http://www.drnirmalgujarathi.com/

Dr. Nirmal N. Gujarathi, Vile Parle (2025)

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.

---

✅ 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

12/07/2025

💊 Contraceptive Pills – Myths vs Facts

❌ Myth 1: Pills cause permanent infertility
✅ Fact: Fertility usually returns quickly after stopping the pill.

⸻

❌ Myth 2: You must take a break from the pill every few months
✅ Fact: No medical need for a break unless advised by a doctor.

⸻

❌ Myth 3: Pills cause cancer
✅ Fact: Some studies show pills may reduce the risk of ovarian and endometrial cancers.

⸻

❌ Myth 4: Taking the pill makes you gain a lot of weight
✅ Fact: Most users don’t gain significant weight; lifestyle matters more.

⸻

❌ Myth 5: You can’t take the pill if you’ve never had children
✅ Fact: Pills are safe for women regardless of childbirth history.

⸻

❌ Myth 6: Pills protect against STDs
✅ Fact: Pills prevent pregnancy, not infections. Use condoms for STD protection.

⸻

❌ Myth 7: You can’t get pregnant if you miss one pill
✅ Fact: Even one missed pill can reduce effectiveness. Take it daily and on time.

For Appointments:
+91 9920281902

💬 Got questions? Drop them below or DM for a confidential chat.

05/07/2025

“Why Contraception?”

🛡️ Why Contraception Matters
Not just about preventing pregnancy – it’s about empowering women.

⸻

Prevent Unplanned Pregnancy

👶 Contraception helps you:
• Delay pregnancy until you’re ready
• Space your children safely
• Avoid stress and financial burden

⸻

Take Control of Your Health

💪 Contraception gives you the power to:
• Focus on education or career
• Manage medical conditions (like PCOS, anemia)
• Plan a safer, healthier pregnancy

⸻

Regulate Periods & Hormones

💊 Hormonal methods can:
• Reduce heavy bleeding
• Help with painful periods
• Treat acne & PMS

⸻

Prevent Certain Cancers

⚕️ Did you know?
Some contraceptives (like birth control pills) reduce the risk of:
• Ovarian cancer
• Endometrial cancer

⸻

Protect Against STIs

🦠 Condoms are the only method that:
✔️ Prevents pregnancy AND
✔️ Reduces risk of STIs & HIV

⸻

Safer Pregnancy Outcomes

⏳ Spacing pregnancies (at least 18–24 months apart):
✔️ Lowers maternal and infant risks
✔️ Reduces preterm birth chances

⸻

Empower Your Future

🧠 Contraception = Freedom to choose
✔️ Your body
✔️ Your timing
✔️ Your future

💬 Got questions? Drop them below or DM for a confidential chat.

30/06/2025

PCOD or PCOS? They Are Not the Same?

Have you ever heard these terms used interchangeably? While they sound similar, PCOD and PCOS are different conditions. Understanding the difference is the first step towards managing your health effectively.

This post helps you understand the key distinctions between PCOD and PCOS.

PCOD (Polycystic Ovarian Disease)

PCOD is a medical condition where the ovaries produce many immature or partially mature eggs. It’s primarily a hormonal imbalance that can often be managed with lifestyle changes.

* Nature: A less severe condition.
* Main Issue: Ovaries release immature eggs, forming cysts.
* Fertility: Women can often conceive with minimal help.
* Long-term Risk: Generally lower.

PCOS (Polycystic O***y Syndrome)

PCOS is a more serious metabolic and endocrine syndrome. It affects the entire body and is linked to significant hormonal imbalances and other long-term health risks.

* Nature: A complex, more severe syndrome.
* Main Issue: A metabolic disorder, often involving Insulin Resistance.
* Fertility: Can be a significant cause of infertility.
* Long-term Risk: Higher risk of Type 2 Diabetes, high blood pressure, and heart disease.
Are you experiencing these symptoms? Recognizing the signs is crucial, as while there is an overlap, symptoms of PCOS are often more severe.

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

27/06/2025

Hey Doc, why everyone is talking about Gut Health

🧠 Gut Health & Fertility – What’s the Link?

