Latest / Health Wealth / Hidden Male Infertility: Why Gym Fitness Doesn’t Equal Fertility | Dr Sankalp Jain | Doctor vs Internet

Transcript

Hidden Male Infertility: Why Gym Fitness Doesn’t Equal Fertility | Dr Sankalp Jain | Doctor vs Internet · Health Wealth

• 0:00
  Speaker 1: This is India Today Podcasts. Not very long ago, normal
• 0:08
  Speaker 1: deliveries or in fact, normal way of conceiving was the norm.
• 0:12
  Speaker 1: IVF was the exception. Something has changed in the world
• 0:16
  Speaker 1: around us, in the lifestyles around us, in people around us,
• 0:20
  Speaker 1: that IVF deliveries have become very common. In fact, it
• 0:25
  Speaker 1: may not be the right word to say common. Because
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  Speaker 1: it's not an easy process. Not easy emotionally, not easy
• 0:33
  Speaker 1: on the pocket. Definitely very, very grilling for the woman
• 0:37
  Speaker 1: and the entire family. So what is this entire phenomenon
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  Speaker 1: of IVF deliveries? Are fertility rates in India dropping, which
• 0:46
  Speaker 1: is why a resurgence has happened? Or is there a
• 0:49
  Speaker 1: fear mongering then by the IVF clinics themselves to showcase
• 0:54
  Speaker 1: this is the need of the hour? What is the
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  Speaker 1: fine line that one needs to draw? We will talk
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  Speaker 1: about this in the next one hour. And with me
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  Speaker 1: now is Dr. Sankalp Chain. He is a fertility and
• 1:03
  Speaker 1: intimacy physician. Very popular online. Comes from Lucknow. So I
• 1:08
  Speaker 1: have a special love and connection over there. So let's
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  Speaker 1: start with the most basic question, Dr.
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  Speaker 2: Sankalp.
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  Speaker 1: Why are there so many IVF deliveries? Is it necessary?
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  Speaker 1: Or is it a fear-mongering?
• 1:23
  Speaker 2: So I have to simplify it a little bit. Just
• 1:26
  Speaker 2: because it's like When we started in Lucknow, there were
• 1:32
  Speaker 2: around 12-16 centres. Today, there are 200. So, 10 years ago,
• 1:37
  Speaker 2: there were only 12-16 centres. Today, there are 200 centres. Now, obviously,
• 1:41
  Speaker 2: you go into a North Indian cuisine restaurant. You won't
• 1:45
  Speaker 2: go there and ask for Chinese mango, right? So it's
• 1:48
  Speaker 2: just like that, that you are, I mean, you are
• 1:51
  Speaker 2: not diseased, you are just going for a consultation, but
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  Speaker 2: that fertility clinic, IVF clinic, is pushing only one thing,
• 2:00
  Speaker 2: that IVF, IVF, IVF. It's not working? Okay, IVF. It's
• 2:04
  Speaker 2: not working? Okay, IVF. So that kind of an approach,
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  Speaker 2: and moreover, patients, just as a spreadsheet, a number of you,
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  Speaker 2: case opened, IVF happened or not happened. So that approach
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  Speaker 2: is killing the process. But IVF on a whole is
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  Speaker 2: a blessing. I mean, think about those for whom it
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  Speaker 2: was not possible. And if they are getting a child later,
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  Speaker 2: so such a beautiful thing, a little orientation changed. Just
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  Speaker 2: being corporates, someone else's money was spent, outsiders and after that,
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  Speaker 2: here it is going on in the name of Indian.
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  Speaker 2: So this approach changed a little. Whereas fertility was all
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  Speaker 2: about We used to go to physicians, gynecologists, they used
• 2:45
  Speaker 2: to write you iron pills and tell you to go
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  Speaker 2: and try. Now, it's not like that. There are good people. Obviously,
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  Speaker 2: good people are there. But you enter an IVF clinic
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  Speaker 2: and there you go.
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  Speaker 1: You're a customer.
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  Speaker 2: It shouldn't happen.
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  Speaker 1: It shouldn't happen. So, explain to me what has happened
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  Speaker 1: in the last few years with our lifestyles. Or let
• 3:06
  Speaker 1: me give you an example. It's a very common thing
• 3:10
  Speaker 1: to say that now, weddings are getting delayed. The kids
• 3:13
  Speaker 1: have become very busy. It's a very stressful lifestyle. These
• 3:17
  Speaker 1: are very common reasons cited on why people are not
• 3:21
  Speaker 1: being able to conceive naturally. Which is perhaps the most
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  Speaker 1: natural thing, the most basic thing that human beings are
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  Speaker 1: born with. But at the same time, you have women
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  Speaker 1: in their 40s and 50s who are conceiving. We have
• 3:34
  Speaker 1: Anne Hathways and Beyonce's of the world who have conceived
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  Speaker 1: late in their life, late in their careers and not
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  Speaker 1: all through IVF. I'm not talking about those who had
• 3:44
  Speaker 1: twins and triplets. I'm talking about people who conceive naturally.
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  Speaker 1: So how can both these realities exist?
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  Speaker 2: Prognosis of being able to conceive naturally does not depend
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  Speaker 2: on doctor, IVF clinics. They talk about patient profile. The
• 4:04
  Speaker 2: people who are conceiving, how strictly they were following their
• 4:10
  Speaker 2: diet for the last 10 years. They didn't take any toxin.
• 4:14
  Speaker 2: They were not smoking. They were actually doing everything medical
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  Speaker 2: evidence-based to retain their fertility. So, you can't align yourself
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  Speaker 2: with a woman who lives in a village. Who was
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  Speaker 2: good in late pregnancies. Obviously, in late pregnancies, in anomaly scan, earlier,
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  Speaker 2: in 1000, one anomaly scan used to be bad. Today,
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  Speaker 2: in 1000, it has become 100. Really? The NTNB scan,
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  Speaker 2: nasal bone, and a lot of cases at this time,
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  Speaker 2: the fetal medicine experts, The doctors are in our panel
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  Speaker 2: as well as in our team. I mean, haywire it's going.
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  Speaker 2: What is happening? It's all because of the air, first
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  Speaker 2: of all. Because the breathing we are doing, obviously that
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  Speaker 2: is affecting our embryo also. When you are getting pregnant
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  Speaker 2: and everything. And obviously associated factors are also there with it.
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  Speaker 2: So it's not just the clinics, not just the doctor.
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  Speaker 2: It's the patient profile that creates the success to fertility
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  Speaker 2: or success of conceiving. Naturally or ART, artificial technology wise,
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  Speaker 2: or assisted reproductive technique, it's different. But everything aligns with
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  Speaker 2: patient profile. Patient is very obese, insulin resistance is bad.
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  Speaker 2: From where will you conceive? What will you do to
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  Speaker 2: fix insulin resistance? Obviously, conception is not possible. So, fecundability
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  Speaker 2: will drop down somewhere. Able to conception will drop down. So,
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  Speaker 2: you You are taking the name of big people. We
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  Speaker 2: can't compare them to general people. They come in 0.0001
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  Speaker 2: in the population. We are general people. We take so
• 6:02
  Speaker 2: much stress in filling EMI. And after that you can't
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  Speaker 2: say a female that you take a lot of stress.
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  Speaker 2: That's why you are not able to conceive. It would
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  Speaker 2: be very unfair to. Obviously, like we have a lot
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  Speaker 2: of ambitions. By the way, anyone can have ambitions. Human
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  Speaker 2: being as a race. So, following ambitions versus taking stress
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  Speaker 2: versus not being able to conceive, there is no connection
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  Speaker 2: between all these. It's just that how is your profile,
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  Speaker 2: how you are living, how actively you are participating to
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  Speaker 2: your mental well-being.
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  Speaker 1: I am taking away a very strong point from what
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  Speaker 1: you have just said. You are saying that infertility today
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  Speaker 1: is not a problem in metros alone. It is not
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  Speaker 1: a problem in tier 2 cities also. It is also
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  Speaker 1: a problem in rural India. You're saying that's how deep
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  Speaker 1: the problem of infertility has gone.
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  Speaker 2: Indeed, the amount of nutrition in eating adulteration, the amount
• 6:55
  Speaker 2: of our activities, the amount of our maida or any
• 6:59
  Speaker 2: other thing finely processed. It would have been fine if
• 7:02
  Speaker 2: it was wheat. The amount of consumption has increased. The
• 7:05
  Speaker 2: trend that's going on, to take anything in excess and
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  Speaker 2: blast it, that's wrong. So, it's deep down at every level.
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  Speaker 2: You'll find a dominoes at every baliya behraich of Uttar Pradesh.
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  Speaker 2: You are getting that. So accessibility has increased so much.
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  Speaker 2: Processed food's immediate decision is taken. You don't have to go.
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  Speaker 1: And you get it.
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  Speaker 2: These things cover your overall cell so much that that
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  Speaker 2: poor cell can't breathe. So metabolic dysfunctions are there. So
• 7:38
  Speaker 2: metabolic dysfunctions, whether you call it metros, whether you call
• 7:41
  Speaker 2: it rural India, whether you call it urban societies, it's
• 7:45
  Speaker 2: the same for all. Our fertility camps and all those
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  Speaker 2: small IVF clinics. Camps are most used in rural areas.
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  Speaker 2: So they are getting patients out of there. And they
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  Speaker 2: are very innocent people. They will sell their land and
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  Speaker 2: get you IVF. Because you are giving them a hope.
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  Speaker 2: That it will be done. Those who haven't had IVF
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  Speaker 2: for 4 years. You are giving them hope. It will
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  Speaker 2: be done. Oh, even after that failure comes. So a
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  Speaker 2: person spends everything. I don't think so that that should
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  Speaker 2: be the only way. Doctor. Before any operation, any doctor
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  Speaker 2: tries to treat you with medicine. After that, someone talks
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  Speaker 2: about putting a needle or a needle. But this thing, unfortunately,
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  Speaker 2: such a beautiful IVF process and all that, we used
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  Speaker 2: to take the last option. Today, the first option has
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  Speaker 2: been made. That should not happen. According to me, to
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  Speaker 2: the best of my knowledge, I am telling. I have
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  Speaker 2: a team of gynecologists. I have a team of fetal medicine,
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  Speaker 2: interventional radiologists. Everyone is in our team. Dermatologists, everyone is
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  Speaker 2: with us. In our multidisciplinary protocols, everyone is there. But
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  Speaker 2: we all practice one thing. For a person who has
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  Speaker 2: been so easy, that he has approached us, then he
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  Speaker 2: is not diseased. IVF, infertility is not a disease-disease part.
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  Speaker 2: It's a disorder. We just have to get it in order.
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  Speaker 2: Our work is just this much. If we do everything well,
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  Speaker 2: it comes. We get very good results without IVF.
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  Speaker 1: That's quite nice. I like how disease is not there.
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  Speaker 1: It's a disorder which has to be put into order again.
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  Speaker 1: I like that. But, okay, help me understand this. If
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  Speaker 1: infertility is going up, what are the five reasons for it?
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  Speaker 2: We will talk about five different reasons. First of all,
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  Speaker 2: it's mental health. It all starts from your brain. From
• 9:29
  Speaker 2: brain to hypothalamus, hypothalamus to your gland level. So, it
• 9:34
  Speaker 2: all starts from your brain. If your mental evaluation is
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  Speaker 2: good in your brain, with your partner, obviously there are
• 9:41
  Speaker 2: two people who are making a baby. If your orientation
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  Speaker 2: with your partner, be it intimacy orientation, be it personal
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  Speaker 2: mental well-being, how many pylons are running in the background
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  Speaker 2: and how happy you are with each other. This is
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  Speaker 2: a very big factor. It's like that.
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  Speaker 1: The brain is controlling that.
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  Speaker 2: The brain is controlling the pituitary axis. It's all about
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  Speaker 2: brain pituitary axis. And from there, your growth hormones will
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  Speaker 2: come out. The luteinizing hormone, the follicle stimulating hormone. Everything
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  Speaker 2: comes out from the pituitary. And who connects the pituitary? Hypothalamus. So,
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  Speaker 2: it all starts here. And the disruption that it creates first,
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  Speaker 2: and from there only, when disruption is created, then sperm
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  Speaker 2: health also goes. Female's egg fertility, oocyte count, and all
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  Speaker 2: that too. Because female on a whole is born with
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  Speaker 2: certain number of eggs only. It goes in declining phase,
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  Speaker 2: it goes in sliding scale. It's not like that with males.
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  Speaker 2: With males, it's stagnant. Obviously, it happens up and down,
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  Speaker 2: but fertility, sperm health, it's not seen to be dead.
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  Speaker 2: So it's all brain first, then hormonal, Because the pituitary
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  Speaker 2: came from the brain. Pituitary released hormones. Follicles were formed
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  Speaker 2: and sperm health came. After that comes your endothelial functions.
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  Speaker 2: Endothelial functions means tissue level. How much elasticity is there?
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  Speaker 2: Reproductive organ on a whole. And after that comes how
• 11:26
  Speaker 2: are the stimulations? Are there orgasm levels or not? When
• 11:29
  Speaker 2: you bring all these things, then your fertility or intimate
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  Speaker 2: life is formed. Simple logic is that if intimate life
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  Speaker 2: is going well, then fertility comes after a jug. It's
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  Speaker 2: that kind of an approach. So, five factors, no, we
• 11:45
  Speaker 2: will say, there are many factors. Clinician decides, patient to
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  Speaker 2: patient depends. If I say something and people start following,
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  Speaker 2: not that kind. Understand your anatomy.
• 11:57
  Speaker 1: No, so you said earlier in the podcast that air
• 11:59
  Speaker 1: pollution is a factor for infertility.
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  Speaker 2: Indeed.
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  Speaker 1: You said obesity is a factor for infertility. You said
• 12:06
  Speaker 1: bad lifestyle and eating disorders are a factor for infertility.
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  Speaker 1: And now you're saying mental health is one of them
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  Speaker 1: as well. I've already got four. I'm trying to figure out,
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  Speaker 1: is there something else that people need to, that you're
• 12:18
  Speaker 1: seeing as a rising factor of infertility in India today?
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  Speaker 2: Basically, I won't say saturated, but hindered intimacy. Hindered intimacy
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  Speaker 2: means that our orientation has shifted. We are not able
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  Speaker 2: to balance work-life. If we go to the part of Gita, Dharma, Earth, Kaam, Moksha.
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  Speaker 2: The Kaam part is also written there. So ultimately you
• 12:48
  Speaker 2: have to attain that level. That work-life balance is not there.
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  Speaker 2: A person is doing Dharma, earning money, Earth is very good.
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  Speaker 2: But he is only earning money. In that orientation, car, house,
• 13:01
  Speaker 2: more than all this, there is no more family health.
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  Speaker 2: He feels that if I take that term plan and that,
• 13:10
  Speaker 2: health insurance, then our health will be made from that.
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  Speaker 2: It is not made only from that. Obviously, that is
• 13:15
  Speaker 2: a factor. Economy is increasing, prices are increasing. But how
• 13:18
  Speaker 2: much time are you giving internally with your children, with
• 13:21
  Speaker 2: your wife, with your parents, what is your orientation? So,
• 13:25
  Speaker 2: orientation shift has a very big role play.
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  Speaker 1: So it's all down to the basics.
• 13:29
  Speaker 2: Down to the basics. And we are coming down to
• 13:31
  Speaker 2: the basics. You can see that in everything.
• 13:33
  Speaker 1: Yeah.
