Dr Anupa Nandi

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Dr Anupa Nandi

She works at Lister Fertility Clinic in London. Visit www.anupanandi.org She completed RCOG accredited Subspecialty training in Reproductive Medicine.

Dr Anupa Nandi is a Consultant Gynaecologist and Sub-Specialist in Reproductive Medicine and Surgery, accredited by the Royal College of Obstetricians and Gynaecologists (RCOG). Dr Anupa Nandi is a Consultant Gynaecologist at Lister Fertility Clinic, HCAHealthcare UK, which is one of the leading private fertility centres in the UK. She has done research on Unexplained infertility, was awarded MD from Queen Mary University, London. She had a large number of publications and presentated in the National and International conferences. She has vast experience in Ultrasound scanning, with the 3D scan, saline infusion sonography, HyCoSY, gynaecological and early pregnancy scans. She was accredited by the RCOG and British Fertility Society for gynaecological and early pregnancy scans. She has accreditation from RCOG in advanced management of patients with early pregnancy complications and advanced labour ward management. She obtained Completion Certificate of Training (CCT) in O&G from London Deanery. Prior to that, she completed a three-year postgraduate Residency Programme in O&G in India along with successful submission of the thesis to Calcutta University, leading to a degree of Doctor of Medicine (MD) in O&G. With over 20 years of experience in Obstetrics and Gynaecology and over 10 years in the field of Infertility, Dr Nandi is passionate about high-quality patient care and satisfaction and believes that each patient is unique and needs individualised one-to-one care. She runs a support group to empower couples with Unexplained Infertility with scientific knowledge, which has been well received (https://www.tuiisg.org/). She also has a great interest in healthy lifestyle and its role in improving fertility in couples. Keeping that in mind, she has completed Diploma in Lifestyle Medicine from International Board of Lifestyle Medicine (IBLM). She has also accreditation of health coaching.

21/09/2025

Proud to attend the Annual Conference in Brighton!

As a member of the British Society of Lifestyle Medicine (BSLM) and a recipient of the Diploma in Lifestyle Medicine, it was a privilege to engage with a community of like-minded professionals and learn from inspiring, evidence-based presentations focused on improving health through sustainable lifestyle change.

It was a real pleasure presenting our recent survey from Lister Fertility Clinic, HCAhealthcareUK, exploring patient interest and preferences in integrating Lifestyle Medicine into fertility care.

Optimising all six pillars of lifestyle—nutrition, physical activity, sleep, stress management, healthy relationships, and avoidance of risky substances—is essential for couples trying to conceive. Not only can this improve fertility outcomes and reduce pregnancy complications, but it also supports the health of the newborn.

The key to achieving this lies in a structured, evidence-based approach that incorporates behaviour change science and motivational interviewing to support long-term, sustainable transformation.

Our survey revealed that 73% of fertility patients relied on personal research or advice from friends and family for lifestyle guidance, and 9 out of 10 expressed strong interest in having a dedicated Lifestyle Medicine service as part of their fertility journey.

By embedding Lifestyle Medicine into fertility care, we have a unique opportunity to not only enhance reproductive outcomes for the couple but also contribute to the long-term prevention of chronic diseases and reduce healthcare costs—while empowering patients to take charge of their health and future.

27/09/2024

The new Facebook rule (aka... new name, META) where they can use your photos.

I do not authorize META, Facebook or any entity associated with Facebook to use my photos, information, messages or posts, past or future.

With this statement, I notify Facebook that
it is strictly prohibited to disclose, copy, distribute or take any other action against me based on this profile and/or its contents. Violation of privacy may be punishable by law.

He who does nothing consents.

26/09/2022

🤱Health of the mother before pregnancy is strongly linked to the outcome of pregnancy and health of the child.

👉Three months before conception is the most critical period, as it takes around three months to make a mature egg and s***m.

👉Hence to see any benefit on egg or s***m quality, healthy lifestyle changes should be tried for at least 3 - 4 months.

👶For the fetus, the first three months, is the most critical time, as it is when all the major organs are formed. This is when the developing fetus is particularly sensitive to availability of macro- and micronutrients or exposure to smoking, alcohol, drugs or other teratogens.

👉A woman who is healthy at the time of conception is more likely to have a successful pregnancy and a healthy child.

👉It is difficult to know when you would conceive after stopping contraception. Many women would conceive within a month.

Hence, it is better to start healthy eating and weightloss programme, at least 3- 4 months before discontinuing contraception and plan pregnancy.

