Dr Anju Agarwal in Bendigo, Victoria | Doctor

Dr Anju Agarwal

Locality: Bendigo, Victoria

Phone: +61 3 5443 2276

Address: 61 Honeysuckle St 3550 Bendigo, VIC, Australia

Website: www.dranjuagarwal.com.au/contact-us

Likes: 649

Add/Update information

Reviews

Tags

• Doctor
• Medical and health
• Medical centre

25.01.2022 I thought today will be a great opportunity to increase awareness of this important condition. . . Unfortunately seen far too frequently in clinical practice. The information I would like to put out there is a lot therefore divided in multiple posts. . ... . Premature ovarian insufficiency (POI), refers to loss of ovarian activity that occurs before the age of 40 years. . . POI occurs in approximately 1% of the population but may differ between countries. . . 7090% of the time the cause of POI is unknown. Occasionally it could be linked to genetics (XO), autoimmune, infectious, metabolic, toxin-related, and iatrogenic i.e chemotherapy, radiation. . . Family history, early menarche, cigarette smoking, low or nulliparity and low BMI, hysterectomy are all linked with POI. . . Women usually present with secondary amenorrhea or oligomenorrhea, subfertility, and estrogen deficiency symptoms. Some women have absolutely no symptoms and others can have severe symptoms worse than natural age of menopause. . . Diagnosis is usually by history and blood tests. . Most guidelines recommend confirmation by two elevated FSH tests 4-6 weeks apart. Most utilised limit is >40IU/l. Some societies accept 30IU/l and even 25IU/l. . Anti-Mullerian hormone(AMH) produced from antral follicles is thought to be the most reliable measure of reduced ovarian reserve. Although no diagnostic level is established and AMH can be undetectable years before menopause ceases. Also it is cost precludes it use as a universal test. . . Long-term health consequences of premature ovarian insufficiency is a greater risk of: . Infertility . Cardiovascular disease . Osteoporosis . Psychological distress . Genitourinary and sexual dysfunction . Memory, learning problems and dementia. . . Management discussed in seperate post. #australianmenopausesociety #worldmenopauseday2020 #prematureovarianfailure #worldmenopauseday #menopause #menopausesupport See more

25.01.2022 Today on world anaesthesia day. I would like to thank the wonderful team of anaesthetists I work with everyday across all hospitals. Anesthetists are not only our colleagues but our friends and almost our psychologists who we offload everything too ! Stories about kid drop offs. Whinge about our partners Talk about our good days and our bad days. Sometimes all about our favourite TV shows On a serious note Anesthetists are who we call upon on a crisis both in th...eatre and outside theatre premises. Anesthetist is the last person patients see before going to sleep and sometimes the first person when waking up from surgery. Thank you again all you wonderful anesthetists who I have the pleasure to work with and I have the pleasure to be married to one of them(although today might be the only day I will admit to this) Thank you so much for always being there for my patients and for me. #worldanesthesiaday #bendigodaysurgery #bendigohealth #stjohnofgodhospitalbendigo #castlemainehealth #epworthhawthorn #monashivf #anaesthetistsalwaysready See more

25.01.2022 Our lovely embryologist is so passionate about her job that she brings her creativity to the kitchen !! #blastocyst #blastocystcookies #monashivf #embryologistlife #vf #bendigo @brigegangi @monashivf

25.01.2022 Premature ovarian insufficiency (POI) once diagnosed requires multidisciplinary management. Optimal management should involve a baseline assessment of insulin resistance, and bone health assessment(DXA scan). Frequency of the tests is based upon risk factors. Lifestyle changes such as ceasing smoking, weight bearing exercise, healthy diet will reduce cardiovascular risk and maintain bone strength.... Hormone therapy (HT) at least until the average age of menopause is the first-line treatment unless contraindicated. Replacement can be with the combination oral contraceptives(COC) initially if contraception is required or because of personal preference, but in the long term HT is recommended to optimise bone and metabolic health. (COC containing 17-B estradiol is preferred) Hypertension, migraines, fibroids endometriosis, obesity are not contraindications to use HT for POI. Treatment should be personalised and discussed with your doctor. . . Please find link in bio for information sheets from Australian menopause society. Eshre guidelines. IMS- white paper. #australianmenopausesociety #worldmenopauseday2020 #prematureovarianfailure #menopause #menopausesupport #bendigo

