Complete Guide to Becoming Pregnant , livre ebook

Random House Publishers India Pvt. Ltd. - R Parikh Dr. Firuza

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177 pages

English

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Are you or your partner having trouble conceiving?You're not alone. About 10-12 percent of Indians have infertility problems and this trend is increasing. Yet there is a stigma around infertility and many couples find it hard to talk openly about their problems or to get adequate information. Now Dr Firuza R. Parikh, India's top fertility specialist and gynaecologist, gives you the seminal guide to infertility and its treatments. Simple, accessible, and completely authoritative, The Complete Guide to Becoming Pregnant tells you all that you need to know about conceiving a healthy child.

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Pregnancy

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Publié par	Random House Publishers India Pvt. Ltd.
Date de parution	20 novembre 2011
Nombre de lectures	0
EAN13	9788184002102
Langue	English

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RANDOM HOUSE INDIA
Published by Random House India in 2011
Copyright Firuza R. Parikh 2011
Random House Publishers India Private Limited
Windsor IT Park, 7th Floor, Tower-B,
A-1, Sector-125, Noida-201301, U.P.
Random House Group Limited
20 Vauxhall Bridge Road
London SW1V 2SA
United Kingdom
This eBook is copyright material and must not be copied, reproduced, transferred, distributed, leased, licensed or publicly performed or used in any way except as specifically permitted in writing by the publishers, as allowed under the terms and conditions under which it was purchased or as strictly permitted by applicable copyright law. Any unauthorised distribution or use of this text may be a direct infringement of the author s and publisher s rights and those responsible may be liable in law accordingly.
EPUB ISBN 9788184002102
For Rajesh,
best friend, husband, Renaissance man,
neuropsychiatrist, photographer, painter,
poet, pilot, trekker, clairvoyant, linguist,
and walking encyclopaedia
Contents
Acknowledgements
Foreword by Nita Ambani
Introduction: A Book is Born
1. Fertility: Basic Concepts
2. Pregnancy on Our Own
3. The Male Factor
4. The Female Factor
5. Treating Male Factor Infertility
6. Treating Female Factor Infertility
7. Stimulating the Ovaries
8. Getting Pregnant in the Laboratory
9. Freezing for Fertility
10. A Squirrel on Marine Drive
11. Bonus Issues: Multiple Pregnancies
12. Repeated Miscarriages: Loss of Lives Unborn
13. Are ART Babies Normal?
14. Road Less Taken: Other Options
15. Myths and Facts about ART
16. Complementary and Alternative Therapies
17. Fertility Testing
18. Becoming Pregnant Step by Step
19. The Director s Cut: Farah Khan s Story
20. Our Research Goes On
Glossary
Index
Acknowledgements
G od s blessings and the incredible opportunities that I have to serve my patients make this book possible. It is they who make me the doctor and the person I am.
My parents, Sheru and Minocher, and in-laws Shobha and Mahendra Parikh, have been guiding forces in my life. My husband Rajesh and children-Swapneil, Manish, and Nikita-make everything worthwhile.
My teachers Drs Manu Kothari, Lopa Mehta, Rhoda Minina, Usha Krishna, Rusi Soonawalla, Mahendra Parikh, and B.N. Chakravarty in India, as well as Drs Alan DeCherney, Brian Rigney, Gabor Huzar, and Fred Naftolin at the Yale University School of Medicine in the United States have trained me with dedication. Dr DeCherney s rounds would begin at 5:30 am every day, weekends included. My seven-day work week is relatively easy.
Nita and Mukesh Ambani, Sushma and Anand Jain, Reena and Subrata Mukherji, Anu and Vidhu Vinod Chopra, Hanifa and Anjum Bilakhia, Alka and Marezban Bharucha have been fully supportive of my unavailability while working on this book. Yet, as always they have been there for me. Shamsah Sonawalla, a brilliant psychiatrist and gentle friend has done invaluable work in ensuring the psychological well-being of our patients.
The trustees of the Jaslok Hospital and Research Centre-the late Mr G.K. Chanrai, Mr M.K. Chanrai, Mrs Kanta Masand as well as Col. Masand and Dr R.D. Lele have fully supported the work that has led to this book.
My team of forty dedicated individuals has made our centre what it is today. They are: Drs Prochi Madon, Trupti Mehta, Anahita Pandole, Neeta Warty, Sujata Reddy, Arundhati Athalye, Sangeeta Deshmukh, Sapna Agarwal, Madhavi Panpalia, Mamta Katakdhond, Shonali Uttamchandani, Nandkishor Naik, Dattatray Naik, Smita Gawas, Suresh Dhumal, Mangesh Sanap, Chaya Ranade, Linette Dias, Arvind Shirodkar, Vijay Bandkar, Mahadev Kawle, Prashant Padyal, Rupesh Sanap, Vasant Dhumal, Mahendra Sute, Dhananjaya Kulkarni, Latha Jayakumar, Panamma Phillip, Shailesh Sakapal, Pradeep Tambde, Priyanka Lajnekar, Abhijeet Shirsekar, Yashwant Pangle, Kalpesh Sawant, Poonam Arya, and Ravi Nachikar. My special thanks to Dr Neeta Warty for brilliant endoscopy work, some of which is reflected in the photographs. I also thank Dr Chander Lulla for his sonography pictures.
I am especially indebted to Shonali Uttamchandani, who, in addition to everything that she does with such amazing efficiency, has worked with me through every word of this book. Arvind Shirodkar, Lourdes John, and Lynette Dias have MS worded this book. I owe special thanks to Maherra Khambaty and Ishita Pateria for painstakingly proofreading the entire manuscript.
