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Aug30
Diabetes Overview
This blog is about the diabetes overview, which is under the category of diabetes care. Diabetes Reversal without medication; Affordable & complete diabetes treatment in Kochi; Consult dr.James Sebastian is the best diabetologist in kalamassery, Kochi

Diabetes mellitus refers to a group of diseases that affect how your body uses blood sugar (glucose). Glucose is vital to your health because it’s an important source of energy for the cells that make up your muscles and tissues. It’s also your brain’s main source of fuel. Diabetes is a common disease, but everyone needs individual diabetes care. The underlying cause of diabetes varies by type. But, no matter what type of diabetes you have, it can lead to excess sugar in your blood. Too much sugar in your blood can lead to serious health problems. Chronic diabetes conditions include type 1 diabetes and type 2 diabetes. Potentially reversible diabetes conditions include prediabetes and gestational diabetes. Prediabetes occurs when your blood sugar levels are higher than normal, but not high enough to be classified as diabetes. And prediabetes is often the precursor of diabetes unless appropriate measures are taken to prevent progression. Gestational diabetes occurs during pregnancy but may resolve after the baby is delivered. Careful diabetes care will reduce the risk of life-threatening complications and make our lifestyle better for a healthy life.


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Jun17
Commonly Asked Questions About Total Knee Replacement
Pain in the knee and hip can occur due to an injury or a serious trauma you might have experienced a few years ago. The pain could also occur due to natural aging. Depending on the severity of the disease, your doctor might recommend a complete knee or hip replacement surgery.
Usually, they recommend a combination of medication and a few therapies to reduce swelling and pain around the affected area, but if nothing works, surgery seems the only viable option to reduce pain. But, before you go for a surgical procedure, check out the commonly asked questions around the surgery.
What is the Right Time to Go For Knee Replacement?
There is no one formula to decide the best time for getting a knee replacement. As a general rule, you should discuss your health with the orthopedic surgeon in Thane. They will run an X-ray and MRI to get a clear picture of the issue. Most patients consider surgery when the condition worsens and the pain becomes unbearable. If you are struggling with regular movements, it might be a sign you need a complete knee replacement.
Is There a Way to Avoid Surgery?
Before recommending surgery, the knee specialists in Mulund will try some non-surgical and cost-effective procedures. Sometimes, non-invasive treatments work wonders for patients. The non-surgical treatments include a proper weight loss plan, steroid injections, anti-inflammatory medicine, physical therapy, acupuncture, and more.
These non-invasive procedures could work well in most cases, but if the pain gets out of control, you may need a total knee or hip replacement surgery. So, a surgical procedure can be avoided, but it must not be delayed for long. The longer you delay the operation, the more complex the surgery will be. Plus, the outcomes are usually not favorable.
How is Surgery Done?
The surgery starts with a 6-10 inches long incision around the affected area. The professional shifts the kneecap and removes the bone along with the cartilage. They use metal and plastic materials to replace the damaged cartilage. These plastic components imitate the movements and functioning of your knee. A majority of knee replacement procedures are over within 90 minutes.

Status of Pain After Surgery
You will experience some pain in the operated area, but the medical staff will give you the medications and therapies to reduce swelling and pain after the operation. However, the pain is a lot less than the same you experienced before the surgery. Besides, it is manageable.
What to Expect After Surgery?
The patient feels a bit confused and sleepy after waking up from the surgery due to anesthesia. The doctor might elevate the knee to control pain and inflammation. The surgeon might also cover the affected area with a bandage and insert a drain to release fluid. You might be asked to wear a sock around your knee to improve blood circulation. Upset stomach and mild pain are common after surgery, and you will be given the medication to eliminate the discomfort.
Check out the Knee surgery cost in Mulund and get knee replacement surgery for improved mobility and knee functioning.
Visit: https://boneandjointcare.co.in/


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May14
Learn About Arthritis in Kids: What is Juvenile Rheumatoid Arthritis?
Commonly known as juvenile idiopathic arthritis, arthritis in kids is a chronic medical condition that causes serious inflammation in the joints and stiffness in kids below 16 years. The condition affects over 50,000 kids in the US. Joint inflammation can also lead to soreness, redness, and other issues in your joints. It might also affect the mobility of the child. If the symptoms get worse, the child might be recommended painless and stitch less knee replacement surgery in Thane.

Symptoms of Juvenile Rheumatoid Arthritis

Depending on the severity of the issue, Juvenile Rheumatoid Arthritis can affect single or multiple joints. It could also impact your physical and mental health to a great extent. The common symptoms children with JRA might experience are painful joints, swollen and inflamed joints, stiffness, fever, reduced mobility, and redness in the joints.

