#Endocrinologists in Greater Kailash
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Endocrinologists In Greater Kailash - Pioneers In Hormonal And Metabolic Care
In the dynamic neighborhood of Greater Kailash, endocrinologists are making a significant impact in the realm of health care, focusing on hormonal and metabolic disorders. These specialists are dedicated to understanding the endocrine system, which comprises various glands that produce hormones essential for regulating many bodily functions. As awareness of hormonal health increases, the Endocrinologists in Greater Kailash are stepping forward to provide innovative and effective treatment options for patients facing hormonal challenges.
What is Endocrinology?
Endocrinology is the branch of medicine that studies hormones and the glands that secrete them. Hormones play a critical role in regulating processes such as metabolism, growth, mood, and reproductive functions. An imbalance in hormone levels can lead to various health issues, highlighting the importance of specialized care.
The Role of Endocrinologists
Endocrinologists are healthcare professionals trained to diagnose and treat conditions related to hormonal imbalances and metabolic disorders. They use advanced diagnostic methods, including blood tests and imaging, to identify the underlying causes of a patient’s symptoms. Based on these assessments, they develop tailored treatment plans that may incorporate lifestyle changes, medication, or other therapeutic interventions.
In Greater Kailash, endocrinologists are particularly skilled in managing a variety of conditions, including:
Diabetes: With diabetes becoming increasingly prevalent, specialists in Greater Kailash focus on personalized treatment strategies that address both type 1 and type 2 diabetes. They often recommend dietary modifications, exercise programs, and medication management to help patients maintain healthy blood sugar levels.
Thyroid Disorders: Conditions such as hypothyroidism and hyperthyroidism can profoundly affect a person's quality of life. Endocrinologists in the area provide individualized care, including regular monitoring and appropriate medication, to help patients manage their thyroid health effectively.
Weight Management: Given the rising rates of obesity, endocrinologists emphasize a comprehensive approach to weight management. They offer personalized evaluations that include dietary guidance, exercise plans, and behavioral strategies to support sustainable weight loss.
Reproductive Health: Endocrinologists also address hormonal issues that impact reproductive health, such as polycystic ovary syndrome (PCOS) and infertility. They provide specialized assessments and treatment options to help patients achieve their reproductive goals.
Commitment to Personalized Care
One of the hallmarks of endocrinology practice in Greater Kailash is the focus on personalized patient care. Endocrinologists understand that each individual's needs are unique, and they strive to create treatment plans that reflect those specific circumstances. This collaborative approach ensures that patients feel supported and empowered in their health journeys.
Accessing Endocrinology Services
For residents of Greater Kailash seeking expert care for hormonal and metabolic issues, there are numerous qualified endocrinologists available. Many of these specialists practice in modern clinics and hospitals that are equipped with the latest diagnostic tools and treatment technologies.
Individuals are encouraged to consult with their primary care physicians about any hormonal concerns they may have, who can refer them to experienced endocrinologists. Timely intervention is crucial for effectively managing these conditions and improving overall health.
Conclusion
Endocrinologists in Greater Kailash are at the forefront of advancing hormonal and metabolic health, dedicated to enhancing their patients' well-being. Whether addressing diabetes, thyroid disorders, obesity, or reproductive health issues, these specialists provide expert guidance and tailored care. For anyone experiencing symptoms related to hormonal imbalances, seeking the advice of an endocrinologist is a vital step toward achieving better health and enhancing life quality.
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#Reproductive Endocrinologist in Greater Kailash Part 4#Best Reproductive Endocrinologist in Greater Kailash Part 4
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How Greater Kailash Leads in Diabetic Foot Treatment Excellence
Diabetic foot complications pose significant challenges for individuals managing diabetes. Without timely and appropriate care, these conditions can worsen, severely impacting daily life. Fortunately, residents of Greater Kailash have access to exceptional medical facilities that specialize in diabetic foot care. Among these experts, Dr. Anshumali Misra is a leading name, recognized for providing cutting-edge treatment and compassionate care.
Understanding the Importance of Diabetic Foot Care
Diabetes often leads to complications such as poor blood circulation and nerve damage, which can result in foot ulcers, infections, and, in severe cases, the need for amputation. Effective diabetic foot treatment focuses on early detection, personalized care, and preventive strategies to address these risks. Having an experienced specialist who understands the complexities of diabetic foot conditions is essential for proper management.
Why Greater Kailash is a Preferred Destination for Diabetic Foot Treatment
Greater Kailash has earned a reputation as a center of excellence for diabetic foot care, thanks to its state-of-the-art medical infrastructure and skilled practitioners. Clinics in the area utilize advanced technologies to diagnose and treat a variety of diabetic foot issues. The holistic care approach ensures that patients receive immediate relief as well as long-term solutions.
Comprehensive Care by Dr. Anshumali Misra
Dr. Anshumali Misra is a trusted expert in diabetic foot treatment, known for his extensive experience and dedication to patient well-being. His approach includes:
Advanced Diagnostic Techniques: Employing the latest tools to evaluate circulation, nerve function, and infection risks.
Customized Treatment Plans: Creating tailored strategies to address the unique needs of each patient.
Preventive Education: Teaching patients about proper foot care, footwear choices, and methods to prevent complications.
Surgical Expertise: Offering surgical solutions for severe cases, focused on preserving functionality and preventing further damage.
What Distinguishes Greater Kailash in Diabetic Foot Care?
The excellence of diabetic foot treatment in Greater Kailash stems from several factors:
Specialized Clinics: Facilities equipped with the latest diagnostic and therapeutic technologies.
Multidisciplinary Collaboration: Coordination between endocrinologists, vascular surgeons, and podiatrists for comprehensive care.
Patient-Centric Approach: Emphasis on educating patients to manage their condition effectively.
Convenient Accessibility: Located in South Delhi, Greater Kailash is easily reachable, making it a favored destination for quality healthcare.
Practical Tips for Maintaining Healthy Feet
While professional care is vital, individuals can adopt daily habits to protect their foot health:
Examine feet regularly for cuts, blisters, or swelling.
