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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

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
Chest Pain: Cardiac vs Non-Cardiac Causes
Chest pain can arise from both cardiac and non-cardiac causes, making accurate diagnosis crucial. Cardiac-related chest pain is often linked to conditions like angina or heart attacks, typically presenting as pressure or tightness in the chest. Non-cardiac causes may include musculoskeletal issues, acid reflux, or anxiety, often characterized by sharp or localized pain. Symptoms such as pain radiating to the arm, jaw, or shortness of breath may indicate a cardiac origin. A thorough medical evaluation, including ECG and imaging, is essential to determine the underlying cause and ensure appropriate treatment.
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Role of GLP 1 RA in Weight loss
GLP-1 receptor agonists (GLP-1 RAs) play a significant role in weight loss by enhancing insulin secretion, inhibiting glucagon release, and slowing gastric emptying, which helps reduce appetite and food intake. These medications, originally developed for managing type 2 diabetes, have been shown to promote substantial weight loss in overweight and obese individuals, even in the absence of diabetes. GLP-1 RAs, such as liraglutide and semaglutide, have been approved for weight management and are often used alongside lifestyle interventions. Their effectiveness in weight loss, combined with improved metabolic control, makes them a promising treatment option for individuals struggling with obesity.
Alpha Lipoic Acid: Pharmacokinetics & Applications
Alpha-lipoic acid (ALA) is a naturally occurring antioxidant involved in mitochondrial energy metabolism. It is rapidly absorbed in the gastrointestinal tract and distributed throughout the body, with high concentrations in the liver and kidneys. ALA is both water- and fat-soluble, allowing it to neutralize free radicals in various environments. It undergoes extensive hepatic metabolism and is excreted primarily via the urine. ALA has therapeutic applications in managing conditions like diabetes, neurodegenerative diseases, and as a supplement for its antioxidant benefits.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.