Wednesday, 26 August 2015

Laparoscopic sterilization at minimal cost



In a mission to stop the unwanted pregnancies and abortions, we are offering to do laparoscopic sterilizations at a very reduced and nominal cost. I always had a secret guilt in some corner of my heart that, I am contributing to the population rise by offering infertility treatment, although it helps in building a lot of happy families and save many marriages in the  Indian scenario. (personally I feel that, not having a child should not affect marriages, such relations are  obviously not strong enough ! )

In the past I used to conduct laparoscopic sterilisation camps yearly. But then we expanded to Bangalore, which meant I had very little time for camps, after my weekly travelling to Bangalore.  Now that I am back in cochin and will visit Bangalore only occasionally, I can restart our good work.

On an average, a diagnostic laparoscopy will cost around 40 to 60 thousand rupees and surgical laparoscopy will cost anywhere from 50 to 90 thousand rupees or more, depending on the medical centre. We are offering laparoscopic sterilizations at a minimal charge of Rs 18,000. Medicines will cost Rs 7000, so the total cost will come to  around only Rs 25000. We will also conduct profit free camps  once in a year,  charging only Rs 7000 for the medicines.

Why should women do sterilization ?

Once family is completed and you decide that you do not want any more children, then it is better to stop pregnancy by means of a permanent method, so that there is no hassle of taking tablets daily with all its side effects. Even   Cu T has side effects  like heavy bleeding and it also increases the risk of infection.


Universally, there are plenty of unwanted pregnancies happening and many of them end up in terminations. Medical termination of pregnancy has all the risks of a surgical procedure like bleeding, infection, anesthetic risks etc. and often puts additional financial burden on families. 

It is very stressful for women, when they are  trying to avoid  pregnancy  as they are under constant fear of getting pregnant. Withdrawal methods and condoms have significant failure rates, time and again resulting in unwanted pregnancies. I regularly meet  women who tries to avoid pregnancy by keeping away from intercourse and no wonder, their husbands are unhappy and often become a public nuisance for other women. 

Compared to open minilaparotomy, laparoscopy has the advantage of being a safer procedure, with good equipments and proper view. The women need not take leave from the job or worry about other issues, as this procedure does not require hospital admission or rest and can be completed in a day.

Hippocrates quoted “Wherever the art of Medicine is loved, there is also a love of Humanity. ” I will  be also doing laparoscopies at a reduced rate for poor patients who need it for infertility evaluation. We are already doing IVF at a reduced rate for poor patients, one case every month as a part of our charity mission. Happiness doesn't result from what we get, but from what we give. The  happiness  you acquire, when you help another person cannot be measured, it  gives meaning to your life.




 Dr. Anita Mani
Infertility& Surrogacy Specialist at Gift IVF Centre
anitadane@gmail.com
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Dr. Anita Mani is a renowned infertility specialist in south India with 15 years experience in ART (Assisted Reproductive Technology). Dr. Anita has successfully set up ART hospitals in Cochin and Bangalore,  along with her spouse  Dr. S Mani, who specialises in surrogacy. She completed MRCOG, from Royal College of Obstetrician and Gynaecologist  London, DFFP from  ART Warwick university and  worked in UK for 5 years. Dr. Anitha believes in scientific and ethical practice and is currently the director of Gift Gyno IVF centre Cochin and  Bangalore.  Apart from advanced laparoscopic surgeries, she is also an expert in various ART techniques including IVF, IUI, ICSI , donor egg / sperm  and surrogacy . Her proficiency is in genetic abnormalities and high risk pregnancies.

PCOS Diet




"The human body heals itself and nutrition provide the resources to accomplish the task."

An ideal diet plan for the PCOS  not only comprises food;  the timing of meals, frequency and duration of the meals and the cooking methods are also equally important.

Ideally, within thirty minutes of waking up, we need to take some form of food to kick start our metabolism. A well-balanced breakfast is a must, skipping that would be a big NO NO. It is better to eat every 3 to 4 hours, rather than taking infrequent big meals. Sounds good doesn’t it, you need to eat more often if you want to lose weight and control your PCOS.

