Feature
Failing ovary is big problem among couples of Infertile, plan treatment now
Lucknow: Failing ovary and poor ovarian response is a big challenge globally for the specialists treating infertile couples claims Dr Gita Khanna, renowned OBGYN and infertility IVF specialist of Ajanta hospital and IVF centre Lucknow. She was addressing a day long national CME on ‘Poor Ovarian Response’ which was attended by more than 250 gynaecologists OBGYN specialists from Lucknow and surrounding areas Including from premier institutes SGPGI and RMLIMS Lucknow, Railway hospital, Command hospital and KGMU.
The academic session was addressed by key persons who are internationally recognised stalwarts of IVF like IFS President Dr Gauri Devi, Dr Pankaj Talwar, IFS secretary, Dr Rupa Bassi and Dr Pratap Kumar.
Mayor Lucknow Mrs Sanyukta Bhatia and director RML institute of medical sciences Prof Deepak Malviya inaugurated the CME.
During the meet, the experts gave a message to the young couples to marry at right age and do not forget to complete the family at an appropriate age before ovarian reserve declines with age.
Dr Gita Khanna, the organising secretary, suggested the young couples to try to contact infertility specialist if they don’t conceive within 12 months of trying for baby and within 6 months if age is more than 35 yrs along with life style and obesity management There was a vibrant panel discussion by experts of the field at the end of the session on latest strategies for diagnosis and management of poor ovarian response (POR).
The challenge of expected poor ovarian responders is found in cases with previous ovarian operations for cysts and endometriosis ,diabetes, smokers, Thalasemias ,chromosomal defects ,certain infections ,post chemo radiotherapy ,lifestyle issues like obesity and late marriages due to carrier issues
These issues were discussed at CME organised by Ajanta Hope society of Human reproduction and Research (AHHR) by organising chairperson Dr Gita Khanna of Ajanta Hospital and IVF centre Lucknow.
During the seminar, it was discussed that ovaries are the organ to provide eggs (oocytes) which are needed for the fertilisation to produce baby. Eggs are produced by the ovarian follicles and their number is fixed at the time of birth and at a given age and this is called Ovarian Reserve, It starts significantly reducing after 35 yrs of age in both quality and the quantity.
Hormonal drugs are needed for ovarian stimulation to produce eggs but it is difficult to know that how much a patient will respond to drugs and also it is difficult to know what response will come, thus poor response to ovarian stimulation is cause of concern and is now a distinct clinical disease.
Ovaries may also fail in earlier life ,is known as premature ovarian failure or premature menopause .Various markers like AMH and AFC has been designed to know about ovarian reserve at a given age certain patients despite normal ovarian reserve tests ,may not respond meaning thereby unexpected poor ovarian response.
The State Scores Extra High on Gaming-Friendly Industry Index
Meghalaya scored 92.85 out of 100 possible points in a Gaming Industry Index and proved to be India’s most gaming-friendly state following its recent profound legislation changes over the field allowing land-based and online gaming, including games of chance, under a licensing regime.
The index by the UK India Business Council (UKIBC) uses a scale of 0 to 100 to measure the level of legalisation on gambling and betting achieved by a state based on the scores over a set of seven different games – lottery, horse racing, betting on sports, poker, rummy, casino and fantasy sports
Starting from February last year, Meghalaya became the third state in India’s northeast to legalise gambling and betting after Sikkim and Nagaland. After consultations with the UKIBC, the state proceeded with the adoption of the Meghalaya Regulation of Gaming Act, 2021 and the nullification of the Meghalaya Prevention of Gambling Act, 1970. Subsequently in December, the Meghalaya Regulation of Gaming Rules, 2021 were notified and came into force.
All for the Tourists
The move to legalise and license various forms of offline and online betting and gambling in Meghalaya is aimed at boosting tourism and creating jobs, and altogether raising taxation revenues for the northeastern state. At the same time, the opportunities to bet and gamble legally will be reserved only for tourists and visitors.
“We came out with a Gaming Act and subsequently framed the Regulation of Gaming Rules, 2021. The government will accordingly issue licenses to operate games of skill and chance, both online and offline,” said James P. K. Sangma, Meghalaya State Law and Taxation Minister speaking in the capital city of Shillong. “But the legalized gambling and gaming will only be for tourists and not residents of Meghalaya,” he continued.
To be allowed to play, tourists and people visiting the state for work or business purposes will have to prove their non-resident status by presenting appropriate documents, in a process similar to a bank KYC (Know Your Customer) procedure.
Meghalaya Reaches Out to a Vast Market
With 140 millions of people in India estimated to bet regularly on sports, and a total of 370 million desi bettors around prominent sporting events, as per data from one of the latest reports by Esse N Videri, Meghalaya is set to reach out and take a piece of a vast market.
Estimates on the financial value of India’s sports betting market, combined across all types of offline channels and online sports and cricket predictions and betting platforms, speak about amounts between $130 and $150 billion (roughly between ₹9.7 and ₹11.5 lakh crore).
Andhra Pradesh, Telangana and Delhi are shown to deliver the highest number of bettors and Meghalaya can count on substantial tourists flow from their betting circles. The sports betting communities of Karnataka, Maharashtra, Uttar Pradesh and Haryana are also not to be underestimated.
Among the sports, cricket is most popular, registering 68 percent of the total bet count analyzed by Esse N Videri. Football takes second position with 11 percent of the bets, followed by betting on FIFA at 7 percent and on eCricket at 5 percent. The last position in the Top 5 of popular sports for betting in India is taken by tennis with 3 percent of the bet count.
Local Citizens will Still have Their Teer Betting
Meghalaya residents will still be permitted to participate in teer betting over arrow-shooting results. Teer is a traditional method of gambling, somewhat similar to a lottery draw, and held under the rules of the Meghalaya Regulation of the Game of Arrow Shooting and the Sale of Teer Tickets Act, 2018.
Teer includes bettors wagering on the number of arrows that reach the target which is placed about 50 meters away from a team of 20 archers positioned in a semicircle.
The archers shoot volleys of arrows at the target for ten minutes, and players place their bets choosing a number between 0 and 99 trying to guess the last two digits of the number of arrows that successfully pierce the target.
If, for example, the number of hits is 256, anyone who has bet on 56 wins an amount eight times bigger than their wager.
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