1) stressful lifestyle, sedentary lifestyle with no space for good physical activity
2) Smoking, alcohol consumption, Cocaine or Hans abuse
3) Tight underwear
4) Hot showers in bath
5) Infections
6) Genetic pre deposition
7) Hormonal imbalance that reduces sperm production
8) Co – existing medical conditions like diabetes/ hypertension / hypothyroidism / epilepsy etc,
And many more…
#Men contribute to around 50% of cause for Not being able to give a pregnancy.

For more clarifications,
Visit our Fertility clinic
Dr.sivakumar multispeciality hospital,
just opp. To collector’s office, sathuvachari, vellore 9.
Contact : 0416 – 2253400 , 0416 – 2252114.


What is hysteroscopy?

Hysteroscopy is a way to look inside the uterus. A hysteroscope is a thin, telescope-like device that is inserted into the uterus through the vagina and cervix. It may help us diagnose or treat a uterine problem. It is often combined with a curettage, which samples the lining of the uterus.

Why is a hysteroscopy performed?
To diagnose certain problems, we need to look directly into the inside of the uterus.Common reasons for undergoing a hysteroscopy include the assessment of heavy periods, abnormal vaginal bleeding, post -menopausal bleeding, fibroids, polyps, or as part of the assessment of fertility. You should have a clear understanding of your reason for this surgery —— if not, please ask your doctor.

How is hysteroscopy performed?
Hysteroscopy is minor surgery that may be done in a operating room. It is performed under local or general anesthesia depending upon the pts condition and whether its diagnostic or operative procedure . The cervix is widened (dilated)and a small 2.9mm telescope is passed to look at the inside of the uterus. A sample of the lining is often taken to be examined more closely. It is also possible to remove a polyp or a pedunculated fibroid with a operative hysteroscope ( 4mm). This procedure does not involve any cuts or stitches to the abdomen. A diagnostic hysteroscopy takes approximately 30 minutes but in an operative hysteroscopy – you can expect to be in theatre and recovery for 1.5 to 2.5 hours also.

For More clarifications,
Dr.Sunitha Sivakumar ,
Md(og), DRM(Reproductive medicine), D.Mas(Laproscopy Germany)
Senior consultant & Laproscopic surgeon

DR.Sivakumar Multispeciality hospital, collector office, sathuvachari.
0416 – 2253400, 0416- 2252114


Reason that contributes to fallopian tube blockage

Fallopian tubes are female reproductive organs that connect the ovaries and the uterus. Every month during ovulation, which occurs roughly in the middle of a menstrual cycle, the fallopian tubes carry an egg from an ovary to the uterus. If a fallopian tube is blocked, the passage for sperm to get to the eggs, as well as the path back to the uterus for the fertilized egg, is blocked. Common reasons for blocked fallopian tubes include pelvic inflammatory disease, Endometriosis, Fibroids, STIs, past ectopic pregnancy or abdominal surgery. Talk to our fertility expert before treatment to understand your chances for a successful pregnancy with blocked fallopian tubes.

DRM( Reproductive medicine), D.Mas( Laproscopy – Germany)
Mon to friday 10 am to 4pm
Saturday 10 am to 1pm only
Contact – 0416 2253400, 0416 2252114, 0416 – 2909192


Prenatal and post natal screening & vaccination

Every pregnant woman should be tested for immunity to rubella and varicella and be tested for the presence of HBsAg during every pregnancy. Women who are found susceptible to rubella and varicella should be vaccinated immediately after delivery.

If a women is found to be HBsAg positive, the infant should receive HBIG and begins the hepatitis B Vaccine series no later than 12 hours after birth.

Breastfeeding and vaccines :

Inactivated and live-virus vaccines are not contraindicated in pregnant woman, although the virus can replicate in mother, it is not excreted in human milk.

Small pox and yellow fever vaccines are contraindicated in lactating mother, although if travel to an area where yellow fever is endemic is imminent, it can be given.

1) Yellow fever – May be given if benefit outweigh risk.

2) BCG- Contraindicated

  • 3) Typhoid – Inadequate data to make any recommendations
  • 4 )Rabies – Pregnancy is not considered a contraindication for post – exposure prophylaxis. If risk of exposure is substantially high, pre- exposure prophylaxis could be considered.

    Passive Immunization during pregnancy :

    No Known risk exists for the fetus from passive immunization of pregnant women with immune globulin preparations.