A big thank you to Farah Khan who has been kind enough to write an entire chapter for this book, despite being incredibly busy with her family and professional commitments.
Thank you Milee Ashwarya-editor, syntax sentinel, and surrogate mom of this book, and Chiki Sarkar, my lovely publisher who stormed into my life one December evening, urging me to write this book. Things have not been the same since.
Finally, thank you readers. But for you, there would be no writers. May you be happy parents.
Foreword
W hen you spark a smile you make a positive difference, and when you help sustain that smile you make a profound one. This book, The Complete Guide to Becoming Pregnant by my dear friend Dr Firuza Parikh is about sustaining smiles by showing pathways to parenthood- dreams that bring new hopes and new life, dreams that will be cherished for a lifetime.
Assisted reproduction is about science and technology, and Firuza is an accomplished and widely respected professional in this domain. Through the book, Firuza has effortlessly demystified this complex domain into an extremely understandable and handy piece of knowledge, with vivid illustrations and lucid language, while fully resonating her depth of expertise in her profession. Capturing the step-wise approach to treatment, and the numerous case histories which tell inspiring tales of conquering the challenge of infertility, this book will surely open the eyes of innumerable patients to the immense possibilities of finding a medical solution to a human problem.
I am writing this foreword not only because Firuza is among the finest doctors in the world, but also because she is a great human being. Mukesh and I have known her and her husband Dr Rajesh Parikh for over twenty years and consider them much more than friends. They are an intrinsic part of our lives and our family. Besides being godmother to our children, Firuza is more than a sister to me. I have observed her at close quarters for many years.
That Firuza works virtually non-stop, seven days a week, reflects her devotion to her vocation. Her patients run the gamut of society, from international celebrities to the poorest in our country. But Firuza treats everyone with equal compassion, grace, and care. In that she is blessed many times over by thousands of grateful patients from around the world.
One of Firuza s favourite activities is to lovingly go through the numerous albums of my babies . Not surprisingly, some couples have named their daughters after her. There are baby Firuzas scampering all around the world: in New York, Paris, Rio de Janeiro, Johannesburg, Chennai, and Srinagar!
I wish this enlightening and empowering book the success it deserves. Let it help celebrate the beauty of parenthood, and bring about more smiles for couples across the world.
Nita Ambani
February 2011
Mumbai
Introduction: A Book is Born
T he literature on becoming pregnant is anything but sterile. The health section of any large bookstore is overpopulated with books on pregnancy, and it would seem that everybody is keen to have a baby, including those who have already had one.
In many cultures, such as ours, the birth of a child is heralded as the most significant achievement for a couple. In many families, a woman s role is considered incomplete without a baby. Sometimes, the lack of a child in the family is considered to be a harbinger of unhappiness and calamity. Hence, childless couples go through humiliation and years of agony.
The causes for infertility are usually simple and need minimal treatment. When I started practising fertility treatment twenty-five years ago (let me clarify-fertility treatment of my patients-my own practice of fertility started a couple of years later with three children over the years), I would have never imagined that one of the causes of infertility would be not knowing how to have sex. Yes, believe it or not, in today s times I do come across couples who are infertile because they are sexually ignorant and expect babies without sex, but more of that later.
Infertility is usually treatable either through medical or surgical intervention. Seldom is the infertile status irreversible, and even in such situations the couples may have alternative avenues of treatment. As an infertility specialist, I have seen and shared the pain experienced by men and women faced with infertility. Often they do not know where to turn, and squander precious years trying ineffective treatments. Yet, fertility treatments, while not exactly child s play, are not, as the clich goes, rocket science. Hence the book.
When I was about to return, after four years of training in fertility management in the US, some of my colleagues at Yale would ask naively, But why are you returning to India to practise infertility management? India is overpopulated! Sometimes I just smiled. On other occasions I retorted, That s what makes it so painful for those who do not have children! In case they still did not understand, I would add, Like the starving homeless in a country overpopulated with McDonalds!
So when my publisher, the amazing and irrepressible Chiki Sarkar, approached me to write this book, I hardly needed persuasion. Even if the pregnancy shelves are overcrowded, I believe that this book will have incremental value. The book starts with an explanation of what goes into the miracle of creating a human being. Next I have dealt with the causes of infertility. Assisted Reproductive Technology (ART) has been discussed, i