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Management of Poor Ovarian Reserve
Early diagnosis of Poor Ovarian Reserve is crucial to help women understand their fertility potential and explore available options. Ovarian Reserve Testing (ORT) helps determine a woman's egg quantity and quality, which guides the management plan. Lifestyle modifications, such as quitting smoking and maintaining a healthy weight, can positively impact ovarian function. Counseling and emotional support are essential for patients dealing with the emotional implications of a diminished ovarian reserve. Fertility preservation through egg freezing can be considered for women diagnosed with POR who are not ready for immediate conception. In vitro fertilization (IVF) remains the primary treatment option for many women with POR, using fertility medications to stimulate the ovaries and retrieve eggs. Gonadotropin-releasing hormone (GnRH) agonists and antagonists are used to prevent premature ovulation during IVF cycles. The use of higher doses of fertility drugs during IVF cycles may be necessary for women with POR to maximize egg production.
About the Speaker
Dr.Lakshmi Chirumamilla
MD, FRCOG (UK), DFSRH (RCOG,UK) Consultant Fertility Specialist at Nova IVI Fertility
Upcoming Case Discussions
Technology Integration with Healthcare
Technology integration in healthcare is transforming the way medical services are delivered, enhancing efficiency and patient outcomes. Innovations such as telemedicine, electronic health records (EHR), and wearable devices allow for real-time monitoring and improved accessibility. Artificial intelligence (AI) and machine learning aid in early diagnosis and personalized treatment plans. Robotic surgeries and advanced imaging techniques offer precision and reduced recovery times. By combining technology with healthcare, providers can streamline operations, improve patient engagement, and deliver cost-effective care solutions.
Pediatric Obesity: Treatment Management
Treatment management for pediatric obesity combines lifestyle changes, family support, and, in severe cases, medical interventions. Family-based strategies are key, encouraging healthy eating habits, regular physical activity, and reduced screen time. Behavioral therapy helps set achievable goals and address barriers, empowering children and families to make sustainable lifestyle adjustments. Dietitians often assist in designing individualized meal plans that focus on nutrient-rich foods and limit calorie-dense options. In cases of severe obesity with related health conditions, medications or surgery may be considered, particularly for adolescents. Continuous monitoring and support from healthcare providers are essential for long-term success and health improvement.
Clinician’s Approach to Sleep Apnea
A clinician's approach to sleep apnea begins with a thorough assessment of the patient's medical history, symptoms (such as snoring, choking, and daytime fatigue), and risk factors like obesity or hypertension. Diagnosis is typically confirmed through polysomnography or home sleep apnea testing, followed by treatment strategies such as continuous positive airway pressure (CPAP), lifestyle modifications, or surgical interventions depending on the severity and type of sleep apnea.
Case Based Approach to Arthritis
A case-based approach to arthritis involves analyzing individual patient cases to tailor diagnostic and therapeutic strategies based on specific symptoms, disease progression, and underlying causes. This method enhances clinical decision-making by providing personalized treatment plans and improving patient outcomes in conditions like osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
Falls and Fractures in Older Adults: Prevention and Immediate Care
Falls and fractures in older adults are common and can lead to significant morbidity, highlighting the importance of fall prevention strategies such as strength training, balance exercises, and home safety modifications. Immediate care involves quick assessment for fractures, pain management, and stabilization, along with appropriate transport to healthcare facilities for further evaluation and treatment.