Keep feet clean and moisturized to avoid dryness and cracking.
Wear comfortable footwear designed for diabetic needs.
Monitor and control blood sugar levels to reduce the risk of complications.
Conclusion
For those seeking Diabetic Foot Treatment in Greater Kailash, the area’s advanced medical care and expert practitioners, such as Dr. Anshumali Misra, provide unmatched support. Early intervention and preventive measures are key to managing diabetic foot conditions effectively. If you or a loved one are facing foot-related challenges due to diabetes, consult a specialist in Greater Kailash today to take proactive steps toward better health and comfort.
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Dr. Ashish Saini, Consultant Endocrinologist at Kailash Hospital in Greater Noida, is committed to unraveling the nuances of thyroid disorders specifically in male patients.
#thyroid symptoms in male#how to cure thyroid problems in men#thyroid specialist near me#thyroid hospital near me
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An infertility specialist also referred to as a reproductive endocrinologist (RE), is an expert in the field of infertility. If you are searching for best fertility specialist in Greater Kailash. Visit sci hospital online portal. Their medical experts will help you with booking appointments according to your time and location
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IVF Doctor in Delhi | Elawoman
IVF Doctor in Delhi
explore the record of IVF Doctor in Delhi on your IVF cure. IVF Doctor in Delhi are Dr. Shivani Sachdev Gour, Dr. Anubha Singh, Dr. Nalini Mahajan, and Dr. Rashmi Sharma. Which you could seek advice from the particular record and book an appointment with the excellent IVF physician in Delhi.
1. Dr. Nisha Bhatnagar
Dr. Nisha Bhatnagar is a riskless infertility expert and gynecologist at Rajouri garden, Delhi. She completed her MBBS from Dr. Baba Saheb Ambedkar Marathwada school and MD in obstetrics and gynecology from G.M.C. Aurangabad (B.R.A.M.Tuition, Maharashtra) in 1997 and 2001, respectively. With specialization in Intrauterine Insemination (IUI), In Vitro fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI) treatment and excessive-hazard being pregnant care, she has won over 2 many years of expertise and have efficiently medication many of her sufferers.
She was a gynecologist at medical institution Eye Fem but she is at the moment working as an Infertility expert at Aveya IVF and Fertility Centre, Delhi. Dr. Nisha Bhatnagar can also be a reputed member of the Delhi scientific Council and is registered below 16443, Delhi clinical Council, 2002. She additionally supplies consultation services to sufferers as per moral and medical considerations.
Aveya IVF and Fertility Centre based in Rajouri garden, Delhi is a modern facility committed to fulfill the bodily and emotional desires of patients. The centre follows advanced strategies and healing procedures for the period of IVF, surrogacy, egg donation and egg freezing. IVF, Blastocyst tradition and transfer, Laparoscopy, Hysteroscopy and Laser Assisted Hatching are one of the offerings furnished at Aveya IVF and Fertility Centre.
2. Dr. Kaberi Banerjee
Dr. Kaberi Banerjee is an infertility specialist and reproductive endocrinologist who completed MBBS, MD (Obs and Gyne) and DNB (Obs and Gyne) from All India Institute of clinical Sciences (AIIMS) in 1994, 1998 and 1999 respectively. Then, she pursued MRCOG from united kingdom in 2005. Dr. Kaberi focuses on IVF, IUI, ICSI treatments and Frozen Embryo replacement Cycle. At the moment, Dr. Kaberi is practicing at evolved Fertility and Surrogacy Centre, Lajpat Nagar, Delhi. Find fees, experiences and Timings.
A certified scientific practitioner, Dr. Kaberi Banerjee in Lajpat Nagar 4, Delhi is one in all the celebrated IVF Centres, having practiced the medical specialization for decades. This clinical practitioner's health facility used to be based in 2000 and given that then, it has drawn ratings of sufferers now not only from in and around the neighbourhood but additionally from the neighbouring areas as well.
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Dr. Kaberi Banerjee in Lajpat Nagar four has a good-prepared and good-maintained clinic. It's sectioned into a ready area for patients, where they may be able to watch for their turn. This health facility has a consulting room, the place this practitioner attends to sufferers between the consulting timings. Often, on the primary visit, this practitioner completely is aware and documents the sufferer's medical history and discusses the quite a lot of well being disorders they are presently going through.
Following this, the health practitioner could conduct a simple examination to examine and verify the symptoms of the disorder. Based on this examination, this medical specialist prescribes a suitable path of motion, be it medicine or additional diagnostic exams. This health facility is open to sufferers between 09:00 - 19:00. Make a payment quite simply using any of the next modes of fee, together with cash, grasp Card, Visa Card, Debit cards, money Orders, Cheques, bank card, tourists Cheque, Financing to be had, American express Card, Diners club Card.
3. Dr. Sunita Gupta
Dr. Sunita Gupta is a gynecologist and obstetrician specializing in IUI, IVF, stomach and Vaginal Hysterectomy and Gynecology Laparoscopy tactics. She has completed MBBS and MD In Obstetrics and Gynecology from All India Institute of scientific Sciences, New Delhi. Later, she went on to pursue Laparoscopy training from Kiel college, Germany. She is an extraordinarily humble health care specialist and knows sufferers predicament and concerns adequately and treats them as a consequence. Dr. Sunita is at the moment practising at Max shrewd super forte hospital and Dr. Sunita Gupta medical institution, Delhi. For extra understanding, consult with elawoman.Com.
Dr. Sunita Gupta is a skilled Gynecologist, practising in Delhi and The countrywide Capital region (NCR). She has expertise of greater than 29 years, and has practiced at one of the vital exceptional medical institutes in India; like Max smart Saket city sanatorium and so on.