• 13:34
  Speaker 2: It's important. If the mental health is good, I feel,
• 13:38
  Speaker 2: and I don't feel, to the best of my clinical knowledge,
• 13:41
  Speaker 2: all the patients who are coming, we will be the
• 13:45
  Speaker 2: fewest who do IVF. We have the least IVF in
• 13:47
  Speaker 2: the entire city. Just because our focus has been going
• 13:51
  Speaker 2: on for 100 years. We are treating fertility from the
• 13:53
  Speaker 2: end of my great-grandfather. or assisting or helping. So, it's
• 14:00
  Speaker 2: not about treating everywhere. It's just about guiding these people
• 14:04
  Speaker 2: to do one thing, go on a vacation and things
• 14:06
  Speaker 2: will go fine.
• 14:08
  Speaker 1: Now you're sounding like my aunt who says, go take
• 14:12
  Speaker 1: a leave, everything will be fine.
• 14:15
  Speaker 2: It is.
• 14:15
  Speaker 1: You know, leave your work, everything will be fine.
• 14:17
  Speaker 2: Medically, we assess everything and when an unexplained infertility comes,
• 14:22
  Speaker 2: then believe in yourself.
• 14:24
  Speaker 1: Okay, then let me ask you a more... sort of
• 14:27
  Speaker 1: logical question that comes next. How do I know that
• 14:34
  Speaker 1: my infertility is because of something internal or something medical?
• 14:40
  Speaker 1: My question is, how do I know that I have
• 14:43
  Speaker 1: to seek medical intervention now? What is the point? Whom
• 14:48
  Speaker 1: do you say to take IVF? Whom do you say
• 14:49
  Speaker 1: not to take?
• 14:50
  Speaker 2: Okay. So it all comes in the females. First we
• 14:55
  Speaker 2: come to females. It's about an oocyte reserve. That we
• 14:58
  Speaker 2: are born with a certain set of eggs. We are
• 15:02
  Speaker 2: born with oocytes. That is the declining phase. It happens
• 15:05
  Speaker 2: in millions. And we utilize 400, 300, 400. We do
• 15:11
  Speaker 2: it in a lifetime of females. In the whole axis,
• 15:16
  Speaker 2: one is anti-mullerian hormone. An AMH test. It's a very
• 15:21
  Speaker 2: basic 400-500 rupee test. At this level, we can analyze
• 15:28
  Speaker 2: your oocyte health. I am talking about females. And if
• 15:33
  Speaker 2: your AMH is low, then you should definitely see a
• 15:38
  Speaker 2: fertility expert. By doing food changes at home, by just exercising,
• 15:43
  Speaker 2: nothing is going to happen.
• 15:45
  Speaker 1: This can also happen to them who are leading a
• 15:47
  Speaker 1: very healthy lifestyle.
• 15:48
  Speaker 2: Definitely it can happen.
• 15:50
  Speaker 1: Your.
• 15:51
  Speaker 2: Your eggs are healthy by looking healthy. They have nothing
• 15:56
  Speaker 2: to do with each other. These are not directly proportional
• 15:59
  Speaker 2: to each other. Inversely, these two. It can happen, it
• 16:02
  Speaker 2: can not happen. A simple sperm test in males will
• 16:09
  Speaker 2: solve the purpose. Don't go on testosterone. Testosterone has become
• 16:13
  Speaker 2: a very overrated hormone in this world. And gym people
• 16:17
  Speaker 2: are tracking it. All doctors are tracking it.
• 16:20
  Speaker 1: No.
• 16:21
  Speaker 2: They are different from everyone. And throughout their life, some
• 16:24
  Speaker 2: of them are lower. You can't help it. It's all
• 16:29
  Speaker 2: personality based. What is their orientation, what is their muscle health.
• 16:33
  Speaker 2: And a lot of people whose hands and feet are thin,
• 16:35
  Speaker 2: they are in the family but they are on the belly.
• 16:38
  Speaker 2: If their muscles are less, then testosterone is down. I
• 16:42
  Speaker 2: have seen it. It was a very distinctive feature. that
• 16:46
  Speaker 2: those people whose family health is going on like that, lean, lean, lean,
• 16:50
  Speaker 2: they are less. Those who have a lot of muscle,
• 16:52
  Speaker 2: their testosterone is more. Okay.
• 16:54
  Speaker 1: But you're saying testosterone levels are not a factor?
• 16:57
  Speaker 2: Not only the factor, madam. Not only the factor. At
• 17:01
  Speaker 2: the clinical end, there are a lot of things. The
• 17:03
  Speaker 2: patient has come in front of us. We understand a
• 17:05
  Speaker 2: lot of things by looking at it. This may be
• 17:07
  Speaker 2: the factor. So, this thing is sperm health. And on
• 17:10
  Speaker 2: top of that, chromosomes. Because female's egg, The acceptance and
• 17:18
  Speaker 2: the sperm DNA fragmentation is a little higher. But if
• 17:22
  Speaker 2: you are living a general lifestyle and planning for fertility,
• 17:26
  Speaker 2: just go to a gynecologist. She will give you an
• 17:29
  Speaker 2: AMH and give you a sperm test. All this is good.
• 17:33
  Speaker 2: Go and give time to yourself. anxiety which you get,
• 17:38
  Speaker 2: that you have given a target, that go and this
• 17:41
  Speaker 2: is your window, and this you have to do. Prescription,
• 17:44
  Speaker 2: it cannot be a prescription based thing. Because men is
• 17:47
  Speaker 2: a giver part, that guy is living in anxiety. Today
• 17:50
  Speaker 2: I have to go and I have to perform. No.
• 17:53
  Speaker 2: It's just that, leave free hand. And at least, some
• 17:57
  Speaker 2: people have one year studies, that if not for one year,
• 17:59
  Speaker 2: then we will call it infertility. Some call it six months,
• 18:03
  Speaker 2: some call it three months. Some studies have come that
• 18:08
  Speaker 2: come immediately. We will do ART because it's getting late.
• 18:12
  Speaker 2: It's an urgency. It's a medical emergency. No. The medical
• 18:17
  Speaker 2: phrase of what if should not be used. What if?
• 18:20
  Speaker 1: So get your basic test done. Both men and women.
• 18:23
  Speaker 2: Both women. It's a couple thing.
• 18:24
  Speaker 1: Because a lot of times the onus of bearing a
• 18:27
  Speaker 1: child is only on the woman. Nobody even pauses to
• 18:31
  Speaker 1: question or even understand that there could be a factor
• 18:35
  Speaker 1: which is coming from the man as well. And I'm
• 18:38
  Speaker 1: sure in Lucknow, you'll find a lot of cases like this.
• 18:41
  Speaker 1: Where the entire onus of bearing a child and bearing
• 18:44
  Speaker 1: a male child on top of it is completely.
• 18:46
  Speaker 2: On the woman. In the family, all the people come.
• 18:47
  Speaker 2: Two come, mother-in-law, father-in-law, and two come, mother-in-law, father-in-law, and
• 18:51
  Speaker 2: two come, husband-wife.
• 18:53
  Speaker 1: For a consult?
• 18:54
  Speaker 2: Yes. They stand around the female. Sir, look at this,
• 18:57
  Speaker 2: look at this. We have all the sides, you tell me.
• 19:01
  Speaker 2: The male person who is standing there. You're serious. Sir,
• 19:03
  Speaker 2: I'm absolutely fine. Yes. A group of people come and
• 19:07
  Speaker 2: everyone needs to know if this is going to happen
• 19:09
  Speaker 2: or not. And this is pre-marital also. People come even
• 19:15
  Speaker 2: after engagement. Which is a good thing. I would call
• 19:18
  Speaker 2: it a good thing that you know everything about yourself.
• 19:22
  Speaker 1: What would they want to know even before marriage?
• 19:25
  Speaker 2: There are multiple cases which are PCOM and PCOS and
• 19:30
  Speaker 2: many other dysfunctional things. So people are very worried if
• 19:37
  Speaker 2: their fertility, fertile health will be good or not. People
• 19:41
  Speaker 2: are very worried that baby bearing capacity and all that
• 19:48
  Speaker 2: and all the reels people are seeing, I'm very worried
• 19:42
  Speaker 2: by what you're saying. You are effectively saying that women
• 19:46
  Speaker 2: before marriage are being brought to fertility clinics to check
• 19:49
  Speaker 2: if they're fertile. And that will become the basis of
• 19:53
  Speaker 2: whether or not the marriage happens. Not the basis. This
• 20:10
  Speaker 2: decision is taken by the husband and wife after engagement.
• 20:15
  Speaker 2: To be husband and wife, they are taking it on
• 20:18
  Speaker 2: their own. When it is limited to these two, let's
• 20:20
  Speaker 2: get a fertile test done, let's check the compatibility, what
• 20:24
  Speaker 2: is it, what is not. It is fine till there.
• 20:27
  Speaker 1: I thought thalassemia is checked. Because, yeah.
• 20:31
  Speaker 2: Thalassemia check. It's just like, I'm English.
• 20:34
  Speaker 1: Yeah, yeah.
• 20:35
  Speaker 2: Yeah, so that's there. But that's a very small thing now.
• 20:41
  Speaker 2: But fertility, all together, connect, all this is being checked.
• 20:46
  Speaker 2: And we give very simple protocols for it. So I said,
• 20:49
  Speaker 2: if the whole family is involved, that's a little draining
• 20:53
  Speaker 2: process for both of them. When the husband and wife
• 20:55
  Speaker 2: are doing it, it's their own decision and they can
• 20:58
  Speaker 2: do it. I think so.
• 21:00
  Speaker 1: No, no, roll back a little bit. I want to
• 21:01
  Speaker 1: know more about what is it that people are coming
• 21:04
  Speaker 1: and finding out before marriage about their fertility?
• 21:07
  Speaker 2: Madam, actually, we have started taking our passion-driven life so
• 21:14
  Speaker 2: seriously that we have lived that lifestyle that we don't
• 21:19
  Speaker 2: know what to eat, night shift or abuse, drug abuse.
• 21:24
  Speaker 2: And smoke abuse. And all this has come in general lifestyle.
• 21:29
  Speaker 2: It's accessible to everyone. After doing so much work, you
• 21:34
  Speaker 2: feel that I won't be absolutely fine. I have taken
• 21:39
  Speaker 2: 25 cigarettes a day. I am not sure if my
• 21:42
  Speaker 2: sperm will be alive. This is the verdict that people
• 21:45
  Speaker 2: tell me on my OPD table. I said, it won't happen.
• 21:49
  Speaker 2: Don't worry. It's a long process for sperm. Because the
• 21:52
  Speaker 2: cases of azoospermia are increasing. Estenu azoospermia case. Nil sperm count. Nothing. Zero.
• 22:00
  Speaker 2: Plain reports. These cases are increasing.
• 22:03
  Speaker 1: In what kind of people? Who are taking a lot of.
• 22:07
  Speaker 2: Who have.
• 22:08
  Speaker 1: Sort of injecting themselves in the gym or otherwise?
• 22:11
  Speaker 2: Both. The PCTs, the cycles, the steroid abuse... The weed abuse.
• 22:18
  Speaker 2: The alcohol abuse. We haven't seen that much. Because there
• 22:23
  Speaker 2: are not many researches on it. But overall. Those people
• 22:28
  Speaker 2: who have a life. Meaning a life full of life.
• 22:31
  Speaker 2: And it will be an unhealthy life. Obviously. So they
• 22:37
  Speaker 2: are worried. Because they know I have done wrong to me.
• 22:41
  Speaker 2: And what if. I don't want to waste his life
• 22:45
  Speaker 2: or that kind of an approach. It's a very emotional part.
• 22:49
  Speaker 2: This is not very smart. It's a good thing.
• 22:52
  Speaker 1: So if a man comes to you, a marriageable age,
• 22:55
  Speaker 1: and tells you that my sperm count is nil, are
• 22:59
  Speaker 1: you saying that there are ways available that they can
• 23:01
  Speaker 1: still sort of go back and have a healthy count,
• 23:05
  Speaker 1: healthy enough to bear a child?
• 23:07
  Speaker 2: Where nil comes, there are two factors. Either it can
• 23:11
  Speaker 2: be congenital, that since birth, it is nil. There is
• 23:14
  Speaker 2: no testicular function, no lytic cell, no Sertoli cell, nothing.
• 23:18
  Speaker 2: It is confirmed by doing testicular biopsy. One is acquired.
• 23:25
  Speaker 2: One is congenital, one is acquired. So, 100 cases of Aestheno-Azuspermia,
• 23:30
  Speaker 2: out of which only 5 are congenital. 95% are acquired.
• 23:37
  Speaker 2: Due to lifestyle disorder. Hmm. Either there are blockages, or
• 23:41
  Speaker 2: there is a lumen disorder, or the endothelial function is bad,
• 23:44
  Speaker 2: or there is an absent organ, or things are different,
• 23:49
  Speaker 2: or there is shrinking, or there is turtling. There are
• 23:51
  Speaker 2: 50 types of things. So, all those factors are analyzed
• 23:55
  Speaker 2: at the clinical end. But, as soon as doctors come
• 23:59
  Speaker 2: in today's date and write that nothing can be done.
• 24:01
  Speaker 2: I have a lot of cases of AIMS. I did
• 24:03
  Speaker 2: a lot of treatment in AIMS, nothing happened. whereas it
• 24:07
  Speaker 2: is acquired. That is not congenital, that is acquired.
• 24:11
  Speaker 1: You're saying it's reversible?
• 24:13
  Speaker 2: It's actually reversible. And we are publishing through tissue regenerative therapies, ATRDs,
• 24:23
  Speaker 2: pelvic floor rehabilitation therapies.
• 24:25
  Speaker 1: Explain this a little by simplifying it.
• 24:26
  Speaker 2: All of your, as much as you talk about your
• 24:32
  Speaker 2: sperm production, it's all end, to the tailbone, the coccyx area.
• 24:39
  Speaker 2: From there, there are so many nerve endings that they
• 24:42
  Speaker 2: supply your reproductive organ for the stimulation. It's basically the
• 24:49
  Speaker 2: communication to your testicular health and everything. Now, where functional,
• 24:57
  Speaker 2: that if you want to go up from the testes
• 25:00
  Speaker 2: and go to the reserve, there is a whole track.
• 25:04
  Speaker 2: In those tracks, there is some obstruction somewhere. Somewhere, like
• 25:08
  Speaker 2: tubal blockages, you must have heard in females. Similarly, in males,
• 25:13
  Speaker 2: whatever blockages are coming, to assess them together, I mean,
• 25:17
  Speaker 2: there are Doppler studies, Penile Dopplers, Scrotal Ultrasounds, all these
• 25:22
  Speaker 2: are varicose seals. The biggest reason is varicose seal. Varicose seal,
• 25:27
  Speaker 2: it has become a hole and it's trapped. Blood flow
• 25:30
  Speaker 2: went to testes, it could not come back. So it's
• 25:34
  Speaker 2: a pelvic floor disorder, not a disease or a syndrome
• 25:38
  Speaker 2: or a problem that cannot be reversed. So we focus
• 25:42
  Speaker 2: on ATRTs first and then go to ART. And where
• 25:48
  Speaker 2: actually it's congenital, biopsy is also negative, ATRT is also negative,
• 25:52
  Speaker 2: then the decision is taken to do IVF with donor sperm.
• 25:55
  Speaker 2: We are getting to retrieve the egg at least. And
• 26:00
  Speaker 2: to do IUIs is the most important. Aasaan raasta IUIs
• 26:02
  Speaker 2: hai usme. IUI is just taking the sperm from the
• 26:06
  Speaker 2: sperm bank, getting it treated, clean, wash, sab karte hain.
