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Abu Dhabi Woman

Dr. Erdal Budak

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About Dr. Erdal Budak

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    Abu Dhabi Guide
  1. Breast Cancer and Egg Freezing

    Breast Cancer can be sufficiently terrifying without thinking about whether it will prevent you from having babies. An ever-increasing number of American women are determined to have breast cancer in their childbearing years, and many need to know how the disease will affect their fertility. An unforeseen event, like breast cancer can jeopardize women’s fertility because of the chemotherapy or radiation. Due to this, women end up having an early menopause and ovarian failure. Women suffering from Breast Cancer now should not be worried about their chances of getting pregnant as they have an option of preserving their fertility so they can enjoy their parenthood in future. A study has found that freezing embryos created from eggs extracted before treatment allowed women diagnosed with early-stage breast cancer treated with chemotherapy to become pregnant at rates similar to women not diagnosed with breast cancer who underwent in vitro fertilization. Treatment generally starts on the second or third day of menstruation and comprises of a regimen of fertility medications to stimulate a woman's ovaries to create eggs. The eggs are recovered from the patient in an indistinguishable way from is performed for in vitro preparation (IVF). The procedure takes around 15 minutes and is done under sedation. The collected eggs are then analyzed and frozen using the most recent flash - freeze method called "Vitrification", which is the best freezing technique until date. This procedure does next to no harm to the eggs and can keep the eggs in storage for a long time until the woman chooses to utilize them for conception. Once the woman is prepared to get pregnant, the eggs are defrosted and then fertilized with her husband's sperm and afterward moved into her uterus in order to achieve a pregnancy. Some women with breast cancer may risk some growth of their tumors during IVF cycles because of the high levels of estrogen that result from the hormone shots. In such cases, it is recommended to opt for "Natural Cycle IVF" in which ultrasound tests are used to follow the progress of normal ovulation, and one or sometimes two eggs can be collected. It is good to know that with the wonders of modern medicine, a positive attitude, and some divine intervention, women stricken with breast cancer now have a chance to shape their future. Let your Faith be Bigger than your Fear!!
  2. Bringing a new life into this world is not a simple task. We worry about lot of things during pregnancy for example, what to eat, whether to exercise or not, posture of sleeping, how to balance work and parenthood once baby arrives and lot of things which is unending. Some stress during pregnancy is considered normal but continuous high levels of anxiety may affect your baby as the stress hormone cortisol can cross the placenta and influence the building blocks of your baby’s emotional development. What causes Stress during pregnancy? Causes of stress differ from an individual to individual, but here are some causes, which is common during Pregnancy: Few women deal with nausea, bleeding, constipation, body pain and backache, which makes them uncomfortable and stressed Mood Swings can make it harder to handle stress because of the hormonal changes Thinking about Labor pain and taking care of a new life is also one of the major reason for stress If you work, you may have to manage job responsibilities and prepare your employer for time away from your job Dubai never sleeps and it life sometimes takes unexpected turns. That does not stop just because you are pregnant How to reduce stress during Pregnancy: Eat Well: Eating a healthy pregnancy diet means, you will get all the nutrients you and your developing baby need. A healthy diet of omega-3 essential fatty acids, vitamins and minerals, can lift your mood. Try eating two portions of oily fish, such as salmon, tuna, mackerel, sardines, pilchards and trout, a week as the fatty acids found in omega-3 may help to reduce Depression. Tryptophan is an essential amino acid, which can boost your mood, and it is found in nuts and seeds, which are easy to snack on, as well as fresh turkey and chicken, fish, eggs, yoghurt and cheese. Our body cannot make Tryptophan so the only way to get, is from what you eat. Dehydration can also make you prone to headaches so make sure you take six – eight glasses (around 1.5ltrs) of fluid in a day. Take proper rest and focus on your baby: If you are exhausted, go to bed early. Your body is striving to sustain your developing infant and you require all the rest you can get. It is always good for you and your baby to relax. Find some time to focus on your bump like massaging your belly gently. This is safe to do after the first three months of pregnancy, and it is a great way to relax and wind down. You should spend some time in swimming, chatting and singing for your baby. Talk About it: If you are going through any worries about your baby’s wellbeing then you should always talk to your midwife for reassurance. Talk to your partner, maybe he is worried for the same thing so sitting and discussing will make both of you feel better. Join different pregnancy support groups or mom-to-be forums and speak about what you are going through. It is likely that at least some of them will be having the same feelings as you. Be open to Exercise: Exercise definitely improves your mood and it is perfectly safe to exercise during pregnancy after consulting your physician but if you have never exercised before pregnancy then it might not be a good time to start. Pregnancy Yoga not only tones and stretches your body but also teaches you breathing, relaxation and meditation techniques. If your body does not allow you to exercise during pregnancy then 20 mins walk daily can fit you. At work, get up and walk around as often as you can, especially if you are desk-bound. Pop out at lunchtime for some fresh air, even if it is only for 10 minutes. Managing with Commuting: Commuting from one place to another can be bit stressful so ask your employer if you can start and finish early than usual days to avoid traffic during the peak hours. Make sure whenever you are opting for a public transport, you get a seat and if not then do not be embarrassed to ask for. Financial Stress: Thinking about how to pay for your baby clothes and equipment can be quite stressful so it is always better to make a list of items you think you need. You can also decide on which items you can buy from your friends and family. There are few items like mosses basket which is only usable for 2 – 3 months so you can get it from any of your friends and relatives. If you are working, find out what support your employer offers by talking to your human resources manager and make sure you get your full entitlement of your maternity leave and pay. Treat Yourself: Meeting up with friends, watching movie or series with your closed ones, going out with your partner can make you feel stress-free. Pregnancy is also the right time to pamper yourself with all that beauty treatment s which you have never normally splash out on and yes, be nice to yourself because you deserve it. Pregnancy is a time of many changes. Your body, your emotions and the life of your family are changing. You may welcome these changes, and should learn to enjoy this beautiful phase of your life. Stay Strong & Stress-free!
  3. Summer Tips for Couples battling Infertility

