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Sep01
ICSI Fertility Treatment for Male Factor Infertility
Intracytoplasmic sperm injection (ICSI) can be used as part of an in vitro fertilisation (IVF) treatment to help you and your spouse to conceive a child. ICSI is the most successful form of treatment for men who are infertile and is used in nearly half of all IVF treatments.
ICSI is primarily indicated for men with male factor infertility: The important thing for most couples is to realize that the sperm actually do play a very significant role in the fertility process.If someone has an abnormal semen analysis; the recommendations are that the man should get evaluated before they undergo any sort of fertility treatments. Both parties have to improve their health, especially if there are parameters that show there was a sperm quality issue.
Find out what ICSI is, who the best candidates are, and what you should consider before opting for treatment.
What is ICSI?
Unlike conventional fertilization, whereapproximately 30,000 sperm are dropped onto the egg in a Petri dish, during ICSI, a single sperm is injected into the egg in order to improve the chances of fertilization.It has allowed many couples to have children who otherwise wouldn’t be able to have one.ICSI is primarily indicated for men with male factor infertility.
When it comes to infertility, most people immediately think about in-vitro fertilization (IVF), but there’s a lesser-known fertility treatment that is used along with IVF. It’s called ICSI (pronounced ik-see) or intracytoplasmic sperm injection.

Although ICSI has been around since the early 1990s, it’s increasingly being used to help couples struggling with infertility. As with any new technology, some experts have concern about its overuse as well as how it may affect the health of the babies born to it?
An Intracytoplasmic Sperm Injection (ICSI) is a form of In Vitro Fertilization (IVF) which is used to treat severe cases of male factor infertility. This procedure involves the injection of a single sperm directly into a mature egg,making it different from conventional IVF wherein fertilization takes place by placing many sperm near an egg in a dish.
Read more about Miscarriage and Successful Pregnancy at https://rupalhospital.wordpress.com/2015/08/11/miscarriage-and-successful-pregnancy
Male factor infertility problems include low sperm count and issues withmotility (movement), or morphology (shape) of the sperm. Men may also use ICSI if they don’t have sperm in their ejaculate either because of a production problem or a blockage. Their sperm would then be extracted from the testicle. ICSI can also help men who had a vasectomy or who were born without a vas deferens.

What are the advantages of ICSI?
• ICSI may give you and your spouse a chance of conceiving your genetic child when other options are closed to you.
• If your spouse is too anxious to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.
• ICSI can also be used to help couples with unexplained infertility, though experts haven't found that ICSI makes pregnancy any more likely than standard IVF.
• ICSI is also used when couples opt for pre-implantation genetic testing (PGD), which screens embryos for chromosomal abnormalities or genetic conditions.
• ICSI can also help couples that attempted IVF but had what’s known as “failed fertilization or Failed IVF"

Is ICSI the answer for all male fertility problems?
ICSI isn't the solution to every male fertility problem. If your spouse has a low sperm count as a result of a genetic problem, this could be passed on to any sons you have together. Your doctor will usually recommend that your spousehas a blood test before you start the ICSI cycle.

You and your spouse may find should be offered IVF ICSI counselling before and after taking the test, to help you through both the decision and the process. Your doctor could to refer you to a fertility counsellor.
How long does ICSI treatment last?
One cycle of ICSI takes between four weeks and six weeks to complete.
Its known now that success rates for ICSI are similar to IVF alone. When looking at ICSI for male factor infertility, the percentage of cycles that resulted in a live birth were about the same as those cycles who didn’t use ICSI and had no diagnosis of male factor infertility.ICSI overcomes many sperm problems but it doesn’t overcome all problems.
The first step ICSI Treatment
The first step is usually the hardest - making that initial call. But remember, you are not alone; simply phone us in the strictest confidence and one of our friendly team will help guide you through the options open to you.

Whether you have recently become concerned about your fertility or have had treatment elsewhere and want another opinion, we will do our best to help you achieve a successful outcome. Fertility Experts at Rupal Hospital in Surat have renowned female Doctors and each one of them is outstanding in their own field of expertise. Rupal Hospital is dedicated to provide the highest quality of services in women's health. It is the result of years of experience, knowledge,understanding and constant updating and effort that has made the Rupal Hospital the best amongst all.
Get more information on pregnancy, Infertility causes, male infertility symptoms at http://www.rupalhospital.com or you can contact us on 91-261-2599128-9


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Jul28
The emotional stress during IVF Journey
In Vitro Fertilization is a one assisted reproductive technology (ART) commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish, and then transferring the embryo to the uterus. Other forms of ART include gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT).

IVF can help you get pregnant if you have problems with ovulation or egg quality, blocked fallopian tubes, or endometriosis; if your partner has problems with sperm count or motility; or if you're using donor eggs to become pregnant.

It takes about four to six weeks to complete one cycle of IVF. You have to wait a few weeks for your eggs to mature. Then you and your partner spend about half a day at your doctor's office or clinic having your eggs retrieved and fertilized. You have to go back again three to five days later to have the embryos inserted into your uterus, but you'll be able to go home that same day. Finally you have to wait till the pregnancy test is taken.

