Dr. Mahantesh Karoshi - Gynaecologist

07/01/2026

03/01/2026

**7 Evidence-Based Tips for Conceiving Naturally 🌿**

Trying for a baby? Let’s focus on what actually works and skip the unnecessary stress. Here’s what the science says:

**1. Prioritize timing over frequency** 📅
Your fertile window is key. The best days for conception are the day before ovulation and ovulation day itself. While s***m can survive up to 5 days, the egg only lives for 12-24 hours. Track your cycle to identify your ovulation window.

**2. Keep your routine if you’re already intimate daily** 💑
If daily s*x is natural for you, there’s no need to change it. Research shows that reducing frequency doesn’t enhance s***m quality or boost pregnancy rates.

**3. Position doesn’t impact conception** 🛏️
Forget worrying about specific positions. Once ej*******on happens, s***m rapidly enter the cervical mucus regardless of how you’re positioned.

**4. Choose lubricants carefully** 🧴
Lubricants won’t boost fertility, but some can actually harm s***m. If you need lubrication, select products specifically labeled as fertility-friendly and s***m-safe. Steer clear of saliva.

**5. No need for the “legs up” routine** 🦵
S***m reach the cervix in seconds. Raising your legs or lying flat afterwards won’t improve your chances of getting pregnant.

**6. It’s fine to use the bathroom after in*******se** 🚽
Urinating won’t flush s***m from your va**na or cervix. In fact, it may help prevent UTIs while having no effect on fertility.

**7. Don’t try to trap s***m inside** 🚫
Using diaphragms or other barriers after s*x won’t help conception and may actually disrupt normal s***m movement.

**The takeaway:** Focus on timing, stay relaxed, and avoid rituals that lack scientific backing. Conception is stressful enough without adding unnecessary pressure! 💚

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Drop a 💚 if you found this helpful!

02/01/2026

Keeping up with everything that changed in gynaecology this year can feel impossible, right? Let’s simplify it for year 2025, breakthroughs you actually need to know—quick, practical, and clinic-relevant.

10 Gynaecology Breakthroughs in 2025:

• Non-hormonal menopause care: Elinzanetant cuts hot flushes by ~74%—a real option beyond HRT
• HRT safety reset: FDA removed outdated warnings, enabling more balanced patient conversations
• Ovarian cancer firsts: Targeted therapy approved for KRAS-mutated low-grade serous disease
• Endometrial cancer: Selinexor markedly extends PFS in TP53 wild-type disease
• Platinum-resistant ovarian cancer: Relacorilant combo improves overall survival
• Endometriosis breakthrough: HMI-115 reduces pain without hormonal suppression
• Endometriosis made easier: Oral GnRH antagonist now NHS-approved—no injections
• AI in cervical screening: Faster, smarter risk prediction using dual-stain biomarkers
• Pain matters: Updated ACOG guidance acknowledges under-treated procedural pain
• STI care: First effective single-dose oral option for gonorrhoea on the horizon

What stands out most for your practice? Menopause, cancer care, endometriosis, or procedural pain?

29/12/2025

What keeps me going….

23/12/2025

Blocked tubes….chronic va**nal discharge….

21/12/2025

If AI is so fast, accurate, and intelligent, why can’t it manage a patient on its own?

It’s tempting to think medicine is simple: data in, answers out. Symptoms go in, diagnoses come out. With enough scans, blood tests, and guidelines, surely an AI trained on millions of cases should outperform humans.

But medicine doesn’t work like that.

In Range, David Epstein explains the difference between kind and wicked environments. Chess is kind — clear rules, fast feedback, repeatable patterns. Machines thrive there.

Medicine is a wicked environment. The rules aren’t clear. Feedback is delayed or misleading. Outcomes may take months or years. The same decision can help one patient and harm another. So how do you train an algorithm when the “right answer” keeps changing?

AI excels at pattern recognition — but only when patterns are stable. Real patients aren’t. Context reshapes meaning constantly, and when patterns collide, purely statistical reasoning starts to break down.

Doctors do something AI can’t replicate easily. They use analytical reasoning (tests, probabilities, evidence) and inductive reasoning (stories, behaviour, emotion, uncertainty) at the same time — switching between them continuously.

Patients aren’t datasets. They change their story, misunderstand symptoms, and respond unpredictably. Doctors don’t just diagnose — they carry responsibility and make judgment calls when the evidence is incomplete.

AI absolutely belongs in medicine. But as a tool, not a clinician.

Medicine isn’t chess.
Patients aren’t puzzles.
And care isn’t pattern recognition alone.

AI will assist.
It won’t manage.
And that distinction matters.

20/12/2025

Teenage girls and pelvic pain…
Even if her mother had endometriosis, keyhole surgery should not be the starting point….

Many teenage girls live with pelvic pain for months or even years before anyone takes it seriously.
You may hear, “It’s just periods” or “She’s too young for endometriosis.” Sound familiar?

Here’s the reality: teenage girls with pelvic pain can have endometriosis — but even if her mother had it, keyhole surgery isn’t the starting point.
Why…?
Endometriosis is microscopic disease- if a surgeon did get into the trap of doing a keyhole surgery- very likely it will be negative because of its microscopic disease character and usually in young girls it is microscopic and even if a surgeon identifies and excises or ablates, he/she would not cure the problem…as it is hormonal dependent condition as long as her ovaries work, she carries the risk….

So what should come first?

Careful listening.
A detailed history.
Thoughtful, evidence-based medical management.

I’ll say this clearly: laparoscopy is a diagnostic and therapeutic tool, not a reflex response. In adolescents, rushing to surgery can cause more harm than good and rarely addresses the whole problem.

Let’s explore this together.
Early recognition matters. Education matters. Reassurance matters.
And most importantly, young patients deserve a measured, compassionate pathway — not an operating list as step one.

If we want better outcomes in endometriosis, we have to start by changing how we think
about pelvic pain in teenagers.….

13/12/2025

At age 40, a woman’s anti-Müllerian hormone (AMH) level gives a general indication of her ovarian reserve — the quantity (not quality) of remaining eggs. However, AMH levels don’t provide an exact count of how many eggs are left. Instead, they categorize ovarian reserve as high, normal, low, or very low.

02/12/2025

What keeps me going….