All you need to know about male factor infertility
Over the past few decades, there has been a decline in fertility rates (both men and women) worldwide. Though both men and women face issues with infertility, there is a bias in terms of considering and talking about it as a ‘woman’s issue’, more so in traditional communities. In fact, according to the WHO (World Health Organization), the male factor contributes to about 20% to 40% of infertility issues.
Simply put, male infertility is usually defined as the inability of a man to make a fertile woman pregnant within one year of frequent, unprotected sex. However, there are several misconceptions that cloud this issue. For example, many people mistakenly believe that being impotent equals to being infertile. In reality, impotence refers to a man’s inability to maintain an erection, and it is a treatable condition. Hence, it is important that we understand what male factor infertility is, what causes it and the treatment options available. Most importantly, it is important to remember that, given the advancements in fertility treatments and assisted reproduction techniques, parenthood is a dream that can become reality for most people.
Detailed View of the Male Reproductive System
The male reproductive system consists of number of sex organs, which are located outside and within the body.
Thus, the inter-connected functions of several organs, including the nerves, muscles and blood vessels are needed for normal erection, penetration and successful pregnancy.
Indicators of Normal and Abnormal Sperms
As good sperm quality is of utmost importance for a healthy pregnancy, 90% of fertility problems in men have been associated with poor sperm quality.
The spermisamale reproductive cell produced by the testicles, which is needed forfertilising a femaleegg. The sperm contains three parts:The head, which contains DNA(genetic material) andpenetrates the female egg;the mid-piece that produces energy to the cell; and the tail, whichhelps the sperm to move forward towards the egg.
Indicators of healthy sperms includethe volume (between 2 to 5 ml), sperm count (ranging from 15 to 200 million), with at least 58% viability (live), round-shaped heads with long and strong tails(of nearly 50%) and motility (ability of the sperm to move)above 40%.An abnormal sperm may be immature, abnormally shaped or unable to swim (due to head and/or tail defects, have large heads or double-tails).
The natural ability of the sperm to reach and penetrate the female egg is reduced if:
What Causes Male Factor Infertility?
The following causes may be responsible for male factor infertility. (For proper diagnosis and treatment of male factor infertility, it is best to consult a fertility specialist.)
Age:Â In recent times, due to social and economic pressures and lifestyle changes, men are starting their families at an older age. At later ages, due to hormonal changes, sexual dysfunction, increased body fat, and various chronic diseases such as diabetes mellitus, hypothyroidism that can affect fertility.
Sexual Dysfunction:Conditions such as premature ejaculation (when a man reaches orgasm after beginning foreplay or intercourse and the release of semen from the penis too quickly and without control) and erectile dysfunction(otherwise known as impotence; the inability to maintain an erection that is firm enough to have sexual intercourse). These conditions play a part in hindering conception. In extreme cases, the resultant stress and anxiety may even put off the man from having sex in the first place.
Medication:Â The long-term use of steroids, anti-epileptic drugs, antiretrovirals and several kinds of antihypertensive drugs and chemo-radiation therapies have been associated with low sperm production and/or other abnormalities that cause infertility in men.It is to be noted that the sperm parameters are generally reversible if the treatment is discontinued. If it is not possible to stop therapy process, the doctor may sometimes recommend the use of antioxidants in the form of vitamins and minerals that may increase sperm count and motility. In any case, it is very important that you consult your doctor if you are taking any medications and are also planning for a baby.
Hormonal Deficiencies:Â The entire reproductive system is dependent on hormones, and about 10% of all male factor infertility issues arise from hormonal imbalances.The primary hormones produced in the pituitary gland and which areinvolved in male sexual health are the follicular stimulating hormone or FSH (necessary for sperm production), and the luteinising hormone or LH (essential for production of testosterone).The FSH regulates the production of sperm. The LH impacts the testes in producing testosterone, which is responsible for the development of male characteristics such as muscle mass, strength, fat distribution, sex drive and erection. A simple blood test can help to detect any hormonal imbalances. The urologist/andrologist will determine the underlying cause and may prescribe hormonal supplements that mimic the function of naturallymade FSH and LH.
