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DR RAMARAJU & DR KAVITHA

Intensive use of mobile phones has raised concern about possible health problems caused by Radio frequency electro magnetic waves emitted by these devices
A new study (sept 2008) from Cleveland clinic showed that if Men keep their phones on and in their front pockets the mobility and viability of their semen could be adversely affected. Anu Gokhale, technology professor at ISU said that studies have found the harmful effect of electromagnetic radiation given out by cell phones on body tissues.

The Cleveland clinic involved 32men in their study. Semen sample collected, divided into 2 parts. One part of sample exposed to electro magnetic radiation emitted from commercially available cell phones with 850 MHz frequency keeping it at a distance of 2.5cm from sample, the other part kept as control.
Researchers found an in increase in seminal oxidative stress resulting in decreased sperm motility and viability.As the fertilization of an egg depends on how long the sperm survives and how mobile it is, decrease in motility and viability of a sperm lessens its ability to fertilize an egg.

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PCO and Metformin

DR RAMA RAJU & DR KAVITHA

ultrasound image of pco
ultrasound image of pco

Polycystic ovary syndrome (PCOS) is a heterogeneous endocrine disease affecting about 5–10% of women of reproductive age One of the most important and newly discovered features of the syndrome is insulin resistance (IR), which is constantly accompanied by compensatory hyperinsulinaemia. Despite the frequent presence of obesity in PCOS patients and the wellestablished relation between obesity and IR, a specific mechanism of IR in PCOS, independent of obesity and consisting of a specific post-receptor defect, has been demonstrated. The rationale to use insulin sensitizers for ovulation induction in infertile PCOS patients is based on these findings.

The first study showing the beneficial effects of insulin sensitizers on ovarian function was published in 1994 by Velasquez and co-workers (Velasquez et al., 1994). They demonstrated that metformin at doses of 1500 mg daily is effective in reducing body weight, improving menstrual cycles and fertility in PCOS women. Following this study, there was a dramatic increase in the number of publications concerning the use of insulinsensitizers and PCOS.

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Outpatient hysteroscopy and subsequent IVF cycle outcome: a systematic review and meta-analysis A study pblished in RBM online published by “Assisted Conception Unit, Guy’s and St. Thomas’ Hospital NHS Foundation Trust, London”demonstrates a beneficial effect of hysteroscopy performed prior to ovarian stimulation on the outcome of the IVF cycle in patients having their first or subsequent IVF attempt. This positive impact on IVF outcome could be related to the ability of OH to reliably detect and potentially treat intrauterine pathologies encountered during the procedure such as intrauterine adhesions, endometrial polyps, submucous fibroids, endometritis or uterine malformations that could interfere with implantation . These pathologies have been shown to be present in up to 50% of infertile patients and the risk of their presence increases with increasing number of IVF failures .. The prevalence of intrauterine pathology encountered at hysteroscopy in the five studies included in this systematic review ranged from 25% to 56%. Correction of most of these abnormalities and restoration of a normal uterine cavity is possible during OH with reported good outcome, similar to that achieved in patients with a normal hysteroscopy In conclusion, office hysteroscope might be associated with improved IVF outcome when performed immediately before commencing an IVF cycle.

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helpivf.com

A new website for people going for ivf at the following link http://helpivf.com/index.php

Dr Rama raju

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Overweight and obesity has reached epidemic proportions worldwide.) Data collected by the National Center for Health Statistics indicate that the prevalence of obesity, defined as a body mass index >30 kg/m has increased from 12.8% in 1976-1980 to 22.5% in 1988-1994 and 30% in 1999-2000.  In an effort to increase public awareness of the epidemic proportion of obesity, the Surgeon General has issued a call to action to prevent and treat overweight and obesity and their associated health complications.

            obesity ,particularly morbid obese (BMI 40 or more) are associated with increased risk for hypertension, diabetes, hyperlipedemia ,sleep apnoea ,coronary heart disease and stroke.The cause of obesity is complex and poorly  understood, but includes genetic, behavioral, psychological and other factors. Familial suggest that hereditary may explain 67% of the population variance in BMI. Decline in physical activity and increase in consumption of energy dense food may play a role

