Friday, 27 January 2017

PERILS OF SLEEP DEPRIVATION




What our forefathers believed centuries back makes sense today- “ Early to bed and early to rise makes a man- healthy, wealthy and wise." In today’s hustling and bustling calendar, it is almost unworkable to follow this wise thinking, but if you want to have a physically and emotionally stable life and want to be in the pink of health when you reach old age, unquestionably you need at least seven to eight hours of uninterrupted quality sleep in a day. It’s interesting to learn that the sleep needs of respective individuals are dissimilar, so if one person’s sleep quota is completed in 6 hours, another individual may require ten hours, yes, you read it correctly ten hours. Some theories even suggest that women require more sleep than men.

WHAT IS KEEPING YOU AWAKE

Have you ever been puzzled why the new generation is tormented by so many chronic illnesses compared to our grandfather's and great grandfather’s generation? The answer may be traced to the deprivation of sleep, combined with increased stress along with other environmental factors. The main cause of sleeplessness can be attributed to smartphones and other modern gadgets. Before popping sleeping pills, try to find out the cause for your misery through self-evaluation and find solutions like yoga, meditation or other forms of relaxation like music or dance. Some people have medical conditions of insomnia and depression which needs to be treated with medicines.

WHY SLEEPING WELL IS IMPORTANT FOR KIDS

I have heard several parents complaining that their kids are not concentrating on their studies, they cannot remember anything even after hours of toil, they always appear tired and exhausted. I always advise these parents to see that the kids are getting proper sleep. It’s not only video games or smart phones which are stripping the valuable hours of sleep, often long hours of tuitions and training are the culprits of burdening the budding minds. If you do not want them to grow up into emotionally and physically drained individuals, please see that they get appropriate sleep.

WHAT HAPPENS WHEN YOU ARE SLEEP DEPRIVED

You will be shocked to know that apart from depression, tiredness, mood swings and lack of concentration, sleep deprivation also leads to diabetes, heart and kidney problems, hair loss, early aging etc. There is a general perception that over- sleeping will lead to weight gain, but did you know that inadequacy of sleep can also lead to obesity. Hormone levels in the body are upset by sleep deficiency, which leads the mind to think that you are hungry, even when you are not and you keep eating and the result is obvious. Sleep deprivation can bring diabetes closer to you and it also shoots up the level of blood sugar in the diabetic patients. Sleeplessness can also indirectly cause sub fertility due to stress and depression.

SLEEP PATTERNS

Do not consider sleep as just a waste of time, your body is repairing and rejuvenating itself when you are under a deep slumber. The brain is not switched off during sleep, intriguingly brain activity is often accelerated in sleep. Sleep patterns can be broadly classified into two – REM (rapid eye movement) and NREM (non rapid eye movement)  and in the span of a night’s sleep, the body keeps changing between these stages in a cyclical pattern. There are stages of light sleep and deep sleep. In REM sleep, you might be dreaming and the eyeballs will be moving, but the body will be motionless and muscles are relaxed. This may be a body mechanism to avoid you acting out in the dream. This is the stage when a person is most difficult to be awakened.

After a good night’s sleep, you wake up feeling refreshed and full of energy, on the contrary, if you miss couple of hours sleep you wake up like a zombie, drained and tired.

"Sleep that knits up the ravelled sleave of care
The death of each day's life, sore labour's bath
Balm of hurt minds, great nature's second course,
Chief nourisher in life's feast."
-William Shakespeare, Macbeth


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 the 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.



Wednesday, 18 January 2017

Steps to be followed if you cannot conceive after trying for a year





The first and foremost thing to remember is ‘NOT TO PANIC’, keep in mind that anxiety and tension will stand in the way of your pregnancy. So relax and calm down, in many cases pregnancy is achieved over a period of time without any treatment.  Medical science has advanced so much that there is a solution for most of the problems. One small word to the friends and relatives as well, “please don’t taunt the couples with questions of the impending pregnancy. Do not trouble the already distraught souls”. Stress causes sub fertility, so try to reduce stress and spend quality time with your partner. http://bangaloreivf.blogspot.ae/2014/09/reduce-stress-to-improve-fertility.html


There are some simple tests and procedures which can detect the cause of infertility and more often than not, some simple procedures or medication can give you the result.  I frequently get patients who have undergone multifarious expensive tests and treatment in infertility centers, but some basic inexpensive tests which would have given the definite reason of the complication were omitted. Sadly as the years pass by, the chance for a successful pregnancy starts dwindling and the desperation and dismay along with the financial drain leads to depression and isolation.


The tests which are to be undergone varies from person to person,  I would like to suggest some basic tests which might reveal where the problems lie. In many cases, a simple laparoscopic drilling can give instant results. Detecting the problem at an early stage and following up with prompt and appropriate treatment will increase the chance of pregnancy.

Tests for Men
Basic test is Semen Analysis
Tests for Women
AMH, On Day2 - LH, FSH, prolactin
Baseline Scan to check reproductive organs
Follicular monitoring for ovulation
Tubal patency tests

Lab Tests required For  Husband  & wife
General tests
C B C
R B S
Group+Rh
Urine R/E
For Infection screening
H I V 1 + 11
H B S Ag
H C V
VDRL

For Systemic Disorder
T S H
L F T
R F T

Genetic screening - Karyotyping might be required in later stages if multiple miscarriages or unexplained infertility

Dr. Anita Mani
Infertility& Surrogacy Specialist at Gift IVF Centre
anitadane@gmail.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 the 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.