21.01.2022 Egg collection day! Egg collection is one of my favourite surgical procedures !! . .... We know how important this day is for our patients. Every egg counts and it takes that one egg to grow into an embryo which can result in a . . The voice of our embryologists counting number of eggs out loud to us is like music to our ears !! . . It is incredible how the whole theatre team is invested in the patient. . It is honestly not just another day at the office!! #monashivf #ivfprocedure #ivfpregnancy #theatrenurses #embryologists #anesthesiologist #eggcollection #bendigo #bendigodaysurgery

17.01.2022 Specialists on Honeysuckle wishes you all a very Merry Christmas & safe New Year. Thank you to all of our beautiful patients and colleagues for your support through this bizarre year. We look forward to seeing you all in 2021!

14.01.2022 @ASRM @EHRE and now our very own @RANZCOG have brought out statements - women trying to concieve should feel confident using the vaccine. #covid19vaccineupdate #tryingtoconceive #bendigo #monashivf

14.01.2022 Ladies it’s time to dust off this Frocks!! Frocktober is the campaign that empowers women around Australia to channel their creative flair through their favourite frocks, all while raising urgently-needed funds for the OCRF’s innovative research projects that help to shine a light on ovarian cancer. For a day, a week or the whole month of October, something as simple as the clothes we put on our back has the potential to start important conversations, raising awareness ...of the lack of early detection method, of women’s experiences, and of how we as a community can do more to support ovarian cancer research. Link is is attached here to donate or register. Thank you for your kind donation. https://www.frocktober.org.au///specialists-on-honeysuckle

13.01.2022 For many gay and lesbian couples, starting a family can be both daunting and joyful. Along with the excitement of raising a family, there sometimes is substantial legal and medical hurdles to face. . . It is useful to be informed prior to your specialist appointment about available options. I will discuss lesbian couples this time. .... . For female couples, your choice ultimately depends on the age and health of each partner, as well as the desire of each partner to carry a child. . . It is important to remember that same-sex couples may encounter some of the same infertility issues as heterosexual couple. . . Along with social legislation developments, fertility treatment options have also expanded. . . The available options are: Donor insemination ( DI) Clinic-based DI utilises sperm collected from a donor who has been screened for various health problems. . Known donor: This donor may be someone you know and have chosen, who has ‘donated’ sperm to you through a medical facility. . Anon: Donor who has been recruited by the clinic. Collected sperm is frozen for three months. Blood tests are performed before and after the quarantine period to ensure safety, and once cleared for use. The sperm may be administered using procedures such as intra uterine insemination (IUI). . . In vitro Fertilisation/ (IVF- ICSI) During IVF, higher doses of medications are often used to stimulate the development of a larger number of eggs. These eggs are then collected from the ovaries and fertilsed with the donated sperm,using intracyto plasmic sperm injection(ICSI),in the laboratory. They are then allowed to grow in to embryos and ideally on the fifth day ( blastocyst) transferred back into the woman’s uterus. The remaining embryos are frozen for future use. . . Reciprocal or Partner IVF: In this option, one partner provides the eggs, which are fertilised with donor sperm, and the other carries the pregnancy. This process of IVF allows both partners to become physically involved in the conception of their baby. #samesexfertility #ivfjourney #monashivf #fertility #bendigo ##lesbianfertility #ivf #samesexivf