    Summer can be a particularly challenging time as many often tend to travel for summer vacations, where you come across baby reminders almost everywhere. Most couples often announce about their new pregnancies during family reunions and then they start inquiring about your baby plans. Summer months can surely be tricky and for couples going through infertility. We know it could be quite depressing and frustrating when you are in this situation. To help couples dealing with infertility issues during summer months, below are the 5 key points to avoid facing such situations. Tip 1: There are a few family members who will constantly be asking you that same inevitable question, “when are you going to have a baby?” - be prepared in advance to answer them by saying politely ,”not yet but we are planning to expand our family soon.” Tip 2: If any parties or events full of kids makes you feel depressed, then avoid going to such parties. It is always better to be at home within your comfort zone rather than visiting such places which may make you feel low. Tip 3: A supportive spouse is key to your happiness. Talk to your partner about your feelings and spend more time together. Do things together which make you happy. Remember your partner needs to stop focusing on infertility worries as well so include him or her in some of your summer time activities to keep your relationship strong during this stressful time. Tip 4: Select a great beach location that emphasizes relaxation and tranquility, to distract you and your spouse from infertility stress, look for an adults-only all-inclusive beach resort that has multiple activities included to provide plenty of fun. Even though your wallet may be stretched thin by infertility treatments, with a little bit of research you can often find great off-peak deals. Tip 5: A woman’s chances of becoming pregnant with IVF treatment are twice as high in the summer, researchers have found. So get ready for fertility treatment by relaxing and recharging emotionally and physically. Doctors have discovered that the hormone melatonin, which affects sleep patterns, could also make women more fertile during lighter months. Dr. Simon Wood, who led the study, released details at the American Society for Reproductive Medicine annual meeting in Montreal, said that “melatonin played a part in priming the fertility of women and not just in determining their sleeping and waking patterns. The hormone may act directly on reproductive tissues to make women more fertile during the lighter summer months. This means babies born in the spring will have six to eight months to develop before facing their first winter.” So start your fertility treatment this summer and enjoy parenthood by the next.
  4. Fakih IVF Fertility Center was the first center in the UAE to perform a MicroTESE, a procedure that allows for sperm to be found even if sperm retrievals done earlier did not produce viable sperm for IVF Continuously improving medical protocols and practices to increase our high success rates Investment in the latest technology. Fakih IVF Fertility Center introduced the first Embryoscope in the UAE, a groundbreaking technology in the field of reproductive medicine Fakih IVF Fertility Center is the first center in the UAE to achieve an ongoing pregnancy for a Single Gene Disorder and HLA Matching for a leukemia sibling looking for a bone marrow donor High success rates Highly experienced doctors and qualified medical staff - http://fakihivf.com/our-team/ We don’t sell services, we sell benefits and therefore value your savings Helping you achieve your dream of Parenthood Close to you, we are located in 3 different cities, Dubai, Abu Dhabi and Al Ain Provides partial treatments for International Patients - http://fakihivf.com/international-patients/ Personalized Treatment plans designed for each couple as per their requirement Our patient’s testimonials speak about the real experience- http://fakihivf.com/testimonials/ Because we care for your smile
  5. Exercise during pregnancy, yay or nay?

