00:00جمع کشمیل میں خواتین میں کوئتِ افضائش میں کمی ریکارڈ کی جارہی ہے
00:03جس کے نتیجے میں بچوں کی مجموعی پیدائش میں بھی کمی درج کی جارہی ہے
00:09اگرچی اس کے کئی وجہات کارفرما ہیں
00:12لیکن ماہرین کے مطابق 30 سال کی کم عمر کی خواتین میں
00:16AMH یعنی Anti-Megarian Hormone کی کمی بھی ہو رہی ہے
00:2130 سال کی کم عمر کی خواتین میں Low AMH کیوں ہو رہا ہے
00:25اس کی وجہات کیا ہیں
00:27and how can we get into this alarming situation?
00:31We are here with this time
00:33Khawateen Mahir Doctor and IVF expert
00:36Dr. Aram Shafi Aakum
00:39Welcome to your YouTube channel.
00:40Thank you so much.
00:42I don't want to know about AMH.
00:44What is it?
00:45And what is it related to fertility?
00:49AMH is called Anti-Mullerian Hormone.
00:53This is a hormone which we know
00:57How much is ovarian reserve?
00:59How much is ovarian reserve?
01:03We call it a further fertility indicator.
01:07When AMH is 30 from below,
01:10it is called Compromature Ovarian Failure
01:12because the egg is not working properly.
01:16This is a fertility indicator
01:18of how much is ovarian reserve in our egg reserve?
01:21How much is ovarian reserve?
01:23So this is a direct indicator of fertility.
01:26This test is a blood test.
01:28It is a simple test.
01:29And this test is not dependent on the cycle.
01:33It is not dependent on a particular day.
01:36So we can test this every month.
01:42Any day of the cycle.
01:44Because we are talking low-image.
01:47This is an alarming situation.
01:49And you have also mentioned the.
01:52What is this?
01:53What is the consequence of this?
01:54And what is that we are seeing low-image today?
01:57This lifestyle is the most important reason.
02:00This is the first reason for the lifestyle.
02:02The diet.
02:03In the diet, you will see that junk foods have been increased.
02:06Food as well as education.
02:08hand foods, preservatives are added
02:11or as well as the chicken
02:13is used to get estrogen injections
02:16are added in everything
02:18like fruits
02:19there are also hormonal injections
02:22are added in everything
02:24everything is added in everything
02:26so I called it related to diet
02:29the other thing is that
02:31chronic stress is happening
02:33in small children
02:34how much stress is happening
02:37so overall
02:39stress is happening
02:41so that indirectly
02:44affects AMH
02:46and I will also tell you
02:48the stress
02:50the most important thing
02:52is sleep
02:53a proper sleep
02:55which is a pattern
02:56like at 10am, 9am
02:59wake up in the morning
03:00a proper rhythm
03:01sleep cycle
03:03we say normally
03:04but today
03:05you will see
03:06on social media
03:07it is only 12 am
03:08the blue light
03:10the blue light
03:11continuously
03:12the brain is there
03:14but
03:14the underlying effect
03:17is that
03:18hormonal disruption
03:19when there is hormonal disruption
03:21definitely
03:22fertility indicator
03:24that is the reason
03:26I have called you
03:27stress
03:28sleep
03:29diet
03:30now
03:31fourth exercise
03:32you can see
03:33first
03:34girls
03:35played
03:36outside
03:36now
03:38you can see
03:38at home
03:39mobile
03:39or tv
03:40or
03:41inside
03:42inside
03:42more exercise
03:44not
03:45more
03:45play
03:46so
03:47the
03:48sedentary lifestyle
03:49one
03:50place
03:51where
03:52PCOS
03:53cases
03:53now
03:55overall
03:56the
03:56life body
03:57effect
03:58chronic stress
03:59sleep deprivation
04:01or
04:02eating
04:03that's why
04:04low image
04:05cases
04:05what
04:06is
04:06if
04:09it is
04:10low image
04:12when
04:13unmarried state
04:14also
04:14if
04:15low image
04:16it is not
04:17such a
04:17symptom
04:18it is not
04:19such a
04:20symptom
04:22when
04:23we test
04:25low image
04:26but
04:27patient
04:29says
04:29that
04:30my cycles
04:31regular
04:31regular
04:31I don't have
04:32any problem
04:34but
04:35yes
04:35if
04:36low image
04:37then
04:39regular
04:40cycle
04:41irregularities
04:42or
04:43menstrual
04:44disturbances
04:45or
04:45flow
04:46or
04:48night
04:49sweating
04:49or
04:51mood
04:51or
04:53hot
04:54flushes
04:54these
04:56are
04:57some
04:57symptoms
04:57but
04:58low image
05:00patient
05:00definitely
05:01no
05:02specific
05:02symptoms
05:03but
05:04if
05:04this
05:05is
05:05more
05:06than
05:0830
05:09is
05:09premature
05:11ovarian
05:12failure
05:13and
05:13make-up
05:17products
05:17there are
05:19chemicals
05:20that
05:21disrupt
05:22hormones
05:23further
05:24damage
05:25effects
05:25you can see
05:26today
05:27many
05:27chemicals
05:28face
05:29multiple
05:30makeup
05:31products
05:32definitely
05:33it was
05:36but
05:37you can see
05:38the
05:38treatment
05:40of
05:41skin
05:42many
05:43products
05:44there are
05:45chemicals
05:45which
05:46definitely
05:47effect
05:48genetic
05:48factors
05:50genetic
05:50is
05:51low proportion
05:52we can say
05:54genetic
05:55is
05:56reason
05:56but
05:57not
05:57much
05:58if
05:58someone
05:59has
06:00surgery
06:01like
06:03gynecological
06:04surgery
06:05from
06:09endometriosis
06:10disorder
06:11in
06:12ovaries
06:12if
06:13it's
06:13surgery
06:13it's
06:14less
06:14or
06:15cyst
06:16it's
06:17gynecological
