http://www.drnirmalgujarathi.com/

Dr. Nirmal N. Gujarathi, Surya Mother and Child Care Hospital, SV Road, Santacruz West, Mumbai (2025)

Q: What is the address?

Surya Mother And Child Care Hospital, SV Road, Santacruz West

15/08/2025

Social Egg Freezing

(Elective Oocyte Cryopreservation)

What is it?

Social egg freezing is the process of freezing a woman’s eggs at a younger age to preserve fertility for future use — done for personal, career, or non-medical reasons (unlike freezing for cancer treatment).

⸻

Why women choose it
• Delay in starting a family due to career, education, or personal choice
• Not having a suitable partner yet
• Desire to reduce age-related fertility decline
• Family planning flexibility

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Ideal age
• Best results when done before 35 years (highest egg quality and quantity)
• Can be done up to 40 years, but success rates drop with age

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How it’s done
1. Ovarian stimulation – Daily hormone injections for ~10–12 days to stimulate multiple egg growth
2. Egg retrieval – A short, ultrasound-guided procedure under sedation
3. Freezing (Vitrification) – Eggs are rapidly frozen at sub-zero temperatures to prevent ice crystal damage
4. Storage – Eggs can be stored for years without loss of quality

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Future use
• When ready to conceive, eggs are thawed, fertilized via ICSI, and embryos are transferred into the uterus
• Success rate depends mainly on age at freezing and number of eggs frozen

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Benefits
• Preserves fertility potential at a younger age
• Offers reproductive autonomy and peace of mind
• Helps avoid pressure to conceive before being ready

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Limitations
• Not a guarantee of pregnancy
• Involves injections and a minor procedure
• Costs for freezing and annual storage fees
• May require IVF when using the eggs later

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Key takeaway

The earlier you freeze your eggs, the higher the chances of success later. Social egg freezing is a proactive choice for women who want more control over their reproductive timeline.

For Appointment: +91 9920281902
For Emergency: +91 9272909020

14/08/2025

🌸 Low AMH & Your Fertility Options

If you’ve been told you have low AMH (Anti-Müllerian Hormone), it means your ovaries have fewer eggs left than average for your age.
It can make getting pregnant a bit harder, but many women with low AMH still conceive — with the right plan and support. 💛

💡 What You Can Do
1. Medicines to Help Your Ovaries Work Harder
• Clomid or Letrozole – tablets that help your body release eggs.
• Hormone injections (gonadotropins) – make your ovaries produce more eggs.

2. IVF (In Vitro Fertilisation)
• Standard IVF – your ovaries are stimulated to collect eggs for fertilisation in a lab.
• Gentle or Minimal Stimulation IVF – uses smaller doses of medication, which can be better for women with low AMH.
• Doctors may also customise your IVF plan or collect embryos over several cycles to improve your chances.

3. IUI (Intrauterine Insemination)
Placing s***m directly into your womb at the right time to help it meet an egg.

4. Donor Eggs
If your egg reserve is very low, using healthy donated eggs can give high success rates.

5. New / Experimental Options
• Ovarian PRP Therapy – injections that might help the ovaries “wake up” (still being studied).
• Stem Cell Therapy – experimental treatment to help make healthy eggs.

6. Lifestyle & Natural Support
• Eat healthy, stay active, and reduce stress.
• Some supplements like DHEA (with your doctor’s approval) may help.
• Acupuncture may improve blood flow and hormone balance.

7. Fertility Preservation
If pregnancy isn’t planned right now, you might freeze eggs for future use.

💬 Important to Remember:
• Low AMH doesn’t mean “no chance.”
• Your age, egg quality, and your partner’s s***m health also matter.
• Always work with a fertility specialist to create a plan that’s right for YOU.

💖 You are not alone in this journey — many women with low AMH have gone on to have healthy pregnancies.

For Appointment: +91 9920281902
For Emergency: +91 9272909020

10/08/2025

Low S***m Count (Oligos***mia) !

What is Low S***m Count?

Low s***m count means the number of s***m in a man’s semen is less than normal (less than 15 million s***m per ml).
This can make it harder to achieve pregnancy naturally, but many treatments are available.