To have own children is insatiable human need. This strong natural urge exerts tremendous pressure on couples unable to have a baby. And the pressure to reproduce becomes increasingly acute as couples grow older and become more aware of their own mortality. The introduction of In Vitro Fertilization (IVF) more than 30 years ago has made parenthood possible for millions who otherwise would never have been able to conceive.

Learn more about IVF procedure, ivf treatment, ivf cycle, its success rate and everything about ivf at http://www.blossomivfindia.com/ivf

The biggest decision an infertile couple will ever make in regard to IVF is whether or not they really want to become parents. An IVF procedure requires an enormous emotional commitment at each level of the treatment, whether or not IVF is successful. Stress is one of those paradoxes of living with infertility. Both partners should be prepared to respond to a variety of emotionally stressful demands as they undergo IVF. It turns out that stress and tension, while detrimental to overall health, may have little impact on couples’ chances of getting pregnant with in vitro fertilization.

While general assumptions may be made about stress levels during IVF, the experience for infertility patients will be personal and unique--each patient will experience the stress differently based upon his or her own personality and life experiences.

Unexpected Challenges

The treatment of IVF stressful and affect all parts of couples life - marital, social, physical, emotional, financial, and religious. Time is stressful, both in the time commitment to an intense treatment which leads to disruption in family, work, and social activities, and for some, in long waiting periods for treatment services. Couples also may find themselves stretched financially, paying for the high cost of IVF treatment with a somewhat limited probability of success.

Coping Strategies

Despite the stressful consequences of infertility and IVF, the vast majority of patients adjust well emotionally. Further, there seems to be no long-term impact on the marital relationship and individual functioning. In fact, some research has shown that the crisis of infertility may actually improve marital communication and emotional intimacy.

If you are a patient about to begin an IVF cycle, here are some tips to help you get ready for IVF while minimising stress level during the process of IVF:

1. Gather information and plan ahead

2. Prepare for decision-making

3. Tend to your psyche and your relationships

Read the whole article in detail at http://www.blossomivfindia.com/pages/fertility-treatment-stress

4. Garner your support

5. Identify your stresses and your coping mechanisms

6. Decide what you have control over and what you don't

7. Anticipate problem areas

The 10-14 day waiting period between transfer and receiving the pregnancy test results is often described as the most difficult part of the cycle. During the IVF cycle you are constantly on monitoring with your ivf specialist and once the embryo is transferred, you have to wait for your pregnant test. This period is very stressful as you are filled with lots of anxiety, fear and hope. One has to be ready for all the possibilities- positive pregnancy test or negative pregnancy test.

Both partners should be prepared to respond to a variety of emotionally stressful demands as they undergo IVF. The decision to pursue fertility treatment is never easy. That is why you need a fertility centre with the proven ability to succeed – a trusted partner that delivers results to thousands of patients every year. Blossom Fertility and IVF Centre is deeply committed in helping patients become parents. Our expertise in fertility treatment and cutting edge technology has helped majority of our patients achieve pregnancy and has made us the most successful fertility centre in Surat, Gujarat. The IVF treatment is a complex and stressful process. The team of IVF specialist at Blossom Centre understands the pain, stress and agony faced by the couples undergoing the treatment and hence offers them all possible help from information about the ivf process, no. of embryos to transfer, when to go for egg and sperm donation and most importantly offer them support and counselling from the experts about dealing with stress and anxiety during the whole process. When needed, we advise our patients to seek help of professional independent counselor.

Get answer to all your questions related to::
How to Manage the Stress of IVF & Preparing for Emotional Considerations - Coping with the Emotional Roller Coaster Ride in IVF -
Emotional Effects of Infertility on the Couple’s Relationship - Managing your anxiety before an IVF treatment cycle for positive Pregnancy - Learn to reduce IVF stress with Specialist at Blossom Fertility Centre - IVF, Infertility Clinic, Fertility Clinic in Surat, Gujarat -
IVF and stress management Coping - Dealing with IVF stress - Stress Doesn't Impact Success of IVF - Fear of IVF failure and Anxiety - Stressful Fertility and Infertility Treatment - The emotional stress during IVF Journey - Minimise stress during the Two Week Wait of IVF Cycle - Agony of the IVF husbands - infertility depression support

You can contact our fertility experts at any time to know about IVF cycle, the treatment process of IVF procedure and the success rate involved at http://www.blossomivfindia.com

How to Manage the Stress of IVF & Preparing for Emotional Considerations - Coping with the Emotional Roller Coaster Ride in IVF -
Emotional Effects of Infertility on the Couple’s Relationship - Managing your anxiety before an IVF treatment cycle for positive Pregnancy - Learn to reduce IVF stress with Specialist at Blossom Fertility Centre - IVF, Infertility Clinic, Fertility Clinic in Surat, Gujarat -
IVF and stress management Coping - Dealing with IVF stress - Stress Doesn't Impact Success of IVF - Fear of IVF failure and Anxiety - Stressful Fertility and Infertility Treatment - The emotional stress during IVF Journey - Minimise stress during the Two Week Wait of IVF Cycle - Agony of the IVF husbands - infertility depression support


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Jul20
Tips for special care during pregnancy
Pregnancy is a beautiful phase in women’s life. Finding out you are pregnant is one of the most exciting and daunting times of your life, even if you have been preparing for it for some time. Get ready for the rollercoaster ride of pregnancy on the road to parenthood. Your pregnancy will be a special experience no matter if you've been through it before, or this is your first time. The thought of growing a baby inside your body until it is ready for independent life may sometimes become almost overwhelming. Joy, relief, excitement and fear are common emotions which can come as quickly as they go. Although at first, forty weeks can seem like an eternity, for most women it goes by pretty quickly.

