार बढ़ रही है और महामारी के का रूप ले रहा है।&nbsp; कम शारीरिक गतिविधि, खाने मे फास्ट फूड का प्रयोग जैसे जीवन शैली में बदलाव के कारण में मोटापे की दर बढ़ी है।&nbsp;<figure id="figure-o78c5cba7m0wkfmwi" class=""><img id="o78c5cba7m0wkfmwi" src="https://media.gettyimages.com/id/1187664298/photo/woman-eating-a-fast-food-burger.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=hAQM266IiOb5AgarWmITNNysHYtMYVb63n2eRz7lXwg=" alt="woman eating a fast food burger" title="woman eating a fast food burger" class="object-cover bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9; object-position: center center;" data-corners="default" data-aspect="16:9" data-caption="" data-positionx="undefined" data-positiony="undefined" data-fullwidth="false" data-mce-src="https://media.gettyimages.com/id/1187664298/photo/woman-eating-a-fast-food-burger.jpg?b=1&amp;s=2048x2048&amp;w=0&amp;k=20&amp;c=hAQM266IiOb5AgarWmITNNysHYtMYVb63n2eRz7lXwg=" data-mce-style="aspect-ratio: 16/9; object-position: center center;"></figure>बांझ महिलाओं में मोटापा आम है, और यह आमतौर पर स्वीकार किया जाता है कि मोटापे और गर्भ धारण करने में विफलता के बीच एक संबंध है।&nbsp;मोटी महिलाओं को बाकी महिलाओं की तुलना में बांझपन का असर होने की संभावना तीन गुना अधिक होती है।&nbsp;मोटापे से संबंधित बांझपन कई कारकों के कारण होता है, जिसमें अंडसे मे खराब अंडों का विकास, अंडा के विकास अवम गुणात्मक और मात्रा मे कमी , पुरूष शुक्राणु अवम मद के अंडों मिलने पर फर्टलिज़ैशन न हो पान &nbsp;, अगर भ्रूण बन भी गया तो उसका विकास कम होना और भ्रूण का गर्भासए मे प्रत्यारोपण की संभावना काम होना शामिल हैं।&nbsp;अधिक वजन वाली महिलाओं को मासिक धर्म ठीक समय पर नहीं आता है , गर्भपात की संभावना ज्यादा होती है और तो और अंडे के न बनने की संभावना भी अधिक होती है।&nbsp;गर्भावस्था के दौरान मातृ और भ्रूण की बढ़ती समस्याओं के कारण मोटापे से ग्रस्त महिलाओं के स्वस्थ शिशु होने की संभावना कम होती है।&nbsp;मोटापे से ग्रस्त महिलाओं में एस्ट्रोजेन जो की महिला हॉर्मोन है के संतुलन मे एंड्रोजन जो की पुरूष हॉर्मोलए है की मात्र ज्यादा पाये जाती है , जिसके वृद्धि से गोनाडोट्रोपिन की मात्र &nbsp;मे कमी आती है । जिससे गर्भ ठहरने मे दिक्कत आती है।&nbsp;मोटापे से ग्रस्त महिलाओं में इंसुलिन प्रतिरोध होता है जिसके कारण इंसुलिन हॉर्मोन कम काम करता है और हाइपरइन्सुलिनेमिया के परिणामस्वरूप हाइपरएंड्रोजेनिमिया होता है अर्थात पुरूष हॉर्मोन मे वृद्धि होने लगती है। ।&nbsp;मोटापे से ग्रस्त महिलाओं मे चर्बी की मात्र ज्यादा होती है , चर्बी 2 तरह का केमिकल (एडिपोकिन साइटोकिन ) का उत्पादह करता है। &nbsp; पहला का नाम है लेपटीन , अंडरोगेन अर्थात पुरूष हॉर्मोन के ज्यादा होने पर लेपतीं ज्यादा बंता है , और लेपटीन हानिकारक होता है , यह यह यौन परिपक्वता मे कमी लता है और असामान्य कोशिका संचार का कारण बन सकता है। और यह यौन विकास विकारों, यौवन संबंधी बीमारियों और प्रजनन समस्याओं को प्रेरित करने के लिए जानी जाती है।दूसरे का नाम आडेपोनेक्टिन है, जिसकी मात्र मे कमी आती है , पर ये तो लाभदायक होता है , ये लिवर मे छोनी का खपत बढ़ाता है और इंसुलिन से बेहतर काम करता है । इसके कमी से नकारात्मक प्रभाव पड़ता है।