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Aug21
Pregnancy with Blocked Fallopian Tubes
Fallopian tube damage is a common cause of infertility and tubal ectopic pregnancy. The fallopian tubes are the pathways in which the ova travel from the ovaries down into the uterus, and if there is a blockage in these tubes it can prevent this from occurring. A fallopian tube blockage typically prevents successful passage of the egg to the sperm, or the fertilized egg to the uterus. The fallopian tubes are two thin tubes, one on each side of the uterus, which help lead the mature egg from the ovaries to the uterus. When an obstruction prevents the egg from traveling down the tube, a woman has a blocked fallopian tube, also known as tubal factor infertility. This can occur on one or both sides and is the cause of infertility in 40 percent of infertile women.

Causes of Blocked Fallopian Tubes

Blockage can happen in one or both fallopian tubes. Some of the causes of the blockage are:
Pelvic inflammatory disease (PID): PID is one of the major cause of blocked fallopian tubes. PID refers to the collective inflammatory issues that affect the female reproductive system by creating blockage and damage to the fallopian tube. PID is the result of a sexually transmitted disease(STD), but not all pelvic infections are related to STDs.

Side effect of surgeries: Complications due to surgeries that involve the uterus and fallopian tubes like a C-section, abortion etc. can cause a blockage

Fibroids: A fibroid may bring about pressure on the fallopian tubes thus causing a blockage in the path of sperm or eggs

Endometriosis: Instead of shedding during menstruation, if you are experiencing endometriosis i.e. the endometrial cells are found outside the womb, it can cause a blockage. This is because the scars and adhesion that are created because of endometrial tissue can place physical pressure, creating anobstruction in fallopian tubes. This can prevent the tubes from taking in the eggs released from the ovary or making way for them to the uterus.

Infections: Infections, including sexually transmitted infection (STI) like chlamydia and gonorrhea or any infection caused by an abortion or miscarriage, can cause a blockage in the tubes.

Ectopic pregnancy: Sometimes, instead of continuing to travel toward the uterus, the fertilized egg is implanted in fallopian tubes, resulting in tubal pregnancy. If the woman has already experienced an ectopic pregnancy, she develops an increased risk of scar formation leading to the blockage of fallopian tubes

Ruptured appendix: If the woman has a history of a ruptured appendix, there is a chance that the infection can affect the fallopian tubes leading to blockage.

Tubal ligation removal: Tubal ligation, a popular birth control method, is removed when the couple desires for a baby. The chances for the fallopian tube blockage are high in this case because of the scar tissue that is formed after the procedure

Know in detail about symptoms, causes and treatment options for blocked fallopian tubes at https://rupalhospital.wordpress.com/category/blocked-fallopian-tubes/

What are the symptoms?

Unlike anovulation, where irregular menstrual cycles may hint to a problem, blocked fallopian tubes rarely cause symptoms. Women may experience certain symptoms or nothing at all. Strong to mild abdominal pain, fever, painful periods, strange looking or smelling vaginal discharge, or feeling pain while having sex or passing urine are some possible symptoms, but because many women still ovulate, blocked fallopian tubes can go unnoticed until a woman is trying to get pregnant.

Treatments for blocked fallopian tubes

When it comes to treating blocked fallopian tubes, the traditional solution is tubal surgery. However, surgery is invasive and has several possible side-effects, one of the most common one being the risk of developing ectopic pregnancies. A less invasive and more affordable solution in cases of fallopian tube obstruction is in vitro fertilization or IVF. Nowadays, most women who suffer from blocked fallopian tubes choose IVF instead of surgery. IVF is safe and effective and offers women with infertility problems a very easy solution to conceive. However, in case the obstruction of the fallopian tubes is associated with hydrosalpinx formation (fluid filling a blocked fallopian tube), the success rate of IVF is smaller, so doctors recommend treating hydrosalpinx before having IVF.

Blocked Fallopian Tubes Cause Infertility?

Each month, when ovulation occurs, an egg is released from one of the ovaries. The egg travels from the ovary, through the tubes, and into the uterus. The sperm also needs to swim their way from the cervix, through the uterus, and through the fallopian tubes to get the egg. Fertilization usually takes place while the egg is traveling through the tube. If one or both fallopian tubes are blocked, the egg cannot reach the uterus, and the sperm cannot reach the egg, preventing fertilization and pregnancy. It’s also possible for the tube not to be blocked totally, but only partially. This can increase the risk of a tubal pregnancy, or ectopic pregnancy.

Can You Get Pregnant With a Blocked Fallopian Tube?

If only one fallopian tube is blocked, but the other is clear, it may still be possible to achieve pregnancy. It depends on how well the ovaries are functioning, and also what caused the blocked tube in the first place.

The fallopian tubes can sometimes become blocked or even damaged due to certain conditions that a woman may suffer from. In rare cases, the blockage to the fallopian tubes may have been present since birth as a birth defect, but has gone undetected until the woman reached adulthood and tried to conceive.

So don’t lose heart if you are diagnosed with blocked fallopian tubes. Consult with your doctor and look for a treatment plan most suitable for you and enjoy healthy pregnancy and motherhood.
Don’t wait too long to start a family – that’s a message from Consultant Obstetrician, Gynaecologist, and Fertility Specialist today.
Start creating your family by contacting today Rupal Hospital for Women and Know about your options for having a baby with blocked fallopian tubes using IVF & assisted reproductive technology. You can contact fertility and IVF specialist at http://www.rupalhospital.comor simply call on +91-2612599128


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Jun27
Obesity and Pregnancy
When couples strive to increase their chances of fertility, a multitude of factors may be considered. They may be more conscious of the foods they eat, alcohol or caffeine consumed, or exercise regimen maintained. Although these day-to-day habits are certainly good to keep in mind, it is also important to remember that one’s weight plays a part in his or her overall health, and when it comes to fertility, weight is yet another factor that may influence success rates.

To become pregnant, a healthy weight matters. Being overweight or obese can impact your fertility. Obesity is a rising epidemic affecting millions worldwide. Obesity also significantly affects a woman’s capacity to carry on a pregnancy to term. Obesity is defined by an extraordinarily high Body Mass Index (BMI) in which the index is a reflection of body fat content. Around 1 in 4 women are at least overweight as per surveys and studies. The rates are higher among women facing problems of conception. Obese women are three times more likely to suffer infertility than women with a normal body mass index. Overweight or obese women experience longer times to pregnancy and reduced probabilities of conception relative to their normal-weight counterparts. Moreover, they are at an increased risk of early and recurrent miscarriage. These women generally have reduced oocyte quality, lower developmental potential, and poor clinical outcomes when they undergo assisted reproduction treatment.

“Healthy women have healthy eggs and are more likely to have healthy children,”

Obesity has a number of different effects on fertility of men and women as follows:

1. Obesity affects hormones
When body mass index goes past the overweight category (BMI of 25–29.9) into the obese category (BMI of 30 and above), hormonal changes may occur in the female body. When the levels of natural hormones change, the chances of conception decrease.

2. Obesity leads to insulin resistance
The hormonal imbalance that comes with obesity often leads to insulin resistance. That is a major risk factor on the road to diabetes — but it also affects fertility and can create abnormal menstrual cycles. Insulin resistance can lead to anovulation, in which body does not produce eggs properly.

3. Obesity affects natural and assisted pregnancies
Obesity makes it more challenging to become pregnant, no matter whether a couple is using natural means or reproductive technologies such as in-vitro fertilization (IVF). It also increases the risk for a miscarriage. This issue may be caused by the hormonal issues or because of poor quality eggs.

4. Obesity decreases Men's fertility, too
Although much of the focus on obesity and infertility is on women, it absolutely affects men, too. For men, obesity leads to a drop in testosterone, which can lead to infertility. On top of that, erectile dysfunction occurs at a higher rate among obese men.

5. Losing weight can improve all of the above
In recent years, the connection between lifestyle, weight, nutrition and fertility is gaining more public exposure. A multidisciplinary approach to weight management is more likely to be a successful treatment option. The emphasis should be on lifestyle change, education about proper diet, exercise, and behavior modification. A more holistic approach to obesity and reproductive health can help increase the chances of conception in obese women. In doing so, it would also have a positive impact on the general health.

As a result of weight loss, the hormonal imbalances and other effects of obesity begin to decrease.

Know in detail about fertility treatment in male and female at http://www.blossomivfindia.com/fertility-treatments

More specifically, the greater a woman’s body-mass index (BMI) is, the less likely she is to have a successful IVF experience. A Recent study has shown that to a large extent, today’s generation is what their moms and dads ate prior to and around their conception. "This is a huge issue that really does carry through to certainly the next -- and probably the next two -- generations."

Obesity has negative effects on reproductive health. It has been established that obesity is associated with decreased natural fecundity, a decreased ovulation rate, increased time until conception, and increased rates of miscarriage. Additionally, an increased rate of pregnancy complications, including gestational hypertension, preeclampsia, gestational diabetes, postpartum hemorrhage, and fetal macrosomia, are all associated with obesity. Since the incidence of obesity is continually rising, an increasing number of overweight and obese women are seeking fertility treatments through assisted reproduction technology (ART).

There is nothing in medical science that says that IVF can't be done on fat or obese women. IVF remains more complicated for Obese Women and they require different medication doses than normal weight women. Consequently, there is a need to understand the full impact of obesity on in vitro fertilization (IVF) treatments. In vitro fertilization is used to help women become pregnant by mixing the sperm and egg outside the body, then implanting the embryo into the woman’s uterus.

Following are the effects of obesity on in vitro fertilization (IVF) success rates.

1. Obese women need higher doses of drugs: Obesity is associated with higher doses of medications to stimulate the ovaries. Obese women also take longer to respond, have increased cycle cancellation rates, and fewer eggs retrieved.

2. Obese Women are less likely to get Pregnant: IVF pregnancy rates are lower in obese women. The age-adjusted odds of live birth are reduced due to high BMI. In other words, the chances of having a baby decrease as the woman’s weight increases.