11.01.2022 All about sperm donors? . .. :Who is a known donor ? .... : A known donor is someone known to you. A sympathetic friend or partners relative may be willing to assist. Advertising is allowed with prior permission from the health minister. The advertisement has to be approved before it is published. . It is important to consider preserving extra semen for subsequent pregnancies. This allows future siblings to have the same genetic characteristics. : What donor options do I have from the clinic/ anonymous donor? . : Clinic recruited donor can be local Australian or International. . Australian donors: All donors are altruistic. There are currently seperate waiting lists for IUI and IVF. . IUI: Our recommendation is to see the specialist have your suitability assessed and work up done. Have your treatment plan ready to go and then wait for the donor to come available. . IVF: There is currently no wait list for IVF. Please note same donor cannot be used for IUI and IVF. . International donor -l: Monash IVF is in partnership with some large international sperm banks. This is another good option where sperm can brought into Australia from overseas. This offers more options to patients including donor options from different ethnic backgrounds. Usually 6 vials are brought at one time but more can be brought it if needed. The main expense is the shipping costs for the special cryo- container sperm is shipped in. The sperm can be used for both IUI and IVF. This may appear to be slightly more expensive option however may be appealing to many as treatment can be commenced straight away, ability to move to IVF if IUI does not work, share the sperm between partners and fortunately more donors to choose from. Situation may change due to COVID-19. What Information do I get about the donors ? . Usually a list of available donors is sent with physical characteristics, ethnicity, level of education and hobbies. Once the preferred donor is narrowed down an extended profile can be requested to assist in your decision making. . . #monashivf #samesexfamilies #ivfjourney #bendigo

10.01.2022 We cought up last night to celebrate these beautiful souls without whom we could not have survived 2020!! What a year and how we rose to the challenge ! Thank you ladies for being you We had multiple challenges along the way each time we came out if it stronger and better! I am so proud to be working with such an amazing group of women and what a team we are! I also want to thank the other halves in our lives ! ( We are undoubtedly the better halves and will always be)... Thank you for supporting us always. It would be a tad difficult to do this on our own. Thank you for making sure our dinners are ready @530 and also ensuring that they are carb free, sugar free, gluten free, keto friendly and sometimes vegetarian!! Thank you so much for everything that you do. I hope you all have a wonderful Christmas and a fantastic New year ! Bring on 2021 #workfamily #merrychristmas #celebratewomentogether See more

08.01.2022 Thank you @nachostation and talented artist Alicia for this wonderful in my consulting room. . . The inspiration came from the graffiti and street art - laneways of Melbourne. .... . I came home and searched for a local artist who would convert this vision into reality. And Rhys from nacho station was the guy. Rhys is so easy going. No job is too big or small for him.( Also I agree this is way better than graffiti ) . . Just like everyone else Lockdown was the time for the job - and Alicia completed the art work for us in record time! . . It was a beautiful backdrop for zoom consults but we only realised the full impact of it when patients started walking back into our office!! . . Every single person has complimented it, loved it and we, never get bored of looking at it. And occasionally we have matching dresses! #bendigoart #nachostation #supportlocalbusiness #explorebendigo #bendigo #bendigobusiness

08.01.2022 Premature ovarian Insufficiency(POI) or Premature menopause affects all aspects of a woman’s life but when a woman is trying to conceive and is diagnosed with POI the news is devastating. I cannot emphasise how important counselling and psychological support is in this situation. . . Medical management usually involves: .... . Prevention: If there are risk factors such as strong family history of premature menopause, genetics, smoking- early presentation to care providers and referral to fertility specialists is useful. Blood tests can be undertaken to assess baseline hormone levels and ovarian reserve. With recent advances in egg freezing. Egg freezing is an extremely viable option for women to preserve their eggs particularly when social circumstances don’t allow early family planning. . . Treatment options: . . Medication- Once the diagnosis is made, there are no proven treatments to increase the rate of pregnancy for women using their own eggs . Some trials have used oestrogen +/- gonadotropins to induce ovulation although the success rates are extremely low. . . Egg donation : Currently the best chance of achieving a pregnancy for women with POI is oocyte donation. The options in Victoria include Known donor: This can be a sister, relative or friend who be willing to go through IVF procedure and donate eggs. Clinic recruited donor: There is usually a waiting list as donors altruistically donate eggs. Monash IVF has 1-3 altruistic egg donors per year (and sometimes none). The clinic cannot find donors for patients. The world egg bank(TWEB) : Monash IVF is in partnership with TWEB which means they can help import frozen donor eggs from the USA. The egg donors don’t get paid but provide the eggs as a gift. The details can be found on Monash IVF website. . . Research : Stem cell therapies, platelet-rich plasma, and primordial follicle activation all require further research and confirmation of efficacy and safety. #worldmenopauseday2020 #worldmenopauseday #fertilityweek #fertility #fertilityjourney #monashivf #ivfjourney #ivfcommunity #donoreggivf #eggdonorivf #bendigo