&nbsp;<figure id="figure-4halxwncr8m152h5dx"><iframe id="4halxwncr8m152h5dx" src="https://www.youtube.com/embed/JckSt3Ah9Vw" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtu.be/JckSt3Ah9Vw?si=PJdtQxf3OdfXUwBn" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/JckSt3Ah9Vw" data-mce-style="aspect-ratio: 16/9;"></iframe></figure><h3> आये जानते है मोटापे से ग्रसित एक और समस्या का बारे मे।&nbsp; </h3><h2>पॉलीसिस्टिक ओवेरियन बीमारी (पी.सी.ओ.डी.) और पॉलीसिस्टिक ओवेरियन सिंड्रोम (पी.सी.ओ.एस) क्या होता है।&nbsp;</h2>पॉलीसिस्टिक ओवेरियन बीमारी&nbsp; (पी.सी.ओ.डी.) एक चिकित्सा रोग है जिसमें अंडाशय अपरिपक्व या आंशिक रूप से विकसित अंडों का अधिक उत्पादन करते हैं। खराब जीवन शैली जैसे बाहर बाजार का खान पान , व्यायाम न करना , मोटापा, तनाव और हार्मोनल असंतुलन इस बीमारी के सामान्य कारण हैं।&nbsp;पॉलीसिस्टिक अंडाशय, सामान्य अंडाशय से बड़े होते हैं और उनमें फालिकल की संख्या दोगुनी होती है।&nbsp;पॉलीसिस्टिक ओवेरियन सिंड्रोम (पीसीओएस) एक चिकित्सा विकार है जो मुख्य रूप से मासिक धर्म चक्र, प्रजनन क्षमता, हार्मोन के स्तर और शारीरिक स्वरूप को प्रभावित करता है।&nbsp;पी.सी.ओ.एस में हॉर्मोन की समस्याओं के कारण एंड्रोजन हॉर्मोन जो की पुरूष हॉर्मोन है का उत्पादन होता हैं, जिससे अंडों में सिस्ट बनने की संभावना बढ़ जाती है।&nbsp;पी.सी.ओ.एस. एक रोग है जो एंड्रोजन के उच्च स्तर के कारण होता है। इससे पहले, पीसीओएस को केवल एक हाइपरएंड्रोजेनिक स्थिति के रूप में जाना जाता था जो बांझपन का कारण बन सकती है। पीसीओएस मेटबालिक बीमारियों जैसे इंसुलिन प्रतिरोध , हाइपरइन्सुलिज्म, ग्लूकोज का काम खपत होना और मोटापे से संबंधित है।&nbsp;उच्च इंसुलिन के स्तर से उत्पन्न एंड्रोजन का ऊंचा स्तर ग्रैनुलोसा कोशिका की मृत्यु को बढ़ावा देता है, जो अंडासे मे अंडों की कमी हो जाती है।&nbsp;<figure id="figure-fugj8a2wjm3n4ajyf"><iframe id="fugj8a2wjm3n4ajyf" src="https://www.youtube.com/embed/H8CpR9TISJQ" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9" allow="autoplay; encrypted-media" allowFullScreen="" data-url="https://youtube.com/shorts/H8CpR9TISJQ" data-corners="default" data-fullWidth="false"></iframe></figure>

मोटापा और बांझपन

2 person holding clear wine glass with red wine during daytime

<h2>क्या शराब के सेवन- बांझपन का कारण हो सकता है?</h2>शराब का सेवन भारत मे आम बात है, और बच्चे जनमने के उम्र मे तो शराब का सेवन और ज्यादा है। आधुनिक जीवनशैली मे तो गर्भवती माताओ द्वारा शराब का सेवन प्रचालन मे है ।&nbsp; शराब के सेवन से विभिन प्रकार की समस्या हो सकती है, खास तौर से गर्भावस्था मे सेवन करने से , बच्चे का जिंदा पैदा होने की संभावना काम हो जाती है, जनम के पहले बच्चे का मृत्यु दर ज्यादा है, और एक प्रमुख बीमारी जिसे फीटल अल्कोहॉक सिन्ड्रोम कहते है , के होने की संभावना बढ़ जाती है। &nbsp;<figure id="figure-upbk3fsdmm0osjk9w"><iframe id="upbk3fsdmm0osjk9w" src="https://www.youtube.com/embed/lmK-Cb4MNV0" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtube.com/shorts/lmK-Cb4MNV0?feature=share" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/lmK-Cb4MNV0" data-mce-style="aspect-ratio: 16/9;"></iframe></figure>फीटल अल्कोहॉक सिन्ड्रोम मे बच्चे का शारीरिक विकास काम होता है , चेहरा विकृत हो जाता है और नस &nbsp;मे कमजोरी और विकृति हो जाता है ।&nbsp;ज्यादा मात्र मे शराब का सेवन करने से की जटिल बीमारी हो जाती है , जैसे लिवर की बीमारी, हार्ट की बीमारी, आत की बीमारी, नस और मानसिक बीमारी । गरीबी , मानसिक तनाओ &amp; रिश्तों का टूटना तो इंसान को तोढ़ कर रख देता है।