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Common Causes
• Varicocele (enlarged veins in the sc***um)
• Hormonal problems
• Infections in the reproductive tract
• Lifestyle factors – smoking, alcohol, stress, poor diet
• Heat exposure to te**es
• Genetic conditions

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Treatment Options

1. Healthy Lifestyle Changes
• Eat fruits, vegetables, nuts, and fish
• Exercise regularly but avoid overheating the te**es
• Stop smoking, limit alcohol, avoid drugs
• Reduce stress (yoga, meditation)

2. Medicines & Supplements (doctor prescribed)
• Hormone therapy (if hormone levels are low)
• Vitamins & minerals: Vitamin C, Vitamin E, Zinc, Selenium
• Antioxidants & amino acids like L-carnitine

3. Surgery
• Varicocele repair – can improve s***m production

4. Assisted Reproduction (if s***m count remains low)
• IUI – s***m placed directly in uterus
• IVF – eggs fertilized in lab
• ICSI – single s***m injected into egg (best for very low count)
• Donor s***m – when no s***m are available

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Good News

With proper treatment and modern fertility techniques, even very low s***m counts can lead to successful pregnancies.

Happiness,Delivered !
For appointments:
+91 9920281902

***ms ***mcount ***mia ***mia

06/08/2025

🌸 Understanding Low AMH Levels

AMH (Anti-Müllerian Hormone) is a marker of a woman’s egg reserve.
Low AMH means the number of eggs in the ovaries is reduced. But remember – it doesn’t mean pregnancy is impossible!

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🧪 Causes of Low AMH:
• Natural aging (common after 35)
• Genetics
• Endometriosis
• Previous ovarian surgery
• Chemotherapy/radiation

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💡 Treatment Options for Low AMH:

1. Lifestyle Optimization

✅ Eat a healthy diet (rich in antioxidants)
✅ Reduce stress
✅ Maintain healthy weight
✅ Avoid smoking & alcohol

⸻

2. Fertility Supplements (as advised by your doctor)

🟢 DHEA
🟢 CoQ10
🟢 Vitamin D
These may support egg quality.

⸻

3. Medical Treatments

a) Ovulation Induction & Timed In*******se

➡️ Mild stimulation to boost natural ovulation
➡️ Works best if tubes are open & partner’s s***m is normal

b) IUI (Intrauterine Insemination)

➡️ Suitable for some patients with regular ovulation and normal tubes
➡️ Often combined with fertility medications

c) IVF (In Vitro Fertilization)

➡️ Higher success rate in low AMH
➡️ Multiple embryos can be created and frozen
➡️ Can use mild stimulation or natural cycle IVF

d) Embryo or Egg Freezing (if you’re not ready yet)

➡️ Consider early if planning pregnancy later

e) Donor Egg IVF

➡️ An excellent option if own egg quality is poor
➡️ High success rates

⸻

❤️ Key Message:

Low AMH ≠ No Hope!
It’s about egg quantity – not always quality.
With early planning and expert care, many women with low AMH go on to conceive successfully.

DM us for any questions!

For Appointment: +91 9920281902

31/07/2025

A high-risk pregnancy is when there’s a greater chance of health problems for the mother, the baby, or both during pregnancy, labor, or after birth. It doesn’t mean something will definitely go wrong — it just means that you and your baby may need extra care and monitoring to help everything go as smoothly as possible.

Some common reasons for a pregnancy to be considered high-risk include:

Age: If you're younger than 17 or older than 35.

Medical conditions you already have: Like high blood pressure, diabetes, heart issues, thyroid problems, or if you're overweight.

Problems during pregnancy: Such as high blood pressure caused by pregnancy (preeclampsia), high blood sugar (gestational diabetes), low or high amniotic fluid levels, or concerns about the baby’s growth or position.

Expecting more than one baby: Carrying twins or more adds extra strain and requires close monitoring.

Lifestyle factors: Smoking, drinking alcohol, or using recreational drugs can increase risks.

Past pregnancy complications: If you’ve had things like premature birth, miscarriage, or a baby with birth defects before.

Even if your pregnancy is high-risk, with regular check-ups and the right care, you can still have a safe pregnancy and a healthy baby. Your healthcare provider will work closely with you to manage any risks and support you every step of the way.

Happiness, Delivered!

For Appointments
+91 9920281902

# #

29/07/2025

🧬 What is ICSI?

ICSI (Intracytoplasmic S***m Injection) is an advanced form of IVF where a single healthy s***m is injected directly into an egg to help achieve fertilization.

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💡 When is ICSI Recommended?

Low s***m count or motility

Poor s***m shape (morphology)

Previous IVF failure

Azoos***mia (s***m retrieved surgically)

Use of frozen/thawed s***m

Unexplained infertility

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🔬 How Does ICSI Work?