Approx 10% of kids suffering from Juvenile Rheumatoid Arthritis might experience other physical issues, such as a rash, fever, and swollen lymph nodes. Some children might not experience any symptoms at all, while others suffer from serious skin and health conditions. It totally depends on the type of JRA and the health of the kid.

Types of Juvenile Rheumatoid Arthritis
· Systemic Arthritis: This condition could impact the whole body of the kid, including their internal body parts, skin, and joints. The pain and inflammation in your joint are often accompanied by rash and fever. Both boys and girls could develop systemic arthritis.
· Oligoarthritis: Almost half of the children suffering from Juvenile arthritis fall into this category. The condition might affect less than 5 joints. The most commonly affected joints in patients suffering from Oligoarthritis are your knees, ankle, and wrist.
· Polyarthritis: Polyarthritis could impact five and more joints in children. The most commonly affected areas of your body are the jaws and neck.
· Psoriatic Arthritis: As the name implies, this autoimmune condition might affect kids who are suffering from arthritis and psoriasis. Kids suffering from psoriasis arthritis are highly likely to have pitted fingernails.
These were the most common types of Juvenile arthritis that are common in children.

Causes of Juvenile Rheumatoid Arthritis
The causes of rheumatoid arthritis are unknown, but JRA is considered an autoimmune disease, in which the immune system of a person confuses the healthy cells in your body with foreign objects. The immune system, which is responsible for fighting off viruses and bacteria, kills the healthy cells. This leads to inflamed and sore joints.

Treatment Available

The treatment for juvenile arthritis depends largely on the type of arthritis and the severity of the issue. For example, children with polyarticular juvenile arthritis are at high risk of joint damage than those suffering from other types of arthritis. With that said, the treatment plan depends on your doctor’s recommendation. You might be asked to visit the orthopedic clinic in Thane and get a knee & hip surgeon in Thane for quick recovery. The doctor might recommend joint exercises combined with medications for faster recovery.

source: https://boneandjointcare.co.in/minimally-invasive-total-knee-replacement-surgery/


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Feb10
Importance of Sunlight and Vitamin D for Bone Health in Cities or Urban Areas
Vitamin D is quite important for our bone health and overall system. Not only does it keep our teeth and bones in good working condition, but Vitamin D has shown great results in people suffering from type 1 diabetes. Vitamin D is different from the other vitamins and nutrients as it happens to be the only nutrient that our body can produce on its own.

Sunlight is the most natural and easiest way to get vitamin D. Expose your body to direct sunlight for 10-30 minutes (depending on your skin color and sensitivity). You could also perform simple exercises in the morning (under the sun) to get enough sunlight.

Vitamin D for Your Bone Health

For healthy bones, your body must have the required levels of calcium and phosphorus. However, we can’t only rely on the supplements to get the calcium our body requires. There is a good chance our kidneys will excrete the excess calcium. That’s when Vitamin D comes into the picture.

This nutrient helps your intestines to absorb sufficient calcium, instead of excreting them. The bowlegged appearance in children is highly likely to occur because of severe vitamin D deficiency. If your body doesn’t get adequate vitamin D, it will soften your bones, and cause a medical condition called “osteomalacia”. If that happens, you will suffer from a weak bone structure and musical weakness.

Healthy Pregnancy

Pregnant women are given vitamin supplements in the first trimesters. That’s mainly because the research has shown that pregnant women suffering from the deficiency of vitamin D are likely to give premature birth. It also increases the risk of preeclampsia.

Lower Risk of Flu

According to a 2018 study, vitamin D can help lower your risk of the influenza virus. That makes it one of the most important nutrients in these tough times. It doesn’t guarantee protection from the COVID-19 or any other viral infection, but if the research is to be believed, then vitamin D can make your immune system strong enough to fight infections.

Lower Risk of Joint and Knee Pain

Vitamin d deficiency may not result in pain or a chronic medical condition that could require immediate care. However, the deficiency can increase your risk of developing knee or joint pain after you cross 50. The pain gets worse if the deficiency remains untreated. Dr. Shailendra Patil recommends ACL reconstruction surgery in Thane if the pain worsens or is accompanied by other painful symptoms.

