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.



Sunday, 10 April 2016

Biogas - Transforming waste into energy


One of the greatest challenges faced by present world is the accumulation of waste. Organic waste can be used to produce biogas, which will lessen pollution, the burden of landfill and reduce the cost of waste disposal and revolutionize waste management. Many of the European countries and developed countries use organic waste optimally to produce biogas. In the present scenario, where the cooking gas has become expensive and world is facing shortage of fossil fuels, biogas can be the solution for many socio economic problems. Biogas can be used for cooking, heating and power generation. The byproduct of this process, the digestate slurry can be used as manure and is an excellent substitute for chemical fertilizers.

Anaerobic digestion is the method used in the production of biogas, in which organic waste is decomposed in the absence of oxygen by microorganisms. Biogas comprises of methane and little carbon dioxide and is a combustible gas. There are various stages in the production of this gas like hydrolysis, acidogenesis, acetogenesis, and the final stage is methanogenesis.  Through this process, harmful pathogens are destroyed and the waste is sanitized. The quality of the animal waste as a fertilizer is improved through this process and the digestate is a superb manure for plants.

Food waste, kitchen waste and animal waste can be used. Cow dung is most favorable in the production of biogas as the grass which the animal eats is converted into methane in the process of digestion. There will be no flies or bad odor as the drum used is tightly sealed and water proofed.

We have installed a small biogas plant in our premises and all the daily organic waste from our kitchen and hospital is put in this through a funnel and we get the gas through a pipe connection. I use the byproduct of this process, the liquid manure for all the vegetable and fruit plants and trees in my farm, thus avoiding the usage of harmful chemical fertilizers.

“PREVENT WASTING WASTE AND TURN IT INTO ENERGY”.  You can easily and economically install a mini biogas plant at home, this will benefit your family, the environment and the planet as a whole. 


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 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.

Saturday, 12 March 2016

Link between alcohol and fertility


Numerous studies and researches conducted worldwide clearly point towards a direct link between alcoholism and male and female infertility. Fertility is inhibited not only by heavy drinking, even binge drinking has adverse effects.

Adverse affect on Male Infertility

If you are are an alcoholic having difficulty in having a baby, you have to realize  that alcohol may be hindering  your  dream of becoming a father. Alcohol can cause reduction in sperm count  and motility, result in abnormal sperms, impotency and  loss of mechanism of action.

Drinking reduces the LH levels and FSH levels, which are the main hormones responsible for spermatogenesis. It also has direct effect on testis by reducing the spermatogenesis.

Alcohol  reduces the testosterone levels and reduces the libido by acting at various levels. 
In heavy drinkers, there can be even complete failure, leading to testicular atrophy - meaning zero sperms.

When liver is affected, it stops producing Vitamin A and symptoms like gynaecomastia ( breast development ) can be seen in addition to other feminisation symptoms.


Effect on Female Fertility

It is not only the male fertility, even the women’s fertility also has to bear the brunt of  alcoholism.  The  ovulation process, menstruation cycle  and reproductive system of women is disturbed due the hormonal imbalances, often leading to irregular periods and problems in conceiving.

In addition to the physical and medical factors, psychological factors also play a major role in pregnancy. Alcoholism  tends to cause stress in the other spouse and often is the cause of many marital problems. Stress and unhappiness in the married life is often the indirect cause of inability to conceive. So it is highly advisable to quit drinking and adopt a healthy life style, if you are planning to extend your family.

Similarly, drinking while you are pregnant is a big NO.  Alcohol  reaches the baby through placenta and needless to say it is highly toxic to the tender fetus. It will damage the child’s undeveloped liver and there are chances of undeveloped brain, other  physical deformities or even miscarriages.


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 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.

Tuesday, 1 March 2016

The distinctive and magnificent herb - "Mint" (Pudina)



When we list out the food items of healthy and medicinal value, time and again the name of herbs are left out. The fact is that there are a lot of herbs, which have high nutritional and medicinal value and Mint or Pudina occupies a top place in this list. Most of the people are unaware that it is not only a flavor enhancer used in cuisines, but also has a plethora of medicinal benefits. The antioxidant properties of this herb  are amazing. Mint comprises around 15 to 20 species and includes peppermint and spearmint. Mint oil, a product made out of mint is used in gums, pain balms, toothpaste, beauty products etc.

