Dr. Mahantesh Karoshi - Gynaecologist

13/03/2026

“Feedback like this is why I do what I do 🙏”

09/03/2026

My motivators….

08/02/2026

The Hidden Link Between Weight and Recurrent Miscarriages….

08/02/2026

How high BMI contributes to recurrent miscarriages…

01/02/2026

Not all procedures for removing retained pregnancy tissue are the same when it comes to risk to the lining of womb also called as endometrium.

Protecting the uterine lining is key for future fertility preservation, especially for women nearing 40 or over 40 as their oestrogen levels continue to drop as they get older which is an important stimulant for endometrial growth.

Hysteroscopy guided removal of pregnancy tissue is a novel new technology which can be used in select group of women.

This video demonstrates hysteroscopic-guided removal—the most precise and safe method to minimize injury to the womb’s lining.

Here’s my ranking based on risk to the endometrium and future fertility:

1️⃣ HYSTEROSCOPY-GUIDED: Direct visualization = least injury, lowest adhesion risk.

2️⃣ ULTRASOUND-GUIDED MANUAL VACUUM: A good, guided alternative with moderate risk.

3️⃣TRADITIONAL SURGICAL EVACUATION: Involves blind scraping/curettage. Highest risk of injury and scarring such as intrauterine adhesions also called as Asherman’s syndrome

A heartfelt thank you to my courageous patient who voluntarily consented to share her procedure video to educate and empower other women. My patient’s generosity helps demystify this process for so many women.





’s

25/01/2026

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….