http://www.novaivffertility.com/

Dr.Scindiya Vijay, Vandiyur Main Road, Anna Nagar, Madurai (2026)

02/03/2026

*Adenomyosis* is a condition where endometrial tissue (the lining of the uterus) grows into the muscular wall of the uterus (myometrium). It can significantly affect fertility, implantation, and pregnancy outcomes.

*🔬 How Adenomyosis Affects Infertility*

Although pregnancy is still possible, adenomyosis may reduce fertility through several mechanisms:

1. *Impaired Implantation*
Disrupts normal uterine lining function
Causes inflammation and altered immune response
Reduces endometrial receptivity

2. *Abnormal Uterine Contractility*
Excessive or uncoordinated uterine contractions can interfere with:
1. S***m transport
2. Embryo implantation

3. *Altered Uterine Environment*
Increased inflammatory cytokines
Progesterone resistance
Thickened junctional zone (seen on MRI)

4. *Association with Other Conditions*
Commonly coexists with:
1. Endometriosis
2. Fibroids

These combined factors may reduce natural conception rates and IVF success rates.

*📊 Impact on Assisted Reproductive Technology (ART)*

Women with adenomyosis undergoing IVF may experience:

1. Lower implantation rates
2. Higher miscarriage rates
3. Reduced live birth rates

However, outcomes vary depending on:

1. Severity of adenomyosis
2. Age
3. Presence of coexisting endometriosis

*🩺 Diagnosis*

*Common diagnostic tools*:

1. *Transva**nal ultrasound* (first-line)
MRI pelvis (more accurate for junctional zone thickness)

*Typical findings:*

1. Enlarged globular uterus
2. Asymmetrical myometrial thickening
3. Myometrial cysts

01/03/2026

MARCH
Endometriosis
AWARENESS MONTH
Endometriosis is a FULL BODY inflammatory disease that is normally a battle fought in silence, a pain unseen and a strength unrecognised.
But together, our voices break the silence and awareness sparks change.

25/02/2026

🥗 *Improve Nutrition*

*Focus on:*
*Zinc* – oysters, pumpkin seeds, beef
*Selenium* – Brazil nuts (1–2 per day is enough)
*Omega-3 fatty acids* – salmon, sardines, walnuts
*Antioxidants (Vitamin C, E, beta-carotene)* – citrus, berries, spinach
*Folate* – leafy greens, lentils
*CoQ10* – fatty fish, whole grains

A Mediterranean-style diet is strongly associated with better s***m quality.

*Reduce:*

1.Processed meats
2.Trans fats
3.Excess sugar
4.High soy intake (in very large amounts)
5.Excess alcohol

🏋️ 2. *Exercise* — *But Don’t Overdo It*

1.Moderate strength training + cardio improves testosterone.

2.Avoid excessive endurance training (can lower testosterone).

3.Maintain healthy body fat (10–20% is ideal for most men).

😴 3. *Prioritize Sleep*

1.Aim for 7–9 hours.
2.Poor sleep lowers testosterone and s***m production.

🚫 4. *Avoid Fertility Killers*

1.Smoking (major s***m damage)
2.Excess alcohol (limit to 0–5 drinks/week)
3.Marijuana & anabolic steroids
4.Frequent hot tubs/saunas (heat lowers s***m count)

😌 5. *Manage Stress*

Chronic stress increases cortisol, which can suppress reproductive hormones.

Helpful tools:
1.Meditation
2.Deep breathing
3.Therapy
4.Yoga
5.Structured downtime

***mHealth

21/02/2026

*Lymphocyte immunisation therapy*

Lymphocyte Immunisation Therapy (LIT) is an immunological treatment mainly used in cases of recurrent miscarriage, particularly when an immune cause is suspected.

*🔬 What Is It?*

LIT involves injecting white blood cells (lymphocytes) from the father (or sometimes a donor) into the mother.

The goal is to help the mother's immune system recognize and tolerate the father's genetic material in the embryo, reducing the risk that her immune system may attack the pregnancy.

*🧬 Why It’s Used*

LIT has been used in cases of:
• Recurrent pregnancy loss (usually 2–3 or more miscarriages)
• Suspected immune-related infertility
• Certain cases of implantation failure after IVF

The theory is that some women may not develop adequate “blocking antibodies” that help protect the fetus (which is genetically half from the father).

*🏥 How It Works (Procedure)*

1. Blood is drawn from the father (or donor).
2. Lymphocytes are isolated in a laboratory.
3. The mother receives small injections (usually under the skin of the forearm).
4. Treatment may be repeated before attempting conception.

IVFJourney LITTreatment TryingToConceive PregnancyCare
FertilityIndia IVFIndia WomenHealthIndia

18/02/2026

*What is a Fallopian Tube Block?*

A fallopian tube block is a condition where a blockage prevents the egg and s***m from meeting, making pregnancy difficult.

It can affect:

*One tube* – partial fertility may still be possible
*Both tubes* – natural conception becomes very difficult

*Common causes:*

-Pelvic infections (PID, TB in some regions)
-Endometriosis
-Previous pelvic or abdominal surgery
-Ectopic pregnancy
-Congenital (birth-related) issues

*Which Treatment Is Best?*

Doctors consider several factors before deciding treatment:
- Age
- Duration of infertility
- Type and location of the blockage
- Overall tube condition
- Partner’s s***m health

*Laparoscopic Surgery*

Best option when:

-Blockage is mild to moderate
-Fallopian tubes are otherwise healthy

*Procedures include:*

- *Adhesiolysis* – removal of scar tissue
- *Fimbrioplasty* – repair of the tube’s end
- *Snalpingostomy* – creation of a new opening in the tube

⚠️ Risk: Increased chance of ectopic pregnancy after surgery, so close monitoring is required.