06.01.2022 Sorry for the inconvenience. We will be in touch once services are restored. Thank you for your patience.

04.01.2022 FAQs for same sex couple? . . : Based on my test results, do I have potential fertility issues? .... : Often one partner may have conditions that may adversely effect fertility such as PCOS. Endometriosis, tubal block etc A thorough history and examination of both partners at the outset is undertaken. We usually undertake investigations for both partners unless specifically advised otherwise. . . : If I do have potential fertility problems, how will this impact on who will carry the baby? . : The age of the partner donating eggs and the severity of the disease are all discussed. Personal choice however plays the predominant part. . . : Based on the test results, what are my treatment options, and how much do they cost? Will Medicare or my insurance pay for the testing and/ or treatments? Will your clinic help me determine what my insurance will cover for infertility? . : Once we have completed your work up. Treatment options are discussed with you. Your fertility specialist along with the finance team at Monash IVF should be able to advise you details. . . : What can you tell me about the risks associated with each of these procedures? . : Risks of the procedures depends upon the procedure undertaken. IUI- Main risk is multiple pregnancy, failed stimulation, cycle cancellation etc IVF : -Egg donor- risk of OHSS. Procedure related complications. Drug related side effects etc -Embryo recepient- multiple pregnancy( lower than IUI) preterm birth and Preclampsia. . . : How will I communicate with you during this whole process? : Email. Phone. We are very approachable. . . : Does your clinic provide emotional counselling, or can you refer me to a counsellor who deals with same-sex couples? . : Monash IVF have highly qualified and experienced counsellors. Counselling sessions are mandatory before commencing treatment. Extra counselling sessions can be requested as needed. . . : Do you recommend any complementary healthcare practices such as massage or acupuncture? . : Absolutely complimentary therapy is a great way to support fertility treatment. #bendigo #ivftreatment #monashivf #donorspermivf #fertility

02.01.2022 Enjoy your retirement Annie. You are an beautiful person and inspiration to many!

01.01.2022 Ladies it’s officially CERVICAL CANCER AWARENESS WEEK. Ask yourself.. Am I up to date with my cervical screening test?Formally known as a Pap smear! A routine cervical screen detects presence of HPV, prior to the development of abnormal cells, which over a period of time can go on to form cervical cancer. So, it’s time to catch up! Find out more detail @theaccf

01.01.2022 Effective from 1st Feb 2021. . . There will a significant change to the management of women at intermediate risk following detection of HPV, non 16/18 in the changes to National Cervical Screening Program (NCSP) .... . Women with a 12-month follow up HPV (not-16/18) - non high risk virus result with LBC prediction negative, pLSIL or LSIL (intermediate risk result) should be recommended to undertake a further HPV follow up test in 12 months’ time following their previous HPV test instead of referral to colposcopy. . . This means that women can be followed up until a third test without referral for colposcopy. (currently referred at second) . . The changes have been proposed after review of data which showed low likelihood of histologically-confirmed high grade squamous intraepithelial lesion (CIN2/3) or worse in this group of women. . . Exceptions are * Women who are overdue for 2 yrs at the time of the initial screen. * Women who identify as being of Aboriginal or Torres Strait Islander * Women aged 50 years or older Certain group of patients fall outside these guidelines * Women undergoing Test of Cure * Women who are DES exposed * Women who are immune- deficient * Women 70+ ( exit- test) * Self collected sample . . . . We welcome this change as the progression of cervical cancer with non high risk virus is relatively slow and women can be monitored safely with reduced numbers of colposcopy. #cervicalscreening #cervicalcancerawareness #bendigo #cervicalcancerprevention #seeyourgptoday #dranjuagarwal