4. Dr. Shobha Gupta
Dr. Shobha Gupta is an IVF expert and gynecologist that specialize in IVF, IUI and ICSI, Andrology and Embryology as well. Dr. Shobha completed MBBS and DGO from girl Hardinge medical college, Delhi and MD in Obstetrics and Gynecology from Maulana Azad medical university, Delhi. She is a member of one of a kind companies together with Indian medical organization (IMA), clinical Council of India (MCI), Federation of Gynecological Societies of India (FOGSI) as good as Delhi medical Council. Dr. Shobha Gupta is specializing her talents at mothers Lap IVF Centre, Pitampura, Delhi. For more information, visit elawoman.Com
5. Dr. Yachna Grover
Dr. Yachna Grover is an infertility specialist and gynecologist focusing on IVF, IUI, Embryo transfer approach, Menopause and Cryopreservation techniques. Dr. Yachna Grover pursued MBBS from lady Hardinge clinical university in 1990 and MS in Obstetrics and Gynecology, Fellowship in Reproductive treatment, Fellowship in Obstetric and Gynecology strategies, Fellowship in Laparoscopy procedure from Vardhaman Mahavir scientific university and Safdarjung health center. She can also be a member of organization of Obstetricians and Gynecologists in Delhi (AOGD). Dr. Yachna Grover is presently practicing her specialities at Netrayatan Eye and IVF hospital, better Kailash 2, Delhi. For more knowledge, discuss with elawoman.Com.
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Dr. Manika Khanna Gaudium | Gaudium IVF Greater Kailash | Elawoman
Dr. Manika Khanna Gaudium Trained at Melbourne IVF, Australia & the University of Kiel, Germany, she founded Gaudium IVF & Gynae Solutions Centre to fulfill her long standing dream of bringing international standards of fertility care to India. The unprecedented success of the first Gaudium IVF Greater Kailash in Delhi paved the way for Gaudium to evolve into the best IVF clinic chain in India.
Hailed as the youngest consistent achiever in infertility and IVF care, Dr. Manika has over 10,000 successful IVF treatments to her credit with healthy Gaudium babies growing in over 30 countries.
Born and raised in Delhi in a family of freedom fighters and doctors, Dr. Manika is a Gold Medallist from Baroda Medical College, Gujarat. After completing her MBBS in 1996, followed by MD (Obstetrics & Gynaecology) in 1999, she completed her Diploma Training in Advanced Gynaecological Endoscopic Surgery (D.A.G.E.) at the Department of Obstetrics and Gynaecology, University Hospital Schleswig-Holstein, Campus Kiel, Germany. This was followed by an advanced training course in Assisted Reproduction in Humans (IVF) from Melbourne IVF, Australia.
Before founding Gaudium IVF & Gynae Solutions Centre in 2009, Dr. Manika served as Consultant Physician at Deen Dayal Upadhyay Hospital, New Delhi and later as Senior Consultant and Head of Department, Gynaecology and Obstetrics at Sri Balaji Action Medical Institute, New Delhi for several years.
An acclaimed infertility expert with over 17 years of clinical experience, Dr. Manika has done pioneering work in the field of IVF and gynaecology-related medical conditions. She is particularly experienced in treating serious infertility conditions such as recurrent IVF failure, recurrent miscarriage, polycystic ovarian syndrome (PCOS), endometriosis and uterine fibroids. Besides heading a team of top fertility experts at Gaudium IVF & Gynae Solutions Centres, she is on the expert panel of infertility units of various renowned hospitals.
In 2014, she created history in IVF treatment in India by successfully treating a patient with 15 previously failed IVF cycles. The patient gave birth to a healthy baby boy at Gaudium IVF and Gynae Solutions Janakpuri after an agonising 17 years of immense physical, emotional and financial strain.
Founded the Gaudium Foundation to provide free and subsidised treatment to economically weak patients.
In 2015, initiated Naari Jeevan Strot, a unique women & child health campaign by Gaudium Foundation that has connected the largest network of cities and districts in 5 major North Indian states of Delhi-NCR, Haryana, Chandigarh, Punjab and Himachal Pradesh. The initiative, which provides health education and free and subsidised medical relief to the less privileged through health camps and nukkad natak (street plays), has touched the lives of nearly 10 million women and was recognised as the best philanthropy project of the year 2014-2015 by Healthcare Leaders’ Forum & Awards 2015.
Established the Poor Patient Fund (PPF) at Gaudium IVF — a unique and innovative way for well- to-do families to donate for the treatment of underprivileged fertility patients. The initiative, which has received tremendous support from our dear patrons, provides for the treatment of 3 to 4 patients each month and has so far supported over 120 disadvantaged couples.
Active member of the Ekta Mission, a Delhi-based organisation working to provide elementary health services for underprivileged women and children.
Working proactively for the cause of the Girl Child – felicitated by the Lions Club for raising awareness against female infanticide.
Active ongoing participation in raising AIDS awareness through strategy-formulation summits, lectures and seminars.
Awarded by the Ekta Mission for outstanding contribution to the field of medicine.
An ethical, compassionate and committed medical professional, Dr. Manika is revered in the medical community for her exemplary contributions to infertility treatment in India.
With a vision to provide the best of advanced fertility care, Dr. Manika established Gaudium IVF, she has emerged as the Global Icon in IVF by delivering the highest success rate and over 10,000 IVF babies all over the world and again by treating the most complicated and challenging infertility conditions.
She has been consistently recognised and honoured with several awards such as “Asia’s greatest Health leader”, “Mahila Achiever Award” and the prestigious “Delhi Ratan”.
Dr. Manika has been credited with some of the highest IVF success rates and unequalled success in cases of recurrent IVF failure, male factor infertility, endometriosis and high-risk pregnancies.
There could not have been a better name for an institution, Gaudium, Delhi IVF Clinics that has brought a lifetime of joy to thousands of families across the world.
Gaudium, Latin for joy, has ushered a new era of affordable and effective IVF clinic in Delhi, India, emerging as the preferred destination for patients seeking fertility care they can trust. A leading Government-approved IVF centre with 9 state-of-the-art centres across North India, Gaudium IVF centre combines advanced reproductive technology with world-class clinical expertise to bring you customised fertility solutions that work. Each patient who walks into a Gaudium facility is treated with utmost compassion and respect and receives personalised attention from a dedicated team of experts.