3. Obesity Affects Eggs and Embryos: Egg quality, fertilization rate and embryo quality all decrease in obese women. This means that eggs retrieved may result in a failed IVF cycle. Obese women are less likely to have successful IVF from their own eggs (and not donor eggs), due to poorer egg quality. When it comes to IVF with donor eggs, obese women apparently have normal success rates. It is apparent that women with a BMI of >25 and especially those with a BMI of >30 exhibit a poorer ovarian response to fertility drugs (impaired follicle and embryo development with fewer blastocysts becoming available for transfer). These women also tend to have a reduced ability to implant transferred embryos into their uterine linings because of its thickness, perhaps due to reduced endometrial receptivity.

4. Obesity Affects the Uterine Lining: An obese woman is at a greater risk of developing abnormal thickening of the uterus lining. This is because estrogen is secreted in excess in an obese woman. The uterine lining becomes thick and is less receptive in obese women. It is apparent that women with a BMI of >25 and especially those with a BMI of >30 exhibit a poorer ovarian response to fertility drugs (impaired follicle and embryo development with fewer blastocysts becoming available for transfer). These women also tend to have a reduced ability to implant transferred embryos into their uterine linings because of its thickness, perhaps due to reduced endometrial receptivity.

All fertility options and treatments available for infertile couples can be learned at http://www.blossombestivfindia.com/Program/OurFertilityPrograms

Women who are planning to get pregnant or to enter IVF programs should be advised to lose weight before starting so, as very strict diets are not allowed during pregnancy or while on IVF. The clinical significance of a growing population of overweight women is enormous because not only can this compromise their overall reproductive performance, but it also compounds the risk of chronic medical conditions such as diabetes, and coronary/cerebral/peripheral vascular disease, and thus compromises life expectancy as well as the quality of life. As such, being overweight represents an overall life hazard that should be addressed by the medical profession as well as by society as a whole. The answer is surely not a simple one, but the solution does not lie in dieting alone. Instead, it requires an overall modification in lifestyle.

It is important to note that reducing BMI through weight loss has been demonstrated to significantly improve fertility treatment outcomes and to lower both treatment and pregnancy complications. In other words, not only does obesity make it much more difficult to conceive, but it also exposes both the mother and the infant to all manner of risks before and after birth.

Blossom Fertility & IVF Center in India is for IVF, IUI, ICSI, Surrogacy, Egg & Sperm Donation. The clinic offers IVF (In Vitro Fertilization) treatment to infertile couples from all over the world. Clinics expertise in fertility treatment and cutting edge technology has helped majority of the patients achieve pregnancy. Obese women coming for fertility and infertility treatment are advised to reduce weight and to get BMI corrected. All options related to pregnancy for obese women are explained in detail. Finally, it is important to emphasize that overweight women are at far greater risk during pregnancy than are women of normal body weight. Women who are planning to get pregnant or to enter IVF programs are advised to lose weight before starting, as weight loss "improves ovulatory function" as well as pregnancy outcomes. It is important to note that reducing BMI through weight loss has been demonstrated to significantly improve fertility treatment outcomes and to lower both treatment and pregnancy complications. In other words, not only does obesity make it much more difficult to conceive, but it also exposes both the mother and the infant to all manner of risks before and after birth. "Because of the complex nature of obesity and of reproduction, when an obese woman with sub fertility presents for fertility treatment, an individualized yet systematic approach is needed.

Contact the Fertility experts of Blossom Fertility Centre regarding any fertility problems including male infertility, female infertility, IVF, ICSI, Blastocyst Transfer, Donor Eggs and various other complex processes at http://www.blossombestivfindia.com


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Apr05
Ayurveda Remedy for Infertility
Ayurvedic Remedies For Infertility

Infertility is a small word yet it is the focus of a very vast science! Researchers, doctors, herbalists, Ayurveda physicians spend their lives mastering this single aspect. Research by the World Health Organization (WHO) estimated that in 2010, 48.5 million couples worldwide were unable to have a child due to primary or secondary infertility.

Given these figures and facts, one can imagine that this specialized science can be adapted under specialist care. It is not a field where kitchen shelves or self-medication can work wonders. The Ayurvedic approach should also be through a good, experienced physician rather than “trial and error” method because time and reproductive system is the essence for conception.

The Internet is full of tricks and treats, ideas and remedies from simple sneezing to complicated infertility. This article is meant to pave a path for the couples who are trying to conceive with right attitudes, lifestyle, and dietary choices.

Male Infertility

More than 90% of male infertility is due to low sperm counts, poor sperm quality, or both. Sperm abnormalities can be caused due to congenital birth defects, disease, chemical exposure, and lifestyle habits. The remaining cases of male infertility can be caused by anatomical problems, hormonal imbalances, and genetic defects.

Female Infertility

Female Infertility may be caused by an underlying medical condition that damages the fallopian tubes, interferes with ovulation, or causes hormonal complications. These medical conditions may be pelvic inflammatory disease, endometriosis, polycystic ovary syndrome, premature ovarian failure, uterine fibroids, autoimmune disorders, birth defects of the reproductive tract, cancer or tumor, clotting disorders, diabetes, obesity, thyroid disorder, etc.

Drinking too much alcohol, exercising too much, eating disorders or poor nutrition may also be creating problems in conception.

The Ayurvedic treatment depends on the underlying cause. All underlying causes of infertility include therapies of unction (oil), sudation (sweat), and mild use of the five pañchakarma measures, herbal tampon, medicated vaginal douches. Oil abhyanga (massage) can always be done, using Chitrak (Plumbago Zeylanica), Guduchi (Tinospora Cordifolia), Bala (Sida Cordifolia) with boiled milk and sesame oil.

Ayurvedic Remedies For Infertility

I am listing some of the corrective remedies which help in all kinds of disorders.

Reduce/Quit Alcohol Intake

Alcohol intake had a significant effect on infertility in both males and females. The qualities of alcohol are light, hot, sharp, subtle, sour, intoxicating, swift, quick-acting, rough and drying. All these qualities are the opposite of qualities of Ojas – life forming element. Alcohol also depletes the quality of sperm and ovum along with other reproductive tissues. It might become a reason for your infertility. Thus, if you are trying to conceive – quit alcohol. Same goes for caffeine and smoking!

Eat Right

Parched rice (soaked) + sugar candy (as per the taste)+ milk (300 ml) – Eat this natural cereal for your breakfast or dinner. Cardamom powder(1 pinch) should be added for females and nutmeg powder(1 pinch) should be added for males.
Ginger tea (hot water 200 ml + ½ tsp freshly grated ginger) consumed daily morning helps in detoxification of the body.
Turmeric and saffron milk at bedtime is beneficial for males as well as females.
Beneficial vegetables – artichoke, asparagus, bottle gourd.
Beneficial fruits – red raspberry, Indian gooseberry.
Beneficial seeds – fenugreek, sesame.
Other beneficial foods – cow’s ghee, moong, barley, old wheat and rice in their natural forms, pure honey, almonds.
Practice Yoga

Yoga is one of the best ways to support reproductive health.

Dhanurasana (Bow Pose)
Sarvangasana (Bridge Pose)
Viprit Karani (Legs-up-the-pose)
Baddha Konasana (Reclining bound angle)
Janu Sirshasana (Revolved head-to-knee pose)
Paschimottanasana (Seated forward bend)
These are some beneficial poses for infertility. They help by improving blood circulation in reproductive systems, massaging reproductive organs, stimulating and correcting hormones, reducing stress.

Reduce Stress

Stress plays a major role in slowing down your fertility be it in males or females. A calm, peaceful, happy and healthy state of mind and bedroom environment is the essence of not only a healthy sex life but also fertility. So knowingly or unknowingly work-life stress, social stress, inadequate sleep, financial stress or stress related to non-conception might be hindering your becoming pregnant.

Especially for females during menstruation, rather than focusing on PMS, the woman should consciously concentrate only on good and positive thoughts.


Importance Of Yoga For Your Good Health.mp4

Ayurvedic Herbs

Although it’s best to take it under physician’s supervision you can instill these herbs in your daily lives. They are some of the best herbs which are used in infertility.

Gokshura – It is one of the best herbs for genitourinary conditions for both males and females.
Kapikachhu – It is one of the best tonics and aphrodisiacs for the reproductive system in males.
Kum Kuma – It is a herb useful in the treatment of impotence & infertility in both males and females.
Shatavari – It is one of the main herbs for the immune and female reproductive systems.
Varahikand – A great male/female reproductive tonic useful in impotency, infertility, increasing semen, milk (progesterone), and other hormonal secretions (pituitary, thyroid, estrogen), etc.
One in every five infertile couple conceives without undergoing any treatment or efforts. By encouraging the above-given tips and habits you might also conceive and experience parenthood in no time. A pinch of positivity and enthusiasm with these tips in your life for three months can change your lives. So wish you all the best in the journey toward fertility.


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Mar20
Weird things that can mess up with your fertility
Infertility is a relatively common condition. When patients are confronted with this diagnosis, there are medical, psychological, and financial sequelae. Patients often wonder if there is anything they can do to optimize their natural fertility or increase the effectiveness of infertility treatments.

A healthy man and a healthy woman gives birth to a healthy child. There are many instances when a healthy couple is not able to conceive because of female related infertility, male infertility or unidentified circumstances. Apart from this there are many factors that are against fertility which no one has ever thought of. If a couple is trying to get pregnant or even are planning for it in the near future, consideration should be given to following factors that really mess up with ones fertility and the suggested changes or recommendations should be adopted to boost fertility.

1. Artificial Night time Light

Habit of staring at smartphone or tablet screens at night, can disrupt sleep cycle. Artificial nighttime light exposure can harm both ability to conceive and fetal development if already pregnant. Late-night light exposure can suppress melatonin production, the "sleep hormone," that's also produced in the reproductive tract and blocks eggs from damaging free radicals, particularly during ovulation. Insufficient melatonin production can also disrupt a developing fetus' internal clock, resulting in long-term problems and further confusing a woman's biological clock.

2. Junk Food

Consumption of burger and fries deprives of right nutrients, such as monounsaturated fats, zinc, vitamin D, and B6. It means, body’s regulation of critical reproductive hormones like progesterone, insulin, and testosterone is disrupted. Consume healthy foods to boost body’s potential of having a baby. Also, make it certain to eat a heavy and nutritious breakfast because research published in Clinical Science found that consuming about half of daily calories in the a.m. could increase fertility. Junk food can also have adverse effect on weight, blood sugar, insulin production, cholesterol and cardiovascular disease.

