Dr. Swetha P Jain

Another knowledge uplift

Which parameter is NOT measured in semen analysis
1. S***m count
2. Motility
3. Morphology
4.testosterone levels

Next knowledge booster...

Fertility in women is impaired in
1. High blood pressure
2. Hernia
3.obesity
4.gall stones

Infertility is defined as inability to get pregnant after 12 months or more of regular unprotected in*******se. As per our previous question's answer MALE INFERTILITY accounts for 50 percent of infertility cases. And hence males are equally responsible for infertility.

These are diagramatic representation of the causes of infertility in both males and females.

Waiting for your response

what percentage of infertility cases are estimated to be due to male factors?

a) 10% b) 25% c) 50% d) 75%

Pls continue following for the answer

Yes you people are right. I am overwhelmed to know so many of you are aware of the fact that FOLIC ACID supplementation is important in pregnancy.

Now let me enlighten you more on this

Folic acid is a natural form of vitamin B9 ( folate)
- foods rich in folic acid : broccoli, green leafy vegetables, banana, avocado etc
- presently cereals are fortified with folic acid
- folate is water soluble vitamin
- it has major role in RNA and DNA synthesis and hence cell division.
- folic acid should be supplemented 3 MONTHS BEFORE a female wants to CONCEIVE .It should be continued throughout the pregnancy and also lactation period.
- dosage : 5mg daily
- folic acid supplementation prevents anomalies in babies especially neural tube defects ( spina bifida and anencephaly) during the first trimester of pregnancy
- folic acid supplement during the second and third trimester improves cognitive performance of the child

Pls follow for more awareness

Let's see how many of you are aware of this

Choose the right one

Boosting the intake of ____________ can help women trying to conceive
1. Potassium
2. Folic acid
3. Lycopene
4. Nickel

Let's know about AMH......

AMH ( anti mullerian hormone) is a gold standard BLOOD test in assessing FERTILITY ( ovarian reserve) of a female.
- also known as MIS ( Mullerian inhibiting substance)
- Normal AMH level is 1-4 ng/ml
-AMH tells us about the NUMBER of EGGS ( quantity) but not about the quality of eggs of a female.
- AMH DOES NOT alter with phases of menstrual cycle, hence can be done at any time in a menstrual cycle
- HIGH AMH is seen in PCOS and s*x cord stromal tumour patients
- LOW AMH indicates a low ovarian reserve ( LOW EGG COUNT) Which means a patient has a shorter fertility period left. Needs to conceive soon or freeze the eggs soon whichever is suitable
- factors DECREASING AMH
1. Increasing age
2. Drugs like OCP ( contraceptive pills), metformin, clomiphene citrate decreases AMH
Drugs like GNRH agonist increases AMH initially later decreases AMH
3. Any OVARIAN SURGERY
4. Chemotherapy and radiotherapy
- Drugs increasing AMH DHEA and Vitamin D





The picture below shows clinical implications of AMH

Intrauterine insemination (IUI) it is a type of fertility treatment in which washed sperms are introduced inside the uterus with the help of plastic catheter during ovulation. This method increases the chances of pregnancy by helping maximum number of sperms to reach the fallopian tubes. Kindly connect with me if you have fertility issues