The Fertility Motherhood and Wellness Show -True Stories with Dr Rajeev

If pain wasn't bad enough for a woman to suffer, Endometriosis also causes Infertility in most of the women it affects. The questions Dr Apoorva Pallam Reddy and I have tried addressing in this podcast are: How does Endometriosis cause Infertility? How should a woman with Endometriosis take her fertility journey forward? Is natural conception possible or advisable in a woman with endometriosis? Role of Intrauterine insemination and IVF in Endometriosis Should endometriotic cysts be removed or drained? Should chocolate cysts be left untouched? Is there a role of medical therapy in Endometriosis and Infertility? Is the success of IVF the same in a woman with Endometriosis? Some take-home messages: Endometriosis is a progressive disease Sometimes it may take up to 8 years before a diagnosis can be made The symptoms do not correlate with the severity of the disease Endometriosis causes infertility Fallopian tubes are usually open in endometriosis giving a false sense of complacency that pregnancy can occur naturally Endometriosis is bound to recure after both medical and surgical management Treatment will depend on the age, the symptoms, and the need for fertility Speak to your doctor about future plans and the pitfalls of surgery before getting a laparoscopy done. Dr Apoorva Pallam Reddy is a Gynaecologist, IVF specialist, Laparoscopic surgeon and Aesthetic Gynaecologist from Bangalore. At a very young age, she has achieved the knowledge and expertise that’s enviable. We work together on many projects together including hosting a series called “What Women Want” on Instagram as well as an Academy for training young Gynaecologists in Infertility called International Fertility Academy. An oration at any conference is like the coveted guest lecture which is given by someone very very senior and is usually in the main hall of the conference where every delegate, Indian and foreign is listening. You could almost compare it to a lifetime achievement award. I am proud to say that Dr Apoorva is the young fertility expert in the country to have delivered this Oration at a national conference and that too 2 years ago.  To know more about her visit: http://www.drapoorvapallam.com and  https://www.instagram.com/drapoorvapallamreddy. #endometriosis #endometrioticcyst #endometriosisandinfertility #chocolatecyst #endometriosissociety #endometriosishelp #endometriosisforum --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Do you know that SKIN is our largest organ? During and after pregnancy a woman may experience a plethora of changes in her physical appearance. Looking after your skin before, during and after pregnancy is essential not just for a healthy and glowing complexion but it is also vital for the health of your baby. Keeping in line with my initiative to create awareness on our podcast we have with us today Dr Jyoti Aneja, a Celebrity Dermatologist & hair transplant surgeon practising in Mumbai with over 12 years of experience. She’s the medical director and chief at La Grace Luxury Skin Clinic in Bandra West And a visiting consultant at Nanavati super speciality hospital. Being an international Speaker representing India in the world of aesthetic medicine And a trainer with Allergan medical institute and mentoring young doctors she’s also a passionate Lifecoach out to make a difference. To know more about her visit www.drjyotianeja.com Or follow her on https://www.instagram.com/drjyotianeja So today Let’s learn from her as she says “What to expect when you are expecting” When it comes to your skin and hair as you take off on this happiest roller coaster of your life called pregnancy #skin #skininpregnancy #pregnancyskin #pregnancychanges #pregnancyrashes #pregnancyzits #acneinpregnancy #glowingskin #drjyotianeja #drrajeevagarwal #dermatologist #cosmetlogist #aestheticdermatologist #podcast  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