3. Cholesterol Level

Results indicate that those couples in which either one or both had high cholesterol took considerably longer to become pregnant than those couples with cholesterol within the normal scale. Cholesterol levels may be an important factor in healthy couples who want to conceive and who don't have infertility problems. Cholesterol might be related to fertility because it is a building block of both male and female hormones. These hormones, such as estrogen and progesterone in women and testosterone in men, play a role in a couple's ability to become pregnant. They influence the quality of men's sperm and semen, as well as ovulation, implantation and the maintenance of a healthy pregnancy in women. Maintaining healthy cholesterol levels is important throughout life, both when people are younger and hoping to start a family and as they get older and want to prevent heart disease.

4. Stress

While stress does not cause infertility, infertility most definitely causes stress. Stress play a role in the success of infertility treatments, including in vitro fertilization (IVF). Being unable to get pregnant when one wants to, can be a huge source of stress, anxiety, and depression. While no one expects patients to approach fertility treatment stress-free, finding ways to minimise stress while pursuing treatment can help. Meditation, yoga, music therapy, walking, conversation with the partner does help in reducing stress. The goal of stress reduction is to minimise, not eliminate stress, by finding the technique that serves the patients needs the best.

5. Poor Oral Health

A study in the Journal of Periodontology found that women who needed fertility treatments had higher levels of gum bleeding and inflammation than those who conceived naturally. Women with gum disease took an average of 7.1 months to become pregnant – two months longer than women without gum disease (5.0 months). Women in child bearing age should be encouraged to have regular preventive dental check-ups in order to maintain good oral and periodontal health.

6. Smoking

If trying to get pregnant and is smoker, stop smoking now. Quitting may be one of the best things one can do for their health and for their fertility. Smokers are more likely to have fertility problems than non smokers. If smoking is done for many years, or smoke many cigarettes per day, risk for fertility problems increases. Smoking can lead to fertility problems, including ovulation problems, genetic issues, damage to reproductive organs, damage to eggs or premature menopause and increased risk of cancer and that of miscarriage. In addition, smokers that try fertility treatments tend to take longer to get pregnant. Smokers are also more likely to give birth to babies with health problems. Exposure to cigarette smoke for even just a few days can affect health and fertility.

7. Weight

There is a direct effect of weight on fertility as well as the outcome of infertility treatment and pregnancy. Many underweight, overweight, and obese women have no problem getting pregnant. But others will have problems conceiving, most often due to ovulation problems. There is good evidence that obesity lowers the success rates of in vitro fertilization (IVF). Studies have shown lower pregnancy rates and higher miscarriage rates in obese women and they are at an increased risk for developing pregnancy-induced (gestational) diabetes and high blood pressure (pre-eclampsia). Children of obese mothers are at increased risk of some birth defects and having a high birth weight. Low sperm counts and low sperm motility (movement) have been found more often in overweight and obese men than in normal-weight men.

8. Hormonal Imbalance

When a couple has difficulty conceiving, their fertility specialist will investigate whether they have a hormone imbalance.
A hormone imbalance occurs when hormones, the chemical messengers that help regulate body functions, are at improper levels, resulting in reproductive problems and infertility. Hormonal imbalances are quite common in women and men. However, for couple trying to conceive, hormonal imbalances can make it extremely difficult to get pregnant. Some women who suffer from hormonal imbalances are infertile and can not have children. Other hormonal imbalances effects are able to be reversed through treatments and medications, and these couples can go on to have successful pregnancies. Drug therapy to correct a hormone imbalance is the most common treatment for infertility.

9. Medications

It is less familiar that certain over-the-counter and prescription medications may also affect fertility. Woman's menstrual cycle is tightly controlled by the interaction between the brain, ovaries, and uterus, and any health problem or medication that disrupts this communication could adversely affect ovulation and make it challenging for women to achieve a pregnancy. Medicines can alter ovulation, and endometrial or uterine receptivity to a pregnancy, and it can possibly change sperm production. So if thinking about getting pregnant, talk to an ob-gyn about what medications are safe or unsafe, what might affect ability to conceive, and which medicines are currently taken. That way one may be able to find an alternative that won't interfere with getting pregnant.

10. Age and Fertility

Age is the most important factor affecting a woman’s chance to conceive and have a healthy child. As women age their fertility declines. A woman’s fertility starts to decline in her early 30s, with the decline speeding up after 35. At 40 a woman only has a 5% chance of becoming pregnant in any month. This is because a woman is born with all the eggs she is going to have in her lifetime. As she ages her eggs age with her, decreasing in quality and number. Also, the risk of miscarriage, and complications in pregnancy and childbirth, increase. As men age, levels of testosterone fall, and the volume and concentration of sperm change.

Learn in detail about fertility and infertility in male and female and the treatment options for the same at http://www.meandmummyindia.com/medical-services-index.htm

11. Breastfeeding

It is a common tale that one can’t get pregnant while breastfeeding because of the impact of breastfeeding and fertility rates. This is true, as long as you nurse according to the rules of natural child spacing. The same hormones that make milk suppress the release of reproductive hormones. While breastfeeding full-time most mothers do not ovulate and do not have menstrual periods. This means that pregnancy can be avoided, at least for a while.

12. Low Iron Levels May Affect Your Fertility

women who do not get sufficient amounts of iron may suffer anovulation (lack of ovulation) and possibly poor egg health, which can inhibit pregnancy at a rate 60% higher than those with sufficient iron stores in their blood. When the blood does not get enough iron, anemia, or an insufficient number of red blood cells, may develop. Since it is these red blood cells that deliver oxygen to all of the body’s tissue and organs including the ovaries and uterus, this deficiency may cause the eggs stored in the ovaries to weaken over time and become unviable. Worse yet, should conception occur, anemia makes it impossible for the growing fetus’ cells to divide and grow properly. This may result in a miscarriage in some cases.

13. Folic Acid Deficiency

If there’s one vitamin you should be consuming when you’re trying to get pregnant or you anticipate pregnancy in the future, its folic acid. Women who take folic acid supplements every day have a better chance of getting pregnant and it aids in conception too. Those taking a supplement regularly had a 40 per cent lower risk of suffering problems producing eggs - the second biggest cause of female infertility. Women hoping to become pregnant are advised to take a 0.4mg supplement of folic acid every day after stopping contraception, and for the first 12 weeks of pregnancy. The easiest and most reliable way to secure this intake is to take daily folic acid supplement or begin consuming sunflower seeds, spinach, eggs and grains like pastas and cereals for a natural folic acid boost.

14. Phthalates Use Of Cosmetics

Phthalates are a group of synthetic chemicals used in plastics and some cosmetics. It compromise your ability to conceive. Studies have shown phthalate exposure can mess with a man’s fertility and women with the most phthalates in their systems were twice as likely to suffer from implantation failure after IVF procedures as compared to women with the lowest level of phthalates. Many of the products that we apply directly to our skin are made from the same harsh chemicals used in industry, and are known hormone disruptor’s for both men and women.

15. Chronic Health Conditions

When you’re fighting a chronic illness, your reproductive system becomes a fairly low priority for your body, which may need to pay more attention to vital organs like the heart, brain, kidneys and lungs, and less attention to the ovaries or uterus. A wide variety of chronic illnesses, from heart disease to diabetes, can suppress both ovulation and sperm production, which can make it difficult to get pregnant. Thyroid disorders can also stop ovulation. If you’re fighting cancer, the treatments themselves, including chemotherapy drugs and radiation to the pelvic area, can suppress fertility. If you live with a chronic illness, talk to your doctor about ways to get your symptoms under control and what you may be able to do to improve your fertility odds.

Pregnancy is a result of a complex combination of factors and events. Healthy lifestyles are important for everyone — but they’re especially important if one is trying to get pregnant. What is put into body will definitely affect health, eggs and sperm, and it's important to take control for the best possible outcome. Making lifestyle modifications may aid in achieving the ultimate goal of a healthy pregnancy. It is the role of the physician to help the patient identify modifiable risk factors, especially given the cost and time commitment associated with fertility treatments. All patients should be encouraged to strive for a healthy, sustainable lifestyle.

Struggling with infertility can be a highly upsetting and personal experience. As the rates of infertility continue to climb we must look for all natural solutions when this natural process of fertility goes awry. The costs of traditional drug and surgery treatments for infertility are not only costly financially, they can take a physical toll down the road for both the parents and conceived child.

Healthy lifestyle habits can help preserve fertility for a longer period of time. So, if a couple is trying to get pregnant, or foresee a mini-you sometime in the future, it’s imperative to learn what changes might be in stock that will boost the chances of pregnancy. Consider the simple steps that will help keep a healthy reproductive system of women. It is common sense advice that one keeps her in a healthy condition when trying for a baby.

If you are thinking about pregnancy and if there is any initial hindrances consult OB-GYN doctor. It can help identify ways to help improve fertility and increase chances of getting pregnant. These are just some of the dos and donts that can impact successful conception and more importantly, the future health of the baby. There are other factors and it is important to learn all one can, about how small changes can impact fertility and the baby that is to be born. Specialists can help identify ways to improve fertility and boost chances of getting pregnant.

Me and Mummy hospital & IVF Centre in Surat is led by Dr.Praful Doshi and Dr.Mitshu Doshi along with a team of associate doctors, nurses, embryologists and counselors, all of whom specialise in gynaecology and infertility treatment. The team of doctors evaluate every couple including their blood work out, their habits, lifestyle, stress level, exposure to toxins, work pattern, diet habit and all small things related to pregnancy. The treatment is based on individual basis and thorough evaluation is made and plan of treatment is prepared.