• 26:12
  Speaker 2: Aur uske baad mein ek poori tube rahiti hai, jo
• 26:14
  Speaker 2: ki cervix tak jaati hai, bachche dhani tak. We insert
• 26:17
  Speaker 2: that with an assisted ultrasound ke saath mein. Aur uske
• 26:22
  Speaker 2: baad inject the sperm. After the fertile window is fine,
• 26:26
  Speaker 2: the conception is done. That's an easier process. So, we
• 26:30
  Speaker 2: first put IUI to ATRTs, rehabilitation therapies, tissue regenerative therapies.
• 26:35
  Speaker 2: After that, we put IUIs. After that, IVF comes. It's
• 26:38
  Speaker 2: a draining process. And so many hormonal injections, so many progesterones,
• 26:42
  Speaker 2: so many things disrupt the mental health of a female.
• 26:46
  Speaker 2: I mean, depression, postpartum depression, they don't have normal depression.
• 26:51
  Speaker 2: It's such a depression that I don't know what's happening
• 26:55
  Speaker 2: to them. And then they are on antipsychotics, this and that. So,
• 26:59
  Speaker 2: It's a vicious circle that is there. I am running
• 27:02
  Speaker 2: an IVF center since like 10 years now. So all
• 27:05
  Speaker 2: the cases we are seeing in 10 years, all the
• 27:07
  Speaker 2: cases we discuss with our ma'am, all the cases we
• 27:09
  Speaker 2: discuss with our gynecologist, all of them do the same thing.
• 27:13
  Speaker 2: The main thing is unexplained infertility. And there are no
• 27:17
  Speaker 2: bigger ways than rehabilitation to solve unexplained infertility. We take
• 27:21
  Speaker 2: psychology support. I leave a psychologist behind. Talk to these people.
• 27:27
  Speaker 2: Every now and then, talk to these people.
• 27:29
  Speaker 1: Unexplained infertility.
• 27:31
  Speaker 2: Ultrasounds, on the level of females, they do TVS, transvaginal scans,
• 27:36
  Speaker 2: egg studies, scans on day 2. All these are normal. Childbirth, normal. Uterus, normal. Menses,
• 27:48
  Speaker 2: the duration of the cycles, normal. Sometimes we take blood samples,
• 27:52
  Speaker 2: period blood samples, and assess that, normal. Everything is normal
• 27:56
  Speaker 2: on the female side. AMH normal. Male, sperm health is fine.
• 28:01
  Speaker 2: Everything is fine. This is called unexplained infertility. Even then,
• 28:05
  Speaker 2: the baby is not coming. It's been 5 years. So,
• 28:08
  Speaker 2: this is unexplained infertility. Here, what is the role of
• 28:12
  Speaker 2: tissue regeneration? That we talked about male and female's intimate life.
• 28:16
  Speaker 2: We talked about their orgasm levels. Has it ever come? No, sir. Never.
• 28:21
  Speaker 2: I didn't feel it. What happens? I don't know. I
• 28:24
  Speaker 2: belong from a very confined family and I don't know
• 28:27
  Speaker 2: what it is. When we work on that, on their
• 28:29
  Speaker 2: mental health, we educate them. This is what you can do.
• 28:33
  Speaker 2: This is what you can try. This is what you
• 28:35
  Speaker 2: can start taking berries. Start drinking cranberries. And that kind
• 28:38
  Speaker 2: of an approach is. So, basically, the cell has to
• 28:41
  Speaker 2: give oxygen. And that thing happens. The conception is done. So,
• 28:46
  Speaker 2: regenerative therapies are very important in the case of unexplained infertility.
• 28:50
  Speaker 2: Just going towards the IVF is not the only way out.
• 28:54
  Speaker 2: That's what I think.
• 28:55
  Speaker 1: How many of these patients in your clinic anecdotally are
• 28:59
  Speaker 1: coming with unexplained infertility?
• 29:03
  Speaker 2: Majorly. Majorly because 2-3 IVF cycles have been done because
• 29:08
  Speaker 2: within 500 meters of my clinic 2-3 corporates are sitting.
• 29:12
  Speaker 2: They have big centers.
• 29:14
  Speaker 1: Okay.
• 29:16
  Speaker 2: Trust is also big. Trust of big centers is also big.
• 29:18
  Speaker 2: 2-3 cycles fail and come to me. I haven't seen
• 29:20
  Speaker 2: the first cycle generally. That first option is No, we
• 29:24
  Speaker 2: will do it in big centers. After that, we are
• 29:27
  Speaker 2: small doctors, so we are taken to the second option. So, okay,
• 29:29
  Speaker 2: when things come after failed IVFs and all that, and
• 29:35
  Speaker 2: when we look at the full analysis and the summaries
• 29:39
  Speaker 2: of their case, we don't see any abnormality in that.
• 29:42
  Speaker 2: Sperm is perfect, AMH is perfect. Where was the problem?
• 29:45
  Speaker 2: Why did they do IVF? No, sir, they just did IVF.
• 29:48
  Speaker 2: Because they said there may be a problem. What if?
• 29:52
  Speaker 2: The question is, what if? If the egg is also gone,
• 29:55
  Speaker 2: then all those cases come in that order. And there
• 29:59
  Speaker 2: are many such cases. Obviously, gynecologists can treat that well.
• 30:02
  Speaker 2: A better urologist or andrologist or gynecologist knows better than me. So,
• 30:06
  Speaker 2: where there are tubal blockages, where there is endometriosis, where
• 30:11
  Speaker 2: there are gout in the uterus, there, actually, people get help.
• 30:16
  Speaker 2: And these people are wonderful at it. The gynecologists and
• 30:19
  Speaker 2: good people are there who are treating this endometriosis. There
• 30:23
  Speaker 2: is one very good who is doing good work online. So,
• 30:26
  Speaker 2: he is a very good doctor. Tubal blockages are not
• 30:28
  Speaker 2: normally treated like this. You can't exercise and open a tube.
• 30:32
  Speaker 2: You need a laparoscopic surgeon for that reason. So these
• 30:35
  Speaker 2: are small things. But whether it is necessary or not,
• 30:38
  Speaker 2: the question mark comes there. Who is going to decide
• 30:42
  Speaker 2: what is needed? So those small aspects are their real assessment,
• 30:48
  Speaker 2: their real education that these are the options that we
• 30:52
  Speaker 2: can go ahead. IVF is not the only one. When
• 30:55
  Speaker 2: we tell these people beautifully, without any intentions of doing
• 30:59
  Speaker 2: an IVF, then everything relaxes them. They say, there is
• 31:03
  Speaker 2: an option of IVF, why don't we try it naturally?
• 31:05
  Speaker 2: When you are not afraid of failure, the fun of
• 31:09
  Speaker 2: success is something else. It's a simple logic. We never
• 31:12
  Speaker 2: give pressure. That is an approach altogether.
• 31:16
  Speaker 1: This pressure of making a baby, I think women understand.
• 31:19
  Speaker 2: It far too much. Women, I mean, okay, me being
• 31:23
  Speaker 2: a male, I have a maximum video of males. So,
• 31:27
  Speaker 2: I know the side of males, they are very worried.
• 31:29
  Speaker 2: They don't want to go home. Some go on trips,
• 31:31
  Speaker 2: by telling business trip, that I will only stay outside.
• 31:35
  Speaker 2: My work from home was there, no, now my work
• 31:37
  Speaker 2: from office is there. Why?
• 31:39
  Speaker 1: Because they want to escape the pressure of making a baby.
• 31:43
  Speaker 2: And for them too, failure is a very shameful thing.
• 31:46
  Speaker 2: It's not that you are failing or you thought so
• 31:48
  Speaker 2: much in pressure and at that time, You are failing.
• 31:52
  Speaker 2: You are not feeling of that thing. And constantly you
• 31:55
  Speaker 2: are getting a pressure that doctor said this is the
• 31:57
  Speaker 2: fertile window, this is it. So after the fight, how
• 32:00
  Speaker 2: will anything happen? So that's the thing. These people are escaping.
• 32:03
  Speaker 2: So there are truck drivers. They are not going. Let
• 32:07
  Speaker 2: me tell you the office-office thing. The people are living outside.
• 32:12
  Speaker 2: The format of escapism is due to the pressure on
• 32:16
  Speaker 2: the male. It is on the female. Obviously, it is
• 32:19
  Speaker 2: a social pressure. But the internal pressure is obviously on
• 32:23
  Speaker 2: the male side. And people are very drained at this
• 32:26
  Speaker 2: point of time. So pressure should not be given.
• 32:29
  Speaker 1: I hope parents are listening to this more than anybody else.
• 32:33
  Speaker 1: But I think I get what you're saying. I think
• 32:35
  Speaker 1: there is an inherent pressure on the woman. What I'm
• 32:38
  Speaker 1: understanding from you is that there is also a lot
• 32:41
  Speaker 1: of pressure on the man. And I think we need
• 32:43
  Speaker 1: to understand that. And as long as the conversation on
• 32:46
  Speaker 1: fertility is limited to the couple, I think they'll do better.
• 32:49
  Speaker 1: And as long as the decision of making a baby
• 32:51
  Speaker 1: is on the couple, is theirs, truly owned by them,
• 32:54
  Speaker 1: I think that's when it will also go.
• 32:56
  Speaker 2: Perception is made. If infertility is there, then only female,
• 32:59
  Speaker 2: only gynecologist. Perception. There was no doctor for male reproductive
• 33:05
  Speaker 2: health till now. Okay, urologists have started paying attention to
• 33:08
  Speaker 2: andrology and all this. But there was no one. Prasooti
• 33:11
  Speaker 2: Rokh Vivaagi was there till now. So, the thing is
• 33:14
  Speaker 2: that the perception was always the same. That perception has
• 33:16
  Speaker 2: to change. For infertility, the female is not treated, the
• 33:19
  Speaker 2: couple is treated. Yeah.
• 33:22
  Speaker 1: I think the family is also treated.
• 33:28
  Speaker 2: Alright.
• 33:28
  Speaker 1: They are your customers, so you are not saying anything
• 33:30
  Speaker 1: to them. They are paying the bill.
• 33:33
  Speaker 2: Yes. Everyone plays their own role. And it's very important
• 33:38
  Speaker 2: to leave it easy. What has to happen, will happen.
• 33:41
  Speaker 2: And doctors are good, honest, experienced. So doctors do it.
• 33:47
  Speaker 2: I have seen very good doctors who do it and
• 33:49
  Speaker 2: there is no break in them.
• 33:51
  Speaker 1: First, since we are talking about family, I will ask
• 33:53
  Speaker 1: a family question. Is age a factor for infertility? Women
• 33:58
  Speaker 1: are constantly told that you are 30. Now you are
• 34:02
  Speaker 1: past your window. Quickly make a baby. And if you
• 34:04
  Speaker 1: want to make two babies, then ensure that it's happening
• 34:07
  Speaker 1: at a gap of like two years. Otherwise, you know what? Otherwise,
• 34:10
  Speaker 1: you'll keep going around IVF clinics. Is age a factor?
• 34:15
  Speaker 2: First of all, the point you made about two years,
• 34:17
  Speaker 2: it should never happen. It's a risk to the female health.
• 34:20
  Speaker 2: Not two years. Minimum three years. We all say, gynecologists say,
• 34:24
  Speaker 2: take a gap of minimum three years. Your organs, poor people,
• 34:30
  Speaker 2: get depressed, get worried, it takes time for them to retain.
• 34:34
  Speaker 2: And moreover, these rectus, these abdominus muscles, to regenerate this too,
• 34:39
  Speaker 2: it spreads completely. It also takes time to come back. So, obviously,
• 34:43
  Speaker 2: the whole body changes, everything changes, so at least 3 years,
• 34:48
  Speaker 2: 1 year, I won't call it torture, but 1 year,
• 34:51
  Speaker 2: if you have used that thing so much, then at
• 34:55
  Speaker 2: least after 1 year, give it 2 years, minimum. So,
• 34:59
  Speaker 2: we will do that for 3 years. So, that thing
• 35:01
  Speaker 2: is very important. And second, age as an factor. So,
• 35:06
  Speaker 2: yes madam, age is a factor. It's definitely a factor.
• 35:11
  Speaker 2: If we consider European studies as the most important in fertility.
• 35:17
  Speaker 2: UK is important for us. We follow their case studies
• 35:21
  Speaker 2: and their European system. After 30, we say 50% fertility Drops.
• 35:29
  Speaker 2: After 30. So they are fighting more than us at
• 35:34
  Speaker 2: this time. With this problem. It's factors I don't know.
• 35:39
  Speaker 2: Air will be very good there too. But still. It
• 35:44
  Speaker 2: is this thing. Because as I said earlier. It's a
• 35:47
  Speaker 2: sliding scale. The oocyte production. And after that. Their chromosomal defect.
• 35:56
  Speaker 2: Because there are oocytes. Oocytes are made up of chromosomes. Gradually,
• 36:01
  Speaker 2: oocytes are depleting.
• 36:03
  Speaker 1: You mean the eggs.
• 36:04
  Speaker 2: The eggs. Sorry, the eggs. The number of eggs in
• 36:08
  Speaker 2: a female is the same. When we had a conception
• 36:11
  Speaker 2: in millions, then it gradually fell down to 400-500. We
• 36:13
  Speaker 2: will be able to utilize it in a lifetime. So
• 36:17
  Speaker 2: that thing, after that, it's okay. The egg will remain.
• 36:21
  Speaker 2: The quality of the egg keeps falling. What does equality mean?
• 36:28
  Speaker 2: Its chromosomal resistance defects. Now, these chromosomal defects play a
• 36:34
  Speaker 2: very big role in your miscarriages. So, after age, the
• 36:38
  Speaker 2: chances of miscarriages have increased. And trust me, miscarriage is
• 36:45
  Speaker 2: not an easy job. Keeping someone in the womb for
• 36:50
  Speaker 2: 3 months, and miscarriage after 3-4 months, that in itself,
• 36:53
  Speaker 2: for a.
• 36:54
  Speaker 1: Female, It's a trauma women don't forget.
• 37:00
  Speaker 2: It's a trauma that women are... And they will have
• 37:04
  Speaker 2: to live forever. They will always remember. That trauma... I
• 37:08
  Speaker 2: have seen a lot of patients... Who have gone through depression.
• 37:10
  Speaker 2: And the second time... Fertility didn't happen. Antidepressants said... Obesity came.
• 37:16
  Speaker 2: After obesity... There was no child. Trauma. Problem was not
• 37:21
  Speaker 2: with them. Trauma was there. So early conception... is way, way,
• 37:27
  Speaker 2: way more better than waiting for that vicious circle to happen.
• 37:33
  Speaker 2: Because it's draining, it's traumatic. And as far as ambitions
• 37:37
  Speaker 2: are concerned, people say, okay, we'll have a baby, then
• 37:39
  Speaker 2: after that, our ambitions will go away. It doesn't happen
• 37:42
  Speaker 2: like that. It's about, it's a mindset. That now it's
• 37:45
  Speaker 2: a young age, and after having a baby, this body
• 37:47
  Speaker 2: becomes weak. It's not like that. Now, regarding protein and
• 37:50
  Speaker 2: all these things, regarding workout, regarding female workout, people are,
• 37:54
  Speaker 2: Dadis are working out at 60s and it's good.
• 37:57
  Speaker 1: Is there an ideal age for women to conceive and
• 38:02
  Speaker 1: for men to conceive as well?
• 38:04
  Speaker 2: Men's DNA fragmentation is also bad. If we go to 45,
• 38:09
  Speaker 2: 45 plus, 42, 45 plus, we will do their sperm test,
• 38:13
  Speaker 2: it's fine. Morphology will be bad. Head defects start coming.
