Introduction

Dyspareunia is the phenomenon where a person may experience recurring bouts of pain before, during or after sexual intercourse. This condition is more common in women but men can also suffer from it. It can lead to severe psychological effects, if not treated. The pain occurs mainly due to some underlying condition- and that is what is diagnosed and treated by specialists at Feminova Clinics- as we are the best fertility clinic in Hyderabad. 

Causes for Dyspareunia

The main cause for dyspareunia is improper vaginal lubrication. But, you may have symptoms when you have some infection, injury, trauma or suffer from some medical condition. Examples include- 

• If you have endometriosis
• If you have dermatitis that can make your skin feel very itchy. 
• If there is pelvic floor dysfunction- the muscles and ligaments on the pelvic floor are not working normally. 
• If you suffer from conditions like Crohn’s disease, IBS or ulcerative colitis. 
• If you suffer from bladder problems like UTIs, cystitis.
• Hormonal changes like in perimenopause. 
• Pinched nerve in the region. 
• If you suffer from vaginismus- the vaginal muscles spasm because of previous trauma or when you are worried about getting hurt. 
• Hormonal changes during breastfeeding can also cause dyspareunia. 
• If you have sex too soon after childbirth. 
• Injury to the vulva or vagina due to an episiotomy or a tear due to childbirth. 
• Infections can also cause symptoms like pain, burning sensation and inflammation. 

Symptoms of Dyspareunia

These are the symptoms associated with this condition- 

• Pain at the point of entry- like the vulva, vagina or when you use a tampon. 
• Pain felt deeper during thrusting. 
• Aching or throbbing after sex. 
• You may have pelvic cramping. 
• Spasms and bladder pain may also occur. 

In general, women may report pain in the uterus, lower abdomen, vaginal canal skin, pelvic floor muscles and uterine ligaments. Men report pain in the shaft, head of the penis, pelvis or testicles. 

Diagnosis of Dyspareunia

This condition can be diagnosed with-

• Pelvic exam is done initially- urine and vaginal fluid samples are taken from women. Rectal exams may also be recommended at times. 
• Transvaginal ultrasound can help visualise the reproductive canal and system better. 
• Laparoscopy is a more invasive option and is done when other tests are inconclusive. 

Treatment for Dyspareunia

The cause for the pain is first ascertained and then treatment begins. 

• If mental trauma is the issue- you may need therapy. 
• Low estrogen can cause dryness and painful sex during menopause – medication or hormone replacement therapy may be useful in such cases. 
• For infections- antifungal agents or antibiotics may be prescribed. 
• Using a water based lubricant can greatly reduce the probability of developing pain, if dryness is the main issue. 
• Using an ice pack on the vulva can help with symptoms. Trying different positions is also a good option to consider. 

Conclusion

Dyspareunia is a common condition that can affect both men and women of all ages. It can affect intimacy and lead to other issues, if the underlying condition is not treated soon- this is especially true of STIs. If you notice newer symptoms like irregular periods, abnormal vaginal discharge, pain that gets worse during sex or bleeding, then please call the best Gynecologist In Chandanagar or Gynecologist Near Lingampally immediately, as we are the best fertility clinic in Hyderabad. 

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Introduction–

The decision to talk to a fertility specialist is a big one for couples- as there are so many expectations and preconceptions involved. There is no single best fertility treatment that can work wonders for everyone- each of your needs are different and the best option is one that is personalised and caters to you. So, walk into Feminova Clinics so you can decide when IUI, IVF and ICSI are necessary in your fertility journey, as we have the best IUI Doctor in Nallagandla and offer the best ICSI Treatment in Hyderabad, among others.  Call us if you have been searching for the best IVF Clinic In Hyderabad. 