The hip or knee replacement surgery is your last resort for the knee pain that occurs because of osteoarthritis. Not only does vitamin D deficiency cause chronic knee and joint pains, but it is also linked to a slow recovery after the surgery. You can discuss your options with the hip Replacement Surgeon in Mulund if you have been experiencing painful joint symptoms for a while. TKR with Robonavigation in Thane is available for patients who need a complete joint replacement.

source: https://boneandjointcare.co.in/importance-of-sunlight-and-vitamin-d-for-bone-health-in-cities-or-urban-areas/


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Feb04
Laser hair removal cost in India
Firstly I discuss some laser treatment features then I explain to search for your topic.

You know if your hair grows permanently then you face many problems and you do not feel comfortable. so you decide your unwanted hair reduce uses by a method.

And You decide this method laser hair removal method. because this laser treatment gives the service the best.

If you reduce your hair use by other methods then you not get permanent service.

#Laser hair removal means
Laser hair removal means if you remove your unwanted hair uses by any method suppose waxing, shaving, plucking, and other methods then you do not get quality treatment but if you choose laser hair removal treatment then you get quality service.

Laser target our pigment hair follicles areas in which unwanted hair does not grow for a long time.

#Laser hair removal benefits
Hi if you uses laser reduce your hair then you get many benefits like –

Permanent service – laser remove your hair permanently
Safe – laser give safe treatment which you do not get uses other methods
Very fast – if you reduce your unwanted hair uses laser then your reduce hair areas you get very fast service
Painless – laser treatment is not painful
Not creat side effects – if you reduce your hair uses laser then your bodyes areas do not look side effects.
#Laser treatment cost in India
Hi, you know Indian many people are not using laser hair removal service but some educated male and female persons are used laser treatment reduces her unwanted hair. If you think laser treatment costs in India very high then you think wrong. if you reduce your unwanted hair use laser then her cost in India 35000 to 30000(full body).


laser hair removal price in india
#Laser hair removal price list
Hi if you want to reduce your bodyes unwanted hair use by laser then you choose the best methods because this treatment is very popular in the USA country. now I presented some bodyes areas cost you read and if you want more areas price list then comment me.

Bodyes area maximum minimum

Legs hair – 20000 to 17000
Chest – 8000 to 6000
The stomach is – 8000 to 5000
Bikini line- 6000 to 5000
Hands – 6000 to 5000
Upper lip – 3500 to 1500
Face – 8000 to 6000
Underarms – 3500 to 3000
Lower lip – 3000 to 2000
Back – 20000 to 15000
Full body – 35000 to 30000
Hi, I keep saying this price list may be variable. your area clinic decides which price to take her treatment because they know how much will it cost ?.


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Jan07
How to Know if You Need a Joint Replacement Surgery To Relieve Knee Pain?
How to Know if You Need a Joint Replacement Surgery?

Have you tried every possible non-surgical treatment to get rid of the chronic joint pain only to discover that there’s no relief in your joints? Are you wondering if it is high time you should consider the joint replacement surgery? Well, a majority of the patients consider the idea of joint replacement intimidating. But it is worth to note that nothing can be worse than having to deal with critical joint pain for the rest of your life. Perhaps, this is the reason why there is around millions of joint replacement surgeries performed in the United States annually.

Gone are the days when joint replacement looked overwhelming. In today’s technology-driven world, this surgical procedure is considered one of the safest and effective treatment options for patients struggling with arthritis. Do you still think joint replacement is a severe and intimidating surgery? Well, read on this post to get a clearer view of what this surgical treatment actually is.
All You Should Know About Joint Replacement

Before discussing whether or not you need the joint replacement surgery, let’s first understand some basic details of this surgery. First of all, joint replacement surgery is not limited to the knee or hip replacement, instead, this surgical procedure can be performed on human’s elbows, ankles, wrists, and shoulders too. However, the research suggests a majority of the surgeries are either performed on hips or knees.

The practitioner removes the damaged bone or cartilage from the affected part and recreates a new joint with the help of prosthetic pieces. The best part about these prosthetic pieces is it completely feels like your natural joint. As soon as the patient’s recovery period is over, he/she can experience the natural range of motion and healthy mobility. What else? Some people still consider it an overwhelming surgical treatment but to their surprise, it is considered one of the most common surgical procedures across the world. Joint replacement surgery lasts for 3-4 hours and can be performed in the hospital or an outpatient surgery center. The patients need one-day stay in the hospital and that’s it! They can go home the same day or the following day.
Who Needs Joint Replacement Surgery?

