Hi, I am Dr. Ankita Srivastava. I am a gynaecologist and obstetrician with over 10 years of experience. I currently practice at the Sir Ganga Ram Hospital in New Delhi and at Zoe Nutrition For Life. I am the co-creator of the conceive effortlessly online program. It is a 3 month online program designed to provide personalised care and attention to you from leading experts in the country and help you get pregnant faster, naturally, easily & most definitely. 😊

Dr. Ankita Srivastava

I often interact with several patients who are a part of my online program and give them personalised consultations and guide them regarding the problems that they are facing in their pregnancy journey. I also practice at Sir Ganga Ram Hospital in New Delhi. These experiences together have helped me understand and know some of the most common queries, issues and concerns that modern couples are facing when they are trying to start their family and conceive a baby. I also believe that we can all learn from each other's journey as well as experiences, and hence, I document interactions with several of my patients so that others can learn from these documentations as well. One such case has been shared by me below.

Patient's query:

"When should I go for IVF? Is there any chance for me to conceive naturally? Are there any other options that I should consider trying?" 

The patient had shared her test reports with me as well. She was already taking medications from before at the time of her consultation with me. She was taking tablets of COQ 300 mg as well as Evaserve for the past 3 months. Her AMH level was 0.29 (which is very low). She had also undergone cystectomy in the past. She had already been trying to conceive for the past 6 months. 10 Days after her cystectomy, she did a baseline scan and it was found that there is only one egg in the left ovary, that too of very low quality.

My recommendations:

Dr. Ankita Srivastava

"So basically your AMH was low and then cystectomy was done, that must have been ovarian drilling. There's polycystic ovarian. So it must have been laparoscopic ovarian drilling that must have, been done. If, if I can decipher from the history. So that, if it's done, they will see if the AMH levels have improved. So basically, they're trying to treat PCOS. Along with that, you must follow lifestyle modifications, because that will single handedly help you improve your, ovarian milieus single handedly. So please go for lifestyle modifications along with that. And, if your AMH has not improved, then assisted reproduction will be best for you. Probably you're trying for longer and that's why they've gone for ovarian drilling. If that is the case, you have to go for assisted reproduction, but also, along with that, if you practice lifestyle modifications, your results are definitely going to be better and your success rate is going to be much higher because assisted reproduction will not equal to success. With IVF also, every cycle, the success rate will be about 20 or 25%. So, if we want to increase the success rate, then we must follow lifestyle modifications along with it. So that is what my advice will be for you, please follow lifestyle modifications and go for assisted reproduction and you shall definitely be able to conceive. Now above all, one more thing to keep in mind is, that, because if the egg is not there at all, then we'll have to go for donor egg IVF. Now these supplements that are recommended and that you are taking, are only going to improve your egg quality. So they're going to increase your egg quality, and if at the end of three months, we see that there is no follicle forming, then you might have to go for a donor egg IVF. So, keep following these lifestyle modifications for three months and see if there is any improvement. If not, then assisted reproduction will be the best way to go ahead."

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I hope you found this article useful. If you want a detailed consultation with me, you can write to me or drop me a whatsapp. You can also read another article by Dr. Parul Chopra Buttan on understanding all about PCOS by clicking here.

You can go Zoe's 3 month fertility program- Conceive Effortlessly, to boost fertility and achieve pregnancy faster by clicking below. You can also check out some of our other programs that help you improve your lifestyle:

1. Conceive Effortlessly! The most holistic online program to get pregnant fast, naturally & definitely.

2. Deep Sleep Meditation for a healthy and fulfilling sleep, every night.

3. 31-Day Affirmation Series: Have a miraculous & powerful month by re-wiring your mind with positive thoughts.

4. EASY30’ Workout Program: At-home workouts for weight loss & fitness.

Love and good health,

Dr. Ankita Srivastava
Gynaecologist & Obstetrician
Email: drankita@zoe.menu | Whatsapp: 8527198370

Dr. Ankita

At Zoe we have created an online program to help you improve fertility and get pregnant faster by adapting small lifestyle changes that focus on weight, nutrition, sleep and mindset. This video series is your and your partner’s perfect pregnancy planner. Check it out here.