Eating should not be a hasty affair, take plenty of time, enjoy every bite to savor the goodness and flavor of the delicious food that nature has kindly bestowed upon us (we do not know how long we are going to get this!). To a great extent, digestion should happen in the mouth itself, so make it a point to chew the food properly. The brain takes about twenty minutes to register that stomach is full, hence if you eat quickly you are at the risk of consuming more food than is required. Chances are there that even though your stomach is full you will go on eating, so go slow.

Likewise, it is vital to understand the significance of glycemic index in controlling PCOS. Glycemic index (GI) indicates the level of sugar in blood after food intake. The rate at which blood sugar level shoots up in our body will vary depending on the type of carbohydrates that we eat. The insulin levels in the body are way too high in PCOS, which is the main reason for insulin resistance and high androgens.     (Androgens are male hormones, which are present in normal women in small quantities) PCOS women should eat low glycemic index foods to avoid sudden spurt of blood sugar level. For more info see http://bangaloreivf.blogspot.ae/2014/09/low-glycemic-food-chart-for-pcos.html

Reduce calorie intake if your weight is on the higher side, around 60 % of women with PCOS are overweight and it has been proven that in a significant number of women losing weight lead to reduction of symptoms of PCOS.



Tips


Food should be always eaten fresh – “eat like Chinese, they always take it boiling”.

1. Take natural foods, avoid processed food, limit sugar and sweet intake. (did you know that sugar undergoes lots of chemical treatment before it looks bright white?) 

2. Choose whole grains like boiled rice, whole wheat flour, millets (Ragi), oats etc.

3. Reduce salt intake, this will help reduce the risk of hypertension and other cardiovascular diseases as well.

4. Choose unsaturated fats. Boil, grill, steam, bake and avoid microwaving and frying.

5. Make sure that you are getting enough protein with every meal for controlling PCOS.

      Varieties of food 
     
     a. Green leafy vegetables are very good for you, so when you go for grocery shopping keep an eye for them

    b. Pulses are very good sources of protein and a good low-calorie alternative to the non-vegetarian food.

     c. Whole grains must occupy only a small portion in your meal plate, bulk should be vegetables, salads and pulses.
     
    d. Fish, chicken, lean meat and lean cuts of red meat can be taken in moderation, but they should not be fried in oil.
    
    
    e. Oil can be olive oil or any other plant source oil, essential fatty acids are as important to health as vitamins but should be consumed in moderation. But it should be noted that olive oil is not suited for Indian style of cooking or deep frying as the smoking point is very low, hence is best used in salads.

     Foods to avoid

Sweets and candies are neither good for you nor for the kids. Generally, people gift candies and chocolates to kids as if they are resistant to the bad effects. Please understand that they are bad for everyone, so please stop buying them for kids as well.  

Instead of ice creams, choose fruit platter when you are eating out. Skip the bakery section in supermarkets, so that you are not tempted to  buy cakes, pastries, biscuits or other sweets. Everyone knows that soft drinks and energy drinks are bad for health, but still continue drinking them. Let us save the health of the future generation, don't show your love for your children by buying them chocolates, ice creams or fast food
http://bangaloreivf.blogspot.ae/2017/08/article-on-pcos-causes-symptoms-and.html



Dr. Anita Mani

Infertility& Surrogacy Specialist at Gift IVF Centre
anitadane@gmail.com

www.giftivf.com
-------------------------------------------------------------------------------------------------------- 
Dr. Anita Mani is a renowned infertility specialist in south India with 18 years experience in ART (Assisted Reproductive Technology). Dr. Anita has successfully set up ART hospitals in Cochin and Bangalore, along with her spouse  Dr. S Mani, who specialises in surrogacy. She completed MRCOG, from Royal College of Obstetrician and Gynecologist, London, DFFP from  ART Warwick university and worked in the UK for 5 years. Dr. Anita believes in scientific and ethical practice and is currently the director of Gift Gyno IVF centre and SATYA Ayurvedic Centre, Cochin.  Apart from advanced laparoscopic surgeries, she is also an expert in various ART techniques including IVF, IUI, ICSI, donor egg/sperm  and surrogacy. Her proficiency is in genetic abnormalities and high-risk pregnancies.















The terrible experience of a women after surgical menopause



I could sense  my eyes welling up,  when the patient was describing the daily  miseries in her life after hysterectomy. If this was just one unusual case in my practice, I would be a happier person, but unfortunately these patients are a recurring  phenomenon, all robbed of their youth by undergoing hysterectomy at an untimely age.