Indigestion and IBS (Irritable bowel syndrome) -  The calming and relaxing effect of mint has a soothing effect on the intestine, which helps to control indigestion, flatulence, acidity and stomach cramps and upsets. 

Home remedy for cold – From ages, mint has been used as a home remedy for treating common cold and cough. Natural menthol present in mint acts as a decongestant and helps to loosen up and oust out the phlegm. Taking a steam with few drops of peppermint oil will help bring relief to sinusitis, as the nasal passage will be cleared. Mint has strong anti- inflammatory as well as anti- bacterial features, which will  sooth a  sore throat and prevent infection . Just add a few leaves to the water, when you are making tea and feel the difference.


Allergies – In recent times, there has been a rapid increase in skin allergies and allergic asthma due to lifestyle changes and pollution. Rosmarinic acid found in mint leaves act as an anti – inflammatory substance which acts as a natural cure for allergies. This hinders the production of leukotrienes in the body which causes allergic rhinitis. The soothing effect of mint, the anti – inflammatory and anti – bacterial properties aids to maintain an acne and blemish free skin. It is one of the ingredients widely used in natural beauty products to enhance the glow of the skin.

Painkiller -  Mint extracts and oil is a major component in many of the pain balms and medicines. It has the power to reduce aches and pains when applied externally. Even consumption in the form of tea is said to calm the nerves and muscles. Women can find relief from menstrual pains, cramps, and other associated discomforts by taking in mint.


Oral and dental health – Toothpaste companies doesn’t use mint as an ingredient  only for the mouth freshness and preventing bad breath, this herb has anti - bacterial and anti – inflammatory properties which will help in the overall dental and oral health. Chewing few leaves of fresh mint will ensure that you won’t get bad breath.

In addition to the above-mentioned uses, mint is also said to have anti - carcinogenic benefits and is useful in improving the overall immunity of the body.
  


Please don’t limit the use of mint leaves as a garnish or in biriyani or mint chutney, flare up your imagination. You can use them liberally in all curries, salads, cocktail and mocktail drinks to get the zing and flavor. When combined with fruits it imparts divine taste, so don’t be stingy while using them in fruit salads, fruit puddings, chocolate cookies etc. Tickle your imagination and sky is the limit.








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 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.

Tuesday, 16 February 2016

Sesame seeds for Infertility, PCOS, Diabetes, BP, Heart Disease, Osteoporosis


Sesame seed known as “Til” in Hindi and “Ellu” in Malayalam is an ancient condiment and is used widely around the world in different cuisines. It won't be a bad idea to include this in your daily diet as It is an excellent source of copper, magnesium, potassium, calcium, phosphorus, iron, selenium, vitamin B1, B6, zinc and dietary fiber.

It is also a rich powerhouse of high-quality protein, good for vegetarians and vegans. It prevents diabetes and reduces blood pressure and is also good for the heart as it protects against  atherosclerotic lesions. PCOS and diabetes patients can make this healthy food a part of their diet, as the glycemic index is very low.

The presence of Copper in Sesame seeds aids in bringing down the swelling, inflammation and pain in rheumatoid arthritis and strengthens bones and joints. Magnesium content is helpful in preventing airway spasm in asthma, reduce blood pressure and the symptoms and side effects of menopause like irritability and hot flashes. Black sesame seeds are said to decrease testosterone levels, increase absorption of insulin and regulate the menstruation.  Rich iron content in sesame seeds is good for keeping anemia at bay.

These nutritious seeds occupy one of the top places in the list of food for fertility, as it acts as hormone regulators and enhancers. Zinc will help in ovulation in women and semen production in men. Zinc is essential for maintaining healthy bone density. So old men and women should increase their intake of sesame seeds. It also aids in the production of collagen, which keeps the skin young, healthy and elastic.

Sesame seeds are especially good for women, as the calcium helps to prevent osteoporosis, which often follows menopause due to hormonal changes and resultant bone loss. Calcium content reduces considerably in hulled seeds, so preferably go for the black seeds which are not hulled.