    Prenatal Screening :

    Every pregnant woman should be tested for immunity to rubella and varicella and be tested for the presence of HBsAg during every pregnancy. Women who are found susceptible to rubella and varicella should be vaccinated immediately after delivery.

    For more information on vaccines if u r planning for a pregnancy and if u have already become pregnant Please feel free to visit our expert team of gynecologists headed by

    DRM( Reproductive medicine), D.Mas( Laproscopy – Germany)
    Mon to friday 10 am to 4pm
    Saturday 10 am to 1pm only
    Contact – 0416 2252114, 0416 – 2909192


    Puberty to menopause services


    ## Dear ladies , please do make your health a priority. If you have a issue with ur periods or white discharge or breast pain or nearing menopause hot flushes and mood swings – do feel free to approach our expert team of gynecologists headed by

    DR.SUNITHA SIVAKUMAR MD(og), DRM, D.Mas ( Germany).
    Mon to fri ( 10 am to 5pm)
    Saturday ( 10 am to 1pm only)

    24 × 7 emergency and Trauma care available.

    Contact : 0416 – 2252114, 0416 – 2909192


    How obesity can suppress fertility levels??

    #Did you know that overweight and obese #women have higher levels of a hormone called leptin, which is produced in fatty tissue. This can disrupt the hormone balance and lead to reduced #fertility. Increased weight in #men has been associated with a lower testosterone level, poorer #sperm quality, and reduced fertility as well.

    On harmonal imbalance associated weight gain and ways to balance the Harmones to achieve better Balance .
    Kindly book an appointment with our expert team of drs headed by

    Dr.Sunitha sivakumar Md( og),
    DRM( Reproductive medicine), D.Mas( Laproscopy – Germany)
    Senior gyneacologist consultant & Laproscopic surgeon

    Appointments :
    Mon to friday ( 10 am to 6pm)
    Sat ( 10 am to 1pm)
    For further details-


    Threatened miscarriages in women

    A threatened abortion occurs when a pregnant patient at less than 20 weeks gestation, presents with vaginal bleeding, The cervical os is closed on physical exam. The patient may also experience abdominal cramping and pain. Vaginal bleeding usually begins first followed by cramping abdominal pain hours to days later. Bleeding is the most predictive risk factor for pregnancy loss. More than half of threatened abortions will abort. The risk of spontaneous abortion, in a patient with a threatened abortion, is less if fetal cardiac activity is present.

    For appointments and clarifications :
    Dr.SUNITHA SIVAKUMAR MD( OG), DRM( reproductive medicine), D.MAS( Germany)
    Consultant gyneacologist & laproscopic surgeon.
    Timings : 10 am to 6pm( mon to friday)
    10 am to 1pm ( saturday)
    Contact : 0416 – 2252114, 0416 – 2253400

    photo_2020-01-30_17-53-18 (2)

    Gestational Diabetes and how to know it in pregnancy

    • Gestational diabetes is nothing but increased blood sugar levels in pregnancy time.
    • 1st visit to your doctor – apart from routine investigations its mandatory to check your blood
      sugar levels and Ghba1c levels.
    • If either of your parents are a diabetic, its important you mention this during the first few visits as you
      might need a early screening test for detecting GDM.
    • If you are a gestational diabetic, your BABY IS AT INCREASED RISK.

    #Excessive weight gain
    # Congenital anomalies ( if sugars r not in control)
    # Excessive amniotic fluid levels
    # Onset of hypertension ( pih) in last few weeks
    # Placental disorders
    For appointments : Call 0416 – 2253400, 0416 – 2252114.


    Bust the Myths on pregnancy care

    Myth :Pregnancy is pressurising.
    Ans: Pregnancy is enjoyable for people who plan it. Unplanned pregnancies can be stressful. So be clear and plan your pregnancy at the right time suited for u.
    Myth 2: Too much vomiting in 1st few months then u t carrying a baby girl.
    Ans: Sex of the baby has nothing to do with the way you look or the frequency of vomiting during pregnancy
    Myth 3: Doing daily walking excercise and pregnancy yoga can produce preterm babies.
    Ans: Pregnancy yoga and walking daily for 30 to 40 mins is beneficial to the pregnant lady and her baby. Its essential.
    Myth 4: Having stomach full meals will produce chubby babies.
    Ans: Having healthy balanced food thats rich in protein, iron, vitamins, fibre & essential amount of fats is essential for a healthy well nourished baby in womb.
    For complete comprehansive pregnancy care – book ur appointment @ Gyneac department 0416 2253400, 0416 – 2252114.
    Our expert team of doctors and mid wives can make ur preganancy journey an memorable one.
    For consultation
    Mon to friday 10 am to 6pm
    Saturday : 10 am to 2pm