1. Egg Retrieval from the female

2. S***m Collection/Extraction

3. Injection of One S***m into Each Egg

4. Embryo Formation & Growth

5. Embryo Transfer into the Uterus

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💖 Why Choose ICSI?

Higher fertilization rates

Helps in severe male infertility

Increases IVF success chances

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👶 Hope. Science. Parenthood.

👨‍⚕️ Dr. Nirmal Gujarathi
Consultant Gynaecologist | Fertility & IVF Specialist
📍 Juhu, Mumbai | 📞9272909020

22/07/2025

IVF Lite / Mild IVF

IVF Lite, also known as Mild IVF, is a gentler form of fertility treatment that uses lower doses of medication to stimulate the ovaries. It is designed to reduce physical, emotional, and financial stress while still aiming for a successful pregnancy.
🔹 What is IVF Lite?
IVF Lite is a low-dose ovarian stimulation protocol used in IVF. It aims to collect fewer, high-quality eggs instead of many eggs through intensive stimulation. This approach mimics a more natural cycle and minimizes side effects.

🔸 Key Features
• • Lower hormone dose than traditional IVF
• • Fewer eggs retrieved (typically 2–7)
• • Often involves embryo freezing and banking
• • Ideal for women with low ovarian reserve or older age
• • Reduced risk of OHSS (Ovarian Hyperstimulation Syndrome)
• • Lower cost per cycle
• • More comfortable and body-friendly approach

🧬 Benefits of IVF Lite
• • Gentler on the body and fewer side effects
• • Reduces emotional and physical stress
• • Minimizes risk of complications like OHSS
• • Cost-effective in many cases
• • Allows for multiple cycles with embryo banking

❗ Who Should Consider IVF Lite?
IVF Lite is particularly suitable for: • Women with low AMH or poor ovarian reserve • Older women (typically above 37 years) • Couples preferring minimal hormonal intervention • Patients planning cumulative embryo banking

For any queries contact us:

🔖 Dr. Nirmal N. Gujarathi
Consulting Gynaecologist, IVF Specialist
Juhu, Mumbai | 📞 +91 9920281902

19/07/2025

PICSI: Savior for POOR SPERMS

🧬 What is PICSI?

PICSI (Physiological ICSI) is an advanced IVF technique that helps select the healthiest s***m for fertilization using a natural substance called hyaluronic acid.

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⚖️ PICSI vs ICSI

🔸 ICSI: A s***m is manually chosen and injected into the egg.
🔸 PICSI: Adds a step — only s***m that naturally bind to hyaluronic acid are selected, as they are more mature and likely to have healthy DNA.

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✅ Benefits of PICSI

✔️ Better s***m quality
✔️ May reduce miscarriage risk
✔️ May improve embryo health & pregnancy chances
✔️ Useful after failed ICSI or poor s***m quality

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👨‍⚕️ When is PICSI recommended?

💥 High s***m DNA fragmentation
🔄 Repeated failed ICSI cycles
🧪 Poor s***m quality/maturity

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🔬 How PICSI Works

1. S***m are exposed to hyaluronic acid.

2. Only mature s***m bind naturally.

3. These are chosen for injection (ICSI).

---

📊 Success Rates

PICSI may increase chances of healthy pregnancy, especially in select cases — though it's not a guaranteed solution.

---

👨‍⚕️ Dr. Nirmal N. Gujarathi
Consultant Gynaecologist, IVF Specialist
📍 Juhu, Mumbai
📞 +91 9920281902

***ms ***ms ***mia ***mia ***mDNAfragmentation

16/07/2025

Thinking about IUI? Here’s a friendly guide to help you understand it! 😊

Intrauterine insemination (IUI) is a simple fertility treatment that gives s***m a little boost to reach an egg.

It’s like giving nature a helping hand! Here’s the scoop:
🌟 What is IUI?
IUI places specially prepared s***m directly into your uterus, right when you’re ovulating. This makes it easier for the s***m to meet the egg, increasing your chances of getting pregnant. It’s often used for couples with unexplained fertility challenges, mild s***m issues, or when using donor s***m.

🌈 How does it work?
1. Tracking ovulation: Your doctor will monitor your cycle to pinpoint the perfect time (sometimes with the help of medications to boost egg production).
2. S***m prep: A s***m sample (from your partner or a donor) is washed and concentrated to pick the healthiest swimmers.
3. The procedure: Using a thin, flexible tube (catheter), the s***m is gently placed in your uterus. It’s quick, usually painless, and feels like a Pap smear.