It is better to see doctor for preconception care and check what supplements apart from folic acid are needed. If you have existing medical disease, then it is even more important to see the doctor and optimise health before pregnancy.

💖 Dr Anupa

23/09/2022

Industrialisation and mordenisation not only causing climate change but also affecting our health and fertility.

Byproducts released into the environment has now made our world toxic.

There are lots of research across the world showing negative impact of air pollution on fertility.

🤔How does air pollution reduce fertility?

👉Some of the products released by factories, vehicles, mainly particulate matters can get into our ciculation and affect ovulation, egg reserve, egg quality, s***m production and s***m quality.

👉By mimicking hormones, pollutants can cause menstrual cycle dysfunctions and cause irregular periods. It is also potentially associated with accelerated ovarian aging and poorer egg quality.

👉Air pollutants can promote oxidative stress and the induce inflammatory responses, which can affect s***m and egg quality.

👉What is even more worrying, these pollutants can cause changes in DNA and modify gene expression and this change can pass on to the next generation.

https://ehjournal.biomedcentral.com/articles/10.1186/s12940-017-0291-8

🤔What can we do?

Well, on an individual level you have very little control over air pollution.

However, you can certainly take following measures to reduce the ill effects of air pollution:

1. Spend some time in the park or garden, to get fresh air.

2. If you prefer outdoor exercise, avoid high traffic areas. Choose park or garden.

3. Avoid/reduce burning trash, dry leaves or barbeques- they are sources of particle pollution.

4. Don't allow anyone to smoke indoors. Both active and passive smoking is harmful for health and the particulate matters from smoking stays in the room for a longer period even after smoking is over.

5. Try to walk or bike. Car exposes you to more pollution.

6. Plant more indoor plants

7. Most importantly, boost your immunity to fight off pollutants by taking lots of fruits and vegetables, drinking enough water, doing half hour of daily moderate exercise and ensure 7- 8 hours of good night sleep.

8. Those who have additional medical issues like asthma, diabetes, lungs disease or heart disease, need to be extra carefull.

💖 Dr Anupa (instagram )

20/09/2022

There is a large body of evidence suggesting that semen parameters and hence male fertility is on decline.

👉It could be due to multiple factors, mainly being diet, chronic disease, unhealthy habits, obesity and environmental pollutants. In addition sedentary lifestyle (more desk based office work), stress and lack of sleep could also contribute towards lower s***m parameters.

🤔How unhealthy diet can affect s***m?

🥐There is increased inclination towards western diet which are predominantly processed meat, butter, high-fat dairy, snacks, mayonnaise and sweets. This has led to increased obesity.

According to WHO, the prevalence of obesity has tripled between 1975 to 2016.

👉Obesity can affect s***m parameters through chronic inflammation, oxidative stress and DNA fragmentation in s***m.

👉Several studies have shown high fat diet is associated with impaired s***m parameters and fertilisation success.

👉Trans fat and high saturated fat in processed food impairs s***m production and function.
According to a study performed on 701 healthy men, the consumption of saturated fats resulted in lower s***m concentration in semen and lower semen count
https://doi.org/10.3945/ajcn.112.042432

🤔So what diet improves s***m parameters?

🍅A diet rich in fresh vegetables and fruit, whole-grain, and fibre-rich products, wholemeal products, olive oil, nuts, and fish has been shown to improve semen parameters.

👉Nutients essential for good s***m health are zinc, selenium, Vit C, vitamin E, lycopene, tocopherol, folic acid, omega 3 fatty acids, magnesium, calcium, copper, manganese.

🥦These vitamins and micronutrients are abandant in fruits, vegetables, whole grains, nuts, low-fat dairy products, legumes, fish, and seafood.

Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291266/

👉It is better to avoid supplements and stick to fresh food and balanced diet to avoid imbalance of nutrients.

💖 Dr Anupa (instagram )

, ***m

19/09/2022

🍔Regular intake of fast foods are shown increase time taken to conceive and also increases the risk of infertility - study shows.

👉In a multi-center study, 5628 pregnant women were asked about their preconception dietary intake, including intake of fruits, vegetables and fast food like burgers, fried chicken, pizza and hot chips. This was then correlated to the months taken to conceive (ttc). If ttc was >12 months, they were classified as having had infertility.

👉The study showed that compared with women who consumed fruit ≥3 times/day, women who consumed

18/09/2022

🤔What is oxidative stress?

👉During metabolism and cellular respiration, several by products are formed such as hydrogen peroxide (H2O2), hydroxyl radical (OH•), nitric oxide (NO•), nitric dioxide (NO2•) etc. Collectively they are called reactive oxygen species or ROS. Upto a certain level they are not harmful and in fact needed by body.