In the previous Podcast, we spoke about "Endometriosis - Introduction and Diagnosis" which is the first step towards identifying the problem, understand its finer nuances and making a diagnosis of the disease. In this Podcast Dr Apoorva Pallam Reddy and I are addressing the various treatment strategies available. The two most common problems that patients with Endometriosis present with are: Pain and  Infertility The subject of Infertility will be dealt with in the next Podcast. Dr Apoorva Pallam Reddy is a Gynaecologist, IVF specialist, Laparoscopic surgeon and Aesthetic Gynaecologist from Bangalore. She is the Editor of several books, author of innumerable Chapters on Gynaecology and Infertility which serves as a teaching reference for budding young Gynaecologists. She is on the Editorial Board of Journals where other researchers send articles to get their work published. You can know moe about her by visiting http://www.drapoorvapallam.com and https://www.instagram.com/drapoorvapallamreddy. The issues to be discussed in this Podcast are: How to differentiate between normal pain during periods that a lot of women experience as different from pain in endometriosis. What kind of medicines are available to manage this pain? Is there some mild pain killers that are available for women for over the counter pain relief during periods? What is MIRENA and how does it help? What is the role of surgery in Endometriosis? Is there a possibility that endometriosis can come back after treatment? Does endometriosis go away after pregnancy? Is endometriosis hereditary? Does endometriosis cause cancer? #endometrosis #infertility #fertility #endometrioticcyst #chocolatecyst #drapoorvapallamreddy #drrajeevagarwal --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Sheetal has just delivered a baby and there were a thousand questions racing through her mind. Friends and family weren't helping either by giving tons of advice and mostly conflicting. She had to deliver by a caesarean section and that added to her woes because everyone seemed to frighten the life out of her with post-surgery scares. Don't get up, don't walk around, don't climb stairs, don't drive, don't sit on the floor, don't eat this don't eat that.......it was driving her up the wall !!!! I would have never thought of doing this podcast if it wasn't for my friend Ritika Singh Goyal who suggested the topic and bombarded me with a long list of questions as well. If you like this podcast, it only her efforts that we all need to thank :) So it's time for myth-busting with Dr Apoorva Pallam Reddy. We have tried as detailed an answer as possible. Keeping in line with my idea of starting podcasting, I hope none of you have to refer to any other person or website for these questions ever again. To know more about the work of Dr Apoorva follow her on @drapoorvapallamreddy or visit her website www.drapoorvapallam.com Your reviews, comments and suggestions are very important as they help me maintain the quality of my work and of course give me the necessary impetus to keep going on. #caesareansection #breastfeeding #stitchpain #lifeaftercaesarean #drapoorvapallamreddy #drrajeevagarwal #lucs #bottlefeeding #scarnumbness #kegels #hernia  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Endometriosis is the presence of the lining of the womb or endometrium in areas outside of the uterus. It affects about 10% of women worldwide but the incidence is far higher in certain geographical areas. The internet is full of information about the disease yet one is never sure if the information is correct and relevant as per the current research available worldwide. Dr. Apoorva Pallam Reddy and I have come together to put forward a 3 part series on Endometriosis which will cover all aspects of Endometriosis. Part1: Introduction and Diagnosis of Endometriosis Part 2: Management of Endometriosis especially Pain Management Part 3: Endometriosis and Infertility Dr. Apoorva Pallam Reddy is an IVF Specialist, Aesthetic Gynecologist, Laparoscopic Surgeon, and Obstetrician from Bangalore. She has numerous chapters, books, and research papers to her credit despite her young age. She has delivered hundreds of lectures at Conferences both in India and abroad. She is also the Director of International Fertility Academy through which she and I help train budding Gynaecologists in the field of Infertility. She has a massive following on social media including Instagram. To know more about her visit http://www.drapoorvapallam.com and https://www.instagram.com/drapoorvapallamreddy. The topics discussed in this podcast are: 1. What exactly is Endometriosis? 2. How common is Endometriosis? 3. Why does Endometriosis happen? 4. Is there a Genetic link to Endometriosis? 5. What are the symptoms of Endometriosis? 6. How does one diagnose Endometriosis? 7. How to diagnose Endometriosis in Adolescents? 8. How do differentiate which pain during periods is abnormal? Looking forward to your comments and suggestions for this podcast as well as your doubts regarding the next 2 podcasts in this series. #endometrosis #infertility #fertility #endometrioticcyst #chocolatecyst #drapoorvapallamreddy #drrajeevagarwal  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

