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เข้าร่วมเมื่อ 16 ก.ค. 2020
Mission:
A free, not for profit, non-political platform which shares the latest knowledge embedded in science and facts with reproductive professionals; empowering them in turn to take good care of their patients.
Vision:
A collaborative, live educational forum of medical experts for reproductive professionals that assists them on the path of continuous learning and clinical excellence.
A free, not for profit, non-political platform which shares the latest knowledge embedded in science and facts with reproductive professionals; empowering them in turn to take good care of their patients.
Vision:
A collaborative, live educational forum of medical experts for reproductive professionals that assists them on the path of continuous learning and clinical excellence.
5 secrets of fertility preservation in breast cancer patients
Dr. Anshu Jindal (MD, DNB, MNAMS) IVF Specialist & Clinical Director Jindal Hospital, Meerut in Conversation with Dr. Tanya Bukshee Rohatgi MD DNB MNAMS FICOG, MRCOG (London, UK) DFFP (London, UK) Director The Womens Clinic Principal Consultant IVF, Reproductive Medicine, Surgery and Onco-Fertility Max Super Specialty Hospitals, Delhi & NCR
5 secrets of fertility preservation in breast cancer patients.
Secret-1 Breast cancer is the commonest cancer in women of reproductive age group. Cancer can affect fertility. The fertility depends on various factors like, the age, the ovarian reserves, the type of cancer and the chemotherapy protocol planned.
Platinum based compounds and alkylation agents like cyclophosphamide are highly gonadotoxic. In young patients less than 30 years of age with multiple cycles of chemotherapy, the risk of amenorrhea is 20% compared to 80% in women more than 40 years of age.
Secret-2 Embryo / oocyte freezing is the standard care available after two- three weeks of ovarian stimulation followed by oocyte pick up. In hormone sensitive tumors aromatase inhibitors like Letrozole or SERM’S like Tamoxifen can be used.
A mild stimulation antagonist protocol, with agonist trigger is usually used to minimize the Estradiol levels and to avoid hyper stimulation
Dual stimulation can also be used to increase the yield of oocytes and hence the number of oocytes / embryo’s available for cryopreservation. For BRCA carrier patients, pre implantation genetic diagnosis is offered with IVF.
For young patients who cannot wait we have the option of ovarian tissue cryopreservation wherein the ovary / or some ovarian tissue containing the primordial follicle is cryopreserved. It is then transferred back after the therapy is completed after doing various tests in order to avoid reseeding of cancer cells. The ovarian tissue is transplanted back into the peritoneal cavity or in the arm or the abdominal wall.
Secret-3 Temporary ovarian suppression by giving GnRH agonists like zoladex for at least one week prior to chemotherapy till the end of chemotherapy every month. This is specially done for triple negative young premenopausal patients.
Secret-4 Pregnancy should wait till the last recurrence or completion of hormonal therapy in conjunction with oncologist.
The pregnant patients are more prone to preterm labour and low birth weight, hence need to be carefully monitored.
Secret-5 A special group called BRCA carrier patients have a higher chances of hereditary breast & ovarian cancer. BRCA carrier should be offered pre-implantation genetic testing with IVF.
Fertility preservation in breast cancer patients is emerging as a promising multidisciplinary approach. In the future, creating artificial ovary in the laboratory or artificial gametes may give us an answer for the fertility preservation in these cancer survivors.
Mission: a free, not for profit, non-political platform which shares the latest knowledge embedded in science and facts with reproductive professionals; empowering them in turn to take good care of their patients.
Vision: a collaborative, live educational forum of medical experts for reproductive professionals that assists them on the path of continuous learning and clinical excellence.
As we are aware that digital medium has become a very powerful platform for disseminating knowledge in all fields including our own field of medicine. But sometimes when a doctor tries to access knowledge from the internet, they find themselves inundated by information yet find it hard to apply it in a particular clinical situation. In order to clear that confusion & help them in assimilating that knowledge we at “global art forum” are starting a web series on ‘5 secrets unravelled by our experts’ on various topics of obstetrics, gynaecology & infertility. And who could do it better than you with years of clinical experience.
5 secrets of fertility preservation in breast cancer patients.
Secret-1 Breast cancer is the commonest cancer in women of reproductive age group. Cancer can affect fertility. The fertility depends on various factors like, the age, the ovarian reserves, the type of cancer and the chemotherapy protocol planned.