If you have already followed the non-surgical medical treatments and couldn’t find any relief, an orthopedic may recommend you to have joint replacement therapy to fight off pain. But the recommendation of surgery doesn’t always mean you have to get your joints replaced, instead, there are different surgical treatments that may realign your joint or remove the damaged joint. Based on your physical condition, the severity of the pain you are experiencing in the joints, and type of arthritis, the doctor will recommend you to get the permanent solution for this unbearable pain i.e. Joint replacement surgery. To determine if you need Joint replacement surgery, you must meet the following conditions:

You are physically fit and in a good health condition (except for the joint pain caused by arthritis).
You have a high level of chronic and nagging joint pain.
You are struggling with a damaged or problematic joint.
The pain you have is caused by osteoarthritis rather than any casual inflammatory condition.

Basically, the non-surgical treatment options such as physical therapy, medication, weight loss, lifestyle changes, and more are available for arthritis patients. But these treatments are not effective when it comes to aligning your problematic joint or removing the damaged one. If you have been experiencing the symptoms of arthritis, it is the high time you consult with an Orthopedic Surgeon and get a Joint replacement surgery. Are you still in doubt whether the surgery is the only option for your sore joints? Here are some questions you should ask yourself to confirm if you are fit for the joint replacement surgery.

Is there any possibility I can endure the severe joint pain for the rest of my life?
Are the symptoms of arthritis worsening over time?
Am I physically and mentally fit for this surgery?
Am I able to finance the surgical treatment?
Can I face the recovery period?

Though joint replacement surgery is a common procedure for surgeons, getting your joints replaced is completely your decision. Make sure to consult with a joint replacement surgeon to get your joint issue diagnosed at the earliest possible time. The sooner you get the treatment, the faster your recovery. Hope this post helped you to learn everything about joint replacement surgery. Good Luck!

source: https://boneandjointcare.co.in/how-to-know-if-you-need-a-joint-replacement-surgery/


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May21
A rare case of atypical lipoma in retropharyngeal space review of literature
http://dx.doi.org/10.18203/issn.24545929.ijohns20194956


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Apr25
How to maintain your bone & joint health while in a lock-down Scenario
The covid-19 virus has brough the whole world to a lockdown. India is no exception to this and we are now in a lockdown. Which means no going out of your home for except for essential things which is long time which can adversely affect the human body, if proper precautions are not taken. So we at bone and joint care thought of suggesting some tips and precautions to help you maintain your physical health while in the lockdown.

Precautions:

Cooking or cleaning utensils requires standing for a long period of time this can put immense load no the hip and knee joint leading to joint pain. Hence, when cooking or cleaning always try to shift your weight between legs while standing
Avoid bending forward and sweeping rather use standing position and use long broom. Bending forward and doing this activities take toll on back muscle and make it prone to injuries.

If you intend to be the couch potato this lockdown or going to sit in front of the PC while working from home, try to get up from sitting position every 40-45 minutes and if you can muster the courage stand up and perform some simple stretches. as shown below

TIPS:

Get your daily dose of Vitamin D: Vitamin D is essential to maintain bone & joint health Staying at home means minimal to no exposure to sun at all. Sunlight is essential to maintain the Vitamin D levels of the body. If possible, Try to get some sunlight for atleast 15-30 mins. If you have joint pain this is essential… you can also consult an orthopaedic for vitamin D supplements. Be warned – self-medication and overdose can cause complications.

Try Simple Exercises for 20-30 minutes every day or atleast alternate days to maintain your joints and muscles. You don’t have to go all pro like the celebrities or follow any regime. Just even simple exercises, even the ones taught in school PT classes should suffice.

If exercise is not your piece of cake Just Walk in your house or the building compound from one end to the other 30- 60 minuses will keep your health in check until the lockdown ends. (maintain proper distance and sanitary precautions like a mask and alcohol rub is essential)

This long lockdown period is going to take toll on your mental health aswell. Hence, try to do yoga or meditation to keep your mental health in check. So keeping your mind well exercises is as important as your body.
Yes it’s just that simple to maintain your health while in the lockdown. We hope that by following these simple steps will help you get back to normal life after lockdown without any joint pain.

So keep smiling..

Source: https://boneandjointcare.co.in/how-to-maintain-your-bone-joint-health-while-in-a-lockdown/


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Apr24
Sperm Abnormality- Donor Sperm is NOT needed
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. They ask, if they require sperm donor. The answer is "NO".

Two things must be remembered-
1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.

2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.

Unfortunately, in many of such cases, medicines cannot work. Still, you can become biological father using your own sperms. Initially you can take medicines. but even after taking medicines, sperm counts remain abnormal, you should consider IUI or IVF.

