Fertility Treatments

 

Infertility is relatively common; it occurs in about 11 percent of reproductive age couples. Fortunately, with help from today's fertility treatments and advanced reproductive technologies, more than 80 percent of couples with infertility problems will get pregnant.

 

Basic Infertility Treatments Most Common

Most couples will conceive with "first level" infertility treatments such as fertility drugs, lifestyle changes or intrauterine insemination (IUI). The vast majority will not require advanced technologies such as in vitro fertilization (IVF).

 

Infertility Treatment Plan

The type of infertility treatment depends upon the cause(s) of infertility including the presence of male infertility, the couple's infertility treatment history, and many other factors such as female age.

 

Intrauterine Insemination (IUI) is a treatment for infertility in which sperm are washed, processed and concentrated prior to placement in the uterus. IUI is a first line treatment for women with cervical factor infertility. The cervical mucus may be too thick or thin or it may not be present in adequate quantities. Sometimes the woman's immune system mistakes sperm for invading germs. When this happens her body dispatches its natural defense mechanisms to destroy the sperm just as if it were a bacteria or virus.

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IUI Timing

IUI is planned around the time of ovulation. Once a woman's follicles mature, an injection of hCG is given to stimulate ovulation, which occurs approximately 36 hours after the injection.

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IUI for Male Factor Infertility

IUI is often one of the first treatment choices in cases of mild male infertility. Often, the sperm can be concentrated enough to make fertilization possible.

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IUI with Fertility Drugs

Follicle stimulating hormone (FSH) medications such as Gonal-F, Follistim or Repronex may be used in an IUI cycle to encourage the development of numerous eggs. Use of FSH is dependent upon the cause(s) of the couple's infertility, their treatment history and many other factors. Patients undergoing fertility drug stimulation, also known as ovulation induction, are monitored through blood tests to measure hormone levels, and transvaginal ultrasounds, which allow the physician to visualize the ovaries and follicles. IUI success rates using FSH are usually higher than in non-medicated cycles due to increased egg production.

Our infertility specialists carefully monitor all IUI cycles and are trained to adjust medication dosages appropriately to minimize the risk of multiple births. Sometimes an IUI cycle may be cancelled or converted to an IVF cycle if the risk of multiple births is too great. It is unusual for high order multiples to result from IVF because the physician controls the number of embryos transferred to the uterus.

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IVF ( In Vitro Fertilisation )

In Vitro Fertilisation (IVF) and Embryo Transfer (ET)

Commonly known as “Test Tube Baby”. IVF means fertilisation of an ovum outside the body and consequently transfer of the fertilised ovum (embryo) into the uterus of the women. IVF is probably the most widely practised assisted conception procedure In the world. The procedure does not need admission at any step & is conducted on outpatient basis.The procedure is indicated for irreparably damaged or blocked fallopian tubes and when other modes of treatments has failed in:

• Endometriosis.

• Unexplained infertility.

• IUI failures.

• Ovulatory dysfunction.

• Sperm disorders.

• Immunological problems.

 

Steps involved in IVF procedure

• IVF (Test Tube Baby), GIFT & ICSI, Ovarian stimulation by hormonal injection to produce multiple eggs..

• Monitoring of the response by ultrasound scans and blood tests.

• Egg retrieval with the help of a needle under local/general anaesthesia.

• The collected eggs and her husband’s sperms which are mixed outside the woman’s body in a culture dish or a test tube and are left for fertilisation in an incubator.

• Transfer of the resulting embryo(s) into the uterus of the woman on D2/D5.

 

Blood test performed 15 days after embryo transfer to assess the establishment of pregnancy. If the treatment procedure is successful, one or more embryos will implant in the uterus and the pregnancy will result, Just as it happens in the natural process of conception. The specific stages involved in IVF treatment will be explained in detail to each individual who comes in for treatment at ‘Akanksha’.

 

Chances of success

Currently the success rate in our IVF Center is 35% – 40% for fresh early clevage stage embryo transfer (D2/3) and 50% – 60% for blastocyst transfer (D5).

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What is a high-risk pregnancy?

A high-risk pregnancy is one that threatens the health or life of the mother or her fetus. It often requires specialized care from specially trained providers.

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Some pregnancies become high risk as they progress, while some women are at increased risk for complications even before they get pregnant for a variety of reasons.

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Early and regular prenatal care helps many women have healthy pregnancies and deliveries without complications.

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Risk factors for a high-risk pregnancy can include:

• Existing health conditions, such as high blood pressure, diabetes, or being HIV-positive

• Overweight and obesity. Obesity increases the risk for high blood pressure, preeclampsia, gestational diabetes, stillbirth, neural tube defects, and cesarean delivery. NICHD researchers have found that obesity can raise infants' risk of heart problems at birth by 15%.