Chromosomal Abnormalities:Â Genetics play an important role in the production of sperms, and about 30% of male infertility issues are associated with chromosomal abnormalities and gene mutations. Genetic testing and counselling are needed for men with less than 5 million sperm count on routine semen analysis.Though chromosomal abnormalities are usually not treatable per se, the advancements in assisted reproductive techniques have helped many men to father children.
Other causes:
Lifestyle Factors and Impact on Male Infertility
Let us take a look at some lifestyle habits and environmental factors that may cause male infertility. The good news is that infertility, if causedby these factors,is usually reversible.
Infrequent sexual intercourse:Â This may sound like an obvious reason for enabling conception but there is more to it. Frequent, well-timed intercourse lays the foundation for the best chancesof getting pregnant. Research shows that regular sex can boost the immune system of the partners and reduce stress levels, thereby making conception easier.
Increased testicular temperature:For the healthy production of sperm, optimal testicular temperature (typically between 34 to 35ºC)is necessary. Several experimental studies have shown that exposure to heat and a continued sedentary posture may reduce semen quality. However, these effects may be reversible once the necessary changes are made to contributing circumstances. As a norm, it is good to wear loose-fitting clothes and underwear to avoid increasing the scrotal temperature.
Environmental factors:Sperm production or function may be affected by prolongedexposure to certain environmental elements (including industrial chemicals and lead).Excessive smoking and consumption of alcohol are associated with reduced sperm count and quality. Smoking produces a two-fold decrease in sperm count – one, due to the effect of nicotine, and,two, the reduction in the concentration of zinc in semen.
Obesity:Obese men tend to have higher levels of estrogen, which may lead to low sperm production(spermatogenesis) due to the suppression of FSH and LH by the brain. The increase in fat mass in men reduces plasma testosterone levels and also increases gonadal temperatures due to increased fat tissue around the testes. Reducing the weight by going on a healthy diet and increasing physical activity and exercise (to reach and maintaining a BMI of less than 25)may improve semen parameters.
Psychological stress:Â Stress reduces reproductive potential and causes suppression oftestosterone.Worrying about conception can slowly drive up stress levels and reduce the sex drive, so it is important to focus on the relationship and keep sex enjoyable. If necessary, the person can undergo non-pharmacological measures for stress management like behavioural therapy, counselling and support.
Improper diet: A diet that has a high concentration of foods high in saturated sugar and fat maylead to the production of high levels of bad cholesterol in the body. This induces excessive generation of highly reactive harmful chemicals called ‘free radicals’, which may damages the testicular cells and affect their ability to produce testosterone. Switching to a healthy diet that prioritises the consumption of vegetables, greens, nuts, fruits, fish, and low-fat dairy products can improve semen production and quality.
Lack of sleep:Too little sleep or irregular sleep patterns can affect a man’s fertility, says research studies. This is due to the fact that the majority of testosterone release occurs during sleep and improper sleep patterns can upset the balance.
Male Fertility Check-up: What, How and Why?
If you have any of the above risk factors and are concerned, it is good to consult a fertility specialist for right diagnosis and treatment. The following steps may be prescribed for the investigation.
Physical examination:Â Your doctor may want to do a general examination, such as height, weight, body mass index, fat distribution and genital examination of penis and scrotum for any abnormality.
Semen analysis: Semen analysis is the cornerstone of all laboratory evaluation. At least two samples will be collected, with a gap at least one week within 3 days of abstinence after the first collection. These samples are collected through masturbation or a special condom. If it is collected at home, it should reach the laboratory within 60 minutes for accurate results. ‘Semen concentration’refers to sperm density and it is measured in millions of sperms per millilitre of semen. The number of sperms that present in the total semen samples is called ‘sperm count’.
Hormonal test:Â This is a blood test undertaken to evaluate the functioning of the pituitary glands, which is responsible for the production of follicular stimulating hormone (FSH), luteinising hormone (LH), testosterone and thyroid stimulating hormone.
Scrotal ultrasound:This is a safe, non-invasive technique performed by using high-frequency sound waves to produce images inside the body.It helps to point out varicoceles, abnormalities in testicles and duct obstruction.