The next 40 weeks of your life will be an amazing time. You may face pregnancy symptoms like morning sickness, frequent urination, fatigue, mood swings, food aversions and more. Most of pregnancy symptoms are caused by hormonal changes and the extra strain your body is under. They are usually temporary, cause minor discomfort and can be treated simply. Extra care needs to be taken by women during pregnancy.

Learn more about pregnancy test, pregnancy symptoms and pregnancy complications at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html

When the pregnancy test comes back positive, a life-altering journey begins. As the baby grows and changes through each stage of pregnancy, you go through changes, too: in your body, emotions, and lifestyle. You need information to answer your questions and help to make good decisions for a healthy baby and a healthy you. Regular antenatal appointments to check whether you and your baby are well and to spot potential problems before they become serious must always be preferred.

Most pregnancies will continue without any problems at all, however, a small percentage of pregnancies suffer from complications. Pregnancy is a time when a female blossoms into a woman and waits for her turn to become a mother. It enriches a woman with an experience never felt before and prepares her to tend for the new life growing inside her.

There are few experiences in life as powerful as finding out that you're pregnant. It's amazing to think that you have a new life growing inside you. From the moment you begin to feel changes in your body or you know for sure that you're pregnant you may begin to feel protective and look forward to having the baby. You can feel wonderful during your pregnancy if you take good care of yourself.

Increase your odds of a healthy pregnancy by following these pregnancy tips to keep yourself in top condition:

1. Eat five or six well-balanced meals each day. Remember to eat healthy always

2. Take a prenatal vitamin each day as directed by your obstetrician.

3. Drink plenty of fluids at least eight to 10 glasses a day avoiding caffeine and artificial colouring.

4. Don't drink alcohol

5. Don't smoke or allow yourself to be exposed to second hand smoke.

Read in detail the pregnancy tips for mother to be and the baby to be born at https://rupalhospital.wordpress.com/2015/07/07/pregnancy-pregnant-who-to-pregnant-during-pregnancy-healthy-pregnancy-tips-rupal-hospital-surat

Whether your pregnancy was meticulously planned, medically coaxed, or happened by surprise, one thing is certain – your life will never be the same. While being pregnant can be a trying and often time’s uncomfortable experience, there are moments when being pregnant feels so magical and thrilling that we never want it to end. One thing is for certain: there’s no other experience in life like it. The memory and journey of going to be parents capture the joys and pitfalls of the nine months that for better or for worse will change your life forever.

For pregnancy and for being a mother it is said “Making a decision to have a child–it’s momentous. It is to decide forever to have your heart go walking around outside your body."

Rupal Hospital for Women is a premiere leader in women’s health and is widely recognised for its Pregnancy (Ante-natal) care & Delivery services, specialised high risk pregnancy care and painless (epidural) delivery. The doctors are pleased to provide the best education on the latest pregnancy news and parenting tips including fertility boosting foods, labor signs, child birth tips, pregnancy advice and many more pregnancy information that you need to know. Whatever you want to know about getting pregnant, being pregnant or caring for your new baby, you should find it here. At Rupal Hospital we offer info on pregnancy aches and pains, weight gain and nutrition, what's safe during pregnancy and what is not, a pregnancy stage, labor and delivery, and more. We're here to guide you through the ins and outs of all nine months. We've got everything you need, from pregnancy nutrition tips to dealing with all of your symptoms.

From caffeine and soft drinks and juices to which medications are safe to use while you're pregnant, get answers from our experts on what's totally safe to do and eat during pregnancy and what things you should try to avoid at http://www.rupalhospital.com


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Jun18
Diabetes may be a cause for infertility
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

Diabetes continues to be a major menace that keeps the medical community on tenterhooks. This is one ailment that affects multiple organs of human body including the kidneys, eyes and heart. Diabetes also wrecks havoc with essential processes like digestion, nervous system functioning and makes life pathetic for the victims. Sadly, diabetes does not spare your sexual prowess either. Both men and women can face fertility problems after becoming diabetic.

People can often have diabetes and be completely unaware. The main reason for this is that the symptoms, when seen on their own, seem harmless. However, the earlier diabetes is diagnosed the greater the chances are that serious complications, which can result from having diabetes, can be avoided. Diabetes is a long-term condition that causes high blood sugar levels.

There are 3 types of diabetes.

Type 1 Diabetes, Type 2 Diabetes and the Gestational Diabetes.