👉Certain conditions like inflammation, chronic disease, smoking, alcohol, obesity, pollution can lead to increased production of ROS.

👉Body has antioxidants which are either produced in the body or received from food, which removes excess ROS. If there are more ROS that body can remove, then that leads to accumulation of excess ROS causing oxidative stress.

👉Oxidative stress can affect various part of the body. For men it can compromise s***m function, s***m motility and increase DNA fragmentation. It can also cause heart disease, arthritis, cancer and other inflammatory conditions.

👉Sperm is particularly vulnerable to oxidative stress due to lack of cytoplasm and its structure.

🤔Does antioxidants improve fertility?

Yes, it does.

A recent Cochrane review (https:///CD007411/MENSTR_antioxidants-male-subfertility) reviewed 90 randomised controlled trials comparing 18 different antioxidants with placebo, no treatment or another antioxidant in a total population of 10,303 subfertile men and found antioxidants to improve live birth rates. However, the quality of studies were low.

🤔How to take antioxidants?

🥦It is inportant to eat food that are rich in antioxidants to prevent oxidative stress. Food that are rich in antioxidants are mainly plant based food, mainly fruits and vegetables.

🍎Fruits like berries, currants, oranges, mangoes, grapes, pomegranates, vegetables like green leafy vegetables, peppers, spinach, tomaties, carrots., nuts and seeds are full of antioxidants.

🍯Cooking in high heat can destroy some antioxidants. Hence it is better to have them fresh as much as possible.

🥬It is better to avoid supplements and stick to natural sources as high doses of antioxidant supplements can be harmful.

👉Always see a doctor before taking any supplements.

💖 Dr Anupa (instagram: )

,

16/09/2022

A woman is born with all the oocytes and only 400–500 actually ovulates.

Increasing age increases a woman’s time to pregnancy and also risk of miscarriage.

👉This is mainly due to chromosomal abnormalities in the embryo known as aneuploidy. Aneuploidy or abnormal embryos are mainly due to changes in the chromosomes of the egg.

Also marginally influenced by other fsctors like male age, female and male Body Mass Index and severe s***m abnormality.

👉Risks of getting abnormal embryos (aneuploidy) at the age of

14/09/2022

One of my patient asked- Does vegetarian diet makes you protein deficient and affects fertility?

The answer is a big 'NO'.

In fact, research shows vegetable protein ro be better than animal protein for ovulation.

👉The Nurses’ Health Study II (NHS II), followed over 116,000 female registered nurses from 1991 till 1995, with mailed questionnaires every two years. Dietary information was collected using a validated food-frequency questionnaire with more than 130 food items.

438 women reported ovulatory infertility and their food intake was analysed.

👉The study concluded that adding just one serving of meat was correlated with a 32% higher chance of developing ovulatory infertility, particularly if the meat was chicken or turkey.

👉Replacing carbohydrates with vegetable protein demonstrated a protective effect.

👉If you replace 5% of total energy intake as vegetable protein rather than as animal protein, then you have a more than 50% lower risk of ovulatory infertility.

However, vegetarian diet can cause vitamin B12 deficiency as Vit B12 is mainly obtained from.animal source. Check vitamin B12 level if you are vegetarian.

Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3066040/

19/06/2022

Today is 'Father's Day' - a day to celebrate and nourish father and child relationship.

However, let's not forget that there are men who are struggling to conceive for various reasons.

◇ Men often find difficult to open up and discuss infertility issues with others. Many suffer silently.

◇ Please be sensitive.

◇ Please don't give advice unless asked for.

◇ Please listen if they do open up, without being judgemental. Listening is the best way one can help.

◇ Let's help them to cope on this day.

18/06/2022

Vitamin D deficiency is associated with miscarriages - a new systematic review shows.

☀️ Vitamin D is acquired mainly through exposure to sunlight. It is difficult to get enough vitamin d from food alone.

☀️ Vitamin D receptors has been found throughout the body including o***y, uterus, placenta.

☀️ A recent systematic review looked at 4 randomized controlled trials and 6 observational studies and found that women diagnosed with Vitamin d deficiency were at significantly increased risk of miscarriage compared to women with normal levels.

☀️ Preconception Vitamin d status remains important.

☀️ Check Vitamin d status and take supplements if you are trying for pregnancy or pregnant.

25/12/2021

Wish everyone happiness and health❤
Merry Christmas 🎄🙏

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http://www.anupanandi.org/

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