Trans-rectal ultrasound:This is a non-invasive, high-resolution imaging of the prostate, seminal vesicle and vas deferens.
Testicular biopsy:Â Thisis performed when a semen analysis shows abnormal sperms but the other tests have not pointed to any specific cause for the same. In this outpatient procedure, a small piece of tissue is take fromthe testicle and examined to find out if there are any blockages or underlying issues. In some cases, the same procedure is used to retrieve sperm to fertilise the eggs in assisted fertility procedures.
Post ejaculation urinalysis:A sample of the urine is taken following ejaculation and a physical, chemical and microscopic examination is conducted of the sample. If sperm if present in the urine, itmay reveals that the sperms are travelling backwards into the bladder (known as ‘retrograde ejaculation’).
Genetic testing:This is an essential part of the diagnosis process, and is used to identify changes in the chromosomes.
Seminal fructose test:In this test, the semen is tested for the presence of fructose, which is contributed by the seminal vesicle. The absence of fructose may indicate an obstruction of the seminal vesicle. This test is usually done along with the semen analysis.
Sperm DNA fragmentation:This is performed at laboratory using a semen sample obtained through ejaculation to check for a break or separation in one or both strands of DNA contained within the sperm.This is performed at laboratory using a semen sample obtained through ejaculation to check a break in one or both strands of DNA contained within the sperm.
Bloom Healthcare’s Approach
At Bloom Healthcare, we believe that each person is unique and provide a personalised approach. Men also feel frustrated, depressed and/or fearful when facing the possibility of infertility but often find it harder to open up and communicate about their emotions. The first step toresolving any is to approach a fertility expert and seek their guidance on diagnosis and next steps. At Bloom Healthcare, we assure you of a safe and private consultation with our team of fertility experts. They will establish a conclusive diagnosis based on test reports and advise on a suitable line of treatment. At every step, your health and well-being is our highest priority.
Dr. Kavitha Gautham is a leading figure in the field of obstetrics and gynecology, and reproductive medicine, with a distinguished career marked by excellence and compassion. She holds an MBBS from Annamalai University, an MS in Obstetrics and Gynecology from Sri Ramachandra Medical College & Research Deemed University, and a Diploma in Reproductive Medicine from University Schleswing-Holstein, Germany. As the Founder & Director of Bloom Fertility Centre & Bloom Birthing Centre and Medical Director of Bloom Fertility & Healthcare, Dr. Kavitha spearheads initiatives aimed at providing personalized and holistic care to patients.
With several years of expertise in gynaecological laparoscopy surgery, she has performed (approx.) 10,000 deliveries, 10,000 hystero-laparoscopy surgeries, and more than 5,000 IVF cycles to date. She is a Life Member of the European Society of Reproductive Medicine & Indian Society of Reproductive Medicine, All India Congress of Obstetrics & Gynaecology, Obstetric and Gynaecological Society of Southern India, Federation of Obstetric and Gynaecological Societies of India, and the Indian Medical Association. She is a Fellow from the Indian College of Obstetrics & Gynaecology and International Medical Science Academy, and FIMSA.
Dr. Kavitha has been the recipient of several awards, including the prestigious J.L. Javeri Award (AICOG, 2005), Excellence in Healthcare – Infertility & IVF Treatments award (The Chennai City ICON Awards, 2019), WONDER FOGSIAN award (FOGSI, 2019). Additionally, she was the first doctor in South India to successfully conduct a water birth in a VBAC case.
Dr. Kavitha has also presented research papers at prestigious conferences including ISAR and IMSACON and has been published in esteemed journals such as the ‘Journal of Clinical Diagnostic Research’. Her commitment to public service is evident through initiatives such as conducting health camps in collaboration with organizations like the SMILE Foundation and raising awareness about reproductive health through appearances on radio and TV shows.