Talk with infertility and fertility experts about the types of diabetes, its implications on infertility and the ways to prevent diabetes at http://www.blossomivfindia.com/meet-the-team

All types of diabetes are treatable. Diabetes type 1 lasts a lifetime, there is no known cure. Type 2 usually lasts a lifetime; however, some people have managed to get rid of their symptoms without medication, through a combination of exercise, diet and body weight control. The majority of gestational diabetes patients can control their diabetes with exercise and diet. Between 10 to 20% of them will need to take some kind of blood-glucose-controlling medications.

Diabetes and Fertility

Infertility, the inability to become pregnant within 12 months of trying to conceive, affects about 10% of the population. In fact, only about 10% of infertility cases go unexplained. In most instances, simple lifestyle changes like weight loss through proper exercise and nutrition can help reverse the affects of infertility. However, diseases like diabetes can cause extra complications for both women and men when it comes to fertility.

If you have been trying with no luck to get pregnant and have not been able to find a reason for your infertility, it may be time to have a simple blood test to determine if your glucose levels are too high. More and more infertility specialists are looking toward this health issue as a main cause of some otherwise unexplained infertility cases they see.

When it comes to diabetes and infertility the answer is clear: there is a connection.

Diabetes in women:

Diabetes in Men:

Should Diabetic Partners Try and Conceive At All?

Read the whole article in detail about the diabetes, its effects on fertility in men and women and the ways to overcome the diabetes at http://www.blossomivfindia.com/pages/diabetes-and-infertility

Infertility specialists encourage their patients with Type 2 diabetes to focus their efforts on eating healthy, exercising, losing weight and closely monitoring blood sugar levels. Taking vitamin supplements is also encouraged. If those efforts alone don't lead to a healthy pregnancy, then medications may be introduced to improve fertility. It can be a challenge to make the lifestyle changes necessary to deal with Type 2 diabetes. The good news is that those efforts are, quite often, rewarded.

Research has shown a strong correlation between PCOS and Type 2 diabetes. Both PCOS and Type 2 diabetes are characterized by unhealthy levels of blood glucose and a resistance to insulin. A variety of medications can be prescribed to help lessen or reverse the effects of PCOS. As with Type 2 diabetes, a healthy lifestyle can also go a long way toward reducing or eliminating PCOS. The key is to bring blood sugar levels into a normal and stable range while combating insulin resistance.
Diabetes doesn't preclude men and women from reproducing. It does, however, require professional guidance, meticulous maintenance of health, and monitoring of blood sugar and hormonal levels. With proper care and attention, the vast majority of diabetics can have healthy offspring.

To help explain diabetes complications in relation to female infertility and male infertility, Specialists at Blossom Fertility and IVF Centre are well-versed in obstetrics, gynaecology and reproductive endocrinology. The Blossom Fertility Centre aims to reduce the stress and hassle associated with infertility investigations and treatment, by offering a one-stop diagnostic and treatment service for infertile couples. While coping up with infertility, it is important that all the test and diagnostic treatment options are considered. The team of specialists at Blossom Centre are in favour of the entire test for blood to be done at the beginning of any diagnosis for the fertility treatment. So if at all any variation in blood sugar levels are there, it is treated initially only. We at Blossom offer to our patient’s clinical excellence, cost-effective treatment options, personalized compassionate care, and exceptional success rate. Our clinic symbolizes excellence, experience, and professionalism in treating all cases of infertility whether it is due to diabetes, PCOS, male infertility, women infertility, hormonal imbalance or egg or sperm production.

You can meet our team of endocrinologist and obstetrician at http://www.blossomivfindia.com/ or you can have their opinion and talk to them at +91 261 2470444


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May31
World Tobacco Day
Today is World Tobacco day. You all know that tobacco causes cancer- cancers in almost all the organs of our body.
But what else? can it affect your sexual and reproductive life?
In female- it causes problems in menstruation, irregular periods and abnormal amount of bleeding. In addition, it causes difficulty in having baby- by interfering with normal hormone release.
Even if pregnancy occurs, the ending may not be happy one. It is responsible for repeated pregnancy loss (repeated miscarriages), ectopic pregnancy (pregnancy outside the uterus- that cannot survive, on the other hand it can endanger mother's life). It also causes abnormal bleeding in pregnancy by early separation of placenta (the flower) and thus endangering life of both mother and baby. It is also responsible for inadequate growth of baby inside the uterus. This can result in early delivery (premature baby), ow birth weight, permanent damage to baby's brain (mental retardation) and other organs, even death of the baby before or soon after birth. Tobacco also causes early rupture of membranes during pregnancy ("breaking of water") causing preterm delivery and infection.
As a result of hormonal deficiency caused by tobacco, there may be infertility and other hormonal problems like sexual dysfunction (dryness especially), discomfort in passing urine and bone pain (all due to hormone deficiency).
In older women it can cause prolapse (coming down of uterus outside).

In males- tobacco is responsible for low sperm count, low motility and abnormalities in sperms. The result is male infertility.
It can also cause hormonal problems in males leading to sexual dysfunction and bone loss.
It is responsible for erectile dysfunction and also premature ejaculation.