🎉 What to expect:
• The procedure takes just a few minutes, and you can go back to your day afterward.
• You might feel mild cramping or spotting, but serious side effects are rare.
• If medications are used to stimulate ovulation, there’s a small chance of twins or more.

📈 Success rates:
IUI success varies, but it’s typically 10-20% per cycle, depending on your age, health, and whether medications are used. It’s less intense (and less expensive) than IVF, but it may take a few tries.

💡 Is IUI right for you?
If you’re curious about IUI or wondering if it’s a good fit, talk to your doctor. They can explain costs, next steps, or what to expect based on your unique situation.
Have more questions about IUI?

For Appointments:
+91 9920281902

15/07/2025

“Hi Doctor , what’s this MIRENA and why my friends are asking me to use too?”

Let’s discuss this ::

🌸 What is Mirena?

Mirena is a small, T-shaped device placed inside the uterus.
It releases a hormone called levonorgestrel and provides long-term birth control for up to 8 years.

⸻

✅ Why Choose Mirena?
• ✔️ 99% effective in preventing pregnancy
• ✔️ Reversible anytime – fertility returns quickly
• ✔️ Reduces heavy periods (menorrhagia)
• ✔️ Helps with painful periods (dysmenorrhea)
• ✔️ Can treat endometriosis or adenomyosis symptoms
• ✔️ Useful in hormone replacement therapy

⸻

💡 What to Expect?
• 🔸 Irregular bleeding or spotting in first 3–6 months
• 🔸 Lighter periods or no periods after some months
• 🔸 Insertion done in OPD; mild discomfort may occur

⸻

❌ When Mirena is Not Recommended?
• 🔹 Current pelvic infection (PID)
• 🔹 Uterine abnormalities
• 🔹 Unexplained vaginal bleeding
• 🔹 Suspected or known breast cancer

⸻

🛑 Side Effects (Usually Temporary)
• Breast tenderness
• Mood changes
• Acne or oily skin
• Ovarian cysts (often resolve on their own)

⸻

📝 Follow-up Advice
• Review 6 weeks after insertion
• Yearly check-ups advised
• Report immediately if:
🔺 Severe pain or heavy bleeding
🔺 Foul discharge
🔺 You can’t feel the IUD string

⸻

📍 Mirena is safe, effective, and convenient for many women.
Talk to your doctor to see if it’s right for you.

👩‍⚕️ Dr. Nirmal N. Gujarathi
Consulting Gynaecologist, IVF Specialist
📍 Juhu, Mumbai
📱 +91 9920281902

14/07/2025

🧷 Copper T (IUD) – Myths vs Facts

❌ Myth 1: Copper T causes infertility.
✅ Fact: It’s a reversible method. Fertility returns soon after removal.

⸻

❌ Myth 2: Copper T increases chances of infection.
✅ Fact: If inserted in a sterile environment by a trained doctor, the risk is very low.

⸻

❌ Myth 3: Copper T can move around the body.
✅ Fact: It stays securely in the uterus. Migration to other parts of the body is extremely rare.

⸻

❌ Myth 4: Only women who’ve had children can use Copper T.
✅ Fact: Even women who haven’t had children can safely use it after proper counseling.

⸻

❌ Myth 5: Copper T causes cancer.
✅ Fact: There is no evidence linking Copper T with cancer.

⸻

❌ Myth 6: Periods completely stop with Copper T.
✅ Fact: Copper T may cause slightly heavier or crampier periods initially, but it does not stop periods.

13/07/2025

💊 Contraceptive Pills – More Than Just Birth Control!
Did you know they have multiple health benefits?

🩸 Regulates Menstrual Cycles
Helps make periods more predictable and regular.

🤕 Reduces Menstrual Cramps
Lessens pain and discomfort during periods.

📉 Lowers Risk of Ovarian & Endometrial Cancer
Long-term use is linked to reduced cancer risk.

😖 Helps with PCOS Symptoms
Improves acne, reduces unwanted hair growth, and regulates cycles.

🌟 Improves Acne
Certain pills help clear hormonal acne over time.

🩸 Treats Heavy or Painful Periods
Can reduce flow and discomfort in conditions like menorrhagia or endometriosis.

✨ Not just contraception — it’s care!
Talk to us to know if it’s right for you.

Dr. Nirmal N. Gujarathi
Consultant Gynaecologist, Juhu, Mumbai
📞 +91 9920281902

Dr. Nirmal N. Gujarathi

15/08/2025

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