IUI vs. IVF vs. ICSI – Differences You Should Know- 

Let us look at what each of these procedures are, in greater detail below- 

• IUI– Intrauterine insemination is a procedure that is the closest to natural conception- it is a simple process where sperm is inserted directly into the uterus using a probe when you are ovulating. Then you have to wait for the sperm to fertilise the egg that will be released and hope for implantation to occur. This procedure is helpful when there are minor sperm motility issues or unexplained infertility or when ovulation is irregular. If you want to learn more, call us at Feminova Clinics, as we are the Best IUI clinic in Hyderabad.
• IVF– In-vitro fertilisation is an assisted reproductive technology (ART) where eggs and sperm are fertilised in a lab. The best eggs and sperm are chosen, so your chances of getting pregnant are high. The embryo thus formed is then placed into the uterus, where it can implant successfully, for pregnancy to occur. This process bypasses a lot of the normally occurring hurdles- like blocked fallopian tubes, irregular ovulation, poor sperm count or motility, endometriosis, if you have a low egg count or unexplained infertility has been an issue for a while. 

• ICSI– Intracytoplasmic sperm injection- This is the preferred method of treatment when male factor infertility is the issue. ICSI can be thought of as a type of IVF- where one healthy sperm cell is selected and then injected into the egg. This is done when sperm morphology or structure is abnormal, motility is poor and count is low. It is also an option to consider if repeated rounds of IVF have not worked. Since the sperm is directly injected into the egg, it bypasses fertilisation barriers. The embryo is then inserted into the uterus, where it can implant and continue growing. 

Choosing The Right Option For You

The best option is the one that takes into consideration your needs, health parameters and any underlying conditions that you may have, which may be impacting fertility and your ability to get pregnant. 

The other factors to consider include age, egg reserves, previous treatments if any and your budget. 

Conclusion

Most fertility specialists recommend starting with IUI- as it is the closest to natural conception, with just a little more assistance given. IVF is the choice when IUI has not worked and there are other factors in play- like infertility, blocked fallopian tubes or male factor infertility. ICSI is a very specialised form of IVF used to treat male infertility and maximise your chances of success. 

So, whatever may be your concerns or your goals, please know that we at Feminova Clinics will work hard to understand what the problem is and come up with a solution that is both pocket and goal friendly in the long run. So, call us today if you have been looking for the best Women Clinic Nearby . 

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Introduction

The uterine lining consists of 3 layers of cells- serosa, myometrium or smooth muscle cells in between and the endometrium which is the layer facing inwards, toward the uterus respectively. The endometrium needs to be more than 7mm thick, for implantation to occur normally. If it is thinner, implantation does not occur and you may have issues when trying to get pregnant. If you have been searching for ‘Best Gynecologist Near Me’ online, then walk into Feminova Clinics today for a consultation! 

Causes For Thin Endometrial Lining

The main reasons for why the endometrial lining may be thin have been explained below- 

• Hormonal imbalance- Where you have lower than normal levels of estrogen. This can happen when you eat the wrong kinds of food, are highly stressed or use birth control or other medications which can influence hormone levels.  
• Asherman’s Syndrome– If you have extensive scar tissue in the uterine lining due to a previous dilation and curettage (D&C), other infections or surgical procedures- then it can compromise the ability of the endometrial lining to regenerate month after month. 
• Fibroids, polyps or uterine surgery- Structural issues like polyps or fibroids and scar tissue from pelvic surgery can cause damage to blood vessels and compromise the integrity of the uterine lining. 
• Endometritis or pelvic infection– Chronic inflammation of the endometrial lining due to an undiagnosed or untreated infection can also be problematic. 
• Long term use of birth control- Oral contraceptive pills contain progesterone and can temporarily thin the endometrial lining out. This may be temporary. 
• Lifestyle – Smoking, poor blood circulation, anxiety, obesity and a lack of exercise can affect endometrial development and fertility in the long term. 

Symptoms of Thin Endometrium-

You may have light periods, irregular bleeding or recurrent implantation failure. If your periods are becoming lighter or scanty over a period of time, it means the endometrial lining is getting thinner than usual. 