So, the decision is yours whether to choose tobacco or to choose life.


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May31
Treatment for Genital tuberculosis in Males and Females
Tuberculosis is a rampant disease in developing countries like India-and one that cuts across all classes. Tuberculosis of the genital tract occurs quite commonly following tuberculosis infection anywhere else in the body. It mainly spreads through the blood stream to the genital organs. When the infection invades the reproductive system (the genital tract), it commonly targets the fallopian tubes and the uterus and may lower your chances of conception. Women between the age of 20 and 40 years are most susceptible.

Female genital tuberculosis is fast emerging as a major health issue that affects fertility levels in women. Doctors say tuberculosis is a major cause of infection leading to infertility among 25-30% of women in India. There is an increasing trend of genital tuberculosis among women. The infection can attack the ovaries, uterus and tubes leading to infertility problems among women. The disease is also becoming more evident among men causing infertility. Even among men, who are responsible in 50% of infertility cases, tuberculosis is a major reason for infection.

Is it possible that TB increases the infertility issues in couples?

TB (Tuberculosis) is the infectious disease and infertility is the inability to conceive. Yes TB can cause infertility, but usually it does not show any kind of symptoms until the infection has advanced to a severe level and can affect the infertility in women as well as in men. In the woman it causes tuberculosis in uterus and fallopian tubes where as in the man it cause tuberculosis of epididymo orchitis, as a result of which no sperm can get into the semen.

TB only cause infertility when it infects the genital tract, which is very hard to diagnose and called as genital TB. Genital TB is responsible for infertility in 5-10% of women. The only way to diagnose this TB is by culturing the tubercle bacillus from the tissue and sent it to the lab for testing.

Know in detail about Genital Tuberculosis, its symptoms, treatment available and for the investigation procedure at https://rupalhospital.wordpress.com/2015/05/29/tb-and-infertility-conceive-after-having-genital-tuberculosis

What is genital tuberculosis?

Tuberculosis or TB is a bacterium which can affect any part of your body, but most often affects the lungs. The primary infection in the lungs is known as pulmonary tuberculosis. In some cases the TB infection moves through the blood to other parts of the body. It can thus cause secondary infections in the genital tract, pelvic area, kidneys, spine and brain. When the bacterium reaches the genital tract it causes genital tuberculosis or pelvic TB. It affects the genital tract (in both men and women), fallopian tubes, uterus, and ovaries. In some cases it also affects the cervix, vagina and vulva.

How does genital TB spread?

What are the symptoms of genital TB?

Treatment Option for genital TB

How can genital TB affect my fertility?

How to screen for tubal scarring?

Several methods can help detect the tubal involvement. Sonography helps in diagnosing pus in the tubes, while hysterosalpingography helps to diagnose blocked tubes. Laparoscopy is a direct visualisation of the tubes giving us an opportunity to take a biopsy from the suspected lesions. TB-PCR from the endometrium or the inner lining of the uterus (a tissue sample is taken and cultured to detect the genetic make-up of the bacteria) is a newer test for diagnosis of tuberculosis. Routine blood tests such as CBC, ESR assist in the diagnosis. Permanent damage may be avoided if anti-tubercular drugs are started in the early phase of the disease.

Read the whole article about investigation procedures and treatment options for Genital Tuberculosis at https://rupalhospital.wordpress.com/category/tb-and-infertility

If a family member or colleague is an active TB patient, then people around them need to be cautious and should go for tests like chest X-Ray, tuberculin test to know whether they have been hit by TB or not. Two out of 10 women suffering from TB cannot bear children. Doctors say that nearly 90% of women with genital tuberculosis (GTB) are diagnosed in the 15-40 years age range. Infertility on account of GTB is 40-80%. Experts say that with advanced medical treatment now available, if the diagnosis is early enough, GTB can be treated and the woman can regain fertility.

Various patients neglect the diagnostic test for TB when they are unable to conceive, but it might be the major cause for your infertility problem. So it would be good to test and ensure the root cause of infertility. Rupal Hospital for Women is a premier leader in women's healthcare since 45 long years and is committed in providing women with the highest quality and most advanced healthcare throughout all stages of their lives. The team of doctors at Rupal Hospital believes in the power of information and in spreading education to patients. When the patient is detected with infertility and all test are done, we at Rupal hospital advise our patients to go for all test including blood test, Hysterosalpingography, Ultrasonography, Cervical cytology, Endoscopy, Laparoscopy, Hysteroscopy and Cystoscopy. If the patient is detected with genital tuberculosis, we advise them to complete the entire course of the treatment. It is a course of antibiotics that lasts about six to eight months. We at Rupal hospital make them aware that once the course for GTB is over there are chances of achieving normal pregnancy.