One of the first things I get asked when I sit down with couples who have just discovered pregnancy are questions related to diet. Some are direct questions related to diet while others are indirectly related to nausea, acidity, constipation, weight gain etc. Then there are some for whom diet becomes very important to avoid complications especially when they are starting off pregnancy with either increased weight or diabetes or constipation. Is tea or coffee harmful? Can I have aerated drinks? Is Mayonnaise safe? Can I have cheese? What about papaya and pineapple? What do I do to take care of this nausea and acidity? I already have glucose intolerance, how do I keep safe in pregnancy? These are just some of the doubts expressed by almost all women. Luckily we have Mrs Nupur Arya, Founder of Nutrimend with me to help with all these doubts and more. She is very active on social media and one can follow her brand @nutrimend on Instagram.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Stem Cell Banking or Cord Blood Banking or Cord Banking as it called is the storage of the umbilical cord and the stem cells derived from the cord blood with the hope of using the same for treating various medical disorders. What are these stem cells? Where are they present? Why this rush to bank stem cells at the time of birth if we already have stem cells in our body? What diseases are currently being cured through stem cells and are these only blood-related disorders? Will this really be of any use tomorrow or is this just a fad right now.? I am often asked these questions and more by my patients every day. I thought its best to put all relevant information into this podcast and my own thoughts on whether stem cell preservation should be done. #stemcellbanking #cordbloodbanking #cordbanking #lifecell #cordlife #cryoviva #isstemcellbankinguseful  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Someone rightly said: A healthy outside starts from the inside. Any mum that is working on losing weight and creating a healthy lifestyle can tell you it takes time, dedication and patience. With juggling between multiple roles as the primary caregiver, to being business heads, giving time to fitness becomes imperative, but difficult.  Multitasking is indeed an art and science. In this podcast I have in conversation with me, Shivani Agarwalla, a mom to a 5-year-old, a practising Chartered Accountant by profession and India's first Woman World Champion in Kettlebell Sports to throw light on jee journey of raising a child, being a professional and chartering her journey into the world of fitness. Let's find out her secret to success and healthy life and what fitness means to her. To know more about Shivani visit her website www.shivanishahassociates.com or follow her on Instagram @shivani_kettlebell or connect with her via  email shivani@shivanishahassociates.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Foetal movement counts are both reassuring as well as a means to bond with the unborn child. Despite having such profound importance, there are myths and misconceptions surrounding it. When does the baby start to move inside and when does a mother start to perceive the movements? Is it the same for 1st time and 2nd-time mothers? Should you keep the counts? If yes, how should you do it and from when? If no, then why shouldn't you and then how would you know if the baby is doing alright? What do these movements signify? What to do if the movements are less, what is the next step? The answer to all your questions lies in this podcast, so go ahead and click the button to 'play'.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Let me take you to a true story with this podcast. Rebecca met Vaginismus on her honeymoon. Now.. Vaginismus is not a person.. it's not someone she befriended.... No.. it's a medical condition!  I'm not amazed some of you are unaware because it's hardly talked about. Yes, it's still quite taboo but a lot of women are walking hand in hand with it, trying very hard to break free from this alliance.  It's an uphill road and the slope is steep. Vaginismus stems from physical and emotional factors. For Rebecca, it also affected her relationship. When Rebecca reached out to me and told me that she had tried but couldn't get rid of the problem we attempted Botox and it worked! I was so happy to hear that she could return to normal life and a normal relationship with her partner after 18 years of marriage! If you have Vaginismus please seek help and don't let it get you down. 18 years is a long long time! Still don't believe me? Let's hear it from Rebecca then! --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Vaginismus is a condition affecting women where vaginal penetration for the purpose of intercourse, or gynaecological examination by a doctor, or Pap smear or any other such activity is either extremely painful or impossible. Vaginismus would not allow even superficial penetration and the typical experience of intercourse is described like hitting a brick wall. Despite most women having experienced the problem during their lifetime due to one reason or another, there are myths and taboos surrounding it. Discussing sexual problems out in the open is seen as being frivolous, or available or too sexual. Vaginismus has both psychological and physical roots and this interplay is what makes the problem more complex. The good part is its almost 100% curable with the right team approach. This podcast is in conversation with Psychotherapist Mrs Mansi Poddar as she throws light on the psychological problems leading to Vaginismus, based on her and her team's work with various women. To know more about them visit www.mansitherapy.com.  For further queries, you can email mansitherapy@gmail.com.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

The birth of a new baby also brings a lot happiness, joy as well as responsibilities for the new-mother and family. Being responsible of this tiny bundle can get overwhelming. Most women can relate to the emotional roller coaster that dominates the first few weeks after a baby is born. But many experience symptoms that are perplexing to say the least. For instance, perpetual sadness, not wanting to bond with the baby, feeling inadequate and so on. I come across so many women who go through this, without much understanding and knowing what to do. The new mother feels like the loneliest person in the world when she’s battling postpartum, because families also don’t know enough to understand and help her.  So I decided to dedicate a Podcast on addressing Postpartum Depression as part of the Fertility, Motherhood and Wellness Show. What this podcast covers, · What is Postpartum Depression and Causes · Stories of women who have gone through it · Signs of Postpartum Depression · Symptoms to watch out for during pregnancy · What Husbands can do · Role of families · Self-Care to support yourself during that phase / How to deal with it yourself during that phase? · Importance of getting treatment I am thankful to Mrs Shubhika Singh for the wonderful insight into the world of Postpartum Depression. She is a Consultant Psychologist, with both her Bachelors and Masters in Psychology from the UK. She has been practicing for over a decade at her private clinic New Leaf: Mental Health & Well-Being, she also consults at various organizations, and has recently launched www.InnerKraft.com. She can be reached at singhshubhika1@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Ectopic pregnancy happens when the embryo implants in a site other than the womb. Most commonly it happens inside the fallopian tube. Wherever it may happen, the result is always the same. The pregnancy will always result in a miscarriage but unlike other reasons for a pregnancy loss, ectopic pregnancy can be life-threatening. Why does it happen? Who are the women who are more likely to have one? What are the signs that one should look out for? How do we doctors diagnose it? Why is ectopic pregnancy so dangerous? What is the correct management for ectopic pregnancy? What is the way forward to get pregnant the next time? So many questions and one podcast that answers it all !!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