Consult the team of fertility and infertility specialist of Me and Mummy hospital & IVF Centre at http://www.meandmummyindia.com or can talk to them at 91-261-2471111


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Jan15
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Noninvasive prenatal testing (NIPT), also known as noninvasive prenatal diagnosis (NIPD), is a screening method for detecting certain specific chromosomal abnormalities in a developing baby. Noninvasive prenatal testing is a sophisticated blood test that examines fetal DNA in the maternal bloodstream to determine whether your baby is at risk of Down syndrome, extra sequences of chromosome 13 (trisomy 13), extra sequences of chromosome 18 (trisomy 18) or a sex chromosome abnormality, such as Turner syndrome. The testing can also be used to determine a rhesus (Rh) blood type. Noninvasive prenatal testing is much more sensitive and specific than traditional first and second trimester screening. As a result, noninvasive testing can often help women who have certain risk factors avoid invasive testing, such as: Amniocentesis. During this procedure, a small sample of the fluid that surrounds and protects the baby during pregnancy (amniotic fluid) is removed from the uterus for testing. Chorionic villus sampling (CVS). During CVS, a small sample of the wispy projections that are part of the developing placenta (chorionic villi) are removed from the placenta for testing. Amniocentesis and CVS both carry a slight risk of miscarriage. Noninvasive prenatal testing can determine whether baby is at risk of a chromosomal condition. Risk factors might include older maternal age or having previously given birth to a baby who has Down syndrome, trisomy 13 or trisomy 18. If patient a carrier of an X-linked recessive disorder. X-linked recessive disorders, such as Duchenne's muscular dystrophy or a blood-clotting disorder (hemophilia), typically affect only males. If PT have an Rh negative blood type. Noninvasive prenatal testing can determine baby's Rh factor. If mother Rh negative and baby is Rh positive(from husband ), mother might produce Rh antibodies after exposure to baby's red blood cells. This is called becoming sensitized. (This is typically not a concern during a first pregnancy, but can be a concern during subsequent pregnancies and due to excessive RBC BREAKDOWN high serum bilirubin may kill or badly affect the baby.) The new blood test NIPT will let expecting mothers know the sex of their baby as early as the first trimester. The falling sex ratio is already a bother for policymakers and sociologists in India. Now, scientists have developed a new blood test that will allow early detection of foetal gender, further endangering the girl child.Unlike ultrasound tests currently used for finding out the sex of an unborn child, the new blood test would let expecting mothers know the sex of their baby as early as the first trimester. The test measures the ratio of two crucial enzymes, DYS14 and GAPDH, from foetal DNA circulating in the mother's blood. The ratio is an effective indicator of foetal gender, Korean scientists who developed the test said. The research results have been published in the latest issue of the Journal of the Federation of American Societies for Experimental Biology. The non-invasive test will require just a drop of blood from the pregnant woman. Currently, till the onset of ultrasound, the procedure of amniocentesis is used for sex determination. But it is invasive and carries the risk of miscarriage. Moreover, it can't be performed until 11 weeks of pregnancy. Ultrasound gives reliable determination of foetal gender but it can't be performed in the first trimester. The use of ultrasound for sex determination has been outlawed in India, following its misuse for abortion of the female foetus, which has led to skewed sex ratio in many parts of the country. Researchers from the University School of Medicine in Seoul claim the ratio test will be the first of its kind. "This can reduce the need for invasive procedures in pregnant women," researcher Hyun Mee Ryu said. The study involved analysing the blood samples from 203 women during their first trimester. The presence of circulating foetal DNA and the quantity of the two enzymes were confirmed through a series of tests. The results were confirmed when the women gave birth. "The study shows it is possible to predict the sex of a child as early as the first few weeks after conception," Gerald Weissmann, journal editor, said. While the test is a major scientific advance, it can be misused in India. IT IS HIGHLY FREELY DONE IN INDIA BUY MANY LABS AND IS NOT REGULATED AND GRADUALLY COST IS COMING DOWN IN COMPETITION AND LIKELY TO BE MISUSED FOR SEX DETERMINATIONS AS COST IS HIGH BUT IN GROWING MIDDLE CLASS ECONOMY MANY CAN SPEND


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Nov24
Stress, Infertility and Stress Management
In today's world everyone is very concerned about performance, competition and perfection which lead to an insidious increase in stress. Stress causes damage that is often underestimated, and it is a social phenomenon that should be closely examined and evaluated. In today’s modern, fast paced society, it is easy for people to become stressed.
The trouble is that modern life is so full of frustrations, deadlines, and demands that many of us don’t even realize how stressed we are. By recognizing the symptoms and causes of stress, you can take the first steps to reducing its harmful effects and improving your quality of life.
It is not clear how exactly stress impacts fertility. It is not known whether high levels of stress can prevent pregnancy or affect a woman’s chance of conceiving. We do know that reducing stress provides a better quality of life during times of intense personal challenge. Doctors may not know the exact links between stress and fertility, a series of studies shows the impact is hard to ignore. It is reported that stress may play a role in the success of infertility treatments, including in vitro fertilization (IVF).
While stress does not cause infertility, infertility most definitely causes stress. Infertile women report higher levels of stress and anxiety than fertile women, and there is some indication that infertile women are more likely to become depressed. This is not surprising since the far-reaching effects of infertility can interfere with work, family, money and sex. Finding ways to reduce stress, tension and anxiety can make you feel better.

It is very difficult to say whether stress is causing infertility or infertility is causing stress. Both are interrelated.
Find out more in detail about fertility and infertility treatments at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html
Result of stress on human body.
Stress can interfere with conception. Stress can affect the functioning of the hypothalamus — the gland in the brain that regulates your appetite and emotions, as well as the hormones that tell your ovaries to release eggs. If you're stressed out, you may ovulate later in your cycle or not at all. In an occasional woman, having too much stress can change her hormone levels and therefore cause the time when she releases an egg to become delayed or not take place at all. Other research indicates that stress may have an impact on other aspects of fertility beyond ovulation, including problems with fertilization and implantation in the uterus.
The American Society for Reproductive Medicine (ASRM), the gold standard in the infertility medical world, acknowledges that stress probably does not cause fertility problems (although men and women with fertility problems are often highly stressed by the disease). ASRM also report that stress can sometimes cause hormonal changes, ovulation disorders, and infertility, but this is very rare.
Stress is just one of many factors that can contribute towards infertility, but should always be taken into account for couples having trouble conceiving. This is especially the case if medical tests have shown no obvious explanations. The rates of unexplained infertility have been rising over the years, which is no surprise considering increasingly stressful lives.
Stress can also lead to alcoholism, smoking, drug use, or compulsive eating, as people use these as a temporary escape. These are all bad habits that can lead to infertility through developing related medical disorders.

Impact of stress on Fertility
Sometimes, infertility patients respond to the stress of being unable to conceive by aggressively pursuing treatment and procedures. Other patients withdraw and isolate from family, friends, and community. Neither of these extremes is ideal for patients who seek to treat their infertility and build a family.
Being unable to get pregnant when you want to, can be a huge source of stress, anxiety, and depression. Most people who cannot get pregnant have an actual physical explanation, but as month after month goes by, feelings of stress, anxiety, and depression often kick in. So even if the physical cause of infertility is treated medically say, surgery for endometriosis, problems with low sperm count and others, it's possible that high levels of stress can still make getting pregnant more difficult.
Infertility causes stress which is aggravated as time passes and the couple remains infertile. Among the causes of stress are the couple's isolation, life with unrealized potential and unborn child, disruption of day-to-day life during infertility evaluation and treatment, and the couple's feeling that they do not have control of their own lives. The IVF program is considered by many as the final step for the evaluation of the couple’s fertility potential; hence, couples participating in an IVF program are highly stressed, especially after a failed IVF cycle.

All women trying to get pregnant have a lot to deal with: taking time off from work for doctor appointments, having blood drawn, having pelvic exams, ultrasounds, injections, taking basal temperatures, timing intercourse and undergoing various diagnostic procedures. As if the cost and discomfort of solving the problems with fertility aren’t enough, one also has to deal with being on an emotional roller coaster, a husband who may not participate in medical treatments, friends and family who make insensitive comments and social situations that are almost unbearably painful (like a baby shower).
It is very difficult to say whether stress is causing infertility or infertility is causing stress. Both are interrelated.
Reduced stress is good for your health. While no one expects patients to approach fertility treatment stress-free, finding ways to minimize stress while pursuing treatment can help. It is helpful for patients to look for ways to reduce the burden of infertility treatments and medical protocols.
Following are some practical ways where women trying to get pregnant can reduce their stress.
Talk to your partner.
Remember you're not alone. Talk to people with infertility, through individual or couple counselling, or support groups.
Read books on infertility, which will help you to be normal and can help you deal with them
Learn stress reduction techniques such as meditation, yoga, progressive muscle relaxation or acupuncture
Avoid taking too much caffeine or other stimulants
Exercise regularly to release physical and emotional tension
Listen to music of your choice and relax
Plan medical treatment plan with your partner to which both of you are comfortable
Gather all information about causes of infertility and the treatment options available
Plan and arrange finances required for treatment and the possible insurance coverage
Walking/hiking

Connection between stress level and fertility outcome is very difficult to determine. Relaxing certainly won't do couples trying to conceive any harm, Reducing stress may be difficult, but meditation, yoga or other relaxation techniques might help to reduce stress and conceive at the earliest.
"Don't just try to relax because you think that it's going to help you get pregnant. But do relax just because it feels good, because it's comfortable, and because when you do feel good, you're healthier overall, and that can never be a bad thing for conception."
"Stress could disrupt fertility, but it very rarely--if ever--causes people never to conceive."
The emotions around trying to conceive can be more challenging than the treatments for Infertility. Telling patients to be less stressed can make them feel more responsible for causing their own infertility and feel blamed. Telling someone to relax can cause greater stress. However, asking how couples/friends are doing and suggesting concrete and pragmatic ways to reduce stress will enhance quality of life and give the patient back some sense of control. For many struggling with infertility, just having friends/loved ones available for listening is greatly appreciated.