You can contact our team of doctors for any information on GTB, how to diagnose GTB, treatment options available for Genital tuberculosis and to know the chances of conceiving after diagnosed with GTB at http://www.rupalhospital.com/index.html


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May20
Blastocyst Embryo Implant
Blastocyst embryo transfer (BET) is a new assisted reproductive technology that has been incorporated with in vitro fertilization (IVF) treatment to increase pregnancy rates while simultaneously decreasing the risk of multiple pregnancies. In vitro fertilisation usually involves the transfer of embryos two to three days after they have been successfully fertilised. Blastocyst Culture and Transfer is a technique in which an embryo is developed in the laboratory for 4-6 days after fertilisation before being placed in womb. The embryo gains many cells as a result of being developed for so many days. The embryos developed for 4-6 days are much more advanced than the ones developed for just three days. These Embryos are called blastocysts. BET helps reduce the incidence of multiple gestation pregnancies by transferring fewer embryos.

What is Blastocyst culture?

Until recently, successfully culturing embryos to the blastocyst stage was difficult. This term describes the process when the embryos grow for longer in the laboratory, and undergo critical developmental changes before being returned to the womb. Scientific advances have led to the development of culture media that mimic the changing environment of the reproductive tract and meet the unique requirements of the embryo as it travels from the fallopian tubes. This now allows up to 60% of embryos to successfully grow to the blastocyst stage in the laboratory environment. This period of extended culture helps experts to select the most competent embryo (s) for transfer to your womb. Therefore, blastocyst culture maximises the chance of you achieving a viable pregnancy. During the additional two days of in vitro culture (day 3 to 5), the embryologists have an opportunity to observe embryonic development and to select those embryos which appear to have the best potential for continued growth and implantation. Although this period of extended culture doesn’t necessarily improve the quality of the embryos, or guarantee that they reach the blastocyst stage, there are impressive success rates available for this treatment.

Learn from the experts in IVF field about Blastocyst Embryo Transfer, its advantages, disadvantages and risk associated with the treatment at http://indiraivf.com/services/blastocyst-culture-and-transfer/

What is the procedure involved into Blastocyst embryo transfer?

During IVF treatment with blastocyst transfer, unfertilized eggs (oocytes) are retrieved from the ovary. They are then fertilized in an IVF laboratory setting, creating an embryo. Instead of being transferred to the uterus after three days, which is the case during traditional IVF treatment, the embryos are allowed to progress to the blastocyst stage over a period of five to six days. During unassisted fertilization, the embryo must reach the blastocyst stage in order to attach to the uterine wall. Because, during blastocyst transfer IVF, the embryos are implanted in the uterus during this same stage of development, some consider this to be a more natural implantation method. Blastocyst transfer mimics natural conception in which the embryo travels down the fallopian tube and reaches the uterine cavity five days after fertilisation. This synchronises the development of the embryo and the lining of the womb to increase the chance of implantation. Only healthy embryos are selected for transfer.

For whom is Blastocyst Embryo Transfer Recommended?

Blastocyst transfer is not suitable for everyone. It is a laboratory selection process to identify the best embryo. Couples who have had unsuccessful prior attempts with IVF or IVF and ICSI treatment despite having many good quality eggs retrieved are being offered Blastocyst Culture as an alternative treatment. Couples with multiple good quality embryos on day 3 are also good candidates for Blastocyst Culture. The ability to select the most viable embryos for transfer and implantation should improve their chance of achieving a pregnancy. Blastocyst transfer is not an option for all IVF patients. The technique is most successful with patients who are younger and have a large number of eggs available at retrieval. On average, patients with six or more high quality embryos on day three are the best candidates for blastocyst culture because there is a better chance of more embryos growing successfully till day five.

Frozen Blastocyst Transfer (FBT)

There is a chance that you may have some blastocysts (advanced five to six day embryos) available for freezing (using a process called vitrification) after you have had your best embryo (s) transferred. Freezing and warming can cause damage to the cells of blastocysts, particularly those which are not good quality. For these reason only very good quality blastocysts embryos are selected for freezing. Having blastocysts frozen means that you can undergo future cycles of IVF without having to stimulate your ovaries, collect and fertilise your eggs. Instead we can warm the frozen blastocyst (s) and transfer them to your womb in a much more simplified frozen blastocyst warming cycle. Your chance of becoming pregnant following replacement of frozen warmed blastocysts is comparable to that following replacement of fresh embryos. There is no evidence that any babies resulting from warmed blastocysts have an increased risk of abnormality.

Advantages of blastocyst transfer

Although you can choose to have the embryos transferred on the third day after fertilization, a blastocyst transfer has many obvious. The first is that it makes it easy to weed out the healthy embryos from the abnormal ones without spending for expensive screening procedures. Studies show that embryos that do not reach the blastocyst stage are more likely to have abnormal chromosome numbers, which means they would have eventually miscarried. Doctors observed that as much as 40% of embryos fail to make it to the blastocyst stage. Thus, waiting for the embryos to reach the blastocyst stage decreases the number of abnormal embryos, leaving you with the ones that are most likely to develop into a healthy baby. The fact that the embryo has already hatched out of its shell also gives it an improved implantation rate. In fact, blastocyst embryos have a 50 % chance of implantation. This means you will only need to have one or two blastocysts transferred, leaving you with a few back up embryos just in case this cycle fails. Spare blastocyst embryos may be cryopreserved until they are needed in the future. Another advantage of developing all embryos to the blastocyst stage is that it makes embryo cryopreservation (freezing) more efficient, since embryos without the capacity for full development are not frozen. Blastocyst transfer also allows the option of single embryo transfer.