Phytosterol present in high quantity in black unshelled  sesame seed is known to reduce cholesterol and  also has anti-carcinogenic properties, which helps in prevention of cancer.

The rich fiber content helps in digestion and smooth bowel moments, thus preventing constipation and colon disorders.

Some studies indicate that regular consumption of sesame oil can bring down the readings of blood sugar, cholesterol, and triglyceride. Sesame oil is an integral part of hair care products in Ayurveda and is used by south Indian women for healthy and glowing hair. Another specialty of this oil is that it doesn’t turn rancid for a long time, hence ideal for making pickles.

Sesame seeds are an integral part of the Middle Eastern cuisine, it is used to make Tahini paste, (roasted sesame seeds ground in olive oil)  used in dips and sweets and is a healthy and delectable alternative to mayonnaise.

Grind and add sesame seeds to the  curries for a rich and creamy texture, sprinkle toasted seeds on salads, soups, vegetables,dosa, oats, upma etc. for taste and visual appeal and who can forget the delicious Indian sweet "Chikki" Kerala speciality " Elleunda" – a  combination of sesame and jaggery.


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 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, 10 February 2016

Food for healthy pregnancy



Nutrition intake during pregnancy significantly contributes to the development of an individual, it’s a crucial period which often decides the overall health of the person for years to come. Little care and caution during pregnancy can ensure that you will have a hale and healthy baby who will develop into a healthy adult. We are what we eat, so this is the time, when maximum care is required. In addition to the usual diet, we can add some amazing stuff to the diet to increase the nutritional value of the food during pregnancy.

An ideal diet includes plenty of fruits and vegetables and the goodness will be amplified if it is organic. Fiber intake is essential to keep bowel movement smooth and a good portion of veggies like banana flower(kodappan) and banana inner trunk (pindi) will really help. Green leafy vegetables and an assortment of different bright coloured fruits and vegetable should be made a part of the daily diet, so that all the vitamins reach your baby. Fresh fruits have more vitamins than their shelved and preserved counterparts, so pluck fresh fruits from the backyard  and have a bite, instead of consuming old/preserved fruits from supermarkets, which are packed with insecticides.

Whole grains like wheat, ragi and  boiled rice will provide the much needed carbohydrates and fibers. But make it a point to avoid maida (refined flour) and white rice. Innovative ideas like making  chappathi or roti with a combination of flours like wheat, ragi,  bajra (pearl millet), Makkai (maize) and jowar (white millet) is great, especially if you are intolerant to gluten (wheat contains gluten). The soluble fibres and low glycemic index  of  these flours are good during pregnancy. Do not try to substitute rotis with whole grain breads, as it  contains preservatives, yeast and vegetable fat

The nutritional value increases when the seeds are sprouted, hence include them in salads after  washing thoroughly so as to reduce the risk of infections. Sprouting is a simple process of germination, which can be easily carried out at home and all the pulses like green gram, chick peas, peas, lentils, fenugreek and cereals like wheat, buckwheat, rice, amaranth, oil seeds like sesame and peanuts etc can be  sprouted effortlessly.

Omega 3 fatty acids found in fishes like sardine helps in the development of infant’s brain. But too much intake of fish is not good as some fishes like tuna, shark, sword fish and king mackerel  contains higher concentration of  mercury which is not good for the baby. Nuts and dry fruits will make a healthy snack,  as most of the nuts like walnut and almonds are rich in Omega 3 fatty acids, fibers and vitamins. Lean meats and eggs can be taken in limited quantities.


Coconut oil is excellent for skin nourishment, it helps in keeping the skin supple and soft  and will help in avoiding stretch marks which occur in pregnancy.

Lactobacilli are extremely useful in keeping the vagina healthy, so taking curd or fermented foods will not only help in getting protein and calcium, but also aid in avoiding infections.

Equally important is avoiding some food items, minimize eating out at hotels, especially Chinese food should be a strict no because of their ajinomoto content. Fast foods and  fried foods, bakery items and sweets can be very bad for the carrying mother and the  unborn baby and should be replaced with healthy home cooked food. To know in detail about foods to avoid during pregnancy read
http://bangaloreivf.blogspot.ae/2014/11/food-items-which-should-be-avoided.html


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 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.