I glanced into the chart and it showed that, she was just in her late thirties, but I was looking at someone who looked like the mother of a women in her thirties ! She was dressed shabbily, wearing a dull loose fitting wrinkled cotton Kurtha. Grey hair was scruffy and messy, her wrinkled face was devoid of any makeup, the black circles around her eyes clearly indicated  lack of sleep.

She described her daily life as painfully slow, worse than death. Every single joint was hurting.  If its back pain today, tomorrow is neck pain and leg pain the next day. It is as if the pain has become a constant companion and is traveling throughout the body.

On and off she suffers from hot flashes, all the body parts will burn as if on fire, after each episode she would sweat profusely, making her drench and putting her in an awkward position in front of her family and friends. 

Every day she makes plans, but she just do not have the energy to implement anything, so tasks keeps getting postponed, even the trivial ones. Just getting out of bed in the morning is a daily  struggle. She keeps forgetting things easily, sometimes even important matters. Frequent outbursts at children and her partner has made her  unpopular even in her own family.

Her skin always feels dry and the hair has lost its sheen and number. Sexual life is almost nonexistent or painful and dry. Her partner, who  is a fit 40 year old is always nagging her  and has found solace in alcohol, as it helps him sleep better. (he feels)


Her tummy has bulged and husband is happily making fun of the tyres around her body. She correctly described it, the fat cells decided to relocate, left  the breasts and the thighs and settled in the tummy.

she summed up her condition in few words which expressed her desperation   “Doctor, I  feel death is better than this”.


So why is she going thru all this trauma?
Few years back, she used to get occasional back pain, an orthopedician confirmed after check up that everything was normal. Subsequently, she consulted a gynecologist who did a  hasty hysterectomy stating uterine problems as the cause for back pain. Of course the ovaries were preserved, as she was  only 34 years old. But her ovaries stopped working within couple of months, which is the usual story after hysterectomy, leading to a premature menopause. She was later diagnosed with disc prolapse, which probably could have been the cause for the back pain.

Now she is in a state of misery, because of surgical menopause. Even though she  tried  out different types of medicines including ayurveda, she felt no relief. 

After counseling about the advantages and side effects, we have put her on HRT, and she is feeling like a human again. The symptoms completely disappear, the moment you give estrogen to these women. The millions of neurons in the brain have estrogen receptors from the time it was an early embryo, so every single function of the brain is affected due to early menopause, which in turn affects each and every bodily functions.

You  may ask, why every women who undergoes menopause does not have all these symptoms or side effects. But the case is different in  women aged 45 years or more. The hormonal changes happen gradually and  slowly over many years, around 5 to 10 years of slow change happens during natural menopause. The neurons get used to the changes slowly, and body is steadily adapting. If you put cold water in a hot vessel it cracks, but if you slowly cool the vessel, it will not  break into pieces. Similarly, it is  more easier for the body to adapt and tolerate during the natural process of menopause and there will be less side effects of menopause.

So, it is very crucial to analyse the symptoms and the disease appropriately and accurately, before a decision for hysterectomy is taken, because the side effects of hysterectomy and menopause can be devastating on many women.


Dr. Anita Mani
Infertility& Surrogacy Specialist at Gift IVF Centre
anitadane@gmail.com
www.giftivf.com
    ------------------------------------------------------------------------------------------------------
Dr. Anita Mani is a renowned infertility specialist in south India with 15 years experience in ART (Assisted Reproductive Technology). Dr. Anita has successfully set up ART hospitals in Cochin and Bangalore,  along with her spouse  Dr. S Mani, who specialises in surrogacy. She completed MRCOG, from Royal College of Obstetrician and Gynaecologist  London, DFFP from  ART Warwick university and  worked in UK for 5 years. Dr. Anitha believes in scientific and ethical practice and is currently the director of Gift Gyno IVF centre Cochin and  Bangalore.  Apart from advanced laparoscopic surgeries, she is also an expert in various ART techniques including IVF, IUI, ICSI, donor egg / sperm  and surrogacy. Her proficiency is in genetic abnormalities and high risk pregnancies.