    How to Cope up with multiple miscarriages

    Recurrent miscarriage is defined as two or more consecutive, spontaneous pregnancy losses. Approximately 15% of pregnancies end in miscarriage, which is defined as the loss of a pregnancy before 20 weeks of gestation. Most miscarriages occur within the first 12 weeks of gestation.

    Women with certain conditions may also have an increased risk for recurrent miscarriages. Antiphospholipid syndrome, diabetes mellitus , thyroid conditions, and polycystic ovarian syndrome are all relatively common potential causes in this category.

    Most of these above conditions are treatable when diagnosed early.
    #Book your appointment with our experienced gynecologist Dr.Sunitha Sivakumar Md( og) to prevent more miscarriages and to achieve your dream of bearing a healthy baby.

    Please contact : 0416 – 2252114, 0416 – 2253400.
    Mon to friday 10 am to 6pm
    Saturday 10 am to 2pm


    Preparing for pregnancy Tips

    #Fertility improvement health tip for women#

    Dear ladies, if you are looking for improving your fertility potential – here are a few ways to be pro active.

    • # Eat Healthy foods with moderate carbs content and high in protein and vitamins
    • # foods rich in vitamin C, E, D are important in making ur oocytes( eggs) develop healthy
    • # A good quality oocyte and a good quality sperm can produce a healthy Offspring / Baby.


    Watch out for further posts in this FB page and our website fertility blog too.

    Fertility Centre – Mon to Fri 10 am to 6pm

    Saturday 10am to 2pm

    For appointments – Please contact 0416 – 2253400, 0416 – 2252114


    Pregnancy & Mood Swings – Awareness is essential

    #Pregnancy can be time of joy – and stress. Research suggests than about 7% of pregnant women experience depression during pregnancy. If you have untreated depression, you might not seek optimal prenatal care, eat the healthy foods your baby needs or have the energy to care for yourself. You are also at increased risk of #postpartum depression and having difficulty bonding with your #baby.

    Contact Us:
    For further clarifications for a personal one on one session with our Expert Obstetrician team and our trained counsellor.
    Mon to fri 10 am to 6pm
    Saturday 10 am to 2pm
    For appointments on COMPLETE PREGNANCY CARE – PLS CALL 0416 – 2252114, 0416 – 2253400.

    #selfconfidence #selflove #confidence
    #loveyourself #selfcare #selfesteem
    #Motivation #mentalhealth #happiness
    #Selfworth #inspiration #love #bodypositivity
    #Mindfulness #life #selfie
    #Womenempowerment #beauty #fitness
    #believeinyourself #fashion #autoestima
    #Positivevibes #beyourself #depression
    #selfawareness #loveyourbody #believe
    #Selfimprovement # personaldevelopment


    Well women health check up & Master health check up

    A women’s health is her family’s Capital.

    • Well women basic health check up @ Rs.1500(Tests worth Rs.2500)
    • Well women complete health check up & cervical cancer screening @ Rs.4000( Tests worth Rs.6000)
    • Gynecologist consultation @ Rs.200

    Offer Period :

    Dec 17th to Dec 25th only.
    For Further Details :
    Call : +91 6379090031
    Please come for these tests in fasting between 6 am to 8 am in the morning.

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    சினைப்பை நீர்கட்டியும் பக்க விளைவுகளும் :

    சினைப்பை நீர்கட்டி என்பது இனப்பெருக்க வயதுடைய பெண்களிடையே காணப்படும் பொதுவான ஒரு சுரப்பியன் கோளாறு ஆகும் . சினைப்பை நீர்கட்டி உடைய பெண்களுக்கு(அரிதாக ) அல்லது நீடித்த மாதவிடாய் அல்லது அதிகப்படியான ஆண் சுரப்பியின் (ஆண்ட்ரோஜன் ) அளவுகள் இருக்கலாம் . கருப்பைகள் எண்ணற்ற சிறிய திரவங்களை (நுண்ணறைகள்) உருவாக்கி தோல்வி அடையும் வழக்கமானவை.