Today there are over 10,000 Gaudium babies all over the world — a resounding affirmation of unparalleled success of Gaudium IVF centre which has brought us numerous awards and honours along and unprecedented global acclaim.
At Gaudium IVF Centre, we treat your dream as our own and work tirelessly to help you have a healthy baby to take home. We provide the best surrogacy services and IVF treatment to infertile people at our IVF clinic. We are determined to offer our patients the best IVF treatment at affordable cost.
One of the main gynecologists of the city, Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Janak Puri has built up the facility and has picked up a devoted customer base in the course of recent years and is additionally as often as possible went to by a few VIPs, trying models and other decent customers and global patients too. They likewise anticipate growing their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The proficiency, devotion, exactness and empathy offered at the center guarantee that the patient's prosperity, solace and needs are kept of best need.
Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Delhi treats the different diseases of the patients by helping them experience top notch medicines and methodology. Among the various administrations offered here, the center gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions.
An Infertility Evaluation is usually initiated after one year of regular unprotected intercourse in women under age 35 years and after six months of unprotected intercourse in women age 35 years and older. However, the evaluation may be initiated sooner in women with irregular menstrual cycles or known risk factors for infertility, such as endometriosis, a history of pelvic inflammatory disease, or reproductive tract malformations.
The basic evaluation can be performed by an interested and experienced primary care physician or an obstetrician-gynecologist. The primary care physician generally should refer the patient to a specialist for treatment of infertility. Many gynecologists initiate treatment prior to referral to a reproductive endocrinologist. This decision depends upon the results of infertility tests and clinician experience.
Multiple tests have been proposed for evaluation of female infertility. Some of these tests are supported by good evidence, while others are not. This topic will provide an evidence-based approach to the evaluation of female infertility. The etiology and treatment of female infertility, as well as the etiology, evaluation, and treatment of male infertility, are discussed separately.
INITIAL APPROACH — Both partners of an infertile couple should be evaluated for factors that could be impairing fertility. The infertility specialist then uses this information to counsel the couple about the possible etiologies of their infertility and to offer a treatment plan targeted to their specific needs.
It is important to remember that the couple may have multiple factors contributing to their infertility; therefore, a complete initial diagnostic evaluation should be performed to detect the most common causes of infertility, if present. When applicable, evaluation of both partners is performed concurrently [1].
The recognition, evaluation, and treatment of infertility are stressful for most couples [2]. The clinician should not ignore the couple's emotional state, which may include depression, anger, anxiety, and marital discord. Information should be supportive and informative. (See "Psychological stress and infertility".)
History and physical examination — Findings on history and physical examination may suggest the cause of infertility and thus help focus the diagnostic evaluation. Components of the infertility history are listed in the table (table 1).
History — The most important points in the history are:
●Duration of infertility and results of previous evaluation and therapy.
●Menstrual history (cycle length and characteristics), which helps in determining ovulatory status. For example, regular monthly cycles with molimina (breast tenderness, ovulatory pain, bloating) suggest the patient is ovulatory and characteristics such as severe dysmenorrhea suggest endometriosis.
●Medical, surgical, and gynecological history (including sexually transmitted infections, pelvic inflammatory disease, and treatment of abnormal Pap smears) to look for conditions, procedures, or medications potentially associated with infertility. At a minimum, the review of systems should determine whether the patient has symptoms of thyroid disease, galactorrhea, hirsutism, pelvic or abdominal pain, dysmenorrhea, or dyspareunia. Young women who have undergone unilateral oophorectomy generally do not have reduced fertility since young women have many primordial follicles per ovary; however, prior unilateral oophorectomy may impact fertility in older women as they may develop diminished ovarian reserve sooner than women with two ovaries [3].
●Obstetrical history to assess for events potentially associated with subsequent infertility or adverse outcome in a future pregnancy.
●Sexual history, including sexual dysfunction and frequency of coitus. Infrequent or ineffective coitus can be an explanation for infertility.
●Family history, including family members with infertility, birth defects, genetic mutations, or mental retardation. Women with fragile X premutation may develop premature ovarian failure, while males may have learning problems, developmental delay, or autistic features.
●Personal and lifestyle history including age, occupation, exercise, stress, dieting/changes in weight, smoking, and alcohol use, all of which can affect fertility.
Physical examination — The physical examination should assess for signs of potential causes of infertility. The patient's body mass index (BMI) should be calculated and fat distribution noted, as extremes of BMI are associated with reduced fertility and abdominal obesity is associated with insulin resistance.
In the setting of primary amenorrhea, incomplete development of secondary sexual characteristics is a sign of hypogonadotropic hypogonadism. A body habitus that is short and stocky, with a squarely shaped chest, suggests Turner syndrome in patients with absent periods.
Abnormalities of the thyroid gland, galactorrhea, or signs of androgen excess (hirsutism, acne, male pattern baldness, virilization) suggest the presence of an endocrinopathy (eg, hyper- or hypothyroidism, hyperprolactinemia, polycystic ovary syndrome, adrenal disorder).
Tenderness or masses in the adnexae or posterior cul-de-sac (pouch of Douglas) are consistent with chronic pelvic inflammatory disease or endometriosis. Palpable tender nodules in the posterior cul-de-sac, uterosacral ligaments, or rectovaginal septum are additional signs of endometriosis.
Vaginal/cervical structural abnormalities or discharge suggest the presence of a müllerian anomaly, infection, or cervical factor.
It is difficult to predict the likelihood of pregnancy based upon the results of semen analysis alone, as there is extensive overlap between the semen parameters of fertile and infertile men. If the semen analysis is abnormal, the clinician should review details of specimen collection and transport with the patient, repeat the test due to the marked inherent variability of semen analyses, and consider referral to a urologist or other specialist in male reproduction.