The goal of stress reduction is to minimize, not eliminate stress, by finding the technique that serves the patient’s needs the best. Rupal hospital for women in Surat is a clinic where patient’s satisfaction and care is prime subject. The doctors are very friendly and always supportive to patients in dealing with all types of infertility issues and provide all moral and psychological support. The counselling facility for couples is also available. Each individual patient is taken care of personally by well experienced doctors and medical staff. We try to help patients acknowledge the stress they are carrying around and help them find ways that work for them to make the stress manageable. We offer patients a wide range of supportservices, including support groups, online communities, resourceful articles and stress relieving tips. We provoke them to participate in mind or body relaxation programs which have the skills to reduce stress at every stage of the cycle.
For any help relating to infertility and fertility treatments including male and female infertility, you can book an appointment with doctors and experts at Rupal Hospital for Women. We are also available at http://www.rupalhospital.com/


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Nov18
IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples
Introduction
When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desperately looking for medical therapy that will end into a misery. Clearly this is not a struggle to survive; it is a struggle to fulfill a dream, to achieve what they view as a “full life”.
What is needed for pregnancy?
In the male partner, sperms are normally produced in the testes after puberty (after attainment of characters like growth of beard, moustache etc). From the testes, they are carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Then during sexual stimulation, after proper erection and ejaculation, they come out through penis. During sexual intercourse, these sperms, present in semen, are deposited inside the vagina.
In female partner, the deposited sperms must travel from vagina through the cervix (the mouth of the uterus). The cervix acts as gate-keeper, a it prevents entry of dead and abnormal sperms as well as bacteria present in semen, in the uterus. From uterus, sperms reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The eggs are produced only before birth and so, there are fixed number of eggs inside the ovary. The ovum released from the ovary, into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, by meeting of the egg and the sperm.
It should be mentioned that out of nearly 200-300 million sperms, in average, deposited in vagina, hardly 500- 800 sperms can reach near the eggs and only one will succeed to form the embryo. The embryo then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.
Thus, to summarise, pregnancy requires
1. Production of healthy (“Normal Morphology”) and movable (“Normal Motility”) sperms in adequate number (“Normal Count”) in the testes
2. Transport of these sperms through the sperm conducting ducts from testes to penis
3. Successful Erection and Ejaculation during Intercourse to deposit adequate number of these sperms in the vagina
4. Transport of these sperms from vagina through cervix to the uterus and the tubes
5. Presence of sufficient number of eggs inside the ovary and ability to release the eggs from the ovaries
6. Pick up of the eggs by the tubes
7. Approximation of eggs and the sperms to form the embryo
8. Transport of embryo from the tubes into the uterus
9. Acceptance of the embryo by the uterus and its growth
What is Infertility?

Literally, the word “Infertility” means inability to conceive. But in reality, there are very few couples, who have no chance of natural conception and are called “Absolutely Infertile”. In fact, in many couples who present to infertility clinics, pregnancy may be the matter of time, thus the chance factor.
It should be kept in mind that, if there is factors to question fertility of either male or female or the female is of age less than 35 years; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying. The word “Regular” and “Frequent” are important; because to achieve pregnancy, couples are advised to keep intimate relationships for at least 2-3 times a week and this should be increased particularly around the time of ovulation (Middle of the menstrual cycle). Thus chance of pregnancy after 6 months, 12 months and 24 months of regular trying are respectively 60%, 80% and 100%.
The word, “Subfertility” seems better and more scientific than “Infertility”, to describe the couples who have reduced chance of conception, due to any cause. However, the word “Infertility”, seems more popular, although it puts pressure on the couples. In most cases, usually we advise to investigate after one year of regular and frequent intercourse, when the couples fail to conceive. However, if there are factors to question fertility; for example female with age more than 35 years, or with previous surgery in tubes/ ovaries/ uterus or known diseases like PCOS or endometriosis; or male partner having surgery in scrotum or groin or any hormonal problems or sexual dysfunctions- the wait period is usually reduced and couples can be investigated, even soon after marriage.
What causes Infertility?
Please look at the point “Thus, to summarise, pregnancy requires” where 9 points have been mentioned.
Thus the common causes may be
1. Problems in male- total absence of production of sperms, less than adequate number of sperms, problems in morphology and motility of sperms (most sperms not healthy or movable), blockage in transport of sperms and inability to deposit sperms in the vagina (sexual dysfunction- Erectile Dysfunction or less commonly, Ejaculatory Dysfunction). Examples include hormonal problems (Testosterone, thyroid, prolactin), diabetes, liver problems, causes present since birth, chromosomal abnormalities, surgery, infection, sexually transmitted diseases, smoking, exposure of scrotum to high temperature, some medicines or psychological causes.
2. Problems in female- total absence of less than adequate number of eggs in the ovaries, problems in ovulation, problems in picking of eggs by the tubes, blockage of tubes, problems in conduction of sperms or embryo by the uterus, problems in accepting the embryos by the uterus. Examles include causes present since birth, chromosomal abnormalities, polycystic ovarian syndrome (PCOS), old age, increased weight, fibroid, endometriosis, pelvic inflammatory diseases (PID), tuberculosis (TB), infections, smoking, surgery, some medicines, hormonal problems (thyroid, prolactin) or excessive stress.
3. Unknown causes- Despite thorough investigations, 25-30% causes of infertility remain unknown. This is called “Unexplained Infertility”. The reason may be mere chance factors or there may be some causes which, still medical science has yet to discover. But this should be kept in mind while treating infertility. That means, even with correction of the possible factors (like improving sperm counts or thyroid problems etc) or with proper treatment (IUI, IVF or ICSI), unfortunately the treatment can fail and the exact reason, why the treatment failed, is sometimes difficult to find out.
In general, what are the treatment options for infertility?
To start with, please remember there is no hard and fast rules for infertility treatment. Often medical science fails to understand why couples with very severe form of infertility conceive sooner than those who are having all tests normal. That means, whatever treatment is offered, it’s very important to continue regular sexual intercourse, as the chance of natural pregnancy is usually there in almost all couples. Your doctor will present the facts to you, without pressurizing you on a particular option. After coming to know all pros and cons of different treatment options, you can take decision. Do not hurry. It’s quite natural that you might be in stress.
In general, after the initial tests, a few periods of natural trying is allowed. After that, ovulation induction (giving medicines to release eggs from the ovaries) is offered, failing which IUI and finally IVF is offered. What will be the preferred treatment for you, will depend on your age, duration of marriage, male and female factors and of course, your age. For example, a woman with both tubes blocked or a male with very low sperm count, IVF would be the first line of treatment.
What is insemination?
Insemination literally means putting semen in a particular place. Various forms of insemination exist in fertility treatment. First one is “Intravaginal Insemination (IVI)”, where the raw semen, collected by the husband can be put inside the vagina, taking precautions (to prevent infection) by the husband himself or by the wife. Rarely, it needs medical assistance from a doctor. It’s usually advised to couples having sexual disorders where full penetrative intercourse is not possible (erectile dysfunction of the husband or very painful intercourse experienced by the wife) or where ejaculation cannot happen during intercourse (a very unusual problem). Thus, the success rate of IVI is no better than natural intercourse (success rate 15% per cycle), for those couples who can manage successful intercourse.
“Intrauterine Insemination (IUI)” is the treatment where “prepared” semen is put inside the cavity of the uterus, near the Fallopian tubes. Thus, IUI bypasses some hurdles that can cause problems during natural intercourse. The vagina, cervix and the whole length of the uterus are bypassed, putting the sperms near the eggs. Thus it increases the success rate compared to natural intercourse or IVI.
However, to achieve pregnancy after IUI, the female partner must have open tubes, adequate number of eggs produced by ovaries, eggs must be released by the ovaries and sperms must meet the eggs. And, thus nature plays important role, as in natural intercourse.
Please note, we used the word “prepared” semen. In natural intercourse, as mentioned earlier, the dead sperms and bacteria cannot enter the uterus, because cervix prevents their entry. If they are put artificially by IUI inside the uterus, severe reaction can happen. So, after collection, the husband’s semen is processed in the laboratory to remove all those impurities and to select only the best number of healthy and movable sperms and it definitely increases success rates of IUI
When IUI is generally advised?
As you can understand, to perform IUI, there must be minimum number of sperms in the semen, the tubes must be opened, the ovaries must be releasing eggs. If these are present, IUI is usually advised
• Less than adequate number of sperm counts, morphology or motility
• Couples who cannot perform full penetrative intercourse but refuse or unable to conceive by IVI
• Unexplained infertility- although IVF is better than IUI, but considering the cost, many couples in our country opt for 2-3 cycles of IUI before IVF
• PCOS and Mild Endometriosis- where natural intercourse or ovulation induction failed
• Couples in whom only one partner is positive for HIV or Hepatitis B or C- where transmission from one partner to another by unprotected sexual intercourse is not preferable.
What are the tests done before IUI?
The basic infertility evaluation is done before IUI include husband’s semen analysis, assessment of ovarian function (blood tests, ultrasound) and uterus (ultrasound). In some cases, laparoscopy (putting camera to see inside the abdomen by operation) or hysteroscopy (putting camera through vagina inside the uterus, by operation) may be required. Now, if the tubes are blocked, IUI is of no use. So, testing the tubes is advisable before IUI. But some women, who are at low risk of tubal disease (no history of pelvic pain, infection or surgery), one or two cycles of IUI can be done, failing which tubes must be checked by tests like HSG or SSG or in some cases by laparoscopy.
What IUI actually involves?
In the cycle, in which IUI is planned, the woman is asked to take some medicines (or injections) in particular days of the periods as a part of “ovulation induction”. She is then advised to have ultrasound monitoring (TVS- transvaginal sonogram- where ultrasound probe is placed inside the vagina for better accuracy) to see if eggs are growing in response to the medicines or not. If eggs are growing, IUI is planned in a particular time when the egg(s) is more likely to rupture, so that the tie interval between sperm entry and egg release can be kept as minimum as possible.
Is ovulation Induction necessary for IUI?
Frankly speaking, IUI can be done without any medicines (as in case of natural intercourse or IVI), which is called “Natural Cycle IUI”, where only TVS monitoring is done to see how the eggs are growing. This may avoid some side effects of ovulation induction (see below) but is associated with low success rate than IUI done along with ovulation induction.
Is TVS necessary before IUI?
TVS is, undoubtedly, uncomfortable for the woman. But it gives better picture than ultrasound done conventionally. Now, the question is, whether ultrasound monitoring is at all needed or not. TVS directs the doctor how eggs are growing and at what number and size and when they are likely to rupture. Moreover, the rupture can also be confirmed by TVS. Again, the uncommon side effect of ovulation induction can be detected by TVS. That is called OHSS (“Ovarian Hyperstimulation Syndrome”) where excessive eggs can grow inside the ovaries and this can lead to collection of fluid inside abdomen and lungs and can turn very serious. Although very rare, it can be detected by TVS and early actions can be taken to prevent the progress of this condition.
In rare cases, where TVS cannot be done or patient declines, only option is to check urine by LH kit to predict the likely timing of ovulation and at that time IUI is planned. However, it is less accurate than TVS monitoring and is associated with less success.
What, if eggs are not growing in the ovaries?
In some women, particularly those who are overweight, aged or some cases of PCOS, eggs may not respond initially to one medicine. There are various forms of ovulation induction medicines (tablets, injection). If one is not working, your doctor can try increasing the dose of that medicine or add or replace it with other medicines. Please remember, it’s difficult to predict what medicine will be best suited for a particular patient. So, it’s basically a trial and error process.
What is done on the day of IUI?
As timing is important, the couples are requested to stick to the timing, advised by the doctor. The husband will be asked to collect the semen by masturbation, using clean technique (to avoid contamination by germs in the semen container). The semen is then prepared by the embryologist and will be checked to see the final number of sperms and their motility and morphology.
The wife is asked to lie down in the IUI table. After cleaning, a sterile speculum (instruments to separate walls of the vagina to see the cervix) is introduced inside the vagina and then 0.4-0.6 ml of the prepared semen is inserted inside the uterus with the help of a small catheter (fine tube). IUI done, under ultrasound guidance, gives better result than IUI done without it. The patient is asked to lie down few minutes after taking out the catheter and the speculum. The medicines are advised and then they can go home.
Is IUI painful?
Most women feel little discomfort during IUI but it should not be painful. If there is technical difficulty while putting catheter inside the uterus, your doctor will discuss it with you and in the next cycle, will plan management to solve this issue.
What happens if husband cannot collect semen?
Collection of semen in unfamiliar environment is understandably a matter of discomfort and seems awkward. Proper counseling and maintenance of privacy can help. Stress-free approach is needed. If it fails, do not hesitate to inform your doctor. Some medicines can help. But in those, who are unable to masturbate, there are some instruments, like ejaculator, can help to solve this problem.
What happens if sperm count is low?
IUI can be successful if sperm count is minimum more than 5 million per ml and there is reasonably good morphology and motility. If not, IVF or ICSI would be the better option. But IUI can serve as trial also. That means before putting the semen, the prepared sperms can be examined and it can be predicted what is the success rate of IUI in this particular case and whether IVF or ICSI would be needed. In rare occasions, where sperm count is extremely low but the couple do not wish for IVF or ICSI, pooled semen IUI can help- where the semen is collected in number of occasions and is preserved and the final pool is used for insemination, to give a reasonable success rate.
When donor sperm is used and how?
If a man does not have any sperms or too few sperms to do IUI, IVF or ICSI is not affordable, donor IUI is an alternative. But it is not done without consent from both husband and wife. The donor is not known to the couple or the doctor and no identity of the donor is revealed. No relative or friend can serve as donor. Donor semen is frozen semen, collected 6 months ago and the donor is tested for diseases like STD, HIV, Hepatitis B or C. Usual attempt is taken to chose donor having blood group and skin colour similar to those of the husband. But remember, it’s only given after discussion and written consent by the couple.
Can a couple have intercourse in the cycle where IUI is advised?
Intercourse around IUI increases the number of sperms available at the time of ovulation.
When should one check for pregnancy?
Usually if period does not come within 18 days after IUI, pregnancy test is advised. It can be done at home. If negative, then the cause of not having periods is sorted out.
What is the chance of success after IUI?
In one cycle, chance of success is around 20-25%. Most of the couples conceive after 3rd or 4th cycle of IUI. The chance of pregnancy after 6th cycle is low, so, usually IUI beyond 6 cycles is not advised.
The factors where IUI gives better results include unexplained infertility, sexual dysfunction of any of the partner, PCOS and male subfertility (low sperm count or motility)
What happens if IUI fails?
As said earlier, you should think about further treatment, if 3rd or 4th cycle of IUI fails. There is no use of doing IUI beyond 6 cycles, unless natural intercourse is not possible and the age is favourable. IVF gives better result.
Is there any harmful effect of IUI?
Very few harmful effects have been noted, for examples, hazards of ovulation induction (OHSS< twin pregnancy), pain, infection and discomfort. As mentined, if raw semen is given, unusual allergic reaction can happen.
How IUI is being done in your particular centre by Dr Sujoy Dasgupta?
We believe in patient’s autonomy. So we want to give time on discussion and presentation of facts and figures to the couples. We encourage questions from the couples and take utmost care so that no question remains unanswered.
We do not take decisions and impose it on the couples. We advise the couples to take time before taking decision on a particular treatment. If the couple decides, we respect and support their decision.
We try to take nominal charges and help couples to collect medicines (particularly injections) at lower prices than MRPs.
After thorough evaluation of both the partners, we plan for ovulation induction drugs, with consent from them and advise them to come for TVS. After each day TVS, we explain the progress and probable timing of IUI.
On the day of IUI, after requesting the couple to maintain punctuality, we advise the husband to collect semen, in comfortable atmosphere, maintaining the privacy. If there is problem in semen collection, we provide support to him and address his issues in sensitive way.
Our expert trained embryologist then prepares the semen. We always encourage the couples to see the condition of raw and prepared semen under microscope to maintain the transparency.
We advise the woman to fill up the bladder (to take water and not to urinate) to facilitate the passage of IUI catheter. Unlike other places, we perform IUI inside OT to prevent unwanted infection.
Again we maintain our uniqueness in the sense that we perform it under ultrasound guidance. The ultrasound guidance has been scientifically proved to increase the success rate of IUI. Moreover, we show the woman in the ultrasound (real time) how the catheter has been put inside the uterus (to make sure that we are not doing IVI or have placed it in wrong position). This also helps to reduce patient’s anxiety and uncertainty. After that, our nurse takes care of the patient and observes her when she takes rest.
Then we advise the post-IUI medicines and advise them what to expect and when they can go home. Again, this time we try to answer all questions the couples can ask.