Platinum based compounds and alkylation agents like cyclophosphamide are highly gonadotoxic. In young patients less than 30 years of age with multiple cycles of chemotherapy, the risk of amenorrhea is 20% compared to 80% in women more than 40 years of age.
Secret-2 Embryo / oocyte freezing is the standard care available after two- three weeks of ovarian stimulation followed by oocyte pick up. In hormone sensitive tumors aromatase inhibitors like Letrozole or SERM’S like Tamoxifen can be used.
A mild stimulation antagonist protocol, with agonist trigger is usually used to minimize the Estradiol levels and to avoid hyper stimulation
Dual stimulation can also be used to increase the yield of oocytes and hence the number of oocytes / embryo’s available for cryopreservation. For BRCA carrier patients, pre implantation genetic diagnosis is offered with IVF.
For young patients who cannot wait we have the option of ovarian tissue cryopreservation wherein the ovary / or some ovarian tissue containing the primordial follicle is cryopreserved. It is then transferred back after the therapy is completed after doing various tests in order to avoid reseeding of cancer cells. The ovarian tissue is transplanted back into the peritoneal cavity or in the arm or the abdominal wall.
Secret-3 Temporary ovarian suppression by giving GnRH agonists like zoladex for at least one week prior to chemotherapy till the end of chemotherapy every month. This is specially done for triple negative young premenopausal patients.
Secret-4 Pregnancy should wait till the last recurrence or completion of hormonal therapy in conjunction with oncologist.
The pregnant patients are more prone to preterm labour and low birth weight, hence need to be carefully monitored.
Secret-5 A special group called BRCA carrier patients have a higher chances of hereditary breast & ovarian cancer. BRCA carrier should be offered pre-implantation genetic testing with IVF.
Fertility preservation in breast cancer patients is emerging as a promising multidisciplinary approach. In the future, creating artificial ovary in the laboratory or artificial gametes may give us an answer for the fertility preservation in these cancer survivors.
Mission: a free, not for profit, non-political platform which shares the latest knowledge embedded in science and facts with reproductive professionals; empowering them in turn to take good care of their patients.
Vision: a collaborative, live educational forum of medical experts for reproductive professionals that assists them on the path of continuous learning and clinical excellence.
As we are aware that digital medium has become a very powerful platform for disseminating knowledge in all fields including our own field of medicine. But sometimes when a doctor tries to access knowledge from the internet, they find themselves inundated by information yet find it hard to apply it in a particular clinical situation. In order to clear that confusion & help them in assimilating that knowledge we at “global art forum” are starting a web series on ‘5 secrets unravelled by our experts’ on various topics of obstetrics, gynaecology & infertility. And who could do it better than you with years of clinical experience.
มุมมอง: 344
วีดีโอ
5 secrets of poor ovarian response in IVF
มุมมอง 1.8K3 ปีที่แล้ว
Dr. Anshu Jindal (MD, DNB, MNAMS) IVF Specialist & Clinical Director Jindal Hospital, Meerut in Conversation with Dr. Kuldeep Jain (MD, FART) Director KJ IVF & Laparoscopy Centre, New Delhi Poor response in an IVF cycle is a frustrating situation both for the clinician & the patient. Secret-1 Look for the problem before starting. Consider her age, AMH, AFC count before staring an IVF cycle. It ...
5 secrets of agonist vs antagonist protocol in IVF
มุมมอง 5K3 ปีที่แล้ว
Dr. Anshu Jindal (MD, DNB, MNAMS) IVF Specialist & Clinical Director Jindal Hospital, Meerut in Conversation with Dr. Sonia Malik (DGO, MD, FICOG, FIAMS) Director Southend Fertility & IVF Centre, New Delhi 5 secrets of agonist vs antagonist protocol in IVF Secret-1 Know the mode of action GnRH agonists cause flare up first followed by suppression GnRH antagonist act immediately & cause only sup...
5 Secrets on role of ultrasound in first trimester
มุมมอง 1.4K3 ปีที่แล้ว
Dr. Anshu Jindal in Conversation with Dr. Kuldeep Singh Director, Ultrasound and Color Doppler Clinic, New Delhi, Authored 16 books on Ultrasound in Obs, Gynae & Infertility 5 secrets on role of ultrasound in first trimester Secret-1 Be methodical which probe to use when? These are 2 probes- transabdominal & transvaginal. Use both probes for best results. A small gestational sec or a high up pl...