• Multiple births. The risk of complications is higher in women carrying more than one fetus (twins and higher-order multiples). Common complications include preeclampsia, premature labor, and preterm birth. More than one-half of all twins and as many as 93% of triplets are born at less than 37 weeks' gestation.

• Young or old maternal age. Pregnancy in teens and women age 35 or older increases the risk for preeclampsia and gestational high blood pressure.

 

Women with high-risk pregnancies should receive care from a special team of health care providers to ensure the best possible outcomes.

 

 

Surrogacy

Surrogacy is an arrangement, often supported by a legal agreement, whereby a woman agrees to become pregnant, carry the pregnancy to due term, and give birth to a child or children, all of this for another person or persons, who are or will ultimately become the parent(s) of the newborn child or children.

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People may seek a surrogacy arrangement when pregnancy is medically impossible, when pregnancy risks present an unacceptable danger to the mother's health, or when a man alone or a male couple wishes to have a child. In these arrangements, monetary compensation may or may not be involved. Receiving money for the arrangement is considered commercial surrogacy; receiving no compensation beyond reimbursement of reasonable expenses is altruisticThe legality and cost of surrogacy varies widely between jurisdictions, sometimes resulting in problematic interstate or international surrogacy arrangements.

Laws of some countries restrict or regulate surrogacy and its consequences. Those wanting to seek a surrogacy arrangement who, however, live where it is banned may travel to a jurisdiction that permits it.

 

 

Polycystic Ovary Syndrome (PCOS): Symptoms, Causes, and Treatment

Polycystic ovary syndrome (PCOS) is a condition that affects a woman’s hormone levels.

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Women with PCOS produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.

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PCOS also causes hair growth on the face and body, and baldness. And it can contribute to long-term health problems like diabetes and heart disease.

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Birth control pills and diabetes drugs can help fix the hormone imbalance and improve symptoms.

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PCOS affects a woman’s ovaries, the reproductive organs that produce estrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens.

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The ovaries release eggs to be fertilized by a man’s sperm. The release of an egg each month is called ovulation.

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Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) control ovulation. FSH stimulates the ovary to produce a follicle — a sac that contains an egg — and then LH triggers the ovary to release a mature egg.

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PCOS is a “syndrome,” or group of symptoms that affects the ovaries and ovulation. Its three main features are:

• cysts in the ovaries

• high levels of male hormones

• irregular or skipped periods

 

In PCOS, many small, fluid-filled sacs grow inside the ovaries. The word “polycystic” means “many cysts.”

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These sacs are actually follicles, each one containing an immature egg. The eggs never mature enough to trigger ovulation.

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The lack of ovulation alters levels of estrogen, progesterone, FSH, and LH. Estrogen and progesterone levels are lower than usual, while androgen levels are higher than usual.

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Extra male hormones disrupt the menstrual cycle, so women with PCOS get fewer periods than usual.

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Laparoscopic Myomectomy / Hysterectomy Procedure

If you’re considering a hysterectomy or partial hysterectomy because of uterine fibroids, the laparoscope method may be ideal for your specific case. A laparoscope is a slender telescope that is inserted through your navel to view the pelvic and abdominal organs. If your fibroids are on the outside of the uterine wall, this is one of the best methods for accessing them without an abdominal, or open, myomectomy. In general, the process is simple:

• Two or three half-inch incisions are made just below your pubic hairline.

• Your gynecologist then inserts the instruments to perform the surgery.

 

Laparoscopic myomectomy can also be performed to check for laparoscopic hysterectomy cancers. In the process of performing the myomectomy, your doctor can perform a visual exam of your uterus. If cancer is present, he can then proceed to the next step of treatment. It’s not always recommended for laparoscopic procedures to be used, however, if cancer is suspected or present, as cutting the cancerous tissue may spread the laparoscopic hysterectomy cancer cells internally.

 

Benefits of Laparoscopic Myomectomy vs. Abdominal Myomectomy

When you’re experiencing the side effects of uterine fibroids, finding relief is essential. The excessive menstrual bleeding, pelvic pressure and pain and possible infertility issues impact your quality of life. Removal of these fibroids can be done in various ways, but laparascopic myomectomy vs. abdominal myomectomy provides considerable benefits, such as:

• Reduction in scarring

• Less potential blood loss

• A shorter recovery time

• Less risk of infection

 

The more minimally invasive methods are always preferable to reduce myomectomy and hysterectomy complications. Other benefits include:

• Small incisions, which result in small scars and a faster recovery time

• A procedure that usually can be done on an outpatient basis

• Lower risk of bacterial contamination and infection

• Less damage or potential injury to your intestines, so they begin working again right after surgery, eliminating the required one-to-two-day fasting of normal abdominal surgery

• One of the least invasive procedures, which still delivers the desired results

• Satisfaction with sex after hysterectomy or myomectomy because you’re no longer suffering the symptoms of fibroids or other debilitating symptoms

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Gynaecological Ultrasound

The gynaecological ultrasound (or pelvic ultrasound) is an outpatient examination which can be performed during the gynaecological examination, not only when you are pregnant but also as a routine check to monitor the status of the female genital tract health.