Solution to all infertility related treatments including IVF, ICSI, IUI and others and the newly introduced technique Blastocyst Transfer can be obtained at https://indiraivf.wordpress.com/category/blastocyst-embryo-implant

What are the disadvantages of blastocyst transfer?

Although blastocyst embryo transfer increases your chance of getting pregnant, it also increases the risk of multiple births. It is more difficult for an embryo to develop into a blastocyst. Therefore, there is the possibility that an IVF cycle will not result in a transfer of any embryos if none of the three day old embryos develop into blastocysts. The other disadvantage of the procedure has to do with cryopreserving the remaining embryos. Blastocysts cannot survive the freezing and thawing process as well as day 3 embryos do, and you might end up losing most or all of the embryos in the process.

Risks of IVF blastocyst transfer

The primary risk of attempting blastocyst transfer is that some embryos will die in the laboratory. Therefore, the total number of embryos available for transfer and freezing will be less. Unfortunately, some couples undergoing blastocyst ivf treatment will have all their embryos die in the laboratory and will not have any embryos available for transfer. BET does not guarantee a normal pregnancy. It is expected that some pregnancies will miscarry and some babies will develop birth defects similar to that which occurs in couples that are able to achieve pregnancy naturally. Excess blastocysts may be frozen and some of them will not survive the freeze-thaw process when utilized for a later attempt at achieving pregnancy. This is a similar risk to transferring embryos at earlier stages.

In this field of medicine, continued refinements and change offer greater opportunity for infertile couples. Blastocyst culture is one important step and one at which specialists at Indira Infertility Clinic has expertise. We offer our patients this promising state-of-the-art technique, as it provides us the ability to balance the success versus risk in favour of couples, when we assist them in their pursuit of parenthood says Dr. Ajay Murdia, Scientific director at Indira IVF Clinic. Our doctors and embryologists will advise on whether blastocyst transfer is possible and this will depend on the number and quality of embryos available on day 3. Otherwise normal IVF is recommended. Whether day 5 or 6 transfer is recommended for you, it is a decision made by the experienced and expert clinical and laboratory teams aligned to give you the best individualized advice for a safe and successful outcome. Let us help you decide your journey of parenthood.

You can contact the team of experts at Indira IVF at http://indiraivf.com/ or you can fix up an appointment with us at 0 766 500 9965


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May03
Low Sperm Count
Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. SO, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal.

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) Sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal)... 2) Sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. SO, first thing is not to feel depressed when the report comes abnormal.

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to FAIL. So, first thing is- whether sperms are produced or not.

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like TB, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called "TESTICULAR DEFECTS". In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them "PRE-TESTICULAR DEFECTS".

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called "POST-TESTICULAR or OBSTRUCTIVE DEFECTS".

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of TESTICULAR or PRE_TESTICULAR DEFECTS, medicines can help (but in very few cases). In OBSTRUCTIVE CASES, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results.

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? Just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.


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May02
Women’s fertility and Lifestyle changes
Lifestyle choices can significantly affect female fertility. If you are hoping to get pregnant now or in the future, you may wonder about fertility and the possibility to improve it. Some factors may be beyond your control, such as medical problems that affect female fertility, but this is not the end of history. Your lifestyle can also affect your fertility. Follow the simple steps that will help keep a healthy reproductive system of women. We all know that a healthy woman makes a healthy baby. For some females it is very hard journey of parenthood. It is very difficult for them to conceive. Apart from medical problems your fertility can be affected by surprising factors that are habitually incorporated in ones daily lifestyle.

Let us first know what female fertility is, understand the causes of female infertility and know the surprising facts that affect female fertility.

Female Fertility: Female fertility is a woman's ability to conceive a biological child. You and your partner might question your fertility if you've been trying to get pregnant with frequent, unprotected sex for at least one year or at least six months if you're older than 35, with no success. We all know that women is born with limited number of eggs. Women’s fertility is at the peak in early 20, and drops considerably after age 35. At the age of 40-45 she is left with very few good quality eggs.

Learn in detail about female and male infertility causes, treatments and prevention steps at http://www.blossomivfindia.com/fertility-treatments

What causes female infertility? The most common causes of female infertility include problems with ovulation, damage to fallopian tubes or uterus, or problems with the cervix. Age can contribute to infertility because as a woman ages, her fertility naturally tends to decrease.

Female infertility is most often treated by one or more of the following methods:

1. Taking hormones to address a hormone imbalance, endometriosis, or a short menstrual cycle
2. Taking medications to stimulate ovulation
3. Using supplements to enhance fertility – shop supplements
4. Taking antibiotics to remove an infection
5. Having minor surgery to remove blockage or scar tissues from the fallopian tubes, uterus, or pelvic area.
6. Taking help of ART Treatments like IVF, ICSI, IUI, Laser Assisted Hatching, Donor Egg and Embryo, Sperm donor, PGD – Pre implantation Genetic Diagnosis, Surrogacy

Fertility can be affected by surprising factors that are habitually incorporated in our daily life. Many a times this factor are so much integral part of our daily life that we don’t recognize that it will be serious enough to cause female infertility. So if you’re trying to get pregnant, or foresee a mini-you sometime in the future, it’s imperative to learn what lifestyle changes might be in stock.