&nbsp;शराब का सेवन गर्भाशय मे पल रहे बच्चे के लिये घातक है , इसके टेराटोजेनिक इफेक्ट बहुत नुकसान पहुचते है. शराब तरल पदार्थ होने के कारण आसानी से नाल के रास्ते माँ के पेट मे पल रहे बच्चे तक पहुच जाता है , बच्चेदानी का पानी जिसे ऐम्नीऑटिक फ्लूइड कहते है , मे शराब की मात्र बढ़ जाती है , जिससे बच्चे को स्वस्थ खान पान नहीं पहुच पता है , शराब के कारण बच्चे मे एंटी ऑक्सीडेंट काम हो जाता है , फ्री रैडिकल की मात्रा बढ़ जाही है , जिससे बच्चे का मस्तिसक धीरे धीरे गलने लगता है ।&nbsp; महिला मे शराब के कारण, मादा के अंडे काम बनते है , जिसके कारण उनकी गर्भवती बनने की संभावना काम हो जाती है, जो महिला शराब का सेवन करती है , उनके खून जांच मे पाया गया है की महिला हॉर्मोन जैसे ए म् अछ और फ़ स् अछ की मात्र काम पाई जाती है , ये हॉर्मोन बताते है की महिला की माँ बनने की संभावना कितनी है ।पुरूष मे शराब का ज्यादा इस्तेमाल के कारण पुरूष शुक्राणु काम हो जाता है, पुरूष के शरीर मे उपलब्ध हॉर्मोन जैसे टेरटोस्टेरोने की कमी होने लगता है , जिससे पोथी की गुणवक्ता काम होने लगती है।&nbsp;शराब के कारण लिवर मे भी खराबी हो जाती है, जिससे हॉर्मोन का मटैबलिज़म काम हो जाता है , यह भी एक कारण है शुक्राणु काम होने का । बहुत सारे मर्दों मे तो शुक्राणु बिल्कुल ही खतम हो जाते है ।&nbsp; आईवीएफ़ के इलाज के समय तो सामान्य मात्र मे भी शराब का प्रोयोग , इलाज के सफल परिणाम को काम कर देता है । आईवीएफ़ का इजक कर रही महिला , जो शराब का सेवन करती है, उन्मे अंडे निकालने की विधि मे 13 % काम अंडे निकाल पते है , और गर्भवली होनी की संभावना 3 गुण काम हो जाती है ।&nbsp;जींद बच्चे को जामन देने के दर मे काफी काम या जाती है अगर की महिला हफ्ते मे 2-3 बार से ज्यादा बार शराब का सेवन करती है। इसका मुख्य कारण निषेचन की प्रक्रिया यानि पुरूष के शुक्राणु और महिला के अंडे के मिलाप मे बनने वाले नन्हे शिशु के न बनने की मात्र मे कमी आना है ।&nbsp;इस कारण जबकि सामान्य इंसान मे हफ्ते मे 2-3 बार काम मात्र मे शराब का सेवन के कुछ फायदा होता है, पर आईवीएफ़ के मरीज मे कुछ भी शराब का सेवन से आईवीएफ़ की सफलता मे कमी आ &nbsp;जाती है ।&nbsp;<figure id="figure-lsa3uc0izlm3n2mwqa"><iframe id="lsa3uc0izlm3n2mwqa" src="https://www.youtube.com/embed/y1gzZIrmbMg" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtu.be/y1gzZIrmbMg" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/y1gzZIrmbMg" data-mce-style="aspect-ratio: 16/9;"></iframe></figure><h2> Alcohol &amp; Infertility</h2>Alcohol consumption is common in India. Also a large proportion of the drinking population is of child bearing age. Alcohol use has been linked to a number of reproductive diseases, including the possibility of having a child with Fetal Alcohol Spectrum Disorder (a condition characterized by facial dysmorphia, growth deficits, and central nervous system abnormalities), an increased risk of fetal loss, and a lower likelihood of live birth. Excessive alcohol consumption can cause a variety of chronic diseases, including hypertension, heart disease, liver disease, gastrointestinal bleeding, cancer (breast, mouth, throat, esophagus, liver, and colon), dementia and other cognitive deficits, anxiety/depression, and social and economic losses such as relationship damage and job loss.