The techniques for semen analysis and interpretation of results are discussed in detail separately. (See "Approach to the male with infertility", section on 'Semen analysis'.)
Assessment of ovulatory function — Assessment of ovulatory function is a key component of the evaluation of the female partner since ovulatory dysfunction is a common cause of infertility. The treatment of women with ovulatory dysfunction is aimed at improving or inducing ovulatory function; a variety of treatment strategies is available. (See "Treatments for female infertility".)
Women who have regular menses approximately every 28 days with molimina symptoms prior to menses (breast tenderness, bloating, fatigue, etc.) are most likely ovulatory. In women who do not describe their cycles as such, laboratory assessment of ovulation should be performed. Ovulation is most easily documented by a mid-luteal phase serum progesterone level, which should be obtained approximately one week before the expected menses. For a typical 28-day cycle, the test would be obtained on day 21. A progesterone level >3 ng/mL is evidence of recent ovulation .
An alternative is to have the patient use an over-the-counter urinary ovulation prediction kit. These kits detect luteinizing hormone (LH) and are highly effective for predicting the timing of the LH surge that reliably indicates ovulation. Home kits have a 5 to 10 percent false positive and false negative rate. Therefore, serum confirmation can be useful in patients who are unable to detect a urinary LH surge.
Other methods of determining ovulation, such as daily ultrasounds to follow the development and ultimately the disappearance of a follicle (the most accurate method of documenting ovulation and endometrial biopsy to document secretory changes in the endometrium are too expensive or invasive for routine diagnostic assessment of ovulation.
If the mid-luteal progesterone concentration is <3 ng/mL, the patient is evaluated for causes of anovulation. The minimal work-up includes serum prolactin, thyroid-stimulating hormone (TSH), FSH, and assessment for polycystic ovary syndrome (PCOS). The etiology and diagnostic evaluation of anovulation are reviewed separately. (See "Evaluation and management of secondary amenorrhea".)
Assessment of ovarian reserve — Diminished ovarian reserve can refer to diminished oocyte quality, oocyte quantity, or reproductive potential [7]. The identification of diminished ovarian reserve is an increasingly important component of the initial infertility evaluation as patients are presenting for diagnostic evaluation later in their reproductive lifespan. Guidelines for testing from national organizations are available [7,8]. However, there is no ideal test for assessing ovarian reserve. A number of screening tests are utilized, but no single test is highly reliable for predicting pregnancy potential. Therefore, coordination of tests provides the best assessment.
We test ovarian reserve with an anti-müllerian hormone (AMH) level and a day 3 follicle-stimulating hormone (FSH) and estradiol levels. Other tests such as the clomiphene citrate challenge test (CCCT) and antral follicle count are utilized by some specialists and in special circumstances. These tests have good specificity for predicting a poor response in in vitro fertilization (IVF) cycles, but have more limited value for predicting IVF outcome.
Day 3 FSH and CCCT — Both the day 3 FSH level (where day 1 is the first day of full menstrual flow) and the CCCT, which is a provocative test for measurement of FSH, are widely used for screening ovarian reserve. The CCCT involves oral administration of 100 mg clomiphene citrate on cycle days 5 through 9 with measurement of day 3 and day 10 FSH levels and day 3 estradiol level.
The premise of these tests is that women with good ovarian reserve have sufficient production of ovarian hormones from small follicles early in the menstrual cycle to maintain FSH at a low level. In contrast, women with a reduced pool of follicles and oocytes have insufficient production of ovarian hormones to provide normal inhibition of pituitary secretion of FSH, so FSH rises early in the cycle [9].
Meta-analyses of nonrandomized studies concluded that basal cycle day 3 FSH and the CCCT perform similarly for predicting ability to achieve a clinical pregnancy in women undergoing infertility treatment [10,11]. With either test, a normal result is not useful in predicting fertility, but a highly abnormal result (we use FSH >20 mIU/mL) suggests that pregnancy is unlikely with treatment involving the woman's own oocytes, particularly in women of more advanced reproductive age.
Based on these findings and the cost advantage and simplicity of the day 3 FSH, we obtain a day 3 FSH concentration and consider a value less than 10 mIU/mL suggestive of adequate ovarian reserve, and levels of 10 to 15 mIU/ml borderline. The upper threshold for a normal FSH concentration is laboratory dependent; cutoff values of 10 to 25 mIU/mL have been reported because of use of different FSH assay reference standards and assay methodologies.
We also check a cycle day 3 estradiol level, although there are conflicting data as to whether it is predictive of ovarian reserve and the response to ovarian stimulation (as in IVF) [12,13]. We consider a value <80 pg/mL suggestive of adequate ovarian reserve, but other cut-offs are also utilized. In one prospective study of women undergoing IVF, day 3 estradiol levels >80 pg/mL resulted in higher cycle cancellation rates and lower pregnancy rates, and estradiol levels >100 pg/mL were associated with a 0 percent pregnancy rate [14].
Elevated basal estradiol levels are due to advanced premature follicle recruitment that occurs in women with poor ovarian reserve. High estradiol levels can inhibit pituitary FSH production and thus mask one of the signs of decreased ovarian reserve in perimenopausal women. Thus, measurement of both FSH and estradiol levels helps to avoid false-negative FSH testing.
Dr. Manika Khanna Gaudium, MBBS, MD, D.A.G.E (Germany) is an award-winning Infertility Specialist and Laparoscopic Surgeon who has been facilitated with numerous honours and awards for her exemplary achievements in the field of Assisted Reproduction. She is the Best Gynecologists in Delhi.
If CCCT is performed, we consider FSH less than 10 milli-international units/mL on both day 3 and day 10 suggestive of adequate ovarian reserve; a borderline FSH of 10 to 15 milli-international units/mL and an elevated FSH level on either day 3 or day 10 suggests decreased ovarian reserve. Estradiol can be measured on day 3, but a cycle day 10 estradiol is not part of the standard CCCT as it reflects the magnitude of the ovarian follicular response to clomiphene 100 mg daily for five days, not ovarian reserve.