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Dr. Dheepa comes with a diverse background in obstetrics, gynecology, paediatric surgery and general surgery. With a Master of Surgery (MS) in Obstetrics & Gynecology from the Pondicherry Institute of Medical Science, Pondicherry, and an MBBS from Coimbatore Medical College and Hospital, Dr. Dheepa has consistently showcased excellence in academic and professional endeavors. She has gained expertise in various areas including antenatal care, intrapartum care, postpartum care, pelvic pain, menstrual abnormalities, and laparoscopic surgeries. Committed to advancing medical knowledge, Dr. Dheepa has also presented papers and conducted research, contributing significantly to the field.
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Dr. Nivedhita is a skilled obstetrician and gynecologist, holding an MBBS from Madras Medical College, Chennai and an MS (Obstetrics & Gynaecology) from Kilpauk Medical College, Chennai. She has been serving as an Assistant Professor at the Institute of Obstetrics & Gynaecology, Egmore, Chennai, since 2022, and contributes to education and clinical practice. With a passion for research, Dr. Nivedhita has also conducted a significant observational study on thrombocytopenia in pregnancy, and actively participates in academic events and conferences. Proficient in Tamil and English, Dr. Nivedhita excels in patient communication and counselling. Her clinical interests span high-risk obstetrics, infertility, and minimally invasive surgery, ensuring comprehensive care for patients.
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Dr. Kousica is a distinguished obstetrician and gynecologist with a passion for research and patient care. After graduating with an MMBS from Sri Ramachandra Medical College and Hospital, Chennai, in 2017, Dr. Kousica pursued advanced studies, earning an M.S in Obstetrics and Gynaecology from Sree Balaji Medical College and Hospital in 2022. Complementing this expertise was a Diploma and Fellowship in Minimal Access Surgery (MAS) from World Laparoscopy Hospital, Delhi. With a focus on advancing medical knowledge, Dr. M. Kousica has authored impactful publications, including papers on pre-eclampsia and rare genetic disorders, published in renowned journals. She has also presented findings on infertility and reproductive health at prestigious conferences, contributing to the global discourse on women’s health. Currently specializing in infertility, Dr. Kousica is dedicated to providing compassionate care and innovative solutions to patients.
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Dr. Revathi is an Obstetrician and Gynecologist with a rich academic background and extensive clinical experience. She holds an MS in Obstetrics and Gynecology from Sree Balaji Medical College and Hospital, and has pursued specialised training in diagnostic ultrasound imaging from Selvi School of Sonology and reproductive medicine from Institute of Reproductive Medicine and Women’s Health, MMM Hospital. With a passion for research, Dr. Revathi has contributed significantly to scientific literature with publications in prestigious journals and presentations at national conferences. She actively engages in community health initiatives, participating in rural health camps in Chengalpattu and providing free gynecological services in Karaikudi. Her expertise extends to surgical techniques, obstetric emergencies, and patient counseling. Dr. Revathi is also a life member of FOGSI and ISAR.
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Dr. Kavitha Gautham holds an MBBS from Annamalai University, an MS in Obstetrics and Gynecology from Sri Ramachandra Medical College & Research Deemed University, and a Diploma in Reproductive Medicine from University Schleswing-Holstein, Germany.
As the Founder & Director of Bloom Fertility Centre & Bloom Birthing Centre and Medical Director of Bloom Fertility & Healthcare, Dr. Kavitha spearheads initiatives aimed at providing personalized and holistic care to patients.
With several years of expertise in gynaecological laparoscopy surgery, she has performed (approx.) 10,000 deliveries, 10,000 hystero-laparoscopy surgeries, and more than 5,000 IVF cycles to date. She is a Life Member of the European Society of Reproductive Medicine & Indian Society of Reproductive Medicine, All India Congress of Obstetrics & Gynaecology, Obstetric and Gynaecological Society of Southern India, Federation of Obstetric and Gynaecological Societies of India, and the Indian Medical Association. She is a Fellow from the Indian College of Obstetrics & Gynaecology and International Medical Science Academy, and FIMSA.
Dr. Kavitha has been the recipient of several awards, including the prestigious J.L. Javeri Award (AICOG, 2005), Excellence in Healthcare – Infertility & IVF Treatments award (The Chennai City ICON Awards, 2019), WONDER FOGSIAN award (FOGSI, 2019).