&nbsp; In contrast, moderate alcohol consumption, defined as up to one drink per day for women and two drinks per day for males, may provide some health benefits. But it is quite difficult to resist the temptation to drink more.&nbsp; The teratogenic effects of alcohol use during pregnancy is well documented. Alcohol can easily be transported through the placenta to the amniotic fluid and fetus. Because alcohol and its metabolites gradually increase in concentration in the amniotic fluid, the fetus is more exposed to more alcohol than the mother, resulting in reduced fetal metabolic enzyme activity. Teratogenicity is be caused by a diminished ability to neutralize oxidizing agents, increase in &nbsp;amounts of free radicals, and reactive oxygen species, which contribute to increased apoptosis in fetal central nervous system tissue. Fetal Alcohol Spectrum Disorders include fetal alcohol syndrome and birth defects caused by prenatal alcohol exposure. Fetal Alcohol Spectrum Disorder is a group of illnesses characterized by behavioral and cognitive deficits, deformities in the skull and face, and delayed childhood development. Although several studies have shown that the severity of impairments or malformations worsens as the dosage and period of exposure rise, there is presently no safe dose or duration of exposure during pregnancy. Excessive alcohol use in women can have a negative impact on ovarian reserve and fertility. Ovarian reserve is a woman's reproductive capacity as assessed by the amount of oocytes she has remaining. This reserve can be measured using several investigation , including serum follicle stimulating hormone (FSH) and anti-Müllerian hormone (AMH) levels, and also the number of antral follicles. Alcohol consumption in men also can lead to impaired fertility. Prolonged and excessive alcohol consumption has shown to reduced gonadotropin secretion, shrinking of the testicles, and lower levels of testosterone and sperm production.&nbsp; Furthermore, drinking is associated with liver damage, which can result in hormonal abnormalities caused by an inability to metabolize estrogens. Excessive alcohol leads in reducuction in the quality of semen parameters leading to intermittent azoospermotheremia.Empirical findings strongly suggest that even moderate alcohol use has a negative impact on the outcomes of assisted reproductive technology (ART).&nbsp; Women who underwent in vitro fertilization (IVF) had a 13% decrease in the number of oocytes obtained and &nbsp;3 times increased likelihood of not achieving pregnancy and 2 times increased risk of miscarriage.Women who consumed four or more alcoholic beverages per week had a lower risk of having a live birth. The results were usually interpreted as indicating inadequacies in the fertilization process. As a result, given that even moderate alcohol intake may affect the success of in vitro fertilisation (IVF) by lowering oocyte production and live birth rates, it is recommended that alcohol consumption be reduced prior to beginning IVF treatment.