         Bariatric  surgical procedures reduce caloric intake by modifying the anatomy of gastrointestinal tract.They are two types ,restrictive procedure limits intake ,malabsoptive procedure by passes the absorption area of intestine  .Roux-en-y gastric bypass is a combination of restriction ad absorption procedure.This procedure accounts for 92%  of the bariatric surgery

    Person with BMI >40 or BMI of 35 or higher with high risk condition like severe sleep apnea, obesity related cardiomyopathy are ideal for bariatric surgery The potential benefit  of surgery in BMI of 30 to 35 remains unclear .Before taking up for bariatric surgery excluding secondary cause of obesity like hypothyroid, Cushing syndrome.and medication history of antidepressant, oral pill oral hypoglycemic agents  should be obtained.Medi cal assessment for obesity associated condition and a psychological evaluation should be done.

  A typical weight loss of 20 to 50 kg’s occurs with bariatric procedure.In general malabsorptive procedure have higher weight loss

    Bariatric surgery is associated with death in 0.5% to 1.1% and common cause are pulmonary embolism and anastomostic leak..The post operative complication can be   nausea and vomiting ( common ) dumping syndrome and vitamin deficiency.

 

image source :nature.com       .)

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Krishna IVF Clinic offers hands on training in various areas of human assisted

reproduction techniques. The program is divided into different modules. Each

module is designed to meet the specific needs of the trainees in the areas viz.

Andrology, IVF, ICSI, cryopreservation and advanced techniques in assisted

reproduction with particular stress on the acquisition of practical skills. The

duration of hands on training program varies from one day training to two weeks

based on the selection of the course by the trainee. For Modules I to IV, two

candidates will be taken. For Module – V one candidate will be recruited for training

S.No

Module

Name of the Program

Duration

Indian Residents (Rs.)

Other than Indian Residents (US $)

1

1

Comprehensive andrology lab training

1-week

25,000

1,000

2

2

Semen Analysis (CASA)

2-days

10,000

300

3

3

Sperm Preparation Techniques

2-days

10,000

300

4

4

Cryopreservation in assisted reproduction technology

2-days

10,000

300

5

5

5Assisted reproduction

2-weeks

75,000

3,000

NOTE:
1) For modules 1 & 5, course runs with a weekly off
2) Course fees exclusive of transport and accommodation (please visit
www.krishnaivf.com for list of hotels and transport services)
3) *these modules will be offered free of charge for students
4) Course fees may be paid along with the application by Demand draft/credit
card/wire transfer
5) For further assistance please contact:
Course coordinator:
Krishna IVF Clinic
Z.P. Junction,
Visakhapatnam,
Andhra Pradesh, India,
Phone: 91-891-2538194, 195,
2706164, 2706722.
Fax: 91-891-2706712,
E-mail: krishnaivf@hotmail.com
Web: www.krishnaivf.com

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ESHRE 2007 Pre-Congress Workshop Features Oosight™ System
Industry-leading professionals will discuss how quantitative polarized light microscopy has enabled a new and more accurate method of egg grading to help predict outcome and detect spindle disruption, late-stage MI oocytes, and full spindle recovery in thawed oocytes at the annual European Society of Human Reproduction and Embryology (ESHRE) meeting and exhibition.
Palais de Congres, Lyon, France - April 13, 2007
Hear from industry-leading professionals at an ESHRE Pre-Congress Workshop on Saturday, June 30, 2007 from 12:30 pm to 5:00 pm at the Palais de Congres, Lyon, France on how quantitative polarized light microscopy has enabled a new and more accurate method of egg grading. Learn how these meaurements can help predict outcome, and discover how you can detect spindle disruption, late-stage MI oocytes, and full spindle recovery in thawed oocytes.collage1.jpg
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ICSI Training

Hands on Training in Assisted

Reproductive Techniques

Krishna IVF Clinic

 


To serve and share is wonderful. We are delighted to share our knowledge .

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voluson 8

Voluson E8 Ultra sound future

Our history of breakthroughs continues with a powerful new platform that takes image quality to greater heights and paves the way for the future. the advanced technology imaging platform of the Voluson® E8, a premier women’s healthcare system that delivers a new generation of image quality using ground-breaking diagnostic tools for earlier diagnoses. And opens the door for imaging innovations to come.A revolutionary new high resolution 4D transvaginal probe helps you see and detect fetal abnormalities earlier than ever, and significantly improves diagnostic confidence in complex GYN exams.

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