Dr. Kavitha has also presented research papers at prestigious conferences including ISAR and IMSACON and has been published in esteemed journals such as the ‘Journal of Clinical Diagnostic Research’.
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Dr. Aravind Ravichandran is as a distinguished fertility specialist, bearing credentials from renowned institutions such as Christian Medical College and Monash University. He is well known for his expertise spanning reproductive endocrinology, ART planning, and gynecological surgeries. His commitment to advancing knowledge is seen through presentations at international conferences like ESHRE and Kolhapur Obstetrics and Gynaecology Society, where he’s delved into topics such as DNA repair gene expression and dietary patterns' impact on ART outcomes. He also serves as faculty at the Oasis School of Embryology. Dr. Aravind has been honoured with several prestigious accolades, including Sri T. Rajagopal Memorial Endowment and Dr. R.E.S. Muthiah Memorial Gold Medal. His publications in journals such as the Human Reproduction Open and Journal of Assisted Reproduction and Genetics underscore his dedication to research. Dr. Aravind interests also include areas such as male infertility and onco-fertility.
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Dr. Revathi is an Obstetrician and Gynecologist with a rich academic background and extensive clinical experience. She holds an MS in Obstetrics and Gynecology from Sree Balaji Medical College and Hospital, and has pursued specialised training in diagnostic ultrasound imaging from Selvi School of Sonology and reproductive medicine from Institute of Reproductive Medicine and Women’s Health, MMM Hospital. With a passion for research, Dr. Revathi has contributed significantly to scientific literature with publications in prestigious journals and presentations at national conferences. She actively engages in community health initiatives, participating in rural health camps in Chengalpattu and providing free gynecological services in Karaikudi. Her expertise extends to surgical techniques, obstetric emergencies, and patient counseling. Dr. Revathi is also a life member of FOGSI and ISAR.
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After graduating with an MMBS from Sri Ramachandra Medical College and Hospital, Chennai, in 2017, Dr. Kousica pursued advanced studies, earning an M.S in Obstetrics and Gynaecology from Sree Balaji Medical College and Hospital in 2022. Complementing this expertise was a Diploma and Fellowship in Minimal Access Surgery (MAS) from World Laparoscopy Hospital, Delhi. With a focus on advancing medical knowledge, Dr. M. Kousica has authored impactful publications, including papers on pre-eclampsia and rare genetic disorders, published in renowned journals. She has also presented findings on infertility and reproductive health at prestigious conferences, contributing to the global discourse on women’s health. Currently specializing in infertility, Dr. Kousica is dedicated to providing compassionate care and innovative solutions to patients.
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Dr. Arun Ganesh is a Pediatric Emergency Medicine specialist, with a STEP Fellowship and a Post-Doctoral Fellowship in Pediatric Emergency Medicine, in addition to an MD in Pediatrics and MBBS. He is skilled in various pediatric emergency procedures, including intubation, venipuncture, and neonatal resuscitation. With extensive experience across esteemed institutions such as Chettinad Hospital and Research Institute and Kanchi Kamakoti CHILDS Trust Hospital, he has demonstrated a commitment to excellence in academic and professional pursuits. Dr. Arun Ganesh’s dedication to advancing medical knowledge is evident through numerous paper and poster presentations at national and international conferences, as well as publications in renowned journals. He is also a certified instructor in Pediatric Advanced Life Support (PALS) and Neonatal Advanced Life Support (NALS).
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Dr. Rufina. J is a compassionate pediatrician dedicated to providing comprehensive care for children's health and well-being at BloomLife Hospital. She is equipped with a solid foundation in pediatric medicine, holding an MD in Pediatrics from Chettinad Academy of Research and Education (CARE), Chettinad University, and an MBBS from Sri Muthukumaram Medical College and Research Institute, Tamilnadu MGR University. Driven by zeal for teaching and research, Dr. Rufina has completed advanced courses in Pediatric Advanced Life Support (PALS) and Basic Neonatal Resuscitation. Her work experience spans from caring for children with minor illnesses to training in specialised areas like Pediatric Pulmonology, Nutrition, and Pediatric Neurology. She has also contributed to pediatric research with a dissertation on the utility of Lung Ultrasound in diagnosing pneumonia, published in the Journal of Neonatology – with findings on pediatric illnesses at national conferences, showcasing her resolve to advancing pediatric medicine.
