This patient presented to the ER for umbilical pain and had a history of umbilical hernia. He was concerned about the possibility of incarceration of the hernia.

In this video we explain how the clinical exam helps to differentiate a simple painful hernia from an incarcerated one.

***Thanks to the patient for sharing his history and exam with YouTube world***

Plastination pioneer Gunther Von Hagens gives us a view inside the bodies of 2 people who have died of cancer.

A great video showing the multiple presentations of the baby which the doctor may encounter while delivery like breech presentation..etc

Identify the anatomy and explain the physiology of the scrotum on diagrams and sonograms.

Describe and demonstrate the protocol for sonographic scanning of the scrotum.

Identify and describe sonographic images of congenital abnormalities of the scrotum.

Identify and describe sonographic images of pathologies of the scrotum.

Identify and describe sonographic images of extratesticular disease processes.

Identify the anatomy and explain the physiology of the prostate on diagrams and sonograms.

Describe and demonstrate the protocol for transabdominal and endorectal sonographic scanning of the prostate.

Identify and describe sonographic images of benign and malignant pathologies of the prostate, including benign hyperplasia, prostatitis, carcinoma, and calculi.

Explain the technique for prostate biopsy.

Define the criteria for an ultrasound appearance of prostate tumor staging.

Explain the technique for radiation seed implantation.

Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference).

Vaginal delivery is the most common and safest type of childbirth. When necessary in certain circumstances, forceps (instruments resembling large spoons) may be used to cup your baby's head and help guide the baby through the birth canal. Vacuum delivery is another way to assist delivery and is similar to forceps delivery. In vacuum delivery, a plastic cup is applied to the baby's head by suction and the health care provider gently pulls the baby from the birth canal.

A testicular examination is mainly performed on male patients who present with testicular pathology e.g. pain, swelling, a lump. Although titled testicular examination it involves the examination of the penis, scrotum and testes. As this is an intimate examination it is pertinent to gain a good rapport with your patient, maintain good communication and ensure the patient’s dignity at all times. Remember to offer a chaperone for this skill. For the purposes of your exam, you will most likely be examining a mannequin.

Leopold's Maneuvers Video

A video showing how to suture the uterus during ceseran section

Welcome to the next episode of Fertility Focus Podcast!

If you’ve been trying to conceive and still not seeing results, it’s time to look beyond female fertility alone. Did you know that 50% of infertility cases are due to male factors?
This episode from Fertility Focus dives deep into male infertility, how semen analysis works, what your reports really mean, and what to do if the numbers don’t look right.

We bust myths, decode complex terms, and offer science-backed clarity on improving chances of conception.