Diagnosis of Thin Endometrium- 

There are 4 ways to check for this condition- 

• Transvaginal ultrasound- They use an image guide to check the thickness of the endometrial lining- if it is less than 7mm in thickness, it is called thin endometrium. 
• Hysteroscopy– A tube with a camera is sent in through the vagina to visualise the uterus and check for scar tissue formation, fibroids, adhesions, polyps etc. 
• Hormone tests– Blood sample is taken to check for progesterone and estrogen levels – as these 2 hormones are essential for endometrial lining formation and shedding. 
• Biopsy of the endometrium– A tissue sample is taken and used for further testing- mostly done if masses, infections or other structural abnormalities are suspected. 

Treatment of Thin Endometrium- 

These are the following ways to help the endometrial lining get thicker- 

• Hormonal therapy- You will be given progesterone and oestrogen if levels are lower. This can help the lining get thicker and improve chances of implantation and pregnancy. 
• Intrauterine PRP therapy- Your blood is taken out and platelets are isolated. They are then injected back into the uterine lining. This is called platelet rich plasma therapy- and this is helpful as such platelets secrete various growth factors which improve blood circulation and cell growth in the uterus. 
• Endometrial scratch- This is when shallow scratches or abrasions are made to the uterine lining. This can cause some inflammation, which can trigger regenerative pathways – more cells and blood vessels can then be produced and help to make the endometrial lining thicker. 
• Supplements– The use of L- arginine, vitamin E and other antioxidants can help with growth by reducing oxidative damage and improving blood flow to the uterus. 

Conclusion–

Having an endometrial thickness of 7-14mm is ideal for implantation and to support a pregnancy to term. If it is less than 7mm, then the embryo cannot implant and it can lead to a short term abortion or miscarriage. This can impact IVF plans too, as embryos need to be able to implant properly. 

So, if you notice any of the above symptoms or have not been able to get pregnant after trying for a while, please reach out to us at Feminova Clinics- as we have the best IVF Doctor In Hyderabad. 

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Introduction–

It is a well known fact that the biological clock ticks faster for women, than men. Studies have very clearly shown that egg reserves and egg quality- both begin to drop and worsen once women are older than 35 years of age. But, what happens when you do not want to start a family right away, or have not found a suitable partner or have medical conditions that can affect fertility and your overall health? Don’t worry too much- egg freezing is your solution! Walk into Feminova Clinics today, if you have been searching for the Best Gynecologist In Chandanagar or a Fertility Clinic Near Me online. 

What is Egg Freezing?

Egg freezing or oocyte cryopreservation is a type of ART- Assisted Reproductive Technology, where you will be given hormonal injections that tell your ovaries to release more than just one mature egg, as is usually the monthly norm. These eggs are then taken out while you are anaesthetised and then frozen in very low temperatures, in such a way that no ice crystals can form and harm the egg. Such eggs can be stored for about 10 years or even longer and can be used at a later date for fertilization with sperm and implantation into the uterus, for a pregnancy to continue. 

Egg Freezing– The Process-

• Visit and Treatment Plan- First, you should schedule an appointment with an experienced fertility specialist and then get some basic tests done- hormone panel., blood tests, medical history etc. 
• Ultrasound and Blood Work- You can opt to get a transvaginal ultrasound that checks the antral follicle count (AFC) or ovarian reserves. Once these values come back, your doctor will begin planning your treatment- how much hormone can be safely given for your ovaries to be stimulated enough to release multiple eggs, so that you don’t have to deal with ovarian hyperstimulation syndrome (OHSS). Doctors can also estimate how many eggs can be taken out to freeze. 

• Stimulation and Ovarian Monitoring- Here, you will be given hormones or medications that help synchronise your follicles, so both of them will respond in a similar fashion to injections later on. You will be monitored closely using blood tests and ultrasound scans, so that the doctor can pinpoint when exactly you can begin self administration of FSH and LH injections. 

• Hormonal Injections– FSH and LH are two gonadotropins that are normally given every day, for 10-12 days. You will inject them subcutaneously in the belly. Within a week or so, the ovaries will enlarge and once they have reached a good size, your doctor will ask you to take the trigger shot- which is HCG or lupron or both. 