    Pregnancy is often mixed with intense emotions like excitement, fear, doubt, or love. “A tale as old as time” where women were advised not to exercise when pregnant, a pure myth. Today we know differently, it is not only ok to keep your body active but doing so you can have a positive impact on both mom and the baby. One important thing a woman should keep in mind that, she should consult her doctor before starting any exercise programs. There are some women who are not supposed to exercise during pregnancy due to certain complications. During pregnancy, your body produces a hormone called “relaxin”. It's designed to help lubricate joints so labor is easier. When joints are too "lax," your risk of injury increases. What you should avoid is involving into deep muscle or joint movements activities such as heavy lunges, squats or those types of exercise. Exercises involving balance like hiking, skiing can be dangerous during pregnancy as your balance is affected after the fourth month. If you have never exercised before then pregnancy is not the time to be an exercise or gym bunny, but that doesn’t mean you will spend your nine months sitting in the couch or sleeping all the time. Something as simple as taking a daily walk or swimming can do wonders for your pregnancy and can make you feel better and positive as well. Exercise can also help to get you a good sleep during pregnancy. Yoga can also be beneficial as long as you take certain precautions. Yoga helps you breathe and relax, which in turn can help you adjust to the physical demands of pregnancy, labor, birth, and motherhood. It calms both mind and body, providing the physical and emotional stress relief your body needs throughout pregnancy. Taking a prenatal yoga class is also a great way to meet other moms-to-be and embark on this journey together. The most important thing to before starting Yoga is to inform your instructor that you are pregnant and don’t do any poses on your back as they can reduce the blood flow to the uterus. You should also avoid the poses that stretches your muscles too much particularly your abdominals. Safe and Unsafe Exercises during Pregnancy: The following activities are safe to initiate and continue: Walking Swimming Stationery cycling Low impact aerobics Modified Yoga Modified Pilates Jogging Weight Training The following activities should be avoided: Contact Sports like boxing, soccer, ice hockey, basketball Activities with a high risk of falling (snow skiing, water skiing, surfing, off road cycling, gymnastics and horseback riding) Scuba diving Sky Diving Hot Yoga or Hot Pilates Warning Signs to discontinue exercise while Pregnant: Vaginal Bleeding Regular painful contractions Amniotic Fluid leakage Dizziness Headache Chest Pain Muscle Weakness affecting balance Calf pain or swelling Even though pregnancy is associated with profound anatomic and physiologic changes, exercise has minimal risks and has been shown to benefit most women. Women with uncomplicated pregnancies should be encouraged to engage in physical activities before, during, and after pregnancy. Obstetrician–gynecologists and other obstetric care providers should carefully evaluate women with medical or obstetric complications before making recommendations on physical activity participation during pregnancy. Although the evidence is limited, some benefit to pregnancy outcomes has been shown and there is no evidence of harm when not contraindicated. Physical activity and exercise during pregnancy promotes physical fitness and may prevent excessive gestational weight gain. Exercise may reduce the risk of gestational diabetes, preeclampsia, and cesarean deliveries. Most importantly, “Listen to your body and trust what it tells you”
  6. Signs and symptoms of infertility

    Infertility is when women cannot get pregnant after having unprotected, regular sex for six months to one year, depending on her age. Infertility may be caused by a variety of conditions. Both partners should be investigated together for possible causes of infertility. Couples trying to conceive should be aware of signs and symptoms of infertility associated conditions. This will facilitate early detection and treatment. Symptoms in women: The main symptom of infertility is not being able to become pregnant. About 85% of women are able to become pregnant within 12 months of trying. The remaining 15% may need some type of treatment to achieve this goal. Women may or may not have any other symptom of infertility or other associated conditions. There are many health conditions which can result in difficulty in becoming pregnant. Symptoms of these conditions are diverse and depend on what is causing infertility. Changes or irregularity in the menstrual cycle may be a symptom of a disease associated with infertility (e.g. polycystic ovarian syndrome, hyperprolactinemia, reduced ovarian reserve). Painful periods (dysmenorrhea): Women may experience some back pain, pelvic pain, and cramping during periods. This is considered normal. However, excessive pain during periods and may be associated with conditions such as endometriosis or pelvic infection. Some health problems associated with infertility can cause hormonal changes leading to skin conditions such as acne and hair growth on the lips, chest, and chin. Some women may experience hair loss or thinning (alopecia). Changes in sex drive and desire. Weight gain. Milky white discharge from nipples unrelated to breastfeeding (e.g. high prolactin hormone levels). Pain during sexual intercourse. Symptoms in men: Male factor is the cause of infertility in about 30-40% of couples. Male infertility is most commonly due to abnormal sperm parameters (e.g. low sperm count, low sperm motility, poor sperm morphology) which are easily detectable by a routine semen analysis. In up to 10% of men, infertility may be due to the total absence of sperm in the semen (azoospermia). Most men with infertility may not have any symptom at all or the symptoms may be vague. They may go unnoticed until a man tries to have a baby. Some symptoms include: Problems with erections and ejaculation. Small, firm testicles. Changes in sexual desire. Changes in hair growth. Pain, lump, or swelling in the testicles. When to See the Doctor Arrange an appointment to see your gynecologist or a fertility specialist if you are under 35 and have been trying to get pregnant without success for a year. Women 35 and older should see their doctor after six months of trying. As an initial investigation, blood tests and ultrasound imaging will be performed to discover why you are having trouble getting pregnant. A sperm analysis can be done to check for sperm count, motility, and morphology. Further testing will be requested if needed to determine most appropriate treatment. By Dr. Erdal Budak Specialist IVF Fakih IVF Fertility Center