⸻

🌱 1. Hormonal Balance
• The gut microbiome helps regulate estrogen through the estrobolome—a group of gut bacteria that metabolizes estrogen.
• Imbalance (dysbiosis) may lead to excess estrogen reabsorption, worsening conditions like PCOS, endometriosis, or fibroids.

⸻

🍎 2. Nutrient Absorption
• Gut bacteria aid absorption of iron, zinc, vitamin D, folate, and B12—all crucial for fertility, ovulation, and fetal development.

⸻

🔥 3. Inflammation & Immunity
• A healthy gut keeps systemic inflammation low.
• Chronic inflammation can disrupt ovulation, implantation, and s***m quality.
• Autoimmune fertility issues (like Hashimoto’s) are also linked to poor gut health.

⸻

🧬 4. Gut-S***m Axis (in men)
• Dysbiosis can lead to oxidative stress, lowering s***m count, motility, and morphology.
• A healthy gut supports testosterone levels and reduces harmful toxins.

⸻

🧘‍♀️ 5. Stress & the Gut-Brain Axis
• High stress affects gut health and hormone release (like GnRH, LH, FSH), disrupting ovulation and libido.
• Gut microbes even help produce calming neurotransmitters like serotonin.

⸻

✅ Tips to Support Gut & Fertility:
• Eat a diverse, fiber-rich diet (veggies, legumes, whole grains).
• Include fermented foods (yogurt, kefir, sauerkraut).
• Avoid excessive antibiotics and ultra-processed foods.
• Consider probiotics/prebiotics under medical guidance.
• Stay active and manage stress.

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

22/06/2025

“Doc, My Sugars are very high”😟

🌸 Diabetes in Pregnancy (GDM) – What Every Mom-to-be Should Know! 🌸

What is GDM?
• GDM is diabetes that starts during pregnancy.
• It means high blood sugar during pregnancy, usually goes away after delivery.

Why does it happen?
• Hormones in pregnancy make it harder for your body to use insulin.
• The body may not make enough insulin.

Who is at risk?
• Age >35 years
• Overweight/obese
• Family history of diabetes
• Previous GDM or big baby (>4 kg)
• PCOS

Symptoms:
• Usually, NO symptoms!
• Sometimes: more thirst, more urination, tiredness (can be normal in pregnancy too).

How is it diagnosed?
• DIPSI/OGTT test: Drink a sweet glucose solution, test blood 2 hours later.
• If sugar ≥140 mg/dL, it’s GDM.

Why treat GDM?
If untreated, it can cause:
• Big baby (macrosomia)
• C-section, early delivery
• Low sugar in baby after birth
• Higher risk of diabetes for mom & baby later in life

How to manage?
1️⃣ Healthy diet (small frequent meals, less sugar, more fiber)
2️⃣ Regular exercise (walk, yoga)
3️⃣ Check blood sugar regularly
4️⃣ Medicines if needed (insulin is safe)
5️⃣ Regular doctor visits

After delivery?
• GDM usually goes away after birth.
• Test your sugar after 6 weeks & keep healthy habits.

Quick Tips:
✔️ Take medicines as advised
✔️ Don’t skip meals
✔️ Attend all check-ups
✔️ Tell your doctor about any symptoms

For any doubts or appointments:
Dr. Nirmal N. Gujarathi
Consultant Gynaecologist, Juhu, Mumbai
📱 +91 9272909020

Happiness , Delivered ! 🤰💖

21/06/2025

🧘‍♀️ Yoga

Yoga isn’t just movement — it’s a way to connect with your body and balance your hormones naturally.
✨ It nurtures reproductive health and boosts fertility
✨ Helps manage PCOS, PMS, and painful periods
✨ Eases anxiety, improves sleep, and lifts your mood
✨ Builds strength, flexibility, and pelvic tone
✨ Supports you through pregnancy and postnatal recovery
✨ Reduces stress — one breath at a time
From teens to menopause — yoga empowers every stage of womanhood.
🌿 Breathe. Stretch. Heal. Thrive.

Dr. Nirmal N. Gujarathi

22/07/2025

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