That means, we may not be able to improve your sperm count in most of the cases, but we can definitely help you to become the biological father of your baby.
What is IUI (Intrauterine Insemination) ?
Medicines (tablets, injection) are given to your wife to help her eggs grow. By ultrasound, we see whether eggs are growing. If the eggs about to rupture, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 10-15% per cycle. That means out of 100 couples trying IUI, 10-15 can conceive after the first cycle. You can try maximum 3-4 cycles of IUI.

When IUI can be done?
If the sperm count is mildly/ moderately low, IUI can be tried. However, for doing IUI, at least one fallopian tube of your wife MUST be open. Moreover, the success rate of IUI is higher if your wife's age is less than 35 years, she is having good number of eggs in the ovaries and you are not trying for pregnancy for long time.

What is IVF (in vitro fertilization)?
Your wife will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. She has to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usually, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from her body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then transferred after 2-3 days (Fresh Transfer) or after 2-3 months (Frozen Transfer). The success rate of IVF is 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle.

When IVF should be done?
If you have tried IUI for 3-4 cycles and failed, you should consider IVF. If your wife's fallopian tubes are blocked, her age is on the higher side, she is having less number of eggs in the ovaries and you have been trying for pregnancy for longer time, you should NOT delay IVF.

What to do if the sperm count is severely low?
In that case, you require a special type of IVF, called ICSI (Intracytoplasmic Sperm Injection). Here, the sperms collected from you, will directly be injected inside the eggs collected from your wife to form the embryo. It increases the success rate.

What to do if there is no sperm (Azoospermia)?
There is also no need to use donor sperms. You can father your own baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Sperm Aspiration). Those sperms can be used for ICSI.

Donor sperms are used for IUI ONLY when your sperm count is very low, you require IVF-ICSI but unfortunately you cannot afford. Donor sperms can ONLY be used after taking consent from BOTH the husband and the wife.
Conclusion-
In most of the case, you can become biological father of your own baby using your own sperms by IUI or IVF. If the problem is mild, IUI can be tried. In case of severe problem, you should not delay IVF. Donor sperm is not usually needed.


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Apr24
Sperm Problems- IUI or IVF- What to do?
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. Naturally, they are very much worried and want to know whether medicines can be helpful.

Two things must be remembered

1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.

2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.

Unfortunately, in many of such cases, medicines cannot work. Still, you can become biological father using your own sperms. Initially you can take medicines. but even after taking medicines, sperm counts remain abnormal, you should consider IUI or IVF.

What is IUI (Intrauterine Insemination)?
Medicines (tablets, injection) are given to your wife to help her eggs grow. By ultrasound, we see whether eggs are growing. If the eggs about to rupture, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 10-15% per cycle. That means out of 100 couples trying IUI, 10-15 can conceive after the first cycle. You can try maximum 3-4 cycles of IUI.

When IUI can be done?
If the sperm count is mildly/ moderately low, IUI can be tried. However, for doing IUI, at least one fallopian tube of your wife MUST be open. Moreover, the success rate of IUI is hiogher if your wife's age is less than 35 years, she is having good number of eggs in the ovaries and you are not trying for pregnancy for long time.

What is IVF (in vitro fertilization)?
Your wife will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. She has to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usualy, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from her body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then transferred after 2-3 days (Fresh Transfer) or after 2-3 months (Frozen Transfer). The success rate of IVF is 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle.

When IVF should be done?
If you have tried IUI for 3-4 cycles and failed, you should consider IVF. If your wife's fallopian tubes are blocked, her age is on the higher side, she is having less number of eggs in the ovaries and you have been trying for pregnancy for longer time, you should NOT delay IVF.

What to do if the sperm count is severely low?
In that case, you require a special type of IVF, called ICSI (Intracytoplasmic Sperm Injection). Here, the sperms collected from you, will directly be injected inside the eggs collected from your wife to form the embryo. It increases the success rate.

Whether IUI or IVF/ ICSI will be done using your sperms or donor sperms?
We always encourage the couples to become biological parents. Therefore, we always prefer using your own sperms. Donor sperms are used for IUI ONLY when your sperm count is very low, you require IVF-ICSI but unfortunately you cannot afford. Donor sperms can ONLY be used after taking consent from BOTH the husband and the wife.

What to do if there is no sperm (Azoospermia)?
There is also no need to use donor sperms. You can father your own baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Sperm Aspiration). Those sperms can be used for ICSI.

Conclusion-
In most of the case, you can become biological father of your own baby using your own sperms by IUI or IVF. If the problem is mild, IUI can be tried. In case of severe problem, you should not delay IVF. Donor sperm is not usually needed.


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