If the day 3 FSH or CCCT is abnormal, the patient should be referred to a reproductive endocrinologist to discuss further diagnostic and treatment options. These options depend on the results of other diagnostic tests, the patient’s age [15], and other factors and may include aggressive ovulation induction, IVF, or use of donor oocytes. However, patients with markedly diminished ovarian reserve rarely conceive without the use of donor eggs.
Anti-müllerian hormone (AMH) — Anti-müllerian hormone (AMH) is a member of the TGF-beta family and is expressed by the small (<8 mm) preantral and early antral follicles. The AMH level reflects the size of the primordial follicle pool, and may be the best biochemical marker of ovarian function across an array of clinical situations [16]. In adult women, AMH levels gradually decline as the primordial follicle pool declines with age [17]; AMH is undetectable at menopause [18].
●AMH <0.5 ng/mL predicts reduced ovarian reserve with less than three follicles in an IVF cycle
Assessment of fallopian tube patency — We perform HSG as the first-line test for evaluation of tubal patency because of therapeutic, as well as diagnostic, benefits [38]. HyCoSy is a reasonable alternative; the choice of test is determined by availability.
When the diagnosis is in doubt, more invasive tests can be used to confirm the diagnosis and provide an opportunity for concurrent therapeutic intervention. These tests include laparoscopy with chromotubation and fluoroscopic/hysteroscopic selective tubal cannulation.
Hysterosalpingogram — HSG is the standard of care to look for tubal occlusion in all patients, unless laparoscopy is planned [39,40]. In HSG, water or lipid soluble contrast media is used. HyCoSy is a reasonable alternative. HSG also provides information about the uterine cavity. Women with abnormalities on HSG should be referred to a reproductive endocrinologist to discuss treatment options. (See "Hysterosalpingography".)
HSG is not useful for detecting peritubal adhesions or endometriosis [39]. We perform diagnostic laparoscopy and chromotubation in women suspected of having endometriosis or pelvic adhesions related to a previous pelvic infection or surgery. Ablation of implants and lysis of adhesions, when indicated, can be performed at the same procedure (see 'Role of laparoscopy' below).
A meta-analysis of 20 studies involving 4179 patients compared HSG and laparoscopy with chromotubation (the gold standard); the calculated sensitivity and specificity for diagnosis of tubal patency were only 65 and 83 percent, respectively [39]. However, when subgroups of women undergoing HSG were analyzed, HSG appeared to have very high specificity and sensitivity for diagnosing distal tubal occlusion or major distal tubal adhesions, but much lower specificity for diagnosing proximal tubal occlusion.
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Dr. Harmandeep K Gill is an Endocrinologist in Greater Kailash, Delhi. Book Appointment, Consult Online, View Doctor Fees, Contact Number, User Reviews and Ratings for Dr. Harmandeep K Gill | Lybrate
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#Reproductive Endocrinologist in Greater Kailash Part 3#Best Reproductive Endocrinologist in Greater Kailash Part 3
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#Reproductive Endocrinologist in Greater Kailash Part 1#Best Reproductive Endocrinologist in Greater Kailash Part 1
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#Reproductive Endocrinologist in Greater Kailash Part 2#Best Reproductive Endocrinologist in Greater Kailash Part 2
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#Reproductive Endocrinologist in Greater Kailash Enclave#Best Reproductive Endocrinologist in Greater Kailash Enclave
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#Reproductive Endocrinologist in Greater Kailash#Best Reproductive Endocrinologist in Greater Kailash
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#Endocrinologist in Panchsheel Park#Endocrinologist in Saket#Endocrinologist in Vasant Kunj#Endocrinologist in Greater Kailash
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Best IVF Doctor in Delhi | Elawoman
Best IVF Doctor in Delhi
explore the record of Best IVF Doctor in Delhi on your IVF cure. Best IVF Doctor in Delhi are Dr. Shivani Sachdev Gour, Dr. Anubha Singh, Dr. Nalini Mahajan, and Dr. Rashmi Sharma. Which you could seek advice from the particular record and book an appointment with the excellent IVF physician in Delhi.
1. Dr. Nisha Bhatnagar
Dr. Nisha Bhatnagar is a riskless infertility expert and gynecologist at Rajouri garden, Delhi. She completed her MBBS from Dr. Baba Saheb Ambedkar Marathwada school and MD in obstetrics and gynecology from G.M.C. Aurangabad (B.R.A.M.Tuition, Maharashtra) in 1997 and 2001, respectively. With specialization in Intrauterine Insemination (IUI), In Vitro fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI) treatment and excessive-hazard being pregnant care, she has won over 2 many years of expertise and have efficiently medication many of her sufferers.
She was a gynecologist at medical institution Eye Fem but she is at the moment working as an Infertility expert at Aveya IVF and Fertility Centre, Delhi. Dr. Nisha Bhatnagar can also be a reputed member of the Delhi scientific Council and is registered below 16443, Delhi clinical Council, 2002. She additionally supplies consultation services to sufferers as per moral and medical considerations.
Aveya IVF and Fertility Centre based in Rajouri garden, Delhi is a modern facility committed to fulfill the bodily and emotional desires of patients. The centre follows advanced strategies and healing procedures for the period of IVF, surrogacy, egg donation and egg freezing. IVF, Blastocyst tradition and transfer, Laparoscopy, Hysteroscopy and Laser Assisted Hatching are one of the offerings furnished at Aveya IVF and Fertility Centre.
2. Dr. Kaberi Banerjee
Dr. Kaberi Banerjee is an infertility specialist and reproductive endocrinologist who completed MBBS, MD (Obs and Gyne) and DNB (Obs and Gyne) from All India Institute of clinical Sciences (AIIMS) in 1994, 1998 and 1999 respectively. Then, she pursued MRCOG from united kingdom in 2005. Dr. Kaberi focuses on IVF, IUI, ICSI treatments and Frozen Embryo replacement Cycle. At the moment, Dr. Kaberi is practicing at evolved Fertility and Surrogacy Centre, Lajpat Nagar, Delhi. Find fees, experiences and Timings.