• 38:17
  Speaker 2: The head is not made of sperm. 85% head is bad. So,
• 38:22
  Speaker 2: fertility will not happen. If we talk about Indians, then
• 38:25
  Speaker 2: under 30 is the right age for a female or
• 38:29
  Speaker 2: a male to get a conception done, first conception done
• 38:33
  Speaker 2: at least. So that there is no trauma, no such
• 38:37
  Speaker 2: thing comes in the mind and easily, in easy going,
• 38:40
  Speaker 2: that thing comes out.
• 38:43
  Speaker 1: What are you saying, Dr. Samant? In 30 years, you're
• 38:46
  Speaker 1: expecting people to get married at like 25, 26. This
• 38:49
  Speaker 1: is just insane. I don't know anybody who's getting married
• 38:52
  Speaker 1: at 25, 26 now.
• 38:52
  Speaker 2: This is all the clinically, what we're seeing as drained people,
• 38:57
  Speaker 2: the better option I think is this. This is according
• 38:59
  Speaker 2: to my knowledge. This is nowhere evidence proven, written, based, nothing.
• 39:05
  Speaker 2: To the best of my knowledge, that the trauma they endure,
• 39:09
  Speaker 2: and because of that trauma, many places, madam, divorces happen. Hmm.
• 39:12
  Speaker 1: Hmm.
• 39:12
  Speaker 2: Hmm. a thing comes, it's fine. If you're married, conceive.
• 39:24
  Speaker 2: If not, then leave it to God. It'll be seen.
• 39:28
  Speaker 2: It's not a stone's throw.
• 39:30
  Speaker 1: I just want to bring in a nuance here. You
• 39:33
  Speaker 1: can marry early. You can have a kid early. And
• 39:37
  Speaker 1: I have done both.
• 39:38
  Speaker 2: Okay.
• 39:39
  Speaker 1: But I'm saying you can marry early. You can have
• 39:41
  Speaker 1: a kid early in life. But there is no guarantee
• 39:44
  Speaker 1: that you'll have a happy marriage after that, even after
• 39:46
  Speaker 1: the kid. So I think what's important, what is paramount
• 39:49
  Speaker 1: is is to ensure that the man and the woman
• 39:53
  Speaker 1: who are getting into this arrangement of making or bringing
• 39:56
  Speaker 1: another life are on the same tangent, are feeling secure,
• 40:00
  Speaker 1: are feeling secure, are feeling secure in their own self
• 40:03
  Speaker 1: and with each other. And I think that's paramount as well.
• 40:05
  Speaker 1: But having said that, suppose I am somebody who found
• 40:10
  Speaker 1: love late in life, right? I am somebody who, by
• 40:14
  Speaker 1: the time I made up my mind to marry the guy,
• 40:17
  Speaker 1: I am already past, say, 30-35. Are there certain things
• 40:22
  Speaker 1: that I can inculcate in my lifestyle today to ensure
• 40:25
  Speaker 1: that I have a fit enough body to carry a baby?
• 40:28
  Speaker 1: And in case of a man, a fit enough body
• 40:30
  Speaker 1: to give a baby?
• 40:31
  Speaker 2: So, first of all, if at the female end, if
• 40:36
  Speaker 2: you are 30+, then you can stop smoking at that
• 40:39
  Speaker 2: very point of time. Smoking is the biggest factor.
• 40:41
  Speaker 1: Smoking is the biggest factor.
• 40:42
  Speaker 2: Smoking is the biggest factor. Stop smoking. You can wait.
• 40:46
  Speaker 2: You can wait. It's not like there are no children
• 41:08
  Speaker 2: at 35, there are no children at 38, there are
• 41:10
  Speaker 2: no children at 40.
• 41:11
  Speaker 1: No.
• 41:12
  Speaker 2: This is nowhere the case. There will be children. It's
• 41:15
  Speaker 2: all about how well you have kept your eggs. Yeah.
• 41:17
  Speaker 2: And if you are paying attention to yourself, you are
• 41:21
  Speaker 2: doing regular exercises. And moreover, you are not draining yourself
• 41:27
  Speaker 2: mentally just for some silly thing. That you have taken pressure.
• 41:34
  Speaker 2: That you have taken anything very seriously. So you mentally
• 41:38
  Speaker 2: drain yourself. I will say in that. That someone has
• 41:41
  Speaker 2: taken family very seriously. That no I have to make
• 41:43
  Speaker 2: a family. And after that I have to take care
• 41:45
  Speaker 2: of everyone. After that what mothers used to do. They
• 41:47
  Speaker 2: used to not take care of themselves. And those people
• 41:50
  Speaker 2: are the mothers. Who are bed ridden today. Or are
• 41:52
  Speaker 2: in wheel chair. So self love. And it's true. Self
• 41:58
  Speaker 2: love should be there. Self love will bring mental health.
• 42:00
  Speaker 2: Mental health will give you eggs. will be safe. This
• 42:04
  Speaker 2: is the easiest way that you can take care of yourself.
• 42:07
  Speaker 1: Any lifestyle changes you would recommend? Like according to you,
• 42:10
  Speaker 1: who's a healthy 30 plus woman who's good to conceive normally?
• 42:14
  Speaker 1: Let's start with food.
• 42:15
  Speaker 2: If you talk about food, then in food, fibers should
• 42:19
  Speaker 2: be a lot. Because, I mean, I don't want to
• 42:22
  Speaker 2: go to protein, carbohydrate or that tangent because people start
• 42:28
  Speaker 2: increasing this too. I said, eat protein, then from 30 years,
• 42:30
  Speaker 2: start eating protein. No. This is the work of a dietician.
• 42:33
  Speaker 2: When the patient will go, when the person will go,
• 42:36
  Speaker 2: he will have a conversation. What is his lifestyle? Lifestyle
• 42:38
  Speaker 2: to lifestyle. And regional variations also come. Somewhere in the
• 42:42
  Speaker 2: south rice is going, so rice is going to them.
• 42:44
  Speaker 2: In our place, roti is going. In the north, roti
• 42:46
  Speaker 2: is going. So, all this is different. I just say
• 42:49
  Speaker 2: one thing that in your diet, add raw fruits and
• 42:54
  Speaker 2: raw vegetables according to your age. If you are 30
• 42:58
  Speaker 2: years old, then 30% of the day raw vegetables It
• 43:01
  Speaker 2: should be there. The logic of eating three times, staying
• 43:05
  Speaker 2: with small meals, that was never the logic. You have
• 43:07
  Speaker 2: to eat once in the morning, once in the evening.
• 43:09
  Speaker 2: In the meantime, have basic snacking things. So, we will
• 43:12
  Speaker 2: do ourselves with a little less fatty food. It is
• 43:17
  Speaker 2: called trans fat. Trans fat comes in insulin resistance. Insulin
• 43:20
  Speaker 2: resistance comes in bad egg health. So, I am talking
• 43:26
  Speaker 2: about trans fat there. Palm oil and reheated oil and this.
• 43:30
  Speaker 2: You have to avoid all these. Eat Chola Bhatura at home.
• 43:36
  Speaker 2: Whatever you have to do, go and eat at a
• 43:38
  Speaker 2: good place. Where there is a place to walk. Eating
• 43:40
  Speaker 2: is a bliss. It's a feeling of that kind of
• 43:42
  Speaker 2: a thing in your head. That it keeps your mind good.
• 43:47
  Speaker 2: And mind is not here. It's everywhere in the body.
• 43:49
  Speaker 2: Each and every cell has a mitochondria. And it's a mind.
• 43:52
  Speaker 1: We UP people, we eat a little more personally.
• 43:55
  Speaker 2: You should eat personally. People who... Food as a fuel.
• 43:59
  Speaker 2: They are not going to. Trust me. Food as a fuel.
• 44:01
  Speaker 2: Food as a. Internal satisfaction. You can't underestimate food for
• 44:12
  Speaker 2: your mental well-being.
• 44:14
  Speaker 1: I'm going to make a reel out of this clip
• 44:17
  Speaker 1: and send it to my trainer. Who is calculating how
• 44:20
  Speaker 1: much calories, protein, fiber, sleep and multivitamins I've eaten. You're
• 44:27
  Speaker 1: saying that food is not a fuel. Food is a therapy.
• 44:32
  Speaker 2: Food is a therapy.
• 44:33
  Speaker 1: Only a person from Lucknow can say that.
• 44:38
  Speaker 2: Your tumbler won't decide how much water you want to drink.
• 44:41
  Speaker 2: Your own thirst is also something. So that's a logic.
• 44:44
  Speaker 2: Are we at the basic level or not? Or have
• 44:47
  Speaker 2: we surrounded ourselves too much? So don't lead a very
• 44:52
  Speaker 2: expensive life.
• 44:53
  Speaker 1: So after all this, a lot of people are going
• 44:55
  Speaker 1: to say that the doctor is saying that food is
• 44:57
  Speaker 1: not fuel. And they will go and eat Shukla's chaat.
• 45:03
  Speaker 1: After that, they will go and eat Ritz's laddus. After that,
• 45:08
  Speaker 1: Diwali is going to come. They will go and eat sweets.
• 45:11
  Speaker 1: And everyone will have good meat in Lucknow. That too
• 45:14
  Speaker 1: will be eaten. So how are you saying all these things?
• 45:17
  Speaker 2: I have already given a disclaimer at home. You cannot
• 45:21
  Speaker 2: trust anything. You cannot trust anything at this point of time.
• 45:24
  Speaker 2: It's a business for someone. And it's your body for you. So,
• 45:28
  Speaker 2: do whatever you want to do at home. Make yourself happy.
• 45:31
  Speaker 2: Make the people who are sitting at the dining table
• 45:34
  Speaker 2: a blissful diet.
• 45:36
  Speaker 1: But if someone is getting happiness by eating 150 grams.
• 45:40
  Speaker 2: Of jalebi, what will you tell them? No, so, whatever
• 45:43
  Speaker 2: is bad, you know what works for you the best.
• 45:46
  Speaker 2: More than your dietitian, your nutritionist, you know what works
• 45:49
  Speaker 2: for you.
• 45:50
  Speaker 1: Talk to me a little bit about men here. Of late,
• 45:53
  Speaker 1: I've been hearing a lot of instances of men who
• 45:57
  Speaker 1: look really fit. who go to the gym, who are
• 46:00
  Speaker 1: ensuring that they have their, you know, regular protein shakes,
• 46:05
  Speaker 1: but their counts are real low. They look fit, but
• 46:11
  Speaker 1: they are really unhealthy inside. Are you seeing those patients
• 46:14
  Speaker 1: in your clinic as well?
• 46:16
  Speaker 2: Major of them are landing into, onto the OPDs, regular basis,
• 46:22
  Speaker 2: or fitness ka maap dand, kahi na kahi, badal gaya hai.
• 46:27
  Speaker 2: Fitness was supposed to be flexibility. Fitness was never associated
• 46:33
  Speaker 2: with big muscles and six-packs. Okay, someone has a profession.
• 46:37
  Speaker 2: And it's a profession. They will only see people when
• 46:42
  Speaker 2: they see them. The one who doesn't have a profession,
• 46:45
  Speaker 2: his target has been made just for the sake of
• 46:48
  Speaker 2: aesthetically looking good. And after that, you take injectables. After that,
• 46:52
  Speaker 2: you take steroid cycles. After that, you end up In
• 46:57
  Speaker 2: the OPD with almost bad sperm health and with almost
• 47:03
  Speaker 2: absent organ. Turtling syndrome.
• 47:06
  Speaker 1: But is this an aberration happening with some people or
• 47:08
  Speaker 1: you are seeing a lot of young people?
• 47:10
  Speaker 2: A lot of young people. Some people, okay, a lot
• 47:13
  Speaker 2: of people don't pay attention. They come after 45-50 because
• 47:16
  Speaker 2: it has nothing to do with giving birth to children. Obviously,
• 47:19
  Speaker 2: because that thing is happening. And at that time, when
• 47:21
  Speaker 2: there is good health, good time, But after that, there
• 47:25
  Speaker 2: is a declining phase. No one has been able to
• 47:27
  Speaker 2: escape from this declining phase of steroids. At that time,
• 47:30
  Speaker 2: it will be very good. Alpha human feel will come
• 47:33
  Speaker 2: and everything is wonderful. Life is a bliss and everything.
• 47:37
  Speaker 2: But that declining phase, which has been seen in many places,
• 47:40
  Speaker 2: that is harmful. So those who have a profession, no,
• 47:44
  Speaker 2: I mean, okay, do that. But those who don't have
• 47:46
  Speaker 2: a profession, try flexibility for some time. Flexibility is very good.
• 47:53
  Speaker 2: And muscles are also formed. But it will be very aesthetic.
• 47:56
  Speaker 2: There is no guarantee of that. If you focus on
• 47:58
  Speaker 2: these small aspects, then we can achieve fertility without medicines,
• 48:02
  Speaker 2: without needles, without hormonal injections. And this is not a
• 48:06
  Speaker 2: wrong thing to say. What are all these things? You
• 48:11
  Speaker 2: are taking red light therapy, you are taking oxygen therapy,
• 48:15
  Speaker 2: you are talking so much about longevity. But internal longevity
• 48:19
  Speaker 2: is your happiness. Internal longevity is your sperm health. Because
• 48:23
  Speaker 2: sperm is calculated as your lifespan thing. And erections and
• 48:28
  Speaker 2: blood flow is calculated as your speedometer to your heart.
• 48:31
  Speaker 2: So those who have this problem, fertile health, and those
• 48:35
  Speaker 2: who have sexual-driven fertile health, they have a problem. In
• 48:38
  Speaker 2: 50% cases, heart attacks are happening. You will see this.
• 48:42
  Speaker 2: You will always see this. Refer to cardiologists. We have
• 48:44
  Speaker 2: made a simple protocol. ECG will happen. If there is
• 48:47
  Speaker 2: a problem in ultrasound dopplers, ECG will happen. Cardiology wale
• 48:52
  Speaker 2: aayenge loop mein. Toh ye standard protocol hai. I'll tell
• 48:56
  Speaker 2: you one, ye prostate ka test, ek PSA naam ka
• 48:58
  Speaker 2: bhi test hai, aapne bohot saari cheezo mein, ye bhool
• 49:01
  Speaker 2: gaya main. PSA naam ka test, prostate specific antigen, males
• 49:05
  Speaker 2: ko generally saal mein ek bar karana chahiye. We go
• 49:09
  Speaker 2: to the airports, aur log pechante hain, sab kuch karte hain,
• 49:12
  Speaker 2: bohot achche se value karte hain, aur achchi achchi baate
• 49:15
  Speaker 2: toh sab theek hai, sab bata diya. Lekin, the bad
• 49:18
  Speaker 2: side of it is, One patient from London. He sat
• 49:22
  Speaker 2: next to me. And he introduced me. Sir, I am
• 49:25
  Speaker 2: your patient. I came 5 years back. Oh, very good,
• 49:28
  Speaker 2: very good. And suddenly I turned around. His wife was sitting.
• 49:33
  Speaker 2: And wife was very furious at me. I will tell you.
• 49:36
  Speaker 2: I accept it. It will be my mistake. It will
• 49:37
  Speaker 2: not be. I don't know. And that guy, after 6 years,
• 49:41
  Speaker 2: he had infertility, he had a baby, but after 6 years,
• 49:44
  Speaker 2: he had prostate cancer. After 6 years. Wife told me, sir,
• 49:51
  Speaker 2: you had done treatment, at least do a PSA test.
• 49:56
  Speaker 2: I said, that's not my function. That's a urology dependent department.