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Dr. Selvendran Chelladurai is a dedicated Pediatrician and Neonatologist with extensive clinical knowledge and procedural skills. With a commitment to providing high-quality care, Dr. Selvendran aspires to contribute to the growth of organizations while working in challenging environments. During his tenure as an NNF Fellow in Neonatology at Sri Ramachandra Medical Centre, Chennai, he gained comprehensive experience in resuscitation, various procedures, ventilation strategies, and developmental supportive care for high-risk deliveries. He has also excelled in handling metabolic diseases and providing counselling to caregivers. Dr. Selvendran has contributed to the medical literature with publications like International Journal of Current Advanced Research (IJCAR) and International Journal of Contemporary Pediatrics, on topics like accidental levothyroxine poisoning and chikungunya in infants. He has also presented at prestigious conferences and seminars like NEOCORE and PAEDNATCON, showcasing their expertise and commitment to advancing pediatric medicine.
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Dr. Sayed Asarudeen is a skilled pediatrician with expertise in mechanical ventilation, central line insertion, chest tube insertion, and parental nutrition. With fluency in English, Tamil, Bengali, and Hindi, he ensures effective communication with diverse patient populations. Having served as a Senior Resident at NICY, Department of Pediatrics, District Hospital, Kolkata, Dr. Sayed gained invaluable experience in neonatology. He furthered his expertise through a Post-Doctoral Fellowship in Neonatology at Rainbow Children Hospital, Chennai, and National Neonatal Forum (NNF).
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Dr. Sayed Asarudeen is a skilled pediatrician with expertise in mechanical ventilation, central line insertion, chest tube insertion, and parental nutrition. With fluency in English, Tamil, Bengali, and Hindi, he ensures effective communication with diverse patient populations. Having served as a Senior Resident at NICY, Department of Pediatrics, District Hospital, Kolkata, Dr. Sayed gained invaluable experience in neonatology. He furthered his expertise through a Post-Doctoral Fellowship in Neonatology at Rainbow Children Hospital, Chennai, and National Neonatal Forum (NNF).
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Dr. Chittaranjan is a dedicated orthopedic surgeon, with an MBBS from Rajah Muthaiah Medical College & Hospital, followed by a Post Graduate Degree MS in Orthopedics from Madurai Medical College. Dr. Chittaranjan has been at the forefront of orthopedic care in India, with a notable career spanning prestigious institutions such as MAPIMS, MGIMSR, PSG Hospitals, and SRM Medical College. He has also served as an Associate Professor and Chief Orthopedic Consultant, contributing significantly to academic and clinical advancements.
In addition to being an accomplished researcher, with several papers presented at renowned conferences like TNOACON and OASISCON, his expertise encompasses a wide array of orthopedic procedures, including arthroscopy, joint replacement, spine, and trauma surgeries. Currently, Dr. Chittaranjan is engaged in ongoing research projects focused on innovations in fracture management, regenerative orthopedics, and tissue engineering for cartilage and meniscus regeneration.
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Dr. Harun Kumar is a skilled orthopedic surgeon who holds an MBBS from SRM Medical College, an MD Ortho from PSG Institute of Medical Science, and a DNB in Orthopaedic Surgery from BIRRD. With membership in the Indian Medical Association and Tamil Nadu Medical Council registration, Dr. Arun maintains high professional standards. Having served as a Junior Resident at MAPIMS and currently as a Senior Resident at ACS Medical College, he possesses expertise in trauma cases, hip joint fractures, amputations, and closed nailing procedures.