5 secrets of managing obese vs lean PCOS
มุมมอง 13K4 ปีที่แล้ว
Dr. Anshu Jindal in Conversation With Dr. Shweta Mittal Gupta (MD, DNB, MNAMS) Senior Consultant at the Center of IVF & Human Reproduction in Sir Ganga Ram Hospital, New Delhi Managing obese vs lean PCOS. Polycystic ovarian syndrome (PCOS) affects 10-15% of all women in reproductive age group 60% of all women with anovulatory infertility have PCOS. Secret-1: Both lean and obese PCOS women have ...
5 Secrets of Managing Hydrosalpinx
มุมมอง 10K4 ปีที่แล้ว
Dr. Anshu Jindal in Conversation With Dr. Fessy Louis T Managing hydrosalpinx Secret-1 Diagnosing a hydrosalpinx especially by ultrasound is important. This is confirmed again at the time of laparoscopy. Is the hydrosalpinx communicating with the uterine cavity, needs to be confirmed. This can be seen prior to laparoscopy by sonosalpingography or at the time of laparoscopy. Secret-2 Tackling th...
5 secrets of managing perimenopause
มุมมอง 2434 ปีที่แล้ว
Dr. Anshu Jindal In Conversation With Dr. Maninder Ahuja (DGO, FICOG, FIAOG ,CIMPP,FRCS) Director Ahuja Healthcare Dental & Infertility Faridabad, Haryana. 40 years of dedicated work for women from ADOLESCENTS TO MENOPAUSE 5 secrets of managing perimenopause Perimenopausal period is the period 5-7 years prior to menopause. Menopause is when you stop having periods for at least one year. The ave...
5 secrets for first trimester fetal screening
มุมมอง 6684 ปีที่แล้ว
Dr. Anshu Jindal In Conversation With Dr. Narendra Malhotra (Managing Director Global Rainbow Health Care, Agra, Director Art-Rainbow -IVF (Agra & Delhi) SECRET NO. 1 ALL PREGNANCIES SHOULD BE OFFERED MATERNAL AND FETAL SCREENING OFFER SCREENING UNIVERSALLY PRETEST NON JUDGMENTAL COUNCELLING LIMITATIONS/RISKS/BENEFITS/COSTS POST TEST COUNCELLING PATIENT INFORMATION LEAFLETS/VIDEOS/INFOGRAPHICS ...
5 secrets for Success in an IVF Cycle
มุมมอง 9034 ปีที่แล้ว
Dr. Anshu Jindal in conversation with Dr. Sonal Panchal ( Consultant sonography specialist at Dr. Nagori’s Institute for Infertility and IVF, Ahmedabad, Gujrat). 5 secrets for success in an IVF cycle. The secret of getting good clinical pregnancy (CPR) rates in an IVF with blastocyst transfer lies in doing a good USG with evaluation color Doppler. Secret-1 Start Progesterone only after endometr...
5 Secrets of Improving IUI Results
มุมมอง 2.1K4 ปีที่แล้ว
Dr. Anshu Jindal in conversation with Dr. C.B. Nagori (Director, Dr. Nagori's Institute for Infertility and IVF, Ahmadabad, Gujrat). IUI Blamed for poor pregnancy results. Secret -1 Selection of patients - Unexplained, male subfertility, Anovulatory in fertility are main indications. Secret -2 Use gonadotropins for ovarian stimulation. It gives three- four times higher pregnancy rates. Secret -...
5 secrets of managing IVF pregnancies
มุมมอง 5794 ปีที่แล้ว
Dr. Anshu Jindal in conversation with Dr. Anjali Tempe (Director, Professor, Ex Head of the Dept of Obs-Gynae at MAMC, New Delhi, IVF Incharge- MAMC New Delhi, Medical Superintendent Maternal and Child Health, Lok Nayak Hospital, New Delhi 2016-2019 Secret-1 Good start Choosing the right protocol & The right Embryo transfer technique preferably fresh embryo transfer (ET). Secret-2 Clinical moni...