1. Night-time Smartphone/tablet activity

Staring at your Smartphone or tablet screens at night, messes with more than just your sleep cycle. According to research published in the journal Fertility and Sterility, artificial night-time light exposure can damage both your ability to conceive and fetal development if you’re already pregnant. Late-night light exposure can suppress melatonin production, that’s also produced in the reproductive tract and blocks eggs from harmful free radicals, chiefly during ovulation. Insufficient melatonin production can also disrupt a developing fetus’ internal clock, resulting in long-term problems, researchers suggest.
If you're hoping to conceive, or you're already expecting, avoid light disturbances close to bedtime or while you are trying to sleep. Keep the tablets and phones out of your bed, shut off the TV and other light-emitting screens, and make sure illumination from streetlamps isn't creeping in through your bedroom windows.

2. Junk food

If you’re a burger and fries junkie, you know you’re not consuming the right nutrients, such as monounsaturated fats, zinc, vitamin D, and B6, which means, you could be disrupting your body’s regulation of critical reproductive hormones like progesterone, insulin, and testosterone. Skip the chocolate cake and pizza on weekends and consume healthy foods instead to boost your body’s potential of having a baby. Also, make certain you’re eating a heavy and nutritious breakfast because research published in Clinical Science found that consuming about half of your daily calories in the a.m. could increase your fertility. Junk food can also have adverse effect on weight, blood sugar, insulin production, and cholesterol and cardiovascular disease.

3. Poor oral health

4. Folic acid deficiency

5. Use of Cosmetics

6. Fertility and a woman’s weight

Read in detail about the surprising lifestyle factors that affects your fertility and the prevention option for the same at http://www.blossomivfindia.com/pages/conception

If you are thinking about pregnancy and about the impact of your lifestyle on fertility, consult your doctor. It can help you identify ways to help improve fertility and increase your chances of getting pregnant. These are just some of the lifestyle factors that can impact successful conception and more importantly, the future health of the baby. There are others and it is important to learn all one can, about how one’s lifestyle can impact fertility and the baby that is to be born. If you're planning to become pregnant and you're concerned about the impact of your lifestyle choices on your fertility, consult your health care provider. He or she can help you identify ways to improve your fertility and boost your chances of getting pregnant.

The Blossom Fertility and IVF Centre in Surat, Gujarat, India aims to reduce the stress and hassle associated with infertility investigations. Besides offering fertility treatments like IVF, ICSI, IUI, Laser Assisted Hatching, Egg, Sperm and Embryo donation and preservation facility and Surrogacy, our team of gynecologist and endocrinologist also believe in educating the couples. We create awareness amongst our patients about how little changes in our lifestyle will help a lot in conceiving at the earliest. Before starting the treatments we analyse both the partners about their daily habits, whether they are on any medications or have any hereditary genetic problems in their family history. Our team of doctors will guide them to come over some simple lifestyle habits either with self discipline or with the help of medication. The doctors at Blossom Centre emphasize the importance of lifestyle changes and teach how one’s lifestyle can impact fertility and the baby that is to be born.

You can consult our team of infertility and fertility specialist to know everything about your fertility issues and the impact of your lifestyle related questions at http://www.blossomivfindia.com/


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Apr30
The basic of Fertility
Last week I got a call from one of my patients, who conceived after long period of infertility. She called me to remind me that, that very days was the birthday of her son, that is the wealth that she gained after long battle. And even the son tried to talk to me over phone with his soft voice. And this success is really rewarding for any Infertility Specialists.

Now, the inability to conceive- INFERTILITY, the problem is prevalent in our society and is increasing. But majority of common people don't have clear idea about the concept of fertility and the problems. Ability to have pregnancy depends on many factors both in male and female. Even in a normal couple (where both husband and wife are totally normal), there is chance of pregnancy if they practise regular intercourse in a particular time of the menstrual cycle (around ovulation). And even with that, the best chance is only 15-20%. But within one year of regular trying, 80% of couples manage to conceive. And out the rest 20%, 10 will conceive within next one year and the rest 5 in 3rd year. So, ultimately 5% of couple will have difficulty in conception.

So, we advise, if you tried regularly for one year and there is no pregnancy, don't get depressed. It may be due to some defects in husband, wife or both; or may be due to chance factor. But we have to make sure that there is no defect in any of the partners. If there is any defect, we will treat that. If no defect is found, then we have to increase the chance.

So, infertility treatment is actually based on stepwise manner. We initially advise some tests and then advise a treatment. If that treatment fails, we move to next treatment.

So, all the time, you have to keep patience. Eventually, majority of the couples will conceive. Don't give up hope. You have to win the race ultimately


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