    சினைப்பை நீர்கட்டி என்பது ஒரு நாள்பட்ட நாளமில்லா கோளாறு ஆகும் . இது பொதுவாக 17 வயது முதல் 40 வயது வரையிலான இனப்பெருக்க வயதுடைய பெண்களில் குறிப்பிடப்படுகிறது .

    பிசிக்கள் இளைஞர்களையும் பாதிக்கலாம் . ஒரு குழந்தை உடல் பருமனாக இருந்தால் அல்லது ஒழுங்கற்ற காலங்கள் இரண்டு மாதங்களுக்கும் மேலாக தாமதமாக இருந்தால், அல்லது பெண் அதிகப்படியான முகமுடி வளர்ச்சியை கொண்டிருந்தால் மகளிர் மருத்துவ நிபுணரை அணுகுவது நல்லது . சிகிச்சை அளிக்கப்படாவிட்டால் சினைப்பை நீர்கட்டி வகை 2 நீரிழிவு நோய் , உடல் பருமன், திருமணத்திற்கு பிறகு தாமதமான கர்ப்பம் / கருத்தரித்தல் ஆகியவற்றிற்கு வழிவகுக்கும், மேலும் இதுப்போன்ற பெண்களில் கருவுறுதல் சிகிச்சையின் தேவை அதிகரிக்கும் எனவே பிற்காலத்தில் பக்கவிளைவுகளை தவிர்க்க ஆரம்ப கட்டங்களில் இந்த பிரச்னைகளுக்கு சிகிச்சை அளிக்கவும், சிகிச்சை அளிக்கப்படாத சினைப்பை நீர்க்கட்டியின் நீண்ட கால பக்க விளைவுகள் :

    • வகை 2 நீரிழிவு நோய் ,
    • மாரடைப்பு ஆபத்து அதிகரிப்பது போன்ற இதய நோய்கள் ,
    • பக்க வாதம் அதிகரிக்கும் ஆபத்து,
    • நடுத்தர வயது மற்றும் பெரியமாதவிடாய் நின்ற வயதில் ,
    • கருப்பை புற்றுநோய் மற்றும் மார்பக புற்றுநோய் வருவதற்கான வாய்ப்பும் உண்டு .


    • # Whats wrong in your body – why are you not menstruating regularly? Why are you not able to get pregnant within 1 year of marriage?
    • Here is one of the few main factors:

    Poly Cystic Ovary Syndrome (#pcos) is a hormonal disorder common among women of reproductive age. # women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collection of build (Follicles) and fail to regularly release eggs.


    Staying healthy is one of the key priorities of life and we would love for you to stay healthy at mind and in your body. Healthy mind is directly proportional to healthy sperm Male infertility issues have been on the rise but unfortunately, the solutions have not really been made available. Not any more… Guidance, treatments and counselling is always available with respect and privacy at

    Dr.Sivakumar Multispeciality hospital- FERTILITY WING under the guidance of our expert team.
    For further assistance , contact 0416 – 2252114, 0416- 2253400.
    # Mens Health matters#
    # Men’s Fertility issues handled with utmost care#
    # Counselling and vaible treatment options available#

    Symptoms of Ovulation

    The length of the menstrual cycle varies from woman to woman, but the average is to have periods every 28 days. Regular cycles that are longer or shorter than this from 21 to 40 days, are normal.
    When are you most fertile ?
    Theoretically, there’s only a short time when woman can get pregnant, and that is the time around ovulation. It’s difficult to pinpoint exactly when ovulation happens but in most women, it happens around 10 to 16 days before the next period. It’s not accurate to say that all women are fertile on day 14 of the menstrual cycle. This might be true for woman who have a regular, 28-day cycle,but it won’t apply to women whose cycles are shorter or longer.
    If you have regular cycles and yet trouble conceiving within first 1 year of your marriage :
    Consult our expert Fertility specialist and Gynecologist Doctor with more than 13 years of experience in this field.
    Dr.Sunitha Sivakumar,
    Md(OG), D.Mas( Germany), DRM( Germany)
    To book an appointment – Contact 0416 – 2252114, 0416 – 2253400.
    Doctor Availability – Mon to fri 10 am to 5pm and saturday 10 am to 1pm only.