Conclusion
Infertility is a peculiar thing. Very few men or women are absolutely infertile. That means they do not have ability to achieve pregnancy naturally. Majority of them are subfertile. That means most of them have lower than normal chance (compared to healthy couples) to achieve pregnancy in a normal menstrual cycle. Often we find that patients planning for treatment and in the mean time, they conceive naturally. That means even without treatment, there is some chance of pregnancy. Of course, it’s stressful situation for both the partners. Stress affects conjugal relationships and lead to many couples avoiding conjugal life. Indeed stress can affect the hormone levels in females and affects sexual performances in males. It’s easier for us to advise you to stay stress-free but is difficult to practice. Nevertheless, try relaxation as much as possible. Think that majority of the couples ultimately conceive by some form of treatment. Have faith in yourself and have faith in your doctor.


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Oct07
When to See a Fertility Specialist, Fertility Doctor for Infertility?
Infertility or reproductive problems are often treatable with infertility drugs and high-tech procedures. Assisted reproductive technology (ART) is a group of different methods used to help infertile couples. With the help of Assisted Reproductive Technology the chances of becoming pregnant for infertile couples has increased significantly. In Vitro Fertilization (IVF) is one such ART technique. IVF works by removing eggs from a woman’s body. The eggs are then mixed with sperm in petri dish in ivf laboratory to make embryos. The embryos are then transferred in the woman’s body. For nearly 40 years, in vitro fertilization (IVF) treatment has helped millions of couples worldwide to overcome a wide variety of infertility problems and has enabled them to realize their dreams of becoming parents. IVF helps infertile couples become pregnant by joining the egg and sperm together in an embryology laboratory where embryos are created that can later be transferred back into the woman's uterus.

In vitro fertilization (IVF) can be used to treat infertility with the following patients: blocked or damaged fallopian tubes; male factor infertility including decreased sperm count or sperm motility; women with ovulation disorders, premature ovarian failure, uterine fibroids; women who have had their fallopian tubes removed; individuals with a genetic disorder and unexplained infertility.

In Vitro Fertilization is assisted reproductive technology (ART) commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg from ovaries 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).

The treatment of IVF is helpful for couples diagnoised with problems including

Fallopian tube damage or blockage.
Ovulation disorders.
Premature ovarian failure.
Endometriosis.
Uterine fibroids.
Previous tubal sterilization or removal.
Impaired sperm production or function.
Unexplained infertility.
A genetic disorder.
Fertility preservation for cancer or other health conditions.

Learn in detail about ivf treatment, fertility and infertility in women and men at http://www.meandmummyindia.com/medical-services-index.htm

Advantages of IVF Treatments

The most obvious advantage of IVF treatment is the ability for the couple to have a biological child of their own. The IVF process uses only the best eggs and sperm from the couple, meaning the fertilization is more likely to be successful on the first try. A baby born through the IVF treatment will be no different from a baby conceived through natural means. IVF treatments are a great way to get around any infertility issues a couple might be having, without the need for major surgery or extensive infertility treatments. IVF can also be a great solution for patients who are unable to get pregnant through normal means, such as single mothers or same sex couples. Using donated eggs or sperm, they can use the IVF process to realize their dream of having a child. Even the infertile couple with male infertility or female infertility can opt for ivf with donor egg or donor sperm.

Side effects and Risks associated with IVF Treatment include multiple births, premature delivery and low birth weight, ovarian hyperstimulation syndrome, miscarriage, egg-retrieval procedure complications, ectopic pregnancy, birth defects, ovarian cancer and stress due to heavy ivf cost.

What To Expect After IVF Treatment

In vitro fertilization (IVF) related injections, monitoring, and procedures are emotionally and physically demanding on the female partner. Superovulation with hormones requires regular blood tests, daily injections, frequent monitoring by doctor and harvesting of eggs. These procedures are done on an outpatient basis and require only a short recovery time. Cramping during the procedure is common. According to the need and condition, patient may be advised to avoid strenuous activities for the remainder of the day or to be on bed rest for a few days after doctors advise.

Few considerations before opting for the IVF treatmentat at infertility clinic.

1. It’s not 100 percent successful. The most important fact to know about IVF is that it’s not 100 percent successful. The process can take time, money, and even an emotional toll on your life, and in the end, it might not work. Thats where choosing the correct IVF clinic will help you a lot in evry single step of the fertility treatment process.

2. The number of IVF cycles needed will vary from patient to patient. Several factors play a role in the success of IVF treatment including age of the patient, degree of infertility among couple and the quality of the embryo and semen. Some women will only require one treatment before successfully conceiving, while other women may need to undergo as many as six IVF cycles. Unfortunately, some women are unable to conceive even after undergoing multiple IVF cycles.

3. If your fertility issues are less severe, you may opt for mini-IVF, which costs less because it involves lower doses of fertility drugs and less comprehensive oversight for your cycle. If your fertility issues do not result from ovulation issues, you may be eligible for natural cycle IVF, which involves no fertility medications.

