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Chettinad Academy of Research and Education (CARE)

Chettinad Health City Medical Journal is published by the Chettinad Academy of Research and Education. Apart from the fair dealing for the purposes of research or private study, or criticism or review, no part of the publication can be reproduced, stored, or transmitted in any form or by any means without prior permission. Chettinad Health City Medical Journal and /or its publisher cannot be held responsible for errors or for any consequences arising from the use of the information contained in this journal. The appearance of advertising or product information in the various sections of the journal does not constitute an endorsement or approval by the journal and / or its publisher of the quality or the value of the said product or of claims made for it by its manufacturer.


Dr. N. Pandiyan
Chief Consultant,
Dept. of Reproductive Medicine,
Chettinad Health City,
Rajiv Gandhi Salai, (OMR, Chennai),
Kelambakkam, Kanchipuram Dist.,
Tamil Nadu - 603 103, India

T. +91 (0)44 4742 8300
F. +91 (0)44 4741 3343


Chettinad Academy of Research & Education


All disputes within the jurisdiction of the Madras High Court only.


Dr. T. Balasubramanian
Vice Chancellor - CARE

Editorial Advisors
Dr. B.Santhakumar
Dr. R. Murugesan
Dr. P. Rajesh
Prof.Dr. Veena M Joseph

Associate Editors
Dr. P. Thirunavukarasu

Assistant Editor
Dr. Sowbarnika
Dr. Charanya

Dr.D. Dhanashri

Statistical Advisor
Dr. S. Govindaraj

International Editors
Dr. Jayant G Mehta,
BHR University Hospitals
NHS Trust, UK

Dr. Sudha Sundar,
University of Birmingham, UK

Dr. Ram Dhillon,
Middlesex University, UK

Dr. Malini Moni,
Johns Hopkins University, USA

Dr. Sandro Esteves
Andrology & Human Reproduction
Clinic, Brazil.

Dr. Shankar Gopinath
Baylor College of Medicine, USA.

Dr. Arun Chandran
University of Florida, USA.

Prof. Arun Dharmarajan
Curtin University, Perth, Australia

Dr. P. Sarah Subhashini
Al-Ahli Hospital, Doha.

Registrar - CARE

Chief Editor
Dr. N. Pandiyan

Deputy Chief Editors
Dr. Ramesh V G
Dr. Pradeep G. Nayar

Dr. D. C. Mathangi
Dr. Sanjay Theodore
Dr. V. Anitha

Dr. K. Senthil Kumar
Dr. Puvithra T

National Editors
Dr. Dalim Kumar Baidya
AIIMS, New Delhi.

Dr. Suresh Nair
Sri Chitra Institute of Medical
Sciences & Technology, Thiruvananthapuram.

Dr. Vedantam Rajshekhar

Dr. K.A.Abraham
Apollo Hospitals, Chennai.

Dr. P.B.Seshagiri
IISc, Bangalore.

Dr. Satish Kumar Adiga
Manipal University, Manipal.

Dr. M. Balasubramanyam
Madras Diabetes Research Foundation

Dr. A. G. Narayana Swamy
Saveetha Medical College, Chennai

Dr. K. Jaishankar
Madras Medical Mission, Chennai

Dr. Thilaka Muthiah
AIIMS, New Delhi

Dr. T. Prathima
Manipal University, Manipal

Dr. Praveen Varma
Amrita Institute of Medical Sciences, Kochi

Dr. Shah Dupesh Khan
Metro male Clinic, Chennai

Dr. D. Ramesh Raja
Nakshatra Men, Women & Fertility Clinic, Chennai

                                          Section Editors
  Dr. Amrita Priscilla Nalini
Dr.R. Arun Kumar
Dr. Indhumathi
Dr. Lailu Mathews
Dr. S. Sumathy
Dr. C. Manohar
Dr. Meenakshi.N
Dr. R. Murali
Dr. Nagajothi
Dr. Nagarajan D
Dr. M. Narayana Reddy
Dr. Priyadarshini Shanmugam
Dr. D. Rajasekaran
Dr. S. Rajasekaran
Dr. A. Ruckmani
Dr. R. Sabaratnavel
Dr. Sanjay Andrew Rajaratnam
Dr. B. Srinivasan
Dr. M. S. Srinivasan
Dr. Stephen Sudhakar
Dr. L. Uma Devi
  Design & IT Support  
  Mr. B. Satish Babu
Mr. J. Immanuel Prabhu
Mr. G. Venkatesan
Mr. S. T. Manigandan
Mr. P. Prabhakaran
  Legal Support  
  Mr. Balaji  
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