• 50:00
  Speaker 2: But from that day, this happened to me three years back. Yes.
• 50:05
  Speaker 2: From that day till today, I am stopping a PA secretary.
• 50:07
  Speaker 2: This is my own learning. Where we are doing regularly.
• 50:11
  Speaker 2: Air hostess was sitting next to me. The crew was travelling.
• 50:14
  Speaker 2: That lady was really furious at you. I said, we
• 50:17
  Speaker 2: are doctors and we make mistakes. So whether it happened
• 50:22
  Speaker 2: because of that or not, but their doctors in London
• 50:23
  Speaker 2: said that if you get treatment done, why didn't the
• 50:26
  Speaker 2: doctor check this? And this is a kind of pre-marker
• 50:29
  Speaker 2: and it is already known. So I would like to
• 50:31
  Speaker 2: tell everyone that one of my mistakes, whatever it is,
• 50:35
  Speaker 2: my part is not that. My part was conception, my
• 50:37
  Speaker 2: part was sexual well-being. But a PSA test is for everyone,
• 50:41
  Speaker 2: for the masses. I say this, no need to ask anyone.
• 50:45
  Speaker 2: PSA test, you generally get it done. And for females,
• 50:48
  Speaker 2: it's simple. A general TVA scan to a good radiologist
• 50:54
  Speaker 2: is very important. That scan gives a lot of information
• 50:57
  Speaker 2: and that radiation does nothing. It's important. Dr.
• 51:00
  Speaker 1: Sankalp, you're the first doctor on this podcast who's admitted
• 51:03
  Speaker 1: that they did something wrong.
• 51:05
  Speaker 2: We make a lot of mistakes. And life is, we're
• 51:07
  Speaker 2: in the learning phase. And my grandfather used to say
• 51:10
  Speaker 2: till the end that I'm also studying. He used to
• 51:12
  Speaker 2: take books with him whenever he saw them. I used
• 51:14
  Speaker 2: to say, you know this much, why are you studying?
• 51:15
  Speaker 2: Now I understand. That you have to study. If you
• 51:18
  Speaker 2: need to, if you're an educator, we have only three jobs.
• 51:21
  Speaker 2: Either educate the masses, either educate the children in medical college,
• 51:24
  Speaker 2: give orientation to MBBS students, or educate them in OPD.
• 51:29
  Speaker 2: We have three jobs. There is no other duty of
• 51:30
  Speaker 2: a doctor. Fourth, today you.
• 51:31
  Speaker 1: Are encouraging our Health for Health viewers. Okay, let me
• 51:35
  Speaker 1: add that.
• 51:35
  Speaker 2: Thank you so much.
• 51:36
  Speaker 1: Let me add that to the gift. No, you are
• 51:37
  Speaker 1: earning my respect by saying that. I want to talk
• 51:40
  Speaker 1: about IVF ladder. I think if we have seen from
• 51:45
  Speaker 1: the starting of the podcast, we have established some things.
• 51:48
  Speaker 1: We have established that who needs IVF intervention and who
• 51:53
  Speaker 1: does not need it. We established which is your most
• 51:57
  Speaker 1: productive age. We established what things impact it adversely and
• 52:02
  Speaker 1: what you can do to make it better. I want
• 52:05
  Speaker 1: to move to some tests now. Are there certain tests
• 52:09
  Speaker 1: that again, men, women, I won't say marriageable age because
• 52:13
  Speaker 1: that's highly a criteria to have kids. But anybody who
• 52:17
  Speaker 1: wants to have a family, anybody who wants to have kids,
• 52:22
  Speaker 1: are there certain tests that they should get done? And
• 52:24
  Speaker 1: then I'll come to supplements after that.
• 52:27
  Speaker 2: I mean, if generally you guys are getting married or
• 52:30
  Speaker 2: generally in the act you are getting pregnant and conceived,
• 52:37
  Speaker 2: so far so good. There is no need for anything. Right?
• 52:40
  Speaker 2: Because if we tell the urban people to do this
• 52:42
  Speaker 2: or that test, there is a huge public, 80% of
• 52:46
  Speaker 2: the public, who don't have access to any test. There
• 52:48
  Speaker 2: are a lot of good people.
• 52:49
  Speaker 1: Hmm.
• 52:50
  Speaker 2: So, such a test is not mandatory. But yes, if
• 52:53
  Speaker 2: there is a problem somewhere, then first of all, show
• 52:57
  Speaker 2: it to the doctor. The people who are doing this
• 53:02
  Speaker 2: self-test and are reading it on ChatGPT, you are not
• 53:07
  Speaker 2: getting sick. Half knowledge is dangerous. You don't know its supporting.
• 53:12
  Speaker 2: Who knows, if this AMH is bad, you have to
• 53:14
  Speaker 2: take it from hemoglobin. Who knows, if your sperm health
• 53:18
  Speaker 2: is bad, your... XYZ, you have to take it from
• 53:21
  Speaker 2: vitamin D. And you end up getting this. If you
• 53:24
  Speaker 2: look behind the test, if you flip it, supplements also
• 53:27
  Speaker 2: come nowadays. That yes, take this. That is the wrong stage. Test,
• 53:30
  Speaker 2: it was the work of the doctor to prescribe. There
• 53:34
  Speaker 2: is nothing for the masses. When there is blood invasive
• 53:38
  Speaker 2: thing involved, then there is supposed to be some guy,
• 53:43
  Speaker 2: whose referred by, which is written on the test, it
• 53:45
  Speaker 2: is written for some reason. There should be some doctor involved.
• 53:49
  Speaker 2: If we talk about general health, if someone just wants
• 53:53
  Speaker 2: to get a test done like this, then AMH, as
• 53:55
  Speaker 2: I said, is a very important test, a very basic test.
• 53:58
  Speaker 2: And females should pay more attention to their hemoglobin, because
• 54:02
  Speaker 2: females have a very big part of hemoglobin. For males,
• 54:06
  Speaker 2: it is very important to get their sperm test done,
• 54:09
  Speaker 2: the most important. And secondly, get the LH test done,
• 54:13
  Speaker 2: luteinizing hormone. It's very important for the spermatogenesis part, the
• 54:17
  Speaker 2: starting of it, from the brain, pituitary, LH. This part
• 54:21
  Speaker 2: is important. And FSH test is for females. So FSH
• 54:25
  Speaker 2: and AMH for the females, LH and sperm health for
• 54:29
  Speaker 2: the males. If you do these two tests basically, you
• 54:33
  Speaker 2: will understand overall. Second, go to any local fertility doctor
• 54:37
  Speaker 2: and take guidelines. What exercise should I do? What should
• 54:45
  Speaker 2: I eat? What would be good for me? What would be?
• 54:47
  Speaker 2: Because doctor will tell you according to his clinical experience
• 54:51
  Speaker 2: that you should do this, you should do that. And
• 54:54
  Speaker 2: generally gynecologists were making children do it with the same
• 54:57
  Speaker 2: beauty till now. So it happens. They will give two
• 55:01
  Speaker 2: bullets of iron, it is a good thing. So very
• 55:04
  Speaker 2: good supplements have also come in it. So doctors help you.
• 55:08
  Speaker 1: I thought you will say folic acid is one thing
• 55:11
  Speaker 1: that women should start on. If they are thinking about.
• 55:16
  Speaker 1: Apart from folic acid, which is like, you know, wisdom
• 55:19
  Speaker 1: that women have had for a while, that if you're
• 55:21
  Speaker 1: thinking about having a family, start on folic acid, right?
• 55:24
  Speaker 1: Apart from this, anything else that people can sort of
• 55:28
  Speaker 1: get started on?
• 55:28
  Speaker 2: Naturally, Ayurvedic practice, just like my father, he has been,
• 55:33
  Speaker 2: had a background of Ayurveda and everything. And from there,
• 55:38
  Speaker 2: Ashwagandha to L-Arginine, its good formulations have come. So, Coenzyme
• 55:45
  Speaker 2: Q is very good for males. Coenzyme Q is very
• 55:50
  Speaker 2: good for males. L-Arginine and Ashwagandha is very good. If
• 55:56
  Speaker 2: those two things, because it relieves stress too. If cortisol
• 56:00
  Speaker 2: levels are low, then obviously your glandular effects will be good.
• 56:03
  Speaker 2: If glandular effects are good, then your hormones will be good.
• 56:06
  Speaker 2: Sperm will be good, egg will be good. So it's
• 56:08
  Speaker 2: about logic. Overall, to create an energy level in the cell,
• 56:13
  Speaker 2: to give more oxygen to the cell, to start their pump,
• 56:17
  Speaker 2: sodium potassium pump. And magnesium is the most beautiful thing,
• 56:22
  Speaker 2: which people, male, female, both of them, should be started.
• 56:26
  Speaker 2: And particularly, if we go to magnesium, then bisglycate. Many
• 56:30
  Speaker 2: of them are different from magnesium. Bisglycate is a better thing.
• 56:34
  Speaker 2: It makes sleep better. Non-REM sleep and REM sleep, if
• 56:38
  Speaker 2: you have heard, rapid eye movement, in which the brain
• 56:41
  Speaker 2: remains active all the time. Magnesium gives that channel a break. So,
• 56:46
  Speaker 2: magnesium is a very good thing. It doesn't cause any harm. Obviously, again,
• 56:50
  Speaker 2: don't buy magnesium without a doctor's permission. They will tell
• 56:54
  Speaker 2: you which glycate, which magnesium, which one is good for you.
• 56:57
  Speaker 1: And they will also check your reports if you are
• 56:59
  Speaker 1: deficient or not.
• 56:59
  Speaker 2: And they will check your reports if you are deficient
• 57:01
  Speaker 2: or not. So, what is this thing? Generally, if magnesium
• 57:05
  Speaker 2: has become general in your overall gym supplementation, that means
• 57:08
  Speaker 2: you have to take it for 15 days a month.
• 57:09
  Speaker 2: Gym supplementation. Gym, yes. I mean, you see the whole
• 57:11
  Speaker 2: list of it and you will be all, what has
• 57:14
  Speaker 2: happened to the gym people, I also don't understand. Protein box.
• 57:17
  Speaker 1: What are you looking at?
• 57:19
  Speaker 2: I don't know.
• 57:19
  Speaker 1: What are your patients bringing in the name of gym supplements?
• 57:22
  Speaker 2: They are bringing very big boxes. Like? They are bringing
• 57:24
  Speaker 2: expensive boxes. And, okay, I don't want to go there.
• 57:28
  Speaker 1: No, no, please tell me. I want to know what
• 57:31
  Speaker 1: are gym supplements.
• 57:33
  Speaker 2: Basically, the most dangerous are the steroidal PCT cycles. And
• 57:36
  Speaker 2: that should not be done. Until, obviously, you are not
• 57:40
  Speaker 2: earning from it. Until you have a profession. And if
• 57:43
  Speaker 2: you are earning from it, it's good. You can afford it.
• 57:46
  Speaker 2: You can afford the side effects that come after that.
• 57:48
  Speaker 2: But just in fashion, in fascination, 15-year-old kid is going
• 57:53
  Speaker 2: to the gym, he has started weightlifting. It's not good.
• 57:57
  Speaker 2: I don't want to go in that tangent. It's a
• 57:59
  Speaker 2: vast thing. But generally, show it to the doctor. Ask
• 58:03
  Speaker 2: them what to take. Don't go above the trainers. What
• 58:05
  Speaker 2: are they saying? You try a proper doctor with a degree.
• 58:12
  Speaker 2: that your general practitioner, your family physician, check everything every time.
• 58:19
  Speaker 2: Anything you put inside your body, it should go from
• 58:22
  Speaker 2: a doctor. I'm not saying take a big DM, MD
• 58:26
  Speaker 2: or all that. No, catch a family physician. Because your
• 58:29
  Speaker 2: grandfather is watching everyone. He knows what will work for
• 58:33
  Speaker 2: your family health.
• 58:34
  Speaker 1: Like in North India, I know in Kanpur, Lucknow, this
• 58:36
  Speaker 1: happens a lot. Women are generally low on iron. men
• 58:41
  Speaker 1: as well. So I remember when I got married and
• 58:44
  Speaker 1: I was aware, I went, in fact, after I had
• 58:47
  Speaker 1: a baby, I went and got my thalassemia test done.
• 58:50
  Speaker 1: And then my, you know, Gainak told me that this
• 58:53
  Speaker 1: is the first thing, kudliya milao ya na milao, ek
• 58:56
  Speaker 1: thalassemia ka test zarur milwana chahiye when you're getting married.
• 59:00
  Speaker 2: Right?
• 59:01
  Speaker 1: So, that would be one test that one should get
• 59:04
  Speaker 1: done before they, before they even think about a family.
• 59:08
  Speaker 2: Sab ko, haan theek hai kar sakte hain. The doctor
• 59:11
  Speaker 2: should be involved. If you get positive or negative and
• 59:14
  Speaker 2: if you get directionless, the directionless part will make you
• 59:18
  Speaker 2: suffer more than the one with Thalassemia. So just involve
• 59:21
  Speaker 2: the doctor and there are many good doctors who don't
• 59:23
  Speaker 2: give antibiotics. Your dad didn't give it to you, I
• 59:25
  Speaker 2: won't give it to your child. It is their logic.
• 59:36
  Speaker 2: And I trust those logics. Yeah. Because they know best
• 59:40
  Speaker 2: what will work for your family and if your three
• 59:42
  Speaker 2: generations are going on, then it is not going on
• 59:43
  Speaker 2: like this. So, again, doctor should be involved in every
• 59:47
  Speaker 2: point of time.
• 59:49
  Speaker 1: The real treasure in life is to have a good GP.
• 59:53
  Speaker 2: True that.
• 59:53
  Speaker 1: Which is Which seems to be lacking. Because we go
• 59:58
  Speaker 1: to the expert for everything. I think a general practitioner.
• 1:00:01
  Speaker 1: But it's very difficult.
• 1:00:02
  Speaker 2: To get a good GP. You find out. You go
• 1:00:05
  Speaker 2: to four doctors to show cold, cold, anything.
• 1:00:08
  Speaker 1: People of Kanpur, Lucknow think it's easy. You come to
• 1:00:11
  Speaker 1: Delhi and see.
• 1:00:12
  Speaker 2: Where will you get it?
• 1:00:13
  Speaker 1: You are going to the emergency for everything.
• 1:00:16
  Speaker 2: That's a little bit. Because history doesn't tell. The patient
• 1:00:19
  Speaker 2: will be anxious in front of them. Anxious. And they
• 1:00:22
  Speaker 2: will get bipolar disorder. They give you antidepressants. This is
• 1:00:26
  Speaker 2: not possible. You know this is one of the most
• 1:00:28
  Speaker 2: submissive behaviour. This is very introvert. This is the role
• 1:00:34
  Speaker 2: of a GP. And a GP has a big role
• 1:00:37
  Speaker 2: outside as well. First they show the GP that you
• 1:00:40
  Speaker 2: go to London. You will not be allowed to visit
• 1:00:42
  Speaker 2: a doctor. You go to GP first. Then after that
• 1:00:45
  Speaker 2: you have a step by step. So GP play a
• 1:00:48
  Speaker 2: very big role in the society health. Rather.
• 1:00:52
  Speaker 1: You talked about many things, so I think this is
• 1:00:54
  Speaker 1: a good time where we can play a game. We
• 1:00:56
  Speaker 1: call it take it or trash it. In which I
• 1:00:59
  Speaker 1: will throw certain items at you, certain regimes at you.