4. The important point to be considered is the cost of money involved. It is good to have a clear idea of the costs involved before starting treatment, and to have finances in order before beginning. There is significant emotional drain on the couple and their relationship.

5. Be patient during IVF Treatment. One of the biggest misconceptions about IVF is that it works right away. It’s very common you’ll need to do it more than once. In younger patients it may be a little less (if you’re not pregnant in the first cycle, you’ll likely get pregnant in the next), but if you’re in your forties the average is like three cycles. This is only an indicative figure and will vary from person to person and case to case basis.

6. Have a detailed discussion with your partner. Both should stand on the same page. Decide the time frame for how long you would like to continue with the treatment. Till how long you will continue or when would you stop infertility treatment?

You should discuss your chances for success with IVF with your fertility specialist to determine which type of treatment may be right for your health and budget. Be sure to inquire about any additional costs that may arise during treatment, such as extra testing or psychological counseling, so that you can be prepared. Some fertility clinics offer financial planning assistance to help patients afford treatment.

Know about IVF treatment process, treatment options available, ivf cost and anything and anything about ivf at https://meandmummyindia.wordpress.com/2016/09/26/when-to-see-a-expert-fertility-specialist-or-ivf-doctor-for-infertility

How to Choose an IVF Specialist

The in vitro fertilization process is complicated and very personal, so finding a good doctor is important. Most likely, you will begin your journey toward IVF at your gynecologist's office. He or she will run basic fertility tests and conduct exams to diagnose your condition before making a recommendation. Your gynecologist may suggest your partner see an urologist. Once you and your partner have decided that IVF is the right treatment option, you'll need to choose a specialist. Finding a Clinic and narrowing down your choices is an important, potentially difficult process. Since IVF is such an involved procedure, you'll need to find a clinic where you feel comfortable with the staff and confident in your chances of conception. Finding a clinic and specialist who make you feel secure is an important step in your IVF process.

Located in south Gujarat in Surat Me and Mummy hospital & IVF Centre has handled hundreds of infertility cases and has achieved remarkable success in them, a rare feat which few hospitals claim. With today’s advanced reproductive technology, you can always find a solution to all the fertility problems. You must meet an expert in the infertility field. Quality patient care and world class services are always the prime issues for Me and Mummy Clinic in Surat. Clinic gives meticulous attention to all the issues related to treatments, infrastructure, team composition and other related factors.

Dr.Praful Doshi a consultant Gynaecologist and IVF Specialist has over 20 years of experience in fertility and assisted reproduction techniques and specialises in infertility, IVF and in Assisted Reproductive Techniques. Dr.Praful Doshi performs in vitro fertilization (IVF), Donor Egg IVF, ovulation induction, artificial insemination, intrauterine insemination (IUI) and intracytoplasmic sperm injection (ICSI). Dr.Praful doshi has been playing major role in providing specialised treatments to overcome infertility problems and making your dream of family complete. We provide affordable & high quality male & female infertility treatment with advanced reproductive technologies and world class IVF lab infrastructure. The whole IVF section is provided with HEPA filtered, sterile, pressurised air for bacteria free and particle free atmosphere to improve the success of the treatment.

Contact us today for consultation with highly-skilled fertility specialist for the assisted reproductive technology treatments available and know more about ivf treatment, procedure, causes and ivf cost at http://www.meandmummyindia.com
Book an appointment with a fertility expert Dr Mitsu B Doshi & Dr Praful B Doshi today on 91-261-2471111 or email at info@meandmummyindia.com


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Aug26
Endometriosis and Infertility
When couples start their family, they have many dreams. Subsequently many of them, if not all, plan to extend their family to give a sense of accomplishment. That is a journey from being couples to being parents. But unfortunately, in some couples the journey is not smooth and some of them have to struggle a lot for it. Yes, you are right. We are talking about difficulty to conceive, popularly known as “Infertility”.

To achieve successful pregnancy, there must be production of sperms, transport of them and proper deposition of them into the vagina by the male partner. In female partner, the deposited perms must travel through vagina and uterus to reach the Fallopian tubes (the tubes that are attached to the both sides of the uterus) where the sperms must meet the egg (ovum). The ovum is produced by the ovary and released into the abdomen at the time of ovulation (rupture of the surface of ovary to release the ovum). That ovum must be taken by the tube and thus inside the tube an embryo (earliest form of the baby) is formed, which then travels through the tube into the uterus and the uterus attaches the embryo firmly with it and thus the pregnancy starts. So, if there is defect in any one of them there will be difficulty in achieving pregnancy.

Perhaps you have heard that infertility may be due to problems in male (defect in production, transport or deposition of sperms) or female (defect in ovaries or ovulation, bock in the tubes and defects in the uterus). But sometimes there may be more than one problems in either of the couples or apparently no reason is found (everything is normal, so pregnancy depends on chance factor). To clarify the latter, in normal healthy couples with regular unprotected timely intercourse, the chance of pregnancy in one menstrual cycle is only 15%, so it may be matter of time for some couples to conceive. But another important reason for infertility in female is endometriosis.

What is endometriosis?
Endometrium is the inner lining of the uterus. It responds to hormones secreted by the ovaries during normal menstrual cycle. It tends to thicken from the time of ovulation (as described above) and if pregnancy occurs, it continues to grow and supports the embryo to help in continuing pregnancy. If pregnancy does not occur, it is shed off outside the body and is seen as “menstrual Bleeding” or “Period”. Unfortunately in some women, the endometrium may be present outside the normal position. That condition is called endometriosis. It is commonly present around the ovaries, tubes, surrounding the uterus (outside normal lining) but may be present anywhere in the body (even in lungs, urinary system and rectum). As this endometrium (outside the uterus lining) also responds to the hormones in the same way as normal endometrium (that lines the uterus), there will be bleeding around this abnormal endometrium at the time of menstruation. But this bleeding, unlike normal menstrual bleeding cannot come outside the body and so the blood accumulates and forms a chocolate coloured material (old blood is chocolate coloured) and leads to adhesion between organs. Adhesion is a condition where different organs of our body attaches abnormally with each other leading to various problems. Sometimes this chocolate coloured blood may be surrounded by a membrane formed by body tissue and is then called “Chocolate Cyst” that is found around the ovaries.

What is the reason for endometriosis?
Unfortunately, despite extensive research throughout the world, the reason for endometriosis is not known. It is said to be due to some genetic factors or some environmental factors. Sometimes, delaying pregnancy is stated as the reason. In some women, however, it is caused by backward flow of menstrual blood (that enters into the tubes during menstruation). Usually these women have abnormal development of uterus (problems in uterus since birth), so that all the menstrual blood cannot come outside the body)

What is the problem with endometriosis?
Endometriosis usually causes pain. The pain may be long standing and usually occurs at the time of periods (dysmenorrhoea) or sometimes even between periods. The nature and site of pain depends on where it is located. If it is located very deep inside abdomen, it can cause pain during sexual intercourse (dysparaeunia). In some cases there may be pai duing passing urine or stool or bleeding during urination or with stool.
In around 50% cases, it can cause infertility. The cause of infertility is not always properly understood. But it has been seen that endometriosis can cause adhesion and thus can makes it difficult for the Fallopian tubes to pick up the ovum from the ovaries. Apart from this pain during intercourse often makes the woman avoid intercourse. In addition it can interfere with ovulation, sperm transport, meeting between sperms and eggs and also the process of attachment of uterus with the embryo.

However, endometriosis does not always cause pain or infertility. In some women, there may be both pain and infertility, some women only one symptom and in some women no symptom is found but endometriosis is discovered accidentally during treatment for other purpose (like during laparoscopy for appendicitis or during Caesarean Section).

How endometriosis is diagnosed?
Endometriosis is suspected by history of pain or infertility and examination findings. Like some women may have pain during examination of abdomen or vagina by doctors, even sometimes vaginal ultrasound causes pain. In ultrasonography (or sometimes CT scan is done) there may be presence of cysts or adhesion can be detected. But the “Gold standard” of diagnosis is laparoscopy. It is an operation where (“Microsurgery”), making a small opening in the abdomen under anaesthesia, a telescope is introduced and the area is seen through camera in a television monitor. At that time the chocolate cysts, adhesions and condition of the organs can be seen and diagnosed and if there is any doubt, biopsy can be taken. But in all cases, laparoscopy is not needed and treatment is started after the doctors presume the diagnosis by history from the patients, examination and the ultrasonography reports.

Endometriosis is a peculiar condition in the sense that women with severe endometriosis may not have any symptoms, while women with very mild disease may have severe pain or infertility.
How endometriosis is treated, in general?

As mentioned earlier, endometriosis does not always cause symptoms and so, it does not always need treatment. The common reason for treatment is presence of pain and infertility. Endometriosis-related pain is usually treated by medicines or sometimes by surgery. Before surgery, usually medicines are given to reduce the size and to reduce the blood loss during surgery. All these medicines can cause hormonal imbalance and thus deprives the endometriosis tissues of hormonal stimulation and thus reduces pain. As a result, during the treatment, patients usually cannot conceive because of this intentional hormonal deprivation. Unfortunately after stoppage of medicines, often the symptoms of pain come back.

Surgery for endometriosis is usually done under laparoscopy but it needs properly trained and skilled surgeons to do these operations. Operations can range from “minor” (like separating the adhesions, draining the chocolate colored fluid) and “major” (like removing the cyst or removing major organs). The surgery has the advantage over medicines is that it confirms the diagnosis and removes the diseased tissues. But there are problems with risks related to anaesthesia and surgery. In particular, there is risk of injury to intestine and urinary tracts, even with the best hands, that may increase patient’s sufferings. Apart from this, even after surgery, the disease can come back again after few months or years.

What is the cure for endometriosis?
Only cure for endometriosis is total deprivation of hormones. That is possible if the woman attains menopause (permanent cessation of menses). This is possible by natural way (around 45-50 years of age when menses cease permanently) or by operations to remove the ovaries and uterus. Another simpler way is achieving pregnancy, as usually after pregnancy most endometriosis patients feel better in relation to pain.