*Tubal Cannulation (for Proximal Block)*

- A thin catheter is passed through the uterus to open the fallopian tube
- Works best when the blockage is near the uterus
- Minimally invasive procedure

*IVF (Most Effective in Severe Cases)*
Recommended when:

-Both tubes are completely blocked
-Hydrosalpinx (fluid-filled tubes) is present
Previous surgical treatment has failed
-Woman is older or fertility time is limited

👉 IVF completely bypasses the *fallopian tubes*

14/02/2026

Following the trend

10/02/2026

*What semen (s***m) morphology means*

It’s the percentage of s***m with a normal shape when examined under a microscope.
A normal s***m has:
1. *Head:* smooth, oval, well-defined acrosome
2. *Midpiece:* slender, aligned with the head
3. *Tail:* single, long, uncoiled, and straight

*Any deviation → counted as abnormal.*

*Why morphology matters*

Abnormal morphology can affect:

1. Ability to pe*****te cervical mucus
2. Acrosome reaction
3.Binding to and penetrating the egg
4.DNA integrity (often associated, not always)

That said — *men with low morphology can still father children, especially with assisted reproduction.*

*How morphology is measured*

1. Assessed on a stained smear
2. Evaluated using strict criteria (Kruger / WHO strict)
3.At least 200 s***m are typically examined

*Morphology & fertility treatment*

Natural conception: possible even with low morphology if count and motility are good
1. IUI: success may drop if morphology is very low
2.IVF: usually fine
3.ICSI: bypasses morphology issues almost completely

| ***mHealth | | |

09/02/2026

Your pregnancy journey deserves the right guidance 🤍
From nutrition and safe exercises to mental well-being and doctor-approved tips, our patient-friendly interface is designed to support mother & baby at every step.
Because informed care leads to healthier pregnancies 💕

05/02/2026

*Hysteroscopy polypectomy* is a minor gynecological procedure used to remove uterine polyps from inside the uterus.

*What it involves*

1. A hysteroscope (a thin camera) is passed through the va**na and cervix into the uterus
2. The doctor locates the polyp on a screen
3. The polyp is cut or removed using small instruments or electrical energy

*Why it’s done*
1. Abnormal or heavy periods
2. Bleeding between periods or after menopause
3. Infertility or repeated miscarriage
4. Polyp seen on ultrasound

*Anesthesia & duration*

1. Can be done with local, spinal, or general anesthesia
2. Usually takes 15–30 minutes
Often a day-care procedure (go home the same day)

*Recovery*

1. Mild cramps or spotting for a few days
2. Most people return to normal activities in 1–2 days

| | | |

02/02/2026

*Endometriosis Awareness 💛*

Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus. It affects 1 in 10 people assigned female at birth — and many go years without a diagnosis.

*Why awareness matters*

• Symptoms are often dismissed as “normal” period pain.
• Diagnosis can take 7–10 years on average.
• It impacts daily life, fertility, mental health, work, and relationships.

*Common symptoms*

• Severe period pain or pain between periods
• Chronic pelvic or lower back pain
• Pain during or after s*x
• Heavy or irregular bleeding
• Fatigue, bloating, nausea
• Bowel or bladder pain (especially during periods)

*What you should know*

• Extreme period pain is not normal, even if everyone jokes about it.
• Missing classes, exams, or social stuff because of cramps is a red flag.
• Endo can show up as pelvic pain, back pain, painful s*x, GI issues, exhaustion, or brain fog — not just periods.

*What helps*

• Believing people when they say they’re in pain
• Early referral to knowledgeable clinicians
• Individualized treatment (pain management, hormones, surgery when appropriate)
• Support at work/school and in healthcare settings

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28/01/2026

How Stress Affects Pregnancy (Briefly)

1. Stress releases cortisol and adrenaline
2. High, persistent cortisol can:
1. Reduce blood flow to the placenta
2. Influence fetal nervous system development
3. Affect timing of labor
4. The placenta does block some cortisol, but not all.

The placenta does block some cortisol, but not all.

On the Pregnant Person

1. Sleep problems (insomnia, poor-quality sleep)
2. Headaches, fatigue, muscle tension
3. High blood pressure (chronic stress may contribute)
4. Anxiety or depression
5. Weakened immune response, more frequent illness
6. Increased risk of pregnancy complications if stress is severe or long-lasting

On the Baby

Most everyday stress does not harm the baby.
However, chronic or severe stress may be associated with:

1. Preterm birth
2. Low birth weight
3. Changes in fetal heart rate
4. Possible effects on brain development
5. Higher likelihood of emotional or behavioral sensitivity later in childhood (not deterministic).

| | | |

26/01/2026

Proud to be an Indian 🇮🇳
Celebrating the spirit of our Constitution and the unity of our nation.

Happy Republic Day

Dr.Scindiya Vijay

02/03/2026

01/03/2026

25/02/2026

21/02/2026

18/02/2026

14/02/2026

10/02/2026

09/02/2026

05/02/2026

02/02/2026

28/01/2026

26/01/2026

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