शराब और बांझपन

two women smoking a cigarette and looking at each other

<h2>क्या तंबाकू या धूम्रपान – निःसंतनता का कारण हो सकता है ?</h2>For English translation scroll down below Hindi blogदाम्पत्य जीवन की खुशी का एक प्रमुख सतंभ संतान सुख की प्राप्ति होती है।&nbsp; पर आज के समय मे बांझपन ज्यादा नजर आने लगा है ।&nbsp;निःसंतनता के कई कारणों मे एक मुख्य कारण तम्बकी या धूम्रपान का सेवन है ।&nbsp;आये जाने ये मौज देने वाली आदते , कैसे आपकी प्रजलन शक्ति को काम करता है , अगर आप इसके पीछे विज्ञान को समझेंगे तो आप अपने लिये सही और गलत पर विचार कर सकेंगे ।&nbsp;धूम्रपान पुरूष और महिला दोनों को ही प्रभावित करता है ।&nbsp;<figure id="figure-2wpm585rqwm0koedwe" class=""><iframe id="2wpm585rqwm0koedwe" src="https://www.youtube.com/embed/c4M_aDXr2oA" class="w-full bg-gray-100 rounded-sm md:rounded-md lg:rounded-lg" style="aspect-ratio: 16/9;" allowfullscreen="" data-url="https://youtube.com/shorts/c4M_aDXr2oA?feature=share" data-corners="default" data-fullwidth="false" data-mce-src="https://www.youtube.com/embed/c4M_aDXr2oA" data-mce-style="aspect-ratio: 16/9;"></iframe></figure><h3>पहले बात करते है पुरुषों को कैसे धूम्रपान नुकसान करता है ।&nbsp;</h3>सिगरेट, बीड़ी मे बहुत सारे जहरेले पदार्थ होते है – जैसे कैड्मीअम , लेड , निकोटिन, साइनाइड जो की पुरूष पोथी मे बन रहे शुक्राणु को विकृत कर देता है अथवा उनका उत्पादन काम कर देते है , इससे स्वस्थ शुक्राणु नहीं बन पते है , जिससे वो पुरूष पिता नहीं बन पते है ।&nbsp; निकोटिन सरीर के पुरूष हार्मोन को भी असर करता है जिससे शुक्राणु बनने की मात्र कान हो जाती है ।&nbsp;<h3>महिलाओ मे धूम्रपान का असर&nbsp;</h3>महिलाओ मे भी सिगरेट तंबाकू का बुरा असर होता है। तंबाकू का सेवन करने वाली महिला मे माँ बनने का दर काफी काम होता है ।&nbsp; गर्भावस्था के पहले इनका सेवन करनी वाली महिलाओ मे पॉलीसाइक्लिक एरोमैटिक हैड्रोकार्बोन जो की तंबाकू मे पाये जाते है , उनकी मात्र ज्यादा होती है , ये पदार्थ महिला के अंडसे मे बनने वाले अंडे को विकृत कर देता है , महिला हॉर्मोन जैसे गोनाडोटरिपिन की मात्र भी काम हो जाती है।&nbsp; सिगरेट, बीड़ी मे बहुत सारे जहरेले पदार्थ होते है – जैसे कैड्मीअम , लेड , निकोटिन, साइनाइड महिला के अंडे और पुरूष के शुक्राणु को नुकशान पहुचते है , जिससे को बच्चा नहीं बन पता है ।&nbsp; यह तक की अगर नन्हा शिशु बन जाने के बाद , निकोटिन के कारण वो बच्चेदानी मे प्रतिरोपित नहीं हो पाते &nbsp;है ।&nbsp;गर्भावस्था के पहले मासिक मे तंबाकू का सेवन करने पर गर्भपात की दर बाथ जाती है ।&nbsp;गर्भाशय के आखिरी महीनों मे इसका सेवन करने पर काम वजन का बच्चा होने की संभावना बढ़ जाती है , और तो और मारे हुए बच्चे का पैदा होने की संभावना बढ़ जाती है ।&nbsp;तंबाकू मे पाये जाने वाला कार्बन मोनूक्सईडे से फेलोपियाँ ट्यूब का मोटिलिटी काम हो जाता है, जिससे एकटिपिक प्रेग्नन्सी की संभावना बढ़ जाती है ।&nbsp;तंबाकू मे उपलब्ध खतरनाक पदार्थ , नाल मे खून की कमी का कारण है , जिससे नाल की पकढ़ गर्भासए के साथ काम हो जाती है – जिससे की गर्भावस्था मे खून के रेसव होने ( प्लसेन्ट परेविया ) की संभावना ज्यादा हो जाती है , जेससे माँ और बच्चे दोनों का खतरा बढ़ जाता है ।