What happens if it is not treated?
Endometriosis is not like cancer. It is not life threatening usually. That means it will make you suffer in the worst way by causing severe pain and infertility but cannot endanger your life. So, you can have the options of not treating it, even if you have the symptoms. And of course, if you do not have symptoms, endometriosis may not require any treatment.

What is the treatment for endometriosis with infertility?
First of all, you have to make sure that you have difficulty in conception (that means you have given sufficient time to attempt but failed). Then we have to see whether there is any pain or other problems and what the condition of the disease by examination or ultrasonography is. We also have to look for any additional problems like problems in male partner, problems in uterus or ovaries or the hormones (like FSH, LH, prolactin, thyroid etc).

Then we have to plan the treatment. As there is no hard and fast rule, your doctor will explain you the options for you and you can decide what suits you the most, after judging merits and demerits of every option.
You may choose directly for surgery. In that case, you may be offered medicines for 2-3 months before surgery to make surgery safer for you and easier for the surgeon. The extent of surgery varies, depending on the disease status and your opinion. Remember, your opinion is important. You can choose for extensive operation (that may mean removal of both the tubes, that may be needed in advanced disease, leaving only option for IVF for pregnancy in future) or only diagnosis (just introducing the telescope and see) or minor operations (like separation of adhesions or removal of the cysts), after judging the merits and demerits of each options. But remember, you should not have any medicines for endometriosis after operation as most of the medicines (with some exceptions) interfere with pregnancy. This is, because, after operation is the best time to conceive and that time gives you the highest chance for pregnancy. If natural conception (or 1. ovulation induction- giving medicines to stimulate growth of your eggs, or 2. IUI- inserting your husband’s sperms by special process inside your uterus) does not occur within 12 months after operation, that’s probably the best time to consider IVF (“Test tube baby”). Of course, if you had extensive surgery or have advanced age (more than 35 usually), your doctor may advise you to go for IVF directly after operation without wasting the time.

You can opt for trial of treatment by medicines. You must know why I have used the word “Trial”. This is because, during medicine treatment, you cannot conceive. But you will be seen after 2-3 months to see if the disease has disappeared or decreased in size significantly. If this is the case, you can start infertility treatment (Ovulation Induction or IUI or IVF in some cases) directly. But if the disease did not respond to medicines by this time, you may need surgery, the extent of which has been described above.

You also have the options of not treating endometriosis at all. In that case, you can request your doctor to start infertility treatment directly. But remember, endometriosis (even treated endometriosis- after medicines or surgery) can interfere with any form of infertility treatment. It can lead to decreased response to medicines used for ovulation induction, thus reducing success rate(normal success rate is 20-25% in a menstrual cycle- that is without endometriosis). It can lead to low success rate after IUI (normal success rate is 25-30% in a menstrual cycle). Even with IVF (where normal success rate is 40-50% per cycle of IVF), the effectiveness of IVF may be reduced in presence of endometriosis.

What if I do not go for any treatment at all?
Infertility is a peculiar thing. Very few men or women are absolutely infertile. That means they do not have ability to achieve pregnancy naturally. Majority of them are subfertile. That means most of them have lower than normal chance (compared to healthy couples) to achieve pregnancy in a normal menstrual cycle. Often we find that patients planning for treatment and in the mean time, they conceive naturally. That means even without treatment, there is some chance of pregnancy. But that chance decreases in presence of any disease (like endometriosis) or increased age. And of course, nobody usually relies on chance. But the important message is that do not forget to have regular sexual intercourse eve if you are awaiting any test or endometriosis treatment. Of course, it’s stressful situation for both the partners. Stress affects conjugal relationships and lead to many couples avoiding conjugal life. Indeed stress can affect the hormone levels in females and affects sexual performances in males. It’s easier for us to advise you to stay stress-free but is difficult to practice. Nevertheless, try relaxation as much as possible. Think that majority of the couples ultimately conceive by some form of treatment. Have faith in yourself and have faith in your doctor.


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Aug22
Aging effects in Females for chances of Conceiving
Pregnancy later in life, after the age of 35, is becoming increasingly common. Women are delaying childbearing for a variety of personal and professional reasons. Many women today find themselves trying to conceive after the age of 35. This opportunity can be full of joy and riddled with questions. Despite some challenges, many women in their thirties and forties successfully conceive.

The biggest obstacle for women age 35 or older may be getting pregnant in the first place. Fertility rates begin to decline gradually at age 30, more so at 35, and markedly at age 40. Even with fertility treatments such as in vitro fertilization, women have more difficulty getting pregnant as they age. As women age, it can become more of a challenge to conceive and maintain a healthy pregnancy. Fertility begins to decrease during the ages of 32 and 37, with a more rapid decline after 37. Women are born with a certain amount of eggs. As they age, the quantity and quality of eggs begin to decline, particularly during the third decade of life.

Infertility evaluation is generally recommended for women who have been trying for 12 months or longer. But if you're 35 or older, don't wait a whole year. Get an evaluation after six months or sooner if your periods aren't regular, or if you've had previous abdominal surgery.

The health related risks of late pregnancy in life

Becoming pregnant over the age of 35 can increase the risk of pregnancy complications for both mother and baby. These are due to changes in the reproductive system and the increased likelihood of general health problems that comes with age. Older women are at an increased risk of the following complications during pregnancy:

Infection or surgery that caused scar tissue around the fallopian tubes or cervix
Endometriosis
Fibroids or uterine disorders
Decrease in cervical fluid
Chronic health problems such as high blood pressure or diabetes

Recent studies, however, have shown that women who postpone childbearing do face some special risks including: infertility and miscarriage, premature delivery and stillbirth, gestational diabetes, bleeding complications, hypertensive disorders of pregnancy, prolonged labour, C-section, chromosomal abnormalities in babies, growth retardation in babies and delivering multiples.

Babies that are born prematurely or with a low birth weight are at an increased risk of both short- and long-term health problems, including respiratory distress syndrome, infection and developmental delays. Some research suggests that the age of the father at conception may also affect the health of the child, although more research is required in this area.

Learn everything about infertility in men and women and about its treatment at http://www.rupalhospital.com/infertilitytreatmentformaleandfemale.html

How can I increase my chances of having a healthy baby while trying to conceive after 35?

Trying to conceive after 35 may seem overwhelming, but there are many things you can do to make getting pregnant easier. Plan your pregnancy. Few of the things to remember include

1. Schedule a pre-conception appointment – You and your health care provider can review your medical history, current medications and overall lifestyle.

2. Women over age 35 take longer to conceive – The average time it takes a couple over 35 to conceive is 1-2 years, so try to remain positive if you do not become pregnant immediately.

3. A woman who is physically, mentally and emotionally healthy is more likely to conceive. Avoid alcohol, smoking and caffeine as it negatively affects fertility. Maintain balanced weight as overweight or underweight can also affect fertility by interfering with hormone function.

4. Observe fertility signs of yourself as it tells a lot about your body. Record basal body temperature and cervical fluid, which tells the best time to have intercourse while trying to conceive. These help in identifying whether you are ovulating properly.

5. Take at home fertility screening test. This often gives couples peace of mind as they move through the journey to conceive.

6. Visit your health care provider if you haven’t conceived after 6 months of trying, to discuss the possibility of fertility testing. You may decide to consult a fertility specialist at this time.

7. Consider taking a supplement to help improve egg quality after consultation.

As with all pregnant women, it may be recommended that women over the age of 35 undergo genetic screening for birth defects. This is particularly important due to the increased risk of certain disorders for children being born to older mothers.
Age is not something we can control. But if you want a baby or another baby, and you’re in a relationship, you can have a conversation with your partner sooner rather than later.

Know in detail about all types of treatment available for infertile couples at http://www.rupalhospital.com/about.html

The treatment options for infertility in mature women

Assisted Reproductive Technologies play a major role in achieving parenthood for elderly women’s. For the treatment of infertility in adult women in the premenopausal or menopausal age there are very limited options. Advanced age mother react poorly to ovarian stimulation. Even with the ivf treatment the chances of giving live birth is less as compared to younger women’s. Females over 35 face additional risk of gestational diabetes, placenta previa, peeling, caesarean section, premature birth, blood clotting, etc. The treatment option for individual women differs. It includes ovarian hyper stimulation, In vitro fertilization (IVF), Intra cytoplasmic sperm injection (ICSI) and Egg/Ooctye donation.

To improve the performance of IVF among older women, some clinics recommend assisted hatching, embryo transplant in the embryonic bladder, pre-implantation genetic diagnosis and transplant of high quality embryos. The best option for elderly women is to use donor eggs from a young donor. The option of Embryo donation and the help of surrogate mothers using sperm of the biological father and donor eggs can also be considered.

Even after you get pregnant, age continues to have an effect. The older you are when you get pregnant, the more likely you are to have a chronic disease, such as high blood pressure or diabetes that may be undiagnosed and can affect your pregnancy. As per the saying: Age is nothing but a number. But when it comes to getting pregnant and having a healthy pregnancy, it can matter. Rest assured, most healthy women who get pregnant after age 35 and even into their 40s have healthy Babies. That doesn't mean, though, that you shouldn't think about smart steps you can take to maximize your health and your baby's health during pregnancy.

If you are planning on becoming pregnant or are pregnant at the age 35 or plus, speak with your health care provider for evaluation. In today’s lifestyle, where many couples are career oriented and could barely manage spare time, the cases of infertility are on the rise due to excessive work related stress, irregular eating habits and various other reasons. There are host of factors responsible for infertility. There are millions of couples who’re facing the prickly issue called infertility. For more than 4 decades, Rupal Hospital for Women’s Specialists have helped infertile couples navigate smoothly through the often complicated process of infertility to the journey of parenthood. Rupal Hospital and fertility Clinic offers Comprehensive facilities for full Infertility Tests and diagnosis for male & female infertility - Successful In vitro treatment for infertility. Rupal Hospital has been a one stop place for all gynaec problems and our expertise lies in providing affordable services and handling difficult cases of infertility. The service provided under one roof includes infertility workup, ICSI, IUI, IVF, Laser Assisted Hatching, Cryopreservation, Donor Program, Blastocyst Culture and Transfer, Pre Genetic Diagnosis and Screening (PGD and PGS), Sonography, Laproscopy & Hysteroscopy.

For age related infertility information in men and women you can consult Specialists at Rupal Hospital for Women at http://www.rupalhospital.com or seek an appointment at 91-261-2599128


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