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Like any other type of ultrasound, pelvic utilizes ultrasound technology: the ultrasound technology emits high-frequency sound waves that propagate through organic tissues; the propagation varies according to the different density of the organs they encounter.

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The waves are reflected from the tissues and captured by the probe from which they were issued, and then processed by a computer that rebuilds the images in real time. This allows you to view areas of the body that cannot be examined with other analyzes.

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If you want to undergo gyneac ultrasound then come to Dr Tulika Sinha clinic. Our labs are well equipped with latest machineries and equipments to offer you safe and secure ultrasound

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Painless Delivery

A painless delivery uses anaesthesia to make child birth pain-free for the woman

 

All mothers-to-be have one common fear as the delivery date approaches: the fear of severe pain during labor and childbirth. The intensity of pain varies from woman to woman. Some may face very little pain, whilst others may experience severe cramps. With the advent of modern medicine and technology, it has become possible for mothers to get relief from labor pains, providing a respite from opting for C sections. This technique of painless delivery is known as Epidural anesthesia.
 

What is a painless delivery?

Epidural anesthesia helps to ease labor pains during the process of normal delivery. A popular technique adopted by many women with a low pain threshold, which is not only cost effective but also provides the necessary relief from the unbearable pain experienced during childbirth.

How is the procedure done?

During an epidural anaeasthesia, an injection is administered in the lower back, through which a fine tube-like needle is passed. Pain relieving medicines are passed through this tube, which cause numbing of the nerves and pain sensations. These medicines are very safe for the baby. With this procedure, the mother can feel the contractions without any crampy or colicky pains. The anesthesiologist and the nurse ensures that the epidural injection has been received well by the mother without any complications before proceeding with the delivery. One only needs to be in established labor for an epidural.

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Normal Delivery and Caesarean section

Childbirth is a crucial moment that you can remember all your life. We remember the pain, the staff in the delivery room, the time spent waiting, the work, the arrival of the child as a deliverance and intense happiness.

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There are as many ways of giving birth as women. Each mother is different according to her experience, her pain, her experience.

Normal childbirth takes place as follows:

• Beginning of work by slight and irregular contractions.

• Intensification of work with closer and more intense contractions.

• Departure for motherhood when contractions occur every ten minutes or to loss of water.

 

Caesarean section is one of the most common obstetric operations in the world. In the maternity wards "Mother and Child" the caesarean section is performed mainly with the use of spinal anaesthesia - the woman is conscious without experiencing pain.

The operation of caesarean section is carried out according to indications, which are the impossibility of spontaneous labour activity through the natural birth canals - physiological birth, danger to the health and life of the mother and child.

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Colposcopy

Colposcopy is an examination of the cervix and vaginal walls with a special device - the colposcope, on a gynaecological chair under magnification several times with illumination. The name of the method of research "Colposcopy" comes from the words "colpo"- the vagina and "scope"- to look. The author of the method Hinselmahn Hans, first examined with a magnifying device cervical cancer.

Modern colposcopes  devices for colposcopy  optical devices with the possibility of increasing from 3 to 40 times, can be equipped with light filters that help to more clearly assess the vessels of the cervix.

In modern diagnostic centres, colposcopy of photo and video colposcopy is performed. Photo and video colposcopy can store the data of cervical study for comparison in the future, it is crucial to assess the dynamics of the pathological process- cervical erosion, cervical dysplasia, cervical effectiveness of treatment.

We provide expert assisted colposcopy treatment at our clinic.

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Heavy Period Clinic

Heavy periods, clinically known as menorrhagia, are caused by many factors. They usually occur when the lining of the uterus becomes thicker than expected each menstrual cycle. As it throws a heavy flow occurs. Many women wonder if their periods are heavy enough to warrant treatment.

Dr. Tulika Sinha describes menorrhagia as a period that lasts more than seven days or with a flow that absorbs through one or more tampons or buffers in an hour. One consideration your doctor can use is whether your periods are heavy or painful enough to interfere with your daily activities. In addition, it can determine if your blood loss makes you anaemic, which usually indicates the need for treatment.

If you are dealing with any such problem, contact us today. We will provide you with the best and most affordable treatment. 

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