5 Secrets of Endometriosis
มุมมอง 1.1K4 ปีที่แล้ว
Dr. Anshu Jindal in conversation with Dr. Abha Majumdar (Director, Center of IVF and Human Reproduction, Sir Ganga Ram Hospital, New Delhi). Secret-1 Most women with endometriosis ovulate naturally. Give them good Luteal phase support let them try naturally for first six months Secret-2 Controlled ovarian induction with IUI. Ovulation induction with Clomiphene citrate or Gonadotrophins from D3 ...
5 secrets on Recurrent Pregnancy Losses
มุมมอง 8014 ปีที่แล้ว
5 secrets of Recurrent Pregnancy Losses Dr. Anshu Jindal in conversation with Dr. Mala Arora (Consultant gynecologist at Nobel Hospital, Faridabad) 1st secret: Do not do Karyotyping instead do the Complete Genomic (CGH on micro array) Hybridization micro array on the Products of conception in patients with RPL. In times to come NGS platforms analysis will be offered which is even better. 2nd se...
5 secrets of thin endometrium
มุมมอง 6K4 ปีที่แล้ว
5 secrets of thin endometrium Dr. Anshu Jindal in conversation with Dr. Rishma Dhillon Pai (Consultant gynecologist at Lilavati, Jaslok & Hinduja Hospital, Mumbai). A thin endometrium in an IVF cycle definitely reduces the success of an IVF cycle. It is seen 1-2.5% of all IVF pregnancy. Dr. Rishma Dhillon Pai- a decorated IVF expect shares her 5 secrets on thin endometrium. 1st secret - Recogni...
Horrible video sound terrible
So hard to hear!
Can i use cinnamon in lean pcod?
What is FART in his qualification stand for ?
Sound of Dr Tempe not clear whereas Dr Anshul’s was v clear !
We can't hear what his saying please
Very Useful information all should hear it and understand it
Bullshit
It's not that easy and simple
I am having bleeding during and after chemothrapy as I am a ca breast cancer
Can hear him
Unable to here wht his saying
Nice lecture 😊
please make a diet plan for lean pcos
Excellent
Drain it or removed it ,what's the secret here to manage it ?
All thanks to DR Rorpopor herbal on TH-cam for helping me to cure my PCOS with his herbal medication, my life is full with Joy, Thank you DR Rorpopor herbal on TH-cam.....🤓🤓🌿
Am so grateful to you DR RORPOPOR HERBAL on TH-cam, for curing my PCOS sickness within 14days, with your natural supplement ...........❣️❣️❣️
How i conceive
Am so grateful to you DR RORPOPOR HERBAL on TH-cam, for curing my PCOS sickness within 14days, with your natural supplement ...........❣️❣️❣️
Pcod lean hai
Comments delete bhi hota h
Mam I have endometriosis cyst in my left overy of 8 cm but don't have any symptoms...I got pregnant also but after 1.5 I have misscarrige...pls suggest me treatment I should go for surgery or medicine
Ha
@@kavitasharma8795 kitna din hua.... conceive kiye ho abhi......mera b hua operation 4month hua....abhi ovulation induction lugi me
@@jimuni3333 mene to Tuesday ko hi krvaya...aapko b endometriosis cyst hi tha....
@@kavitasharma8795 ha mera 5.5 cm ka endometrioma tha
@@jimuni3333 ha....m 26 years ki hu...mujhe phle conceive hua that....if you don't mind ...how can I contact to u...by phone... Instagram..or Facebook..
Plz plann a meal for lean pcos patient.
Lean pcod😔
Same here....i tried lifestyle changes and exercises...still don’t get periods
@@kirtiaggarwal615 sss😩😔 y for us only😩
I still dont know how to fix this...i am still trying everything.. have you managed to control?
@@kirtiaggarwal615 what are the symptoms of this did you visit your doctor And do you feel pain before having your periods .pls reply
@@palakthosani6953 doc just suggests hormone pills and i am already practicing lifestyle changes since months...no much pain...problem is no medicine no period...even for months
Excellent mam
THANKS FOR SHARING YOUR KNOWLEDGE AND EXPERIENCE
Music is disturbing.not able to get
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I have pcos and my BMI is 18.5 with regular periods but no LH surge, sometimes I get ovarian cysts because the follicule continue to grow and don't erupt. Should I gain more weight?
Do you feel pain before having your periods
@@palakthosani6953 no , is it possible to have this based on ultrasou d showing cycts one ovary only?