• 1:01:03
  Speaker 1: And you have to tell me from the lens of fertility,
• 1:01:06
  Speaker 1: should you take it or should you trash it?
• 1:01:08
  Speaker 2: For the masses.
• 1:01:09
  Speaker 1: For the masses, yeah. So this is take it or
• 1:01:12
  Speaker 1: trash it, fertility edition.
• 1:01:14
  Speaker 2: Are you ready? Yes.
• 1:01:16
  Speaker 1: Ghee, dry fruits or panjiri for fertility?
• 1:01:22
  Speaker 2: Take it, but there is always a but. And there
• 1:01:26
  Speaker 2: will be a but. Take it, but your lipids are
• 1:01:29
  Speaker 2: to be checked. If your lipids have HDL, LDL problem,
• 1:01:34
  Speaker 2: then trash it. And if not, take it.
• 1:01:36
  Speaker 1: Calorie can go up. It can have other harmful effects.
• 1:01:39
  Speaker 2: Okay.
• 1:01:39
  Speaker 1: Walnuts for fertility.
• 1:01:41
  Speaker 2: Good. Take it. Okay.
• 1:01:43
  Speaker 1: Ashwagandha.
• 1:01:45
  Speaker 2: Take it. Not in excess. Consult a doctor.
• 1:01:49
  Speaker 1: Shatavari.
• 1:01:49
  Speaker 2: Shatavari, yes. You trash it if you're taking it on
• 1:01:53
  Speaker 2: your own through ads and everything. Take it if a
• 1:01:57
  Speaker 2: doctor is prescribing it. It's a good thing. Shatavari, Ashwagandha, Gokhru.
• 1:02:03
  Speaker 2: These are 5-6 things of Ayurveda. These are very good things.
• 1:02:07
  Speaker 1: What about Shilajit?
• 1:02:09
  Speaker 2: Trash it.
• 1:02:10
  Speaker 1: Trash it. Does nothing.
• 1:02:14
  Speaker 2: Does nothing is an endothelial. Basically, oxygen carrying capacity of
• 1:02:20
  Speaker 2: the cell increases. It helps in the oxygen carrying capacity.
• 1:02:24
  Speaker 2: That's its primary role. But attach it to fashion. Again,
• 1:02:31
  Speaker 2: Shilajit is a serious thing. And you should talk to
• 1:02:35
  Speaker 2: a serious guy before taking it. All right.
• 1:02:38
  Speaker 1: And this one really fascinated me. It's called Putra Jeevak Beej.
• 1:02:42
  Speaker 1: It's said to sort of help you in conception of.
• 1:02:45
  Speaker 2: A male child. Haaj jod ke trash it. Haaj jod
• 1:02:47
  Speaker 2: ke trash it. Pure pure haaj jod ke. Because they
• 1:02:51
  Speaker 2: may hinder your chromosomal health. Permanently wo genetic defect dete
• 1:02:58
  Speaker 2: hain ye sab cheese. So any kind of beej which
• 1:03:02
  Speaker 2: tells you ke aap ladka hoga. And if this had happened,
• 1:03:08
  Speaker 2: we belong to a very old society, we belong to
• 1:03:11
  Speaker 2: the history of Ayurveda. And my grandfather, my great-grandfather have
• 1:03:15
  Speaker 2: been a great scholar. And these people always said, trash it.
• 1:03:19
  Speaker 2: Nothing of that sort exists. If it had happened, there
• 1:03:21
  Speaker 2: would have been imbalance in the world. In any country,
• 1:03:24
  Speaker 2: in any corner, there would have been imbalance.
• 1:03:26
  Speaker 1: Okay, what about new wellness hat, seed cycling for fertility?
• 1:03:33
  Speaker 2: Can't say, can't say.
• 1:03:35
  Speaker 1: You're not trashing what you're saying. I'm not saying.
• 1:03:37
  Speaker 2: Can't say, yeah. Okay.
• 1:03:40
  Speaker 1: All right. Garbh Sanskar of Fertility Yoga.
• 1:03:44
  Speaker 2: Take it. Take it. Very important, very important. And it
• 1:03:47
  Speaker 2: should be part of every, every child being born. Because
• 1:03:52
  Speaker 2: that helps in the IQ level, the brain functions and
• 1:03:55
  Speaker 2: all the inside whatever is happening. Because our first concept
• 1:03:58
  Speaker 2: was of dais. In pregnancy, hospitals were not going, there
• 1:04:02
  Speaker 2: were dais. daai, garbh, sanskar mein ek bahut bada role
• 1:04:05
  Speaker 2: play karti thi. And bahut knowledge nahi hai mereko ush
• 1:04:08
  Speaker 2: cheez ki. But people who are doing it, good people
• 1:04:12
  Speaker 2: who are doing it, and everyone at a higher level
• 1:04:14
  Speaker 2: is doing it. There are very good practitioners who are
• 1:04:17
  Speaker 2: actually preaching this practice. Take it.
• 1:04:21
  Speaker 1: It's what is in modern day called a lama's practice.
• 1:04:23
  Speaker 2: Yes. Right.
• 1:04:25
  Speaker 1: What about quitting smoking for better fertility?
• 1:04:28
  Speaker 2: Take it, take it, take it teen time. Okay.
• 1:04:31
  Speaker 1: He's not saying take it smoking. He's saying quit smoking.
• 1:04:35
  Speaker 1: Just to sort of remind everyone.
• 1:04:37
  Speaker 2: Okay.
• 1:04:37
  Speaker 1: Kesar doodh to boost fertility.
• 1:04:41
  Speaker 2: I don't think so complex protein can in any ways help.
• 1:04:45
  Speaker 2: I don't know. But crash it. Not the only thing. Okay.
• 1:04:49
  Speaker 1: What about cranberries and berries for fertility?
• 1:04:51
  Speaker 2: Wonderful. Cranberries and berries if you're a female. After an age,
• 1:04:56
  Speaker 2: mood regulations, menstrual cycles... It helps in everything. It mimics
• 1:05:04
  Speaker 2: a certain kind of metabolism in your body that can
• 1:05:10
  Speaker 2: actually help your mental health and overall your uterine health. Okay.
• 1:05:15
  Speaker 1: What about cutting out chai and coffee for fertility?
• 1:05:20
  Speaker 2: Can't say. There are no evidences for that reason. But
• 1:05:24
  Speaker 2: I don't think so. They, I mean, excessive coffee, obviously,
• 1:05:27
  Speaker 2: dopamine and all that goes with your cycle. But excess
• 1:05:32
  Speaker 2: of anything is bad. In moderation, tea and coffee are good. Okay.
• 1:05:37
  Speaker 1: What about antioxidants and COQ10 packs?
• 1:05:41
  Speaker 2: Coenzyme Q is very good. But again, the same thing
• 1:05:44
  Speaker 2: I told you earlier. And L-Arginine, L-Carnitine. What is all this?
• 1:05:48
  Speaker 2: In cardiology, L-Carnitine is very good for heart health. And
• 1:05:52
  Speaker 2: heart health of males is at the most risk. So whenever, whenever,
• 1:05:56
  Speaker 2: whenever you are taking supplementation, there should be some symptoms
• 1:06:00
  Speaker 2: before that. Without symptoms, you should not take supplements in fashion.
• 1:06:06
  Speaker 2: Just to prevent it, that it may come, no. Your
• 1:06:09
  Speaker 2: body will ask for it. All right.
• 1:06:11
  Speaker 1: Time of intercourse matters in fertility.
• 1:06:14
  Speaker 2: A lot at a highest level. That is the only thing.
• 1:06:19
  Speaker 2: The window, the fertile window, that is our biggest role.
• 1:06:26
  Speaker 2: And more than time, the quality of orgasm matters in fertility.
• 1:06:32
  Speaker 2: Because orgasm, the peristaltic movement of the uterine area and
• 1:06:36
  Speaker 2: all those things, that facilitates. Obviously, some conspiracy theories say this,
• 1:06:40
  Speaker 2: some say that. But according to me, an orgasm is
• 1:06:43
  Speaker 2: the best thing that can happen to a female. It
• 1:06:46
  Speaker 2: happens to a male anyhow. So, it's very important for
• 1:06:49
  Speaker 2: a female for the egg to travel or the sperm
• 1:06:51
  Speaker 2: to travel. And a good health-wise, mentally also. And if
• 1:06:57
  Speaker 2: that is for that, it stays for some seconds. And
• 1:07:00
  Speaker 2: if the fertile window comes in that second, so it's
• 1:07:02
  Speaker 2: a blessing in disguise. Okay.
• 1:07:04
  Speaker 1: There's another very popular one online that men should avoid
• 1:07:09
  Speaker 1: wearing tight jeans. And keep laptop or phones in their pocket.
• 1:07:14
  Speaker 2: This is absolutely true. This is a very true statement.
• 1:07:18
  Speaker 2: And it's just for the perspiration part. That our skin sweats.
• 1:07:24
  Speaker 2: And if it doesn't get escape, then that sweat will
• 1:07:28
  Speaker 2: remain there. It will convert into toxin. And if there
• 1:07:30
  Speaker 2: are toxins there, So calcium deposits and all that means
• 1:07:37
  Speaker 2: an unhealthy area develops. So it should be lighter. It
• 1:07:42
  Speaker 2: should be, earlier men used to use dhoti in Indian origin.
• 1:07:47
  Speaker 2: And that was somewhere the logic behind it. But totally
• 1:07:51
  Speaker 2: urban side, if we are coming, then there is no logic.
• 1:07:54
  Speaker 2: But you can be easy on your lower area. You
• 1:07:58
  Speaker 2: can be flexible on your pelvic area. And if you
• 1:08:01
  Speaker 2: use easy and lighter shades on it, If you are
• 1:08:04
  Speaker 2: keeping it a little airy. And that will help in
• 1:08:07
  Speaker 2: your fertility. And there has been an age. Fertility has happened.
• 1:08:11
  Speaker 2: There are children. After that, I don't think so it
• 1:08:13
  Speaker 2: matters a lot.
• 1:08:14
  Speaker 1: Some people are very popular on the internet. They are
• 1:08:17
  Speaker 1: having ginger. Ginger for productive health. Is it worth it?
• 1:08:25
  Speaker 1: Take it? Trash it?
• 1:08:27
  Speaker 2: Trash it. Puri tarike se trash it. Aap YouTube pe
• 1:08:30
  Speaker 2: itni videos AI generated dekhoge, thoda sa isme pinch karo,
• 1:08:34
  Speaker 2: thoda sa isme chia seed dalo, chhoa sa isme ye
• 1:08:36
  Speaker 2: dalo and make it, it will be this, it will
• 1:08:39
  Speaker 2: be that.
• 1:08:39
  Speaker 1: Fertility tonics.
• 1:08:40
  Speaker 2: Fertility tonics. Trash it. Aap, adrak aapko fertile bhi kar
• 1:08:48
  Speaker 2: sakti hai, infertile bhi kar sakti hai. Bohat zyada adrak
• 1:08:51
  Speaker 2: lene ke liye Ayurveda mein mana kiya gaya hai. I
• 1:08:54
  Speaker 2: am talking about, I don't want to be biased at
• 1:08:57
  Speaker 2: any point of time, that I am an Allopet, so
• 1:08:58
  Speaker 2: I am talking about Allopet. I am talking about, I
• 1:09:02
  Speaker 2: am talking about, I am talking about, I am talking about, So,
• 1:09:21
  Speaker 2: papa has never been his habit till today. He doesn't
• 1:09:22
  Speaker 2: like it today. So, similarly, such things, we people, in traditions,
• 1:09:26
  Speaker 2: we people say many things are time-tested and many things
• 1:09:30
  Speaker 2: are evidence-oriented. So, many things are time-tested. According to every ritu,
• 1:09:36
  Speaker 2: your food is bound. Bajra comes at the same time
• 1:09:39
  Speaker 2: in our house. If we are North Indians, you know,
• 1:09:43
  Speaker 2: in Ganpur, Lucknow, the same things happen. And, Now if
• 1:09:48
  Speaker 2: you look at it, the most micro organisms are produced
• 1:09:52
  Speaker 2: at this time because it is rainy season.
• 1:09:53
  Speaker 1: Fasting is also at this time. Because you want your
• 1:09:56
  Speaker 1: system to be like.
• 1:09:57
  Speaker 2: Paryushan Parv is also at this time. Ganesh Ji is
• 1:10:01
  Speaker 2: also at this time.
• 1:10:01
  Speaker 1: Navratri.
• 1:10:02
  Speaker 2: Navratri is also coming. Everything. Why is it coming at
• 1:10:05
  Speaker 2: this time? Because it's not like this. You don't have
• 1:10:08
  Speaker 2: to take it as a fast. It's not just about
• 1:10:11
  Speaker 2: taking it as a sacrifice. We have been told to
• 1:10:14
  Speaker 2: take it as a sacrifice, others have been told to
• 1:10:17
  Speaker 2: take it as a fast. But it's a concept to take,
• 1:10:20
  Speaker 2: to take its essence. That stop eating outside. In a day,
• 1:10:23
  Speaker 2: in potatoes, it gets shrubs and shoots. Yes. So don't
• 1:10:27
  Speaker 2: eat from the ground. What logic is wrong in this?
• 1:10:31
  Speaker 2: If you follow your time-tested traditions, which are your principles,
• 1:10:35
  Speaker 2: You are coming from generation to generation. In my opinion,
• 1:10:38
  Speaker 2: in generations, everyone will have children. Only then you will
• 1:10:41
  Speaker 2: be there. If you go there, and whatever is happening,
• 1:10:44
  Speaker 2: people are going back to their villages, work from homes,
• 1:10:46
  Speaker 2: and telling all the stories. We are farming, we are
• 1:10:49
  Speaker 2: growing micro greens, we are doing all this. What is
• 1:10:51
  Speaker 2: all this? Fancy version of what we were before. So,
• 1:10:55
  Speaker 2: let's go there. We will see. Will it happen? Will
• 1:10:58
  Speaker 2: it not happen? I don't know. But, traditions, value, are
• 1:11:03
  Speaker 2: very important. And I think if those things are good
• 1:11:06
  Speaker 2: in our family, what is good, what is bad, what
• 1:11:09
  Speaker 2: is bad, someone's gut health is bad, someone's family. Everyone's
• 1:11:13
  Speaker 2: gut health is bad. Yeah. You tell him to go
• 1:11:16
  Speaker 2: and eat chickpeas and that whole YouTube strategy and that
• 1:11:20
  Speaker 2: man will die of constipation. He will have IBS, IBD,
• 1:11:24
  Speaker 2: he will have inflammatory bowel syndromes. Don't do it. You
• 1:11:29
  Speaker 2: can't do anything by going to YouTube. There will be
• 1:11:33
  Speaker 2: a doctor for you. There will be a knowledgeable person
• 1:11:35
  Speaker 2: on your side. Go and ask him or her. They
• 1:11:38
  Speaker 2: will help.
• 1:11:40
  Speaker 1: So let me take you back to some solutions.
• 1:11:42
  Speaker 2: Right?
• 1:11:42
  Speaker 1: We scared a lot of people. Don't smoke. You know,
• 1:11:45
  Speaker 1: do weight lifting properly. Eat your protein properly. Or eat less.
• 1:11:48
  Speaker 1: Stop taking steroids. We told all these things. But what
• 1:11:52
  Speaker 1: to do?
• 1:11:52
  Speaker 2: You specifically pointed out for protein.
• 1:11:55
  Speaker 1: Our camera person needs this advice. So I thought I
• 1:11:58
  Speaker 1: will tell you.
• 1:11:59
  Speaker 2: He is doing wonderful. So.
