#fertiliy

Which fertility treatments are offered at Rupal Hospital?

Our expertise in fertility treatment and cutting edge technology includes right from basic fertility workup and treatments like ovulation induction, follicular monitoring, diagnostic laparoscopy, hysteroscopy, and Intra-uterine insemination (IUI) to most advanced fertility treatments like:

In Vitro Fertilisation (IVF).

Intracytoplasmic Sperm Injection (ICSI).

TESA-MESA (advanced treatment for severe male infertility).

Pre-implantation genetic diagnosis (PGD for repeated IVF Failure, Recurrent abortions, and to rule out ant genetic problems in your offspring).

IVF with donor eggs/sperms or embryos.

Gestational surrogacy treatment.

Egg/sperm/embryo freezing.

ENDOMETRIOSIS

Ultrasound is a reliable first‐line imaging modality for the assessment of patients with gynaecological concerns. In patients with suspected endometriosis, ultrasound serves three purposes. First, it is used to evaluate the aetiology of the patient's symptoms. Second, it has the potential to map the disease location. Lastly, it can ascertain the extent of disease. From a clinical perspective, these products of ultrasound may benefit patients by ensuring a thorough understanding of disease by both the patient, who needs to provide informed consent to treatment options, and the physician, who may adequately prepare for potentially advanced surgical procedures. In many cases, when deep endometriosis (DE) exists, physicians need to consider referral to an appropriate gynaecologic surgeon with advanced skill. The multidisciplinary input of other specialists such as colorectal or urologic surgeons or fertility specialist may also be necessary. Recently, the International Deep Endometriosis Analysis (