Keep up this josh
Please need to stop background music
Uterine fibroids are non-cancerous tumors that grow from the muscle layers of the womb. These benign growths of smooth muscle can vary from the size of a bean to being as large as a melon. They are also known as leiomyomas and myomas. Fibroids affect around 30 percent of all women by the age of 35 years, and from 20 to 80 percent by the age of 50 years. They usually develop between the ages of 16 to 50 years. These are the reproductive years during which estrogen levels are higher. THE BEST WAY To GET RIDE OF FIBROIDS SO FAR IS HERBAL MEDICATION, For more info on how to cure fibroid permanently send us message Emails drakhigbe837agmail.com WhatsApp +2348140126449 He also cure illness like (1)Herpes (2)Hapatitis b (3)Ulcer (4)Diabetes (5)Cancer etc
Excellent
Hey, Some months ago I had sex with the third guy in my life whom i was about to marry and now I have herpes. I couldn’t believe it because he wasn’t a random guy, he’s the closet guy I’ve had as a boyfriend, but it has been a never ending nightmare since. I’ve always believed in GOD and have asked him for forgiveness which is ironic. I felt like killing myself with the taught of having a husband and family will be quite difficult and i felt like I’m not really in the room when people are talking. I didn’t know what to do and pretty much cry and pray every day to God for help and looking at my family with so much love and feeling that i have disappointed them even though they don’t know. Until God lead me to Dr Alabi online who promised to help me cure my disease through herbs. At first i didn't believe him, but to my greatest surprise i was cured completely by herbals, which medical doctor also verified that i was cured. Special thanks to Dr Alabi, Don't be discourage because he that did it for me will also do it for you and you can contact him through via email @ naturalstdscure@gmail.com or Whatsapp: +2348036536685Hey, Some months ago I had sex with the third guy in my life whom i was about to marry and now I have herpes. I couldn’t believe it because he wasn’t a random guy, he’s the closet guy I’ve had as a boyfriend, but it has been a never ending nightmare since. I’ve always believed in GOD and have asked him for forgiveness which is ironic. I felt like killing myself with the taught of having a husband and family will be quite difficult and i felt like I’m not really in the room when people are talking. I didn’t know what to do and pretty much cry and pray every day to God for help and looking at my family with so much love and feeling that i have disappointed them even though they don’t know. Until God lead me to Dr Alabi online who promised to help me cure my disease through herbs. At first i didn't believe him, but to my greatest surprise i was cured completely by herbals, which medical doctor also verified that i was cured. Special thanks to Dr Alabi, Don't be discourage because he that did it for me will also do it for you and you can contact him through via email @ naturalstdscure@gmail.com or Whatsapp +2348036536685
What about myoinositol
I never knew cannabis oil was indeed wonderful and very effective in the treatment of cancer “if not by the government and there so called rules to regulate cannabis my dad would still have been alive.contact Dr Rick email { cannabisoilcancercure@gmail.com } Thanks to the new policy of legalizing cannabis in my state and have even lost my son kidney, and it was really shocked and surprised when I see a lot of documentary on how the cannabis oil had helped many people to whom His family thought they never could do next undergoing several “Chemo” from the department of my heart, and I have to say a word of appreciation to Mr Rick Simpson for timely intervention in the lives of my son suffering from kidney cancer. As I write this testimony in this blog my son is so strong and healthy even though he have not completed the total dosage “for cannabis and medical consultation opportunity and get in touch with him if you are a cancer patient through their email: ( cannabisoilcancercure@gmail.com ) so you can get more details.
I must appreciate you ductor Shweta for sharing all this knowledge
Great
It's wonderful..short and to the point
How do you combine the Gonadotropin with oral ovulogen ? What is your protocol ?
Dr Anjali Tempe, you’ve put the points in a clear way. Congratulations for flagging off this ongoing concept for IVF practitioners.
Superb concept Dr. Anshu n Dr. Sunil!
very informative , plz tell how to manage thin endometrium leading to puberty menorrhagia .
Dr. really your video is very informative and eye opner for me. I know your treatment is not only best in meerut ,but as per knowledge and experience you are one the best dr.of our country . I am thanks full to your contribution serving people of india and even abroad. Regards
Very important information... thanks 😊
Amazing.. keep the good work going
Very informative
Amazing