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Male Infertility: The Silent Shame
Male infertility, often relegated to the shadows of conversation, is a pervasive yet frequently overlooked issue causing immense emotional distress and societal stigma. The silence surrounding this topic stems from cultural taboos and misconceptions, leaving many men to grapple with feelings of inadequacy and shame. Despite affecting roughly half of all infertility cases, discussions around male fertility remain scant, perpetuating a cycle of secrecy and isolation. Breaking this silence is crucial for fostering understanding, support, and access to necessary medical interventions, ultimately empowering individuals and couples to navigate this journey with dignity and compassion.
About the Speaker
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Dr Richika Sahay
Head Fertility specialist and Gynec-Laparoscopic surgeon at Fortis Hospital, New Delhi
Dr. Richika Sahay Shukla is infertility and IVF Specialist. She is a well qualified and trained professional. Dr. Richika has wide experience and has done extensive training in the field of IVF-ICSI & Gynecological Endoscopy. She has worked with some of the pioneer institutes in India such as AIIMS and Sir Ganga Ram Hospital. She is an expert in doing In- Vitro fertilization(IVF)/ICSI by various protocols and in difficult cases like an elderly patient, postmenopausal, poor ovarian responders. She is an expert in doing Surrogacy, Donor eggs conception. She is an expert in doing difficult oocyte retrieval (adhered ovaries, high ovaries, ovaries with endometriosis). She is an expert in doing difficult Embryo transfers. She has made several patients conceive by doing fertility enhancing surgeries by Laparoscopy and Hysteroscopy (like septal resection, intrauterine adhesiolysis, myomectomy, tubal cannulation). She is well versed with Ultrasound catering to infertility, gynecology, and obstetrics
Upcoming Case Discussions
Anaphylaxis In Emergency Department
A dangerous systemic hypersensitivity reaction with a typically quick onset that can be fatal is anaphylaxis. Rapid onset of breathing, circulation,and/or airway issues are its defining characteristics. The most crucial treatment is intramuscular adrenaline, although many patients do not receive it even in medical facilities, despite recommendations to the contrary. The significance of positioning during the management of anaphylaxis and the necessity of avoiding activities that could postpone the timely and proper delivery of adrenaline. Antihistamines should only be used as a last resort when ABC characteristics have been successfully treated in order to lessen skin involvement.
Clinician’s Approach to Hypertensive Nephropathy
Many processes influence the management of chronic kidney disease (CKD) and lead to the development of hypertension in the disease. Increased sympathetic tone in patients with chronic kidney disease (CKD) is a result of afferent signals produced by functionally failing kidneys. The great majority of CKD patients suffer from hypertension, which can both cause and result from the disease. In people with CKD, controlling hypertension is crucial since it lowers the risk of CVD and slows the disease's course. There is no agreement on the ideal blood pressure (BP) targets provided by current guidelines. Consequently, when deciding how to care specific patients.
Circulatory Shock In Trauma
The inability of the circulatory system to supply tissue oxygenation and organ perfusion necessary to meet cellular metabolic demands is known as shock. Although non-haemorrhagic shock, such as cardiogenic or neurogenic shock, can occur after trauma, hemorrhage is more frequently linked to trauma-related shock. Evidence gathered over the past ten years has shown that trauma patients suffer from acute traumatic coagulopathy (ATC), which is brought on by the actual process of injury. Damage control resuscitation (DCR), the current method for managing acute shock, was developed with this as a key component. Haemostatic resuscitation, which uses blood products as the main resuscitative fluid, permissive hypotension, and damage control surgery are the three main resuscitative techniques included in DCR.
Fertilization & Early Development
Fertilization occurs when a sperm cell merges with an egg cell, creating a zygote, which is the first stage of a new life. This process takes place in the fallopian tube. The zygote then undergoes rapid cell division, known as cleavage, forming a multi-cellular structure called a blastocyst. As the blastocyst moves toward the uterus, it continues to divide and develop. Approximately 5-7 days after fertilization, the blastocyst implants itself into the uterine lining, initiating pregnancy. Early development involves the formation of the foundational structures and systems that will shape the embryo.
Metabolic Syndrome and Heart Health
Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. These conditions include high blood pressure, elevated blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels. When these risk factors occur together, they amplify the risk of developing cardiovascular issues. Metabolic syndrome is closely linked to insulin resistance, where the body struggles to use insulin effectively. Lifestyle changes, such as adopting a healthy diet, regular exercise, and weight management, are crucial in managing the syndrome. Early intervention is essential to prevent the progression to heart disease and other complications.