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Dr. Swarna Ganesan is an AYUSH physician, with a Bachelors of Naturopathy and Yogic sciences from Dr. MGR Medical University, Tamil Nadu. She is a registered holistic health practitioner for naturopathy and yoga under CCRYN (central council of research in naturopathy and yoga), Ministry of AYUSH, Government of India. Dr. Swarna completed her fellowship in clinical research under the National Institute of Naturopathy), Pune, and worked as Research Officer, Principal Investigator for 14 research projects corresponding to yoga and normal delivery practices, PCOD and other women health issues. She has published research papers in competent medical journals and presented her work in over 25 national and international conferences. Dr. Swarna is also a trained labour doula under CAPPA, and is well known for her commitment to helping mothers have a safe and positive birthing experience.
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Dr. Paul Rafson Jani is a dedicated Anaesthetist and Intensivist. Throughout his medical career, he has focused tirelessly on critical care procedures such as intubation, extubation, central and peripheral venous cannulation, tracheostomy, intercostal tube insertion, and ultrasound-guided regional blocks, Dr. Paul ensures comprehensive care for patients in critical conditions. His work history reflects a hands-on approach to patient management, from recording medical histories to administering specialised treatments and creating individualised treatment plans. Dr. Paul excels in team collaboration, research, and training, ensuring the highest standards of care. With certifications in ACLS and BLS, he is dedicated to maintaining excellence in patient care and emergency response.
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Dr. Vinu Bharathi Loganathan brings with her extensive experience from renowned institutions like Apollo First Med Hospitals and Karthik Hospitals, with a focus on diverse emergency cases. Dr. Loganathan excels in triage, assessment, and evidence-based treatment delivery. Her proficiency extends to procedural sedation, ICU management, and spearheading departments. Dr. Vinu Bharathi has been certified by the Royal College of Emergency Medicine (U.K.) and holds a Diploma in Emergency Medicine. She actively contributes to medical education, conducting workshops and training sessions, and has trained over a hundred paramedics in ACLS and BLS. With certifications in ACLS, BLS, and PALS and fluency in English and Tamil, Dr. Vinu Bharathi embodies flexibility, positivity, and strong judgment, ensuring optimal patient care.
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Dr. Kavitha Gautham holds an MBBS from Annamalai University, an MS in Obstetrics and Gynecology from Sri Ramachandra Medical College & Research Deemed University, and a Diploma in Reproductive Medicine from University Schleswing-Holstein, Germany.
With several years of expertise in gynaecological laparoscopy surgery, she has performed (approx.) 10,000 deliveries, 10,000 hystero-laparoscopy surgeries, and more than 5,000 IVF cycles to date. She is a Life Member of the European Society of Reproductive Medicine & Indian Society of Reproductive Medicine, All India Congress of Obstetrics & Gynaecology, Obstetric and Gynaecological Society of Southern India, Federation of Obstetric and Gynaecological Societies of India, and the Indian Medical Association. She is a Fellow from the Indian College of Obstetrics & Gynaecology and International Medical Science Academy, and FIMSA.
Dr. Kavitha has been the recipient of several awards, including the prestigious J.L. Javeri Award (AICOG, 2005), Excellence in Healthcare – Infertility & IVF Treatments award (The Chennai City ICON Awards, 2019), WONDER FOGSIAN award (FOGSI, 2019).
Dr. Kavitha has also presented research papers at prestigious conferences including ISAR and IMSACON and has been published in esteemed journals such as the ‘Journal of Clinical Diagnostic Research’.
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Dr. Aiswarya Nair is a dedicated and accomplished general medicine practitioner with a passion for improving patient care. She is a gold medalist MD graduate from the Vinayaka Mission’s Kirupananda Variyar Medical College. Prior to this, she earned her MBSS from Rajah Muthiah Medical College Hospital. With a career spanning over a decade, Dr. Aiswarya Nair has held various academic and clinical positions, including that of Assistant Professor of General Medicine at Dr. Somervell Memorial Medical College and Hospital, and currently as Associate Professor at Sri Ramachandra Medical College and Hospital, Chennai. Her research contributions include publications on topics such as ‘Infection in the elderly’ and ‘Severe sepsis-related acute kidney injury’. Driven by a commitment to excellence, Dr. Nair seeks to leverage her expertise as a physician, aiming to enhance patient outcomes and contribute positively to the healthcare community.
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