06:18reasons
06:19unmarried
06:20women
06:21if
06:22low
06:23AMH
06:24doesn't
06:25they
06:25don't
06:28know
06:28if
06:28they
06:30get married
06:30to
06:31mother
06:32can
06:32get married
06:33many
06:35patients
06:36less
06:36than
06:3730
06:370.5
06:38AMH
06:390.1
06:400.2
06:41then
06:41if
06:43a patient
06:45has
06:45diagnosed
06:46low
06:46AMH
06:47then
06:47I
06:47think
06:48that
06:48is
06:48important
06:50step
06:50because
06:51this
06:52AMH
06:52is
06:52less
06:52with
06:53age
06:54so
06:55a proper
06:55step
06:57is
06:57important
06:58AMH
07:00is
07:00less
07:01than
07:0335
07:04above
07:05AMH
07:06is
07:06less
07:09than
07:1030
07:15but
07:16about
07:1635
07:17age
07:18drastically
07:19AMH
07:20is
07:20not
07:20a
07:23failure
07:24definitely
07:24what happens
07:26is
07:26low
07:26AMH
07:26is
07:29compromised
07:30when
07:31the
07:32egg
07:32is compromised
07:33when
07:34embryo
07:34is
07:34low
07:34for
07:35the
07:39that
07:40abortion
07:40rates
07:41increase
07:42in
07:42cases
07:43you
07:43see
07:44what
07:45patients
07:46come to
07:49low
07:49AMH
07:49is
07:50low
07:52AMH
07:5320
07:54years
07:5629
07:5728
07:570.5
07:580.2
08:00AMH
08:01is
08:01low
08:04AMH
08:05is
08:08AMH
08:09is
08:10low
08:16low
08:17low
08:18low
08:19AMH
08:20is
08:20is
08:21low
08:21AMH
08:21low
08:22low
08:22low
08:22AMH
08:22low
08:26low
08:35AMH
08:36is
08:36low
08:41patient
08:43trans vaginally, so this is a technique so that AMH has a little effect on it.
08:50It has been seen that it has a little effect on it and the other thing is stimulation.
08:56Some of these injections come from which the follicles increase and we remove eggs.
09:05So there is a technique with AMH.
09:07We scan the ultrasound and how many follicles are combined and we predict how the prognosis is.
09:15When we talk about it, we will talk about it and we will talk about it.
09:19So we will talk about it so that our children don't get rid of this situation and it will be
09:26better to become a mother.
09:29In this case, you have to work with medicine.
09:33How to work with our own health?
09:36Diet, like I said, fortified things, processed foods, canned foods, in plastic bottles,
09:44water, like eating momos, french fries, oil, junk food, burger, pizza,
09:53and then we will talk about it.
09:55We will talk about it and we will talk about it and we will talk about it.
09:57But definitely, we will talk about it and we will talk about it and we will talk about it.
10:01It is a little bit of things that we have to eat today.
10:03You can see here, every thing is ready for the day.
10:07So it is very unhealthy.
10:08It is like a meat, excessive meat, it is a meat.
10:12So first, the most important is diet.
10:16Selective food, balanced food.
10:18Protein portion.
10:20Whether it is chicken, mutton, paneer,
10:23Daal, protein portion.
10:24We have to include in our food.
10:26Fiber portion.
10:28Salads.
10:29Then, some milk.
10:30We have to include.
10:32Balance diet.
10:34There are an amount of carbohydrates.
10:35You know it, you don't like it.
10:36You know it, Fraktion's Purely, Chowal, Chowal, Pages, Beefing.
10:40The plate is so much filled with pork, and the vegetables is so much.
10:43So the carbohydrates is more protein.
10:47It does not make a balanced diet.
10:48So the balance diet is no longer.
10:48Don't worry.
10:48That is why we don't have any fertility.
10:50If you need some health issues.
10:52So the balance diet.
10:55Next, I have mentioned early sleep.
10:58Late hour in social media.
11:00in the area where the blue light is, the blue light is to avoid it, to sleep and get up,
11:05and to try a normal sleep pattern to maintain the normal routine, then I have called exercise
11:11like sedentary lifestyle, a little walk in the morning or in the evening, to eat, eat
11:17the food is an early food, like dinner which we do late at 10am, then it also becomes
11:23problem with that, so at 8am, eat the food and then after it will be better to do 15 minutes
11:28walk will be better. Further, sleep will be better and the hormones will be balanced and
11:34overall fertility indicators will be maintained.
11:37If someone has a low AMH, then it is a treatment?
11:41It is a variant of PRP, then the other thing is that in IVF, we give a pooling option.
11:47What is pooling? One time injection, we will get some eggs, because obviously low AMH
11:53has less follicles, they make embryos and then again injects eggs, but it is a treatment.
12:02But yes, definitely, IVF also has a prognosis when low AMH happens.
12:08How can it be reversed?
12:10Look, 100% sure, with age, if it is 30, if it is 30 to below, then you can try
12:17to do some supplements,
12:18or some, as I have said, you can do a variant of PRP, but if it is 35, then there
12:24is no chance to reverse.
12:25When the AMH is down, then understand that it is done.
12:29But in some patients, when they give them a little diet, supplements, exercise,
12:35there is a little effect, but there is not a drastic change.
12:39You talked about EDU in Bhara and gave us your time. Thank you very much.
12:43Thank you so much.