• Egg Retrieval- Here, you will be anaesthetised and then the released eggs are safely removed using a specially designed probe, transvaginally. An ultrasound will be used to guide the physician- the fluid in the follicles is then aspirated and added to tubes which are then given to an embryologist for tests. They will then use a microscope to check how many eggs can be used for freezing, by the time you wake up (about 20 minutes later). 

• Recovery– Pain killers can be used to help you deal with cramping. You can rest for a while, if you notice spotting, bloating or constipation. If you have heavy vaginal bleeding, call a doctor immediately. 

• Freezing or Vitrification- This is a process of freezing your eggs in such a way that no ice crystals are formed- so that there is no damage to the eggs, with liquid nitrogen. 

Conclusion–

It is important to understand that since egg reserves and quality begin to decrease with increasing age, the older you are, the lesser number of eggs may be available for retrieval. This is marked- when you turn 40 or are older. Whatever age you may be,  it makes no sense to waste time or wait and wonder what you could have done, when there is a clear option available right now- egg freezing. 

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Introduction – Fertility, as we all know and understand, is the ability of an individual to be able to conceive- and this is never a one-sided process.Conception is a multi-step process, with no scope of error in each one- change, however subtle they may be, are not helpful at all in this scenario. At such times, it makes sense to talk to fertility specialists at the best fertility clinic in Hyderabad – especially if you have not been able to conceive even with unprotected sex for 6 months (over 35 years of age) or if you are younger and have been trying for over a year.

Though this is a general thumb rule, if you notice signs that point to irregular periods, erectile dysfunction or other issues, please call us at Feminova Clinics immediately, without any delay! 

Who is a Fertility Specialist?

A fertility specialist is a doctor who is specifically trained to understand, evaluate, diagnose and treat conditions or disorders that impact fertility. So, they will check for regular ovulation and then decide on the course of action. You should consider talking to a specialist if you have time constraints, suffer from some condition which may hamper fertility in some way or if you begin noticing signs that point to infertility or related issues. 

Signs You Need to Talk to a Fertility Specialist Right Away-

Age and Time constraints- For women more than men, the biological clock is not as forgiving- egg quality and fertility go hand in hand and when these cells do not get released on time or if their genetic material gets damaged, there are lower chances of conception happening. These are common issues you begin to notice once you cross your 30s. Don’t wait if you are 35-40 and above for a consultation. 

So, talk to a doctor if-

• Your periods are highly irregular – longer than 35 days or if your cycle is shorter than 21 days long. 
• If you miss periods often. 
• If there is too much cramping and pain at that time of the month. 
• If you notice marked changes to levels of bleeding- too little or too much along with changes to cervical mucus or discharge too. 

If you have already gotten pregnant before, but it ended in a miscarriage, had an ectopic pregnancy, or a history of stillbirth and related complications while being pregnant- you should talk to a doctor without any delay. 

Call a women clinic nearby if you suffer from chronic conditions like-

• PCOS
• Endometriosis
• Diabetes and hypertension, thyroid issues
• Uterine fibroids and polyps. 
• You have a history of pelvic infections or STIs,
• You have had pelvic or abdominal surgery before. 
• If you have or are being treated for cancer in the abdomen or pelvis and need chemotherapy or radiation therapy, among other treatments.

   

Men also benefit profusely by talking to a specialist when they have symptoms like- 

• If you have erectile dysfunction or have issues with ejaculation. 
• If you have had injuries to the testes and surgery for that. 
• Usage of anabolic steroids. 
• If you have had cancer before. 
• If you have suffered from STIs before. 

It is also really interesting and ironic to note that many couples or individuals do not really have problems with their body- they have issues with planning, they have hectic jobs, travel a lot or want to consider egg or sperm freezing, embryo cryopreservation etc. because they are not able to plan right away. 

What Does A Fertility Specialist Do?

Once you talk to a doctor, they can ascertain what the delay is, what you can do over the next 3-5 months to get pregnant and if that does not work- to consider going for other options like IUI, IVF or ones which promise better outcomes, based on your individual preferences and health parameters. Most important- they help you get rid of uncertainty and come up with a plan. 