A certified scientific practitioner, Dr. Kaberi Banerjee in Lajpat Nagar 4, Delhi is one in all the celebrated IVF Centres, having practiced the medical specialization for decades. This clinical practitioner's health facility used to be based in 2000 and given that then, it has drawn ratings of sufferers now not only from in and around the neighbourhood but additionally from the neighbouring areas as well.
This health care provider is educated in deciding on, diagnosing and treating the quite a lot of wellness issues and issues related to the scientific field. This physician has the requisite knowledge and the abilities now not just to deal with a various set of wellness illnesses and conditions but also to preclude them.
Dr. Kaberi Banerjee in Lajpat Nagar four has a good-prepared and good-maintained clinic. It's sectioned into a ready area for patients, where they may be able to watch for their turn. This health facility has a consulting room, the place this practitioner attends to sufferers between the consulting timings. Often, on the primary visit, this practitioner completely is aware and documents the sufferer's medical history and discusses the quite a lot of well being disorders they are presently going through.
Following this, the health practitioner could conduct a simple examination to examine and verify the symptoms of the disorder. Based on this examination, this medical specialist prescribes a suitable path of motion, be it medicine or additional diagnostic exams. This health facility is open to sufferers between 09:00 - 19:00. Make a payment quite simply using any of the next modes of fee, together with cash, grasp Card, Visa Card, Debit cards, money Orders, Cheques, bank card, tourists Cheque, Financing to be had, American express Card, Diners club Card.
3. Dr. Sunita Gupta
Dr. Sunita Gupta is a gynecologist and obstetrician specializing in IUI, IVF, stomach and Vaginal Hysterectomy and Gynecology Laparoscopy tactics. She has completed MBBS and MD In Obstetrics and Gynecology from All India Institute of scientific Sciences, New Delhi. Later, she went on to pursue Laparoscopy training from Kiel college, Germany.
She is an extraordinarily humble health care specialist and knows sufferers predicament and concerns adequately and treats them as a consequence. Dr. Sunita is at the moment practising at Max shrewd super forte hospital and Dr. Sunita Gupta medical institution, Delhi. For extra understanding, consult with elawoman.Com.
Dr. Sunita Gupta is a skilled Gynecologist, practising in Delhi and The countrywide Capital region (NCR). She has expertise of greater than 29 years, and has practiced at one of the vital exceptional medical institutes in India; like Max smart Saket city sanatorium and so on.
4. Dr. Shobha Gupta
Dr. Shobha Gupta is an IVF expert and gynecologist that specialize in IVF, IUI and ICSI, Andrology and Embryology as well. Dr. Shobha completed MBBS and DGO from girl Hardinge medical college, Delhi and MD in Obstetrics and Gynecology from Maulana Azad medical university, Delhi.
She is a member of one of a kind companies together with Indian medical organization (IMA), clinical Council of India (MCI), Federation of Gynecological Societies of India (FOGSI) as good as Delhi medical Council. Dr. Shobha Gupta is specializing her talents at mothers Lap IVF Centre, Pitampura, Delhi. For more information, visit elawoman.Com
5. Dr. Yachna Grover
Dr. Yachna Grover is an infertility specialist and gynecologist focusing on IVF, IUI, Embryo transfer approach, Menopause and Cryopreservation techniques. Dr. Yachna Grover pursued MBBS from lady Hardinge clinical university in 1990 and MS in Obstetrics and Gynecology, Fellowship in Reproductive treatment, Fellowship in Obstetric and Gynecology strategies, Fellowship in Laparoscopy procedure from Vardhaman Mahavir scientific university and Safdarjung health center. She can also be a member of organization of Obstetricians and Gynecologists in Delhi (AOGD). Dr. Yachna Grover is presently practicing her specialities at Netrayatan Eye and IVF hospital, better Kailash 2, Delhi. For more knowledge, discuss with elawoman.Com.
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IVF Specialist in Delhi | Elawoman
IVF Specialist in Delhi
explore the record of exceptional IVF Specialist in Delhi on your IVF cure. The highest IVF Specialist in Delhi are Dr. Shivani Sachdev Gour, Dr. Anubha Singh, Dr. Nalini Mahajan, and Dr. Rashmi Sharma. Which you could seek advice from the particular record and book an appointment with the excellent IVF physician in Delhi.
1. Dr. Nisha Bhatnagar
Dr. Nisha Bhatnagar is a riskless infertility expert and gynecologist at Rajouri garden, Delhi. She completed her MBBS from Dr. Baba Saheb Ambedkar Marathwada school and MD in obstetrics and gynecology from G.M.C. Aurangabad (B.R.A.M.Tuition, Maharashtra) in 1997 and 2001, respectively. With specialization in Intrauterine Insemination (IUI), In Vitro fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI) treatment and excessive-hazard being pregnant care, she has won over 2 many years of expertise and have efficiently medication many of her sufferers.
She was a gynecologist at medical institution Eye Fem but she is at the moment working as an Infertility expert at Aveya IVF and Fertility Centre, Delhi. Dr. Nisha Bhatnagar can also be a reputed member of the Delhi scientific Council and is registered below 16443, Delhi clinical Council, 2002. She additionally supplies consultation services to sufferers as per moral and medical considerations.
Aveya IVF and Fertility Centre based in Rajouri garden, Delhi is a modern facility committed to fulfill the bodily and emotional desires of patients. The centre follows advanced strategies and healing procedures for the period of IVF, surrogacy, egg donation and egg freezing. IVF, Blastocyst tradition and transfer, Laparoscopy, Hysteroscopy and Laser Assisted Hatching are one of the offerings furnished at Aveya IVF and Fertility Centre.
Dr. Nisha Bhatnagar has finished her submit commencement (M.D.Obs & Gynae) from G.M.C. Aurangabad (B.R.A.M.University, Maharashtra).