• 1:12:02
  Speaker 1: Talk me through certain things that better your fertility. Things
• 1:12:06
  Speaker 1: that young men and women, especially in the metros, and
• 1:12:11
  Speaker 1: now you don't come from the metros, you come from Lucknow,
• 1:12:13
  Speaker 1: and you're telling me that every other billboard there is
• 1:12:16
  Speaker 1: made up of fertility clinics. So, stuff that young men
• 1:12:21
  Speaker 1: and women, or men and women who want to conceive,
• 1:12:25
  Speaker 1: should be prioritizing in their life.
• 1:12:27
  Speaker 2: Okay. So, let's start. First of all, spending time together.
• 1:12:32
  Speaker 2: It's the biggest aspect. It's a very underrated aspect. You
• 1:12:35
  Speaker 2: don't need any prescription for this. You don't need any
• 1:12:37
  Speaker 2: supplements for this. You don't need any blood test for this.
• 1:12:39
  Speaker 2: The more you start living a different, separate, single life,
• 1:12:44
  Speaker 2: your sink can't be made. And you just perform it
• 1:12:49
  Speaker 2: as an activity. Just for the act of it, it
• 1:12:53
  Speaker 2: doesn't work. It's very important for you to be active.
• 1:12:56
  Speaker 2: It's very important for you to be fascinated. I have
• 1:13:00
  Speaker 2: written a book, 4-Player Role-Play Rounds. I have done the
• 1:13:03
  Speaker 2: same thing in the whole thing. That you are active
• 1:13:06
  Speaker 2: and you are so fascinated about this thing with your partner.
• 1:13:09
  Speaker 2: This is important. And this thing drives you that it
• 1:13:14
  Speaker 2: is going well, it is going bad. Assess it once.
• 1:13:17
  Speaker 2: A 45-year-old man and husband and wife came from quite far.
• 1:13:22
  Speaker 2: That female when she speaks and that male was actually
• 1:13:25
  Speaker 2: crying with tears. That those females say, I don't know
• 1:13:29
  Speaker 2: what orgasm is till date. Till date, I have never
• 1:13:31
  Speaker 2: told them because we come from a very rich society.
• 1:13:33
  Speaker 2: Our females will not say. We are not that western
• 1:13:35
  Speaker 2: country guy who says in front of everyone, you can't
• 1:13:39
  Speaker 2: do it. So, it is very important that you guys
• 1:13:41
  Speaker 2: talk to each other. Spending time together is important. And
• 1:13:44
  Speaker 2: let's not talk about useless things. Don't talk about work.
• 1:13:47
  Speaker 2: We are working. Everything will continue. This will not decide
• 1:13:51
  Speaker 2: how you will die. What will decide that how are
• 1:13:54
  Speaker 2: you guys? So this will drive your mental health, well-being
• 1:14:00
  Speaker 2: with your partner. And with your partner, I am saying
• 1:14:03
  Speaker 2: this again and again because it is the most important.
• 1:14:06
  Speaker 2: People will come and go no matter what. But this
• 1:14:10
  Speaker 2: partner is going to be there with you for your life.
• 1:14:14
  Speaker 2: And whenever you will be drained or depressed, This is
• 1:14:17
  Speaker 2: the only person, the latter one. I mean, whoever it is,
• 1:14:19
  Speaker 2: female or male, this person can get you out of
• 1:14:22
  Speaker 2: it without antidepressants. This is the truth. And those people
• 1:14:26
  Speaker 2: who are doing a gap with this, those people, okay, infidelities,
• 1:14:31
  Speaker 2: I will say this part, those who are doing a gap,
• 1:14:32
  Speaker 2: those people are going to a more depressive end. Because
• 1:14:35
  Speaker 2: they have no one in front of whom they should
• 1:14:36
  Speaker 2: not do pretentious behavior. So pretentious behavior is a different character.
• 1:14:41
  Speaker 2: We go out of the world and take a pretentious behavior.
• 1:14:43
  Speaker 2: We are something else at home. But that person should
• 1:14:46
  Speaker 2: have respect. Apas mein respect honi chahiye. Saath rehne se
• 1:14:49
  Speaker 2: mera mental health se uddesh hai. Mental health se respect
• 1:14:53
  Speaker 2: ki taraf uddesh hai. Aap dono ek dusre ko value
• 1:14:56
  Speaker 2: karne chahiye at every equal point of time. Agar saari
• 1:15:00
  Speaker 2: cheezain achchi ho rahi hai, to aap congratulations, aap un
• 1:15:05
  Speaker 2: 90% logon mein ho jo conceive kar lengi hai. Baaki
• 1:15:08
  Speaker 2: jo 10% bach jata hai, wo ek chikitsak ke end pe,
• 1:15:11
  Speaker 2: ya basic test ke end pe, ya at the end
• 1:15:15
  Speaker 2: of your regular endothelial functions, at the end of your
• 1:15:18
  Speaker 2: timing levels, or overall, how much time you are giving
• 1:15:22
  Speaker 2: yourself for stimulation. With all those things, or with some supplementation,
• 1:15:29
  Speaker 2: that we are taking Q10, it does good for sperm health,
• 1:15:31
  Speaker 2: and we are taking all basic ashwagandha, shilajit, whatever, we
• 1:15:35
  Speaker 2: are taking this couple as a couple therapy, and along
• 1:15:38
  Speaker 2: with that, the most important thing is couple yoga. If
• 1:15:41
  Speaker 2: we are going with couple yoga, it is not a
• 1:15:42
  Speaker 2: better thing than your mental alignment. If you have a
• 1:15:48
  Speaker 2: good teacher of yoga, then yoga is the best thing
• 1:15:52
  Speaker 2: that you can do together for the fertility. This is
• 1:15:56
  Speaker 2: also called Garbh Sanskar. If you read in the book,
• 1:15:58
  Speaker 2: then Garbh Sanskar is also a lot of yoga. The
• 1:16:01
  Speaker 2: breathing alignment is yoga. And when you align it with discipline,
• 1:16:06
  Speaker 2: that gives you results. It's not like you'll be able
• 1:16:09
  Speaker 2: to do it with a headband. No, it's not like that.
• 1:16:11
  Speaker 1: So, it won't happen if you go to the gym.
• 1:16:12
  Speaker 2: It will. It will definitely happen. But where did that
• 1:16:14
  Speaker 2: private space go? Again, pretentious behavior came. Again, all those
• 1:16:19
  Speaker 2: things came. I'm talking about fertility, not fashion.
• 1:16:23
  Speaker 1: What about playing like a sport together? We know racquet sport.
• 1:16:26
  Speaker 2: Wonderful. We know racquet sport is great. It's very good.
• 1:16:31
  Speaker 2: Do it. Which involves the both of you. Which involves
• 1:16:35
  Speaker 2: both of you, in which you both have a As
• 1:16:38
  Speaker 2: they say, we are lost. While playing, we start shouting
• 1:16:41
  Speaker 2: so much that what is happening with us? That aspect
• 1:16:43
  Speaker 2: of your character, that is important to come out. When
• 1:16:47
  Speaker 2: that comes out, that connects, that connects, then you go
• 1:16:49
  Speaker 2: very well on the level of intimacy. And when that
• 1:16:52
  Speaker 2: comes out well, then from where will the fertility question
• 1:16:56
  Speaker 2: mark be? So that is your egg being happy and
• 1:16:59
  Speaker 2: your sperm being happy together. And those people who have
• 1:17:04
  Speaker 2: not supported their tissue health, we have stimulating and misusing
• 1:17:11
  Speaker 2: their organs. Those who have already done it, they should
• 1:17:15
  Speaker 2: take help. They should take help. Their only exercise, exercise
• 1:17:19
  Speaker 2: is not a drug. Doctor is responsible for that drug. So,
• 1:17:23
  Speaker 2: it won't be done only with exercise. But, for fertility,
• 1:17:26
  Speaker 2: you say exercise is not a drug. That's half the story.
• 1:17:30
  Speaker 2: But if you have tissue damage, if you have any
• 1:17:32
  Speaker 2: problem in your Doppler studies, you address it. Just like
• 1:17:37
  Speaker 2: we say ATRT, before ART, do ATRT. Advanced Tissue Regenerative
• 1:17:41
  Speaker 2: Therapies Technologies, which we, with God's grace, I've got a
• 1:17:45
  Speaker 2: patent from Indian government for this technology. So, why are
• 1:17:49
  Speaker 2: all these things? Just after this thing, we are running
• 1:17:52
  Speaker 2: after the same thing, that natural conception, without needle and needle,
• 1:17:57
  Speaker 2: natural intimate health, without taking a pill, performing part over
• 1:18:02
  Speaker 2: the drugs, these OTC drugs, We are misusing them a lot.
• 1:18:07
  Speaker 2: People are losing their heart health. These are all small aspects.
• 1:18:11
  Speaker 2: If you keep everything aside, sit with your partner, talk,
• 1:18:13
  Speaker 2: come to the conclusion, go to the doctor, done.
• 1:18:18
  Speaker 1: You also have devised a very interesting Fertimacy Protocol. What
• 1:18:22
  Speaker 1: exactly is that?
• 1:18:23
  Speaker 2: So, again, Sandeep Ikhshed, I will do this. Ferti, Mesi.
• 1:18:27
  Speaker 2: Fertility is Fertile. Intimacy is Mesi. So, where there is
• 1:18:32
  Speaker 2: good fertility, there should be good intimacy quotients also. And
• 1:18:36
  Speaker 2: the same thing was missing in our protocol. If we
• 1:18:38
  Speaker 2: would go to the gynecologist, everyone would talk about the female,
• 1:18:41
  Speaker 2: but they were afraid to talk about intimacy. What did
• 1:18:45
  Speaker 2: they do the most? They wrote a sperm test and
• 1:18:48
  Speaker 2: what did they do the most? But nobody was telling, asking,
• 1:18:41
  Speaker 2: how is your sex life? Because that's the base of it.
• 1:18:44
  Speaker 2: And if that base is good, then fertility and intimacy
• 1:18:48
  Speaker 2: go hands in hands. So we run an IVF center. So,
• 1:19:06
  Speaker 2: we run ARTs. Assisted Reproductive Technology, Techniques, whatever you call it.
• 1:19:13
  Speaker 2: The first protocol of AT, ART, which generally all doctors
• 1:19:18
  Speaker 2: used to follow, that was ATRT, Advanced Tissue Regenerative Technology, Technique, Therapy,
• 1:19:26
  Speaker 2: whatever you call it. This technique, technology, we got a
• 1:19:31
  Speaker 2: patent from the Indian government in the name of ErectiCare Pro.
• 1:19:34
  Speaker 2: That is a device which can solve the problem of
• 1:19:40
  Speaker 2: infertility due to dysfunction, reproductive dysfunction or tissue damage or
• 1:19:48
  Speaker 2: endothelial dysfunction. These are all pelvic floor related terms. So
• 1:19:53
  Speaker 2: you have.
• 1:19:54
  Speaker 1: A device for this?
• 1:19:55
  Speaker 2: This is a device.
• 1:19:56
  Speaker 1: How does it work?
• 1:19:58
  Speaker 2: This works on nitric oxide pressure. Nitric oxide is responsible
• 1:20:03
  Speaker 2: for the erections in the body. And we have collaborated
• 1:20:06
  Speaker 2: with US FDA with Alma Duo, the Alma Lasers, the
• 1:20:10
  Speaker 2: good people. Now, with the help of these two, we
• 1:20:13
  Speaker 2: can remove both males and females from pelvic floor disorders.
• 1:20:20
  Speaker 2: And when their pelvic floor disorders are better, that's what
• 1:20:23
  Speaker 2: I said, then we can see small sperms in the
• 1:20:25
  Speaker 2: acquired azoospermia. Because we have rehabilitated that area. So, before drugs,
• 1:20:33
  Speaker 2: rehabilitation is the main protocol for fertility and intimacy and
• 1:20:39
  Speaker 2: overall longevity. Because all these things are showing your longevity. So,
• 1:20:44
  Speaker 2: this fertility protocol is basically not opting ART as the
• 1:20:52
  Speaker 2: only thing, but ATRT as the best thing possible and
• 1:20:56
  Speaker 2: trying it with the couple for six months or an year,
• 1:20:59
  Speaker 2: which is the protocol generally of doctors. And not push
• 1:21:04
  Speaker 2: them into IVF. And not push them into IVF. Because
• 1:21:06
  Speaker 2: we were doing that for 90 years. ATRT. For that,
• 1:21:10
  Speaker 2: papa did so much. This machine was 24 years of
• 1:21:12
  Speaker 2: hard work. I got it by God's grace, it should
• 1:21:15
  Speaker 2: have been in papa's name. But again, what we were
• 1:21:20
  Speaker 2: doing since 90 years, now we are doing it with
• 1:21:22
  Speaker 2: IVF also.
• 1:21:23
  Speaker 1: Why nitric oxide? Because you also said air pollution.
• 1:21:25
  Speaker 2: Nitric oxide is a natural gas that is there in
• 1:21:30
  Speaker 2: the fresh vegetables and everything. That gives your body endothelial
• 1:21:36
  Speaker 2: function a relaxation effect. It's not only the blood flow
• 1:21:40
  Speaker 2: which is causing an erection. It is the nitric oxide
• 1:21:43
  Speaker 2: gas that is causing an erection. So, this is very
• 1:21:47
  Speaker 2: important part of a male reproductive health. So, we are
• 1:21:53
  Speaker 2: using the medical grade nitric oxide gases for the tissue regeneration.
• 1:22:01
  Speaker 1: So, you are infusing it.
• 1:22:03
  Speaker 2: Infusing it through creating a sterile vacuum. And with that,
• 1:22:09
  Speaker 2: we are getting amazing results. That turtling syndrome that I
• 1:22:12
  Speaker 2: talked about. Shrinkage syndrome.
• 1:22:14
  Speaker 1: But does that work in women as well?
• 1:22:17
  Speaker 2: For women, again, other technologies have come. Because with this,
• 1:22:20
  Speaker 2: there are not only technologies. There are a lot of EMTs. Electromagnetic.
• 1:22:23
  Speaker 2: Which works at the level of neurotransmission. There are a
• 1:22:26
  Speaker 2: lot of different things. But in females, particularly like HIFUs,
• 1:22:30
  Speaker 2: which are vaginal treatments.
• 1:22:33
  Speaker 1: Or....
• 1:22:34
  Speaker 2: There is ALMA. ALMA has a very good effect on females.
• 1:22:38
  Speaker 1: What is ALMA?