    No, this not true. It is important for couples to understand that the causes of infertility are almost equally shared by female and male partners. In fact,each sex has their own set of sympotms that may suggest infertility, such as testicle pain or change in period flow.

    • # Male & Female fertility treatment#
    • ## reproductive medicine department##
    • # Male andrology #
    • * Female Reproductive medicine evaluation*
    • Monday to Saturday 10 AM to 3 PM
    • Contact: 0416 – 2253400 for appointments



    Diabetes & Pregnancy Planning

    PRE PLANNING A PREGNANCY IN DIABETES IS ESSENTIAL unfortunately for couples trying for a baby, diabetes in one of the partners can lead to additional problems that increase the risk of infertility and pregnancy. Diabetes can cause erectile dysfunction, low testosterone levels, poor sperm quality, etc. In men while in woman, it cause decreased thyroid levels and ovarian function, thereby resulting in infertility in the long run. Diabetes in pregnant women can even lead to abnormalities in the child.

    Semen Analysis & Infertility Facts

      • Semen analysis is a key investigation of the male partner when u r trying for a baby
      • Male partner needs to be open minded for a discussion with the fertility consultant during the consultation for a proper diagnosis or guidance
      • Not every male member has an abnormal semen analysis report – so u dont have to be all that scared for this test
      • Minimum of 3 to 5 days abstinence is a must prior to this test for proper results
      • If u have a problem collecting semen for this test – pls inform ur consultant – Drs can guide u.
      • If u have a abnormal semen analysis – discuss the report with ur fertility consultant and take adequate treatment
      • STRESS, INADEQUATE SLEEP, IMPROPER HYDRATION, INADEQUATE PERSONAL HYGIENE ,UNHEALTHY DIET are the main parameters in decreasing fertility trends in our society.

    Its always advisable to get professional help than being reluctant when it comes to FERTILITY ISSUES


    Anti Mullerian Hormone

    AMH or Anti-Mullerian Hormone is a blood test which will be routinely recommended by your fertility specialist or your Gynecologist.This is atest which helps to evaluate the quantity and quality of eggs present inside your body. Basically this marker of ovarian Reserve helps your doctor to assess your response to the ovarian stimulation.
    However, If You thought if you AMH Value is not normal, then, you need to undergo IVF, well, that’s not exactly true. AMH doesn’t help to understand if you will become pregnant or not.
    Along with AMH, your age, your antral Follicle count (AFC) also play a vital role in assessing your ovarian Reserve.

    • Q- IS it Compulsory for patients with a low or a poor AMH to consider Donor Oocytes?
    • A- Considering Donor Oocytes can be a tricky and a sentimental decision for a lot of patients. Though, its often seen that patients who have a very poor AMH, don’t respond well to stimulation, every case with a low AMH Should be interpreted on a case basis based on the preference of the couple.
    • Q – What day of the menses does one need to do AMH Blood Test?
    • A – This can be done on any day of the menstrucal cycle.
    • Q – Does undergoing previous surgeries on the ovary reduce the AMH?
    • A – Yes surely, especially in cases of Endometriosis, where a poorly done surgey can grossly damage the ovarian reserve.
    • Q- IS there a condition where the AMH Value Will be raised?
    • A – Yes, this typically occurs in cases of PCOS (Polycystic Ovarian Syndrome). AMH Values more than 10 may be associated with poor Egg Quality.

    Obesity and Menstrual Cycle

    Studies indicate that losing just 5% of body weight can improve fertility hormone levels and support cycle regularity.


    How Thyroid Affects Fertility?

    Dr.SKMH Reproductive and fertility care department, Healthy pregnancy In hypothyroid or hyper thyroid women, preconceptional testing is mandatory, Mon to sat 10 am to 2pm, 0416- 2252114 , 0416- 2253400
    Dr. Sivakumar Multispeciality Hospital Thyroid during pregnancy can affect you and your baby’s health. Thyroid complications during pregnancy may hamper your babu’s growth and brain development. Hence, it is important to get a thyroid checkup done if you’re planning to cenceive or during pregnancy.


    Pregnancy is the most precious time of any woman’s life as she nutures her little angel with utmost Love and care. We the Obstetricians at SKMH will help u and guide you with utmost precaution for a safe motherhood and offer best care for u and Your little one as A team.

    FOR APPOINTMENTS : 0416- 2252114, 0416- 2253400. photo6102584689060587859



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