She is an experienced Obstetrician & Gynecologist with over 14 years of expertise in the discipline. Her designated process whilst treating infertility involves:Holistic procedure to infertility combining tradition change, distinctive workouts together with yoga and mighty individualized counselling with custom-made medication protocols.
Her personalised and heat approaches of medication gives enormous sufferer pleasure. She gives very sincere recommendation concerning the method required as per ethical scientific considerations.
2. Dr. Kaberi Banerjee
Dr. Kaberi Banerjee is an infertility specialist and reproductive endocrinologist who completed MBBS, MD (Obs and Gyne) and DNB (Obs and Gyne) from All India Institute of clinical Sciences (AIIMS) in 1994, 1998 and 1999 respectively. Then, she pursued MRCOG from united kingdom in 2005. Dr. Kaberi focuses on IVF, IUI, ICSI treatments and Frozen Embryo replacement Cycle. At the moment, Dr. Kaberi is practicing at evolved Fertility and Surrogacy Centre, Lajpat Nagar, Delhi. Find fees, experiences and Timings.
A certified scientific practitioner, Dr. Kaberi Banerjee in Lajpat Nagar 4, Delhi is one in all the celebrated IVF Centres, having practiced the medical specialization for decades. This clinical practitioner's health facility used to be based in 2000 and given that then, it has drawn ratings of sufferers now not only from in and around the neighbourhood but additionally from the neighbouring areas as well. This health care provider is educated in deciding on, diagnosing and treating the quite a lot of wellness issues and issues related to the scientific field. This physician has the requisite knowledge and the abilities now not just to deal with a various set of wellness illnesses and conditions but also to preclude them.
As a educated health care specialist, this physician can be familiar with the ultra-modern advancements in the associated subject of medication. The health center of this medical specialist is at strengthen Fertility and Gynaecology Centre, 6,Ring avenue,near Moolchand Metro Station,Lajpat Nagar four,Delhi-110024.
The travel to this hospital is a as an alternative convenient one as various modes of conveyance are without problems to be had. With the intention to get extra understanding and to agenda an appointment with this general practitioner, citizens can attain out on the next contact quantity +(ninety one)-eleven-41037591. This scientific practitioner has acquired 50+ votes from Justdial customers. This checklist can be listed in IVF Centres, Infertility doctors, Surrogacy doctors, Surrogacy Centres, Infertility Centres.
Dr. Kaberi Banerjee in Lajpat Nagar four has a good-prepared and good-maintained clinic. It's sectioned into a ready area for patients, where they may be able to watch for their turn. This health facility has a consulting room, the place this practitioner attends to sufferers between the consulting timings. Often, on the primary visit, this practitioner completely is aware and documents the sufferer's medical history and discusses the quite a lot of well being disorders they are presently going through. Following this, the health practitioner could conduct a simple examination to examine and verify the symptoms of the disorder.
Based on this examination, this medical specialist prescribes a suitable path of motion, be it medicine or additional diagnostic exams. This health facility is open to sufferers between 09:00 - 19:00. Make a payment quite simply using any of the next modes of fee, together with cash, grasp Card, Visa Card, Debit cards, money Orders, Cheques, bank card, tourists Cheque, Financing to be had, American express Card, Diners club Card.
3. Dr. Sunita Gupta
Dr. Sunita Gupta is a gynecologist and obstetrician specializing in IUI, IVF, stomach and Vaginal Hysterectomy and Gynecology Laparoscopy tactics. She has completed MBBS and MD In Obstetrics and Gynecology from All India Institute of scientific Sciences, New Delhi. Later, she went on to pursue Laparoscopy training from Kiel college, Germany. She is an extraordinarily humble health care specialist and knows sufferers predicament and concerns adequately and treats them as a consequence. Dr. Sunita is at the moment practising at Max shrewd super forte hospital and Dr. Sunita Gupta medical institution, Delhi. For extra understanding, consult with elawoman.Com.
Dr. Sunita Gupta is a skilled Gynecologist, practising in Delhi and The countrywide Capital region (NCR). She has expertise of greater than 29 years, and has practiced at one of the vital exceptional medical institutes in India; like Max smart Saket city sanatorium and so on.
Dr. Gupta obtained her scientific education from the prestigious All India Institute Of clinical Sciences (AIIMS), New Delhi, and pursued Md Obstetrics And Gynecology (obs & Gyn) from the equal institute as good. She has a stellar academic background and was awarded gold medal for reaching first function in forensic medication. She received laparoscopy training from school of Kiel, Germany and infertility training from Cromwell hospital, London.
4. Dr. Shobha Gupta
Dr. Shobha Gupta is an IVF expert and gynecologist that specialize in IVF, IUI and ICSI, Andrology and Embryology as well. Dr. Shobha completed MBBS and DGO from girl Hardinge medical college, Delhi and MD in Obstetrics and Gynecology from Maulana Azad medical university, Delhi. She is a member of one of a kind companies together with Indian medical organization (IMA), clinical Council of India (MCI), Federation of Gynecological Societies of India (FOGSI) as good as Delhi medical Council. Dr. Shobha Gupta is specializing her talents at mothers Lap IVF Centre, Pitampura, Delhi. For more information, visit elawoman.Com
5. Dr. Yachna Grover
Dr. Yachna Grover is an infertility specialist and gynecologist focusing on IVF, IUI, Embryo transfer approach, Menopause and Cryopreservation techniques. Dr. Yachna Grover pursued MBBS from lady Hardinge clinical university in 1990 and MS in Obstetrics and Gynecology, Fellowship in Reproductive treatment, Fellowship in Obstetric and Gynecology strategies, Fellowship in Laparoscopy procedure from Vardhaman Mahavir scientific university and Safdarjung health center. She can also be a member of organization of Obstetricians and Gynecologists in Delhi (AOGD). Dr. Yachna Grover is presently practicing her specialities at Netrayatan Eye and IVF hospital, better Kailash 2, Delhi. For more knowledge, discuss with elawoman.Com
For more information, Call Us : +91 – 7899912611
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