&nbsp;<a href="https://youtu.be/y1gzZIrmbMg" data-mce-href="https://youtu.be/y1gzZIrmbMg" data-mce-selected="inline-boundary" title="शराब और बांझपन">https://youtu.be/y1gzZIrmbMg﻿</a><h2>Cigarettes and infertility&nbsp;</h2>Tobacco use contributes to nearly 50 serious health issues, including infertility. Surprisingly, only 22% of the total population is aware of the reproductive risks associated with smoking. This lack of understanding has led to an increase in smoking rates among women. Tobacco usage affects both reproduction and marriage, leading to conflict in emotionally strained infertile marriages.&nbsp;<h3>Male smokers&nbsp;</h3>Men who use cigarettes may be affected.&nbsp;Nicotine influences sperm production by impacting male reproductive hormones.&nbsp;It also has an effect on sperm quality that is due to its cytotoxic properties.&nbsp;Toxins in tobacco smoke, like cadmium, nicotine, lead, and radioactive chemicals, can directly harm the testes as they travel through the bloodstream.&nbsp;<h3>Females smokers&nbsp;</h3>Certain tobacco ingredients and metabolites, including lead, nicotine, cotinine, cyanide, cadmium, carbon monoxide, and polycyclic aromatic hydrocarbons, have the potential to harm the developing fetus.&nbsp;Female smokers are more likely to experience a delay in conception and suffer both primary and secondary infertility.&nbsp;Polycyclic aromatic hydrocarbon exposure before pregnancy is bad for oocytes and can change the release of gonadotropins, the formation of the corpora lutea, the interaction between gametes, and the implantation of the egg.&nbsp;Scientific data has shown that smoking might affect menstrual function by shortening menstrual cycles and causing anovulation, potentially leading to subfertility and infertility.&nbsp;Abortion can result from defective organogenesis in the early stages of pregnancy.&nbsp;Premature birth, low birth weight (LBW) babies, stillbirth, and intrauterine mortality are all prevalent during the third trimester, the period of maximum fetal growth.&nbsp;In placental abruption &amp; planta previa, there is less blood flow in the intervillous placenta. This leads to placental abruptions because of vasoconstriction and inadequate perfusion around the placental implantation site, which eventually causes necrosis and bleeding.&nbsp;Some of the things that can cause the membrane to rupture too soon are problems with the cytokine system, lowered immune function in the reproductive tract, the start of inflammatory processes, and a higher risk of getting an infection.&nbsp;Nicotine exposure has been shown to impair tubal motility, which increases the risk of ectopic pregnancy.&nbsp;Nicotine suppresses the cortical granule response, reducing the entry of unbound sperm to the egg. As a result, abnormal fertilization occurs, leading to a high rate of spontaneous miscarriage.

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