The first 3 months in pregnancy or the 1st trimester are the most vital as the chances of miscarriage are the maximum during this period. Why do some women experience more miscarriages? What is the most common reason for recurrent miscarriages or pregnancy losses that keep happening again and again? How does the body try to ensure that abnormal babies are not born into the world? How do we go about evaluating such a case in a stepwise methodically manner so as to be able to come to a diagnosis? Miscarriage is never an easy event to go through, a recurrent one, even more so. It requires us to medically AND emotionally ensure that the mother is safe and ready for her next pregnancy in the shortest possible time. This podcast deals with every aspect of this difficult situation and gives you an insight into things that can go wrong and what we as doctors can and should do for you.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

In about 2 to 3 % of pregnancies, there is a possibility that all may not be right with the baby. sometimes there is a past history which is suggestive, other times there might be some abnormal reports during the pregnancy which might give us a lead. Prenatal diagnosis is the attempt to unearth all such problems during pregnancy by one means or another. It requires close collaboration between the Obstetrician, The Geneticist as well as the Foetal Medicine Expert.  In this podcast, Dr Dipanajana Dutta, Medical Geneticist and West Bengal State Coordinator for Organization of Rare Disease India spoke extensively about the role of prenatal diagnosis and who are the likely couples who might need this service. She can be reached at dipanjanad@gmail.com Mrs Shikha Methermani, Founder and Director of Indian Prader Willi Syndrome Association has spoken about her own personal journey as well as the importance of preconception counselling. She can be reached at ipwsa.india@gmail.com Mr Prasanna Shirol is the Co-Founder and Executive Director, Organization for Rare Diseases and an Ashok Fellow. He spoke about the difficulties he faced as the father of a child with Pompe's disease and the need for creating awareness amongst the masses and doctors alike for all the rare diseases that might affect newborn children. He can be reached at prasannashirol@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

The most physiological and fundamental aspects of motherhood is breastfeeding. Amazing how nature has given the power to a woman not only to give life but to also nurture that life. Obviously the practice of breastfeeding one's baby has been around from the time the first human life came to this planet, yet the importance of it still doesn't seem to have percolated into our minds sufficiently. The World Health Organization still struggles with only 40% of babies being breastfed around the world. Why is there this gap? How does one prepare for feeding even while she is pregnant? When to start feeding, how much, how often and many more such questions are answered in this podcast by Mrs Ankita Malik. She is a Certified Lactation Educator having had her training from CAPPA, a US-based childbirth and lactation training institution. She is only the 2nd such Consultant we have in this city and in the past 2 years that she has been around, she has helped many a mother who has struggled with the woes of breastfeeding. For more details about her look up her website www.ankitamalik.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Urine infections are not uncommon, especially in women but why so? Why are men blessed in this regard? Women keep talking of getting recurrent UTIs but are they really recurrent or are they just badly diagnosed, wrongly treated and poorly understood? Who are the women who actually have recurrent infections? How to prevent getting them? What is Honeymoon cystitis? What is the correct way to give a urine sample for testing? What should one do when they get an attack of urine infection and lastly busting some myths like does using public toilets really increase the chances of getting a UTI. Listen to the podcast for all the answers.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

PCOS or Polycystic Ovarian Syndrome is a hormonal problem that has its origins to genetic inheritance or to environmental exposures during the life inside the mother's womb. Almost about 20% of Asians suffer from this problem. Although we have known of this issue for hundreds of years, yet myths and confusions abound. There are blogs and videos a plenty but there is no comprehensive summation of all the facts and information from origin to treatment at one place. That is what I have attempted to do in this podcast.  #pcos #polycysticovariansyndrome #pcod #polycysticovariandisease #acne #hirsutism #irregularperiods #delayedperiods #weightgain #difficultyinlosingweight #infertility #miscarriages #gestationaldiabetes #ovariandrilling #dietandpcos #lifestylechangesinpcos --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Every woman is going to undergo menopause at some point in her life...we can't change this fact. But when we know we have a fight coming what we can do is arm ourselves to understand the enemy better so that we are better prepared for the fight. let's understand what tools are needed for this fight against a tough situation. does diet help? What kind of exercise gives better results? Should I worry more about cancer or osteoporosis? Is hormone replacement therapy safe? Listen to this podcast for all your answers !!!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message

Pre Menstrual Syndrome or PMS as it is commonly called is a disturbing and recurring problem which instead of being seriously addressed, has become a subject of jokes and memes. Its high time, we try and understand this complex problem and work towards controlling or solving the issue. Is every anxiety, every symptom, every problem around the time of periods due to PMS ? How common is PMS ? How do we diagnose the problem ? Listen to all the above as well as a 10 Step Approach to solving PMS.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/rajeev-agarwal2/message