What we covered:
✅What is semen analysis, and why is it important?
→ It checks sperm count, movement, and shape, all critical for natural conception.
✅When should a man get a semen test done?
→ After 12 months of trying to conceive, or after 6 months if the female is over 35.
✅Can semen quality be judged by its colour or thickness?
→ No, only lab analysis can determine true sperm health.
✅What are the prerequisites before giving a semen sample?
→ 2 to 5 days of abstinence and sample collection at a proper lab, not at home.
✅Can sperm count be too low even if the volume looks normal?
→ Yes, concentration matters more than total volume.
✅What is the difference between total sperm count and concentration?
→ Count is the total number of sperm in the ejaculate; concentration is per ml.
✅Why does one man have 2 million count and another has 100 million, despite similar lifestyles?
→ Hormonal levels, genetic factors, or testicular issues may be at play.
✅Can a very low sperm count be increased with treatment?
→ Sometimes yes, especially if it’s due to hormone imbalance or infection.
✅What lifestyle habits reduce sperm count and motility?
→ Obesity, smoking, stress, lack of exercise, poor diet, and steroids.
✅What is sperm motility, and why is it important?
→ Motility is how well sperm can swim to reach the egg. Without it, fertilisation is unlikely.
✅What are progressive vs. non-progressive motility types?
→ Progressive means forward movement; this is needed to fertilize the egg.
✅What causes poor sperm motility (Asthenozoospermia)?
→ Often infections, poor lifestyle, or damage to mitochondria in sperm.
✅Can poor motility be improved?
→ In many cases, yes—through infection treatment, lifestyle change, and antioxidants.
✅What is sperm morphology, and how much does it matter?
→ It's about sperm shape. While poor shape doesn’t always stop pregnancy, extreme defects like globozoospermia do.
✅Can someone have 0% normal sperm morphology and still conceive?
→ Yes, studies show conception is possible if count and motility are good.
✅Why do semen reports vary from time to time?
→ Illness, stress, sample error, and abstinence period can all affect reports.
✅What if sperm count and motility are fine but pregnancy still isn’t happening?
→ Advanced tests like DFI (DNA Fragmentation Index) or ROS (oxidative stress) may be needed.
✅What is DFI and who should get it done?
→ DNA Fragmentation Index helps identify sperm DNA damage; best for smokers, failed IUI/IVF cases, or unexplained infertility.
✅What is hemizona assay and why is it done?
→ It checks sperm’s ability to bind with the egg’s outer layer—helpful in unexplained infertility.
✅What causes blood in semen or sudden colour changes?
→ Usually infection or trauma, and rarely can indicate cancer. Always consult a urologist.
✅What to do if no semen comes out during ejaculation?
→ It could be retrograde ejaculation. A urine test may help recover sperm.

Infertility isn’t just a female issue. Every couple trying to conceive should consider a complete semen evaluation by a trained expert. Don’t rely on guesswork or myths. Get real answers from real tests. If your report is confusing or concerning, we’re here to help.

Watch the full episode to get clarity!
Book your consultation with our fertility experts today and move forward confidently on your parenthood journey.

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About Dr. Rhythm Gupta and Excel IV

Founded by Dr. Rhythm Gupta, a highly qualified IVF expert in Delhi, Excel IVF offers treatments of an exceptional team of specialists, sonographers, nurses, counselors, etc. who have high-end experience and exceptionally professional in their respective fields.

To know more
Consult Dr. Rhythm Gupta, an Infertility Specialist at Excel IVF.
☎️ 98114-74471 | 89209-63596
📧 drrhythmgupta@gmail.com
🌎 Visit our website: https://excelivf.com/
https://www.instagram.com/excel_ivf/
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https://www.linkedin.com/in/rhythm-ahuja-1a4752b3

#maleinfertility #semenanalysis #spermcount #lowspermcount #improvespermquality #malefertility

Inguinal hernia Diagram of an indirect, scrotal inguinal hernia ( median view from the left). Diagram of an indirect, scrotal inguinal hernia ( median view from the left). By far the most common hernias (up to 75% of all abdominal hernias) are the so-called inguinal hernias. For a thorough understanding of inguinal hernias, much insight is needed in the anatomy of the inguinal canal. Inguinal hernias are further divided into the more common indirect inguinal hernia (2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the direct inguinal hernia type (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal. Inguinal hernias are more common in men than women while femoral hernias are more common in women.

The dilatation and Curettage procedure that is commonly performed (D and C)

The dilatation and Curettage procedure that is commonly performed (D and C)Part 2

Medical Female Breast Exam

Adult circumcision video

Hemorrhoidectomy

Part 2. Full Obstetric examination and normal delivery by Egyptian doctor Hussein Sulayman and the video is in English showing: Obstetric Examination Episiotomy Obstetric Forceps Obstetric Instruments

Intended to detect congenital anomalies of the musculoskeletal system and reassure parents their baby is healthy. This is a demonstration of a real-time physical examination in the nursery setting.

quick-stitch endoscopic sutering system in laproscopic Gastric Bypass surgery

Appendectomy (midline caecum)

The essential steps of a translaminaterminalis approach for removal of craniopharyngiomas