• 1:22:39
  Speaker 2: ALMA Duo is a US FDA class 1 therapy technology
• 1:22:43
  Speaker 2: which uses hydrostatic particles for rejuvenation of your replenishment of
• 1:22:49
  Speaker 2: your walls. Like our inner squamous epithelium, similarly we get
• 1:22:56
  Speaker 2: it on organs too. Now to treat that we use
• 1:22:59
  Speaker 2: those waves. And these waves are so safe and so
• 1:23:02
  Speaker 2: good and their results are very good. urges increase, things increase,
• 1:23:06
  Speaker 2: and moreover, when everything starts to be good, then fertility
• 1:23:09
  Speaker 2: comes good. So we talk about all these things without
• 1:23:12
  Speaker 2: any drug-based protocol. We have used more and more incitol
• 1:23:16
  Speaker 2: for sperm health, but we consider drug secondary. We have
• 1:23:20
  Speaker 2: all the rights in the world to prescribe it. We
• 1:23:23
  Speaker 2: have all the multidisciplinary doctors on our protocol, but we
• 1:23:27
  Speaker 2: don't encourage drug-based therapies in our protocol. For that, there
• 1:23:32
  Speaker 2: are very good consultants sitting with me. who are doing
• 1:23:35
  Speaker 2: very good work, be it gynecologists, be it urologists, be
• 1:23:37
  Speaker 2: it everyone. So, where there are tubal blockages, where there
• 1:23:40
  Speaker 2: are endometriosis, these are small things. So, we are basically
• 1:23:44
  Speaker 2: working on metabolic health, we are working on your ovarian reserve,
• 1:23:48
  Speaker 2: we are working on your spermatogenesis, and moreover, we are
• 1:23:53
  Speaker 2: working on your insulin resistance in your metabolic health, which
• 1:23:56
  Speaker 2: plays a very big factor. In both males and females,
• 1:23:58
  Speaker 2: there is an infertility causing agent. Because where the weight increases,
• 1:24:02
  Speaker 2: there comes fat, where fat comes, there comes insulin, there
• 1:24:04
  Speaker 2: comes insulin. It's a, I mean, again, you have come
• 1:24:06
  Speaker 2: in a circle, now you will not be able to
• 1:24:08
  Speaker 2: get out of that circle. So it's very important that
• 1:24:12
  Speaker 2: we go to our base, look at metabolic health, and
• 1:24:14
  Speaker 2: a lot of things improve from metabolic health. The cases
• 1:24:17
  Speaker 2: that we get rid of, we do IVF on them.
• 1:24:20
  Speaker 1: Okay, so we talked in detail, but do so many
• 1:24:21
  Speaker 1: people come to your clinic for your consult? Can you
• 1:24:27
  Speaker 1: tell us some basic habits that lead to infertility?
• 1:24:33
  Speaker 2: A doctor's clinical experience is a very big measure. And
• 1:24:36
  Speaker 2: the question you have is the biggest measure. We understand
• 1:24:39
  Speaker 2: after seeing it many times that this thing will go wrong.
• 1:24:43
  Speaker 2: Like being overweight. Overweight causes shrinkage syndrome or turtling effect.
• 1:24:49
  Speaker 2: There the organ goes inside. So in male fraternity, this
• 1:24:53
  Speaker 2: is the most dangerous thing. I mean, it gets bad.
• 1:24:58
  Speaker 2: We get very worried in treating it. And the patient
• 1:25:00
  Speaker 2: also gets very worried. But it gets better. They get there.
• 1:25:03
  Speaker 2: I mean, those who used to look at themselves at
• 1:25:06
  Speaker 2: the age of 15-20 versus those who are 40-50 years
• 1:25:09
  Speaker 2: old today, they start looking the same. Without any extra
• 1:25:13
  Speaker 2: collagen or without any extra anything. So, when it comes
• 1:25:18
  Speaker 2: to weight, we have five metabolic things. Whether you are
• 1:25:23
  Speaker 2: diabetic or not, whether you are hypertensive or not, how
• 1:25:26
  Speaker 2: is your thyroid, how is your mental health, and after that,
• 1:25:30
  Speaker 2: how is your sexual health. These five things are considered
• 1:25:33
  Speaker 2: in metabolic syndrome. Like we talk about diabetes, hypertension very
• 1:25:37
  Speaker 2: easily at home. We have started talking easily about thyroid,
• 1:25:42
  Speaker 2: that your weight is good, thyroid, hypo, hyper. Everyone has
• 1:25:45
  Speaker 2: started knowing about this. Mental health, thanks to all the
• 1:25:49
  Speaker 2: celebrities who are doing it, who are doing good and telling,
• 1:25:53
  Speaker 2: everyone is coming forward. Stigma is coming. Stigma is coming.
• 1:25:57
  Speaker 2: And they are coming openly that I was depressed. I
• 1:25:59
  Speaker 2: abused alcohol. Hany Singh sir told us. He came very well.
• 1:26:02
  Speaker 2: Because for our age generation, he is someone whom we
• 1:26:07
  Speaker 2: look up to. So for them, they did a very
• 1:26:09
  Speaker 2: good job. Similarly, your sexual health. Obviously, if dysfunctional status
• 1:26:16
  Speaker 2: is going on with your partner, then these five things
• 1:26:18
  Speaker 2: should be talked about. You can't talk about this in
• 1:26:20
  Speaker 2: the family, obviously, but with your partner. Or someone who
• 1:26:24
  Speaker 2: you are really close to. Or someone who you really trust.
• 1:26:29
  Speaker 2: Because there are more people in the world who make
• 1:26:32
  Speaker 2: and tell the truth. And that thing can be done
• 1:26:35
  Speaker 2: in a group to show someone down. You shouldn't discuss
• 1:26:39
  Speaker 2: with everyone, but with your partner. loved one or person
• 1:26:42
  Speaker 2: who you trust. So, these are the five important lifestyle
• 1:26:45
  Speaker 2: disorders which land in metabolic dysfunction. This metabolic dysfunction lands
• 1:26:51
  Speaker 2: in your infertility. Overall, if you have a lot of
• 1:26:56
  Speaker 2: dark circles or anything like that, I am telling you
• 1:26:58
  Speaker 2: about males. What is the most distinctive feature of males?
• 1:27:02
  Speaker 2: Eyes get clogged inside. This is because of lack of testosterone.
• 1:27:06
  Speaker 2: Eyes get clogged inside. So, in a way, it feels
• 1:27:07
  Speaker 2: like a hole has been made. And it is all black.
• 1:27:11
  Speaker 2: then that is a very big feature that this guy
• 1:27:13
  Speaker 2: is not very mentally strong and he is somewhere deprived
• 1:27:19
  Speaker 2: of some nutritional level access. He is eating but his
• 1:27:24
  Speaker 2: body is not getting attached. We talk about all those
• 1:27:28
  Speaker 2: aspects and I think mostly the basic AI technology that
• 1:27:32
  Speaker 2: we have used, which includes HbA1c, lipid and ECG, we
• 1:27:36
  Speaker 2: do all three together. It comes in 10 minutes. We
• 1:27:38
  Speaker 2: test it. And in 10 minutes, you get an elaborated
• 1:27:41
  Speaker 2: report about with your heart. How much lipid is there
• 1:27:43
  Speaker 2: in the blood at that point of time. So that
• 1:27:45
  Speaker 2: gives you a metabolic age. When we talk about longevity
• 1:27:48
  Speaker 2: and metabolic age, it actually comes from here. It doesn't
• 1:27:52
  Speaker 2: come out after filling online tests. So you should have
• 1:27:55
  Speaker 2: real time. How is the heart working? Real time should
• 1:27:57
  Speaker 2: be there. How many lipids are there in it? Real
• 1:27:59
  Speaker 2: time should be there. What is your glucose level at
• 1:28:01
  Speaker 2: that time?
• 1:28:01
  Speaker 1: You get a lot of such people in business class families.
• 1:28:06
  Speaker 2: At the end of the politician, we have a lot
• 1:28:07
  Speaker 2: of such children. Because their parents are so confined in that.
• 1:28:12
  Speaker 2: That I have this guy. He tells me. Sir, I
• 1:28:15
  Speaker 2: think 200 times before sending my girlfriend a reply on WhatsApp.
• 1:28:18
  Speaker 2: If her screenshot goes out tomorrow, what will happen? They
• 1:28:22
  Speaker 2: are going in a different trauma level. Now this thing
• 1:28:25
  Speaker 2: will go to the end of depression. Two PSOs come
• 1:28:27
  Speaker 2: with him. Everything is there. Now he comes alone. Touch wood.
• 1:28:30
  Speaker 2: So he is very confident. So what are all these things?
• 1:28:33
  Speaker 2: It's very important. Deep down somewhere, he's troubling them. But
• 1:28:39
  Speaker 2: parents don't know because he's walking around, talking and doing
• 1:28:43
  Speaker 2: as much as he wants. He's functioning well. But you
• 1:28:46
  Speaker 2: have to pay attention. All the influential people who are around,
• 1:28:51
  Speaker 2: whom people know, understand or whom people look upon, they
• 1:28:54
  Speaker 2: have to pay attention to their children. They don't have
• 1:28:56
  Speaker 2: a habit for them. They have struggled to take that position.
• 1:29:00
  Speaker 2: They know how ups and downs are. But that is
• 1:29:03
  Speaker 2: very important for those kids.
• 1:29:04
  Speaker 1: Because they don't know anything.
• 1:29:06
  Speaker 2: Generation after that.
• 1:29:07
  Speaker 1: Let's end on a positive note. Certain things you think
• 1:29:12
  Speaker 1: which are easy, free, completely doable, that can improve and
• 1:29:17
  Speaker 1: put you on the path of improving your fertility.
• 1:29:22
  Speaker 2: Again, exercises, playing some sport together, Again, making your mental balance,
• 1:29:33
  Speaker 2: making your mental ability sync with your partner. It should
• 1:29:37
  Speaker 2: not happen that you are at a very high level,
• 1:29:39
  Speaker 2: you are looking at your partner from there. We talk
• 1:29:42
  Speaker 2: about a preconceived notion, which comes the earliest in marriages.
• 1:29:44
  Speaker 2: Because you are with him the whole time, and a
• 1:29:48
  Speaker 2: preconceived notion has happened that if this reaction will come
• 1:29:50
  Speaker 2: on this thing, then don't tell this thing. You will
• 1:29:53
  Speaker 2: talk about all these things and with all these preconceived notions,
• 1:29:56
  Speaker 2: you cannot keep your mental status balanced and you cannot
• 1:29:59
  Speaker 2: come to the right thing. Like what is called sane decision.
• 1:30:03
  Speaker 2: So these sane decisions are fine. Anyone can do everything
• 1:30:08
  Speaker 2: that this is not required, that is not required. It
• 1:30:10
  Speaker 2: is a right thing. I am talking about sane decision.
• 1:30:13
  Speaker 2: Sane decision will give a sane mental status. Sane mental
• 1:30:17
  Speaker 2: status obviously will give an acceptance mental status that you
• 1:30:20
  Speaker 2: should have acceptance. You are full of yourself. You are
• 1:30:25
  Speaker 2: full of yourself.
• 1:30:28
  Speaker 1: I am my favorite. I thought that was self love.
• 1:30:33
  Speaker 1: What are you saying?
• 1:30:34
  Speaker 2: No, I, me, myself is different. But we as a partner.
• 1:30:39
  Speaker 2: If we come. Doctor is a very nice guy. He
• 1:30:43
  Speaker 2: says I... Bhologe illness aayega, V bologe wellness aayega. So, Dr.
• 1:30:47
  Speaker 2: Saab is very nice. I really follow that person. Dr. Hegde,
• 1:30:50
  Speaker 2: if I'm not wrong. He's also a guy. He's an
• 1:30:52
  Speaker 2: advocate to all these things what is happening. So, I
• 1:30:55
  Speaker 2: really follow these people. So, wo Dr. Saab ka bhi
• 1:30:58
  Speaker 2: logic ek tha. Happiness, happiness, happiness. Each and every cell
• 1:31:02
  Speaker 2: is your mind. And mind treats your body better than medicine.
• 1:31:09
  Speaker 2: That's very important. Medicine, matlab wo kitaap ke aage bhi
• 1:31:12
  Speaker 2: likha tha, maari pharma ke kitaap ke aage. While the
• 1:31:15
  Speaker 2: medicine amuses the patient, nature plays its role.
• 1:31:18
  Speaker 1: You sound so much more like a couple's therapist than
• 1:31:22
  Speaker 1: a doctor who treats.
• 1:31:24
  Speaker 2: I started my career from there. I got a place
• 1:31:25
  Speaker 2: at the reception of my father. And there, counseling was
• 1:31:28
  Speaker 2: my job. That was in my internship. When I was
• 1:31:30
  Speaker 2: in the King George Medical University, doing my internship from
• 1:31:33
  Speaker 2: there in Lucknow. It's a very good college. And you
• 1:31:36
  Speaker 2: get to learn a lot. Everyone comes here. I had
• 1:31:38
  Speaker 2: to do that. My father would keep watching. And in
• 1:31:41
  Speaker 2: his camera, my job was the same. And I like
• 1:31:44
  Speaker 2: that job. I like that job. I love that job.
• 1:31:47
  Speaker 2: It's nothing. Hope awakens. And hope is success. If it's honest,
• 1:31:52
  Speaker 2: then success also comes.
• 1:31:55
  Speaker 1: Okay, last five things that I want to hear. Tell
• 1:31:57
  Speaker 1: me what are the signs of a good, happy, in-sync couple?
• 1:32:00
  Speaker 1: This is like a test.
• 1:32:03
  Speaker 2: Okay.
• 1:32:04
  Speaker 1: That all couples can do.
• 1:32:05
  Speaker 2: Okay.
• 1:32:05
  Speaker 1: Then how do you know whether you are nailing it
• 1:32:07
  Speaker 1: in life or not? And it's got nothing to do
• 1:32:09
  Speaker 1: with fertility. That could be a byproduct. That could be
• 1:32:12
  Speaker 1: a byproduct. But yeah, otherwise.
• 1:32:14
  Speaker 2: So the best couple, who.
• 1:32:16
  Speaker 1: I'm very nervous about this.
• 1:32:19
  Speaker 2: So the best couple, who... I mean, I'm talking on
• 1:32:23
  Speaker 2: my own standards, on the basis of my brain. I
• 1:32:25
  Speaker 2: don't know, whole. Anyone's values and anyone's things are different.
• 1:32:29
  Speaker 2: I come from a traditional background. I have a 100-year legacy. So...
• 1:32:33
  Speaker 2: We manage a lot of things. So if you can
• 1:32:37
  Speaker 2: communicate with your partner in public without saying anything, you're
• 1:32:43
  Speaker 2: the best couple. Without having that, that maybe there will
• 1:32:48
  Speaker 2: be a fight. If you have that communication and if
• 1:32:52
  Speaker 2: you have the language of gestures, that's the best love
• 1:32:55
  Speaker 2: language that you have in the world. So if you're
• 1:32:58
  Speaker 2: able to do that and it's still alive, Because it
• 1:33:02
  Speaker 2: starts with that. If he is still alive, from the
• 1:33:05
  Speaker 2: biggest party to the smallest gathering, without anyone knowing, you
• 1:33:10
  Speaker 2: can fight in your eyes. Without anyone knowing, you can
• 1:33:13
  Speaker 2: plan an escape route. This is boring, let's move. You
• 1:33:19
  Speaker 2: may have a headache or something and you may move ahead.
• 1:33:21
  Speaker 2: This part should be the happiest part for the couple.
• 1:33:26
  Speaker 2: And those who do it, are very lucky. Because people
• 1:33:30
  Speaker 2: are sitting with a lot of pylons. That they are
• 1:33:32
  Speaker 2: scared of doing that. Or there is a theft in
• 1:33:36
  Speaker 2: the mind. Or anything. Or the character is messed up.
• 1:33:40
  Speaker 2: Or anything. Those who are able to do it. They
• 1:33:42
  Speaker 2: are very good. And consider yourself very lucky. Thank God.
• 1:33:47
  Speaker 2: That you are able to do this work. And if
• 1:33:51
  Speaker 2: that is your sink. Then you think your bedroom is
• 1:33:54
  Speaker 2: going to be. A swarg for you, not less than that.
• 1:33:57
  Speaker 2: It's going to be a happy place. For that happy place,
• 1:34:00
  Speaker 2: it's so important in those crowded places.
• 1:34:04
  Speaker 1: On that note and on that test, which thankfully I
• 1:34:07
  Speaker 1: have passed. Thank you so much, Dr. Sankal for being here.
• 1:34:10
  Speaker 1: This was lovely. Thank you.