Conclusion–

There is a very common misconception that talking to a fertility specialist means you will need to go in for IVF – most doctors recommend the least invasive methods initially- like treating underlying conditions, helping uterine factors get better, regularise cycles etc. Only when none of these work, do they suggest trying other modes of treatment. 

Remember – whatever you decide, we at Feminova Clinics can help- especially if you have been searching for the best ‘Male Fertility Clinic Near Me’ or Obgyn Doctor Near Me online. Call us today! 

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Introduction– Fertility is commonly defined as the ability of a person to be able to conceive or have babies. For men- this means they need adequate sperm numbers, quality and motility. For women- it translates to having enough egg reserves, regular ovulation, implantation and so on. Smoking and drinking alcohol often can influence these processes in very subtle, but tangible ways. So, if you have been searching for a Male Fertility Clinic Near Me or Best Women Clinic Nearby, then walk into Feminova Clinic today to learn more and get better!  

Effects of Smoking and Alcohol on Fertility-

Smoking can impact men and women in very different ways. 

For men, smoking regularly can mean- 

• DNA fragmentation– the genetic material in the sperm is not of good quality, which can increase your risk of suffering from a miscarriage or having a baby with genetic abnormalities. 
• Poor sperm quality– Both number and motility get affected. Sperm cannot move around and cannot fertilise eggs normally. 
• Nicotine can lead to erectile dysfunction, as these compounds can hamper normal blood flow to different parts of the body. 

For women, smoking can heavily influence egg quality-

• DNA damage- Eggs carry maternal DNA in them and when you smoke often, this genetic material can get damaged, meaning you could have a miscarriage or a baby with genetic conditions. 
• Smoking can impact hormone levels and lead to early menopause. 
• Smoking does not help with implantation either- making it that much harder for you to conceive, as the uterine lining can get damaged. 

Let us look at what alcohol consumption can do to male fertility- 

• Excessive drinking can lead to poor sperm quality and count, as testosterone levels drop. 
• Sperm cells have poor motility and don’t move towards the egg. 
• Sperm may have abnormal morphology too- which can again hamper conception. 

Drinking lots of alcohol can cause-

• Poor egg quality- Due to hormonal imbalance, you may have to deal with irregular ovulation and poor quality eggs. 
• Lower fertilisation rates- Your chances of conceiving even with IVF dramatically reduce, due to low egg quality. 
• Eggs from women who drink a lot don’t survive the freezing and thawing process as well, impacting survival rates overall.  

Talking to experienced fertility specialists at the best IVF Clinic In Hyderabad can really help you stop overthinking and instead get you to start planning pragmatically for the future!

Is It Too Late to Stop Drinking and Smoking?

This is a very valid concern for many individuals and the answer is- it is never too late! If you have been trying to conceive, it makes sense to stop smoking and drinking at least 3-6 months before, to improve your chances overall. 

What Happens When You Stop?

When men don’t drink or smoke, their sperm numbers and quality definitely begin to improve. Taking multivitamins and eating nutritious food can greatly help cells heal better and improve general hormonal health too, in the long term. 

For women, egg quality could improve since eggs begin to mature in a more healthier environment. But, women already have a finite supply of eggs, many are lost to damage. Studies have shown that quitting smoking and drinking for at least a year or longer can lead to improved fertility parameters in women- as there is lesser oxidative stress that can damage egg DNA. 

Hormonal balance is restored- which can improve IVF or related outcomes too. It is best to stop smoking and drinking at least 3-4 months before going in for IVF or other processes as eggs take around 90 days to mature and be released. 

Conclusion–

Secondhand smoke is just as harmful as smoking – so try to stay in a smoke and pollutant free zone. You should talk to the Best IVF Doctor In Hyderabad at Feminova Clinics, if you have been trying to conceive but have not been successful. In the meantime, please eat balanced meals, get enough exercise, sleep regularly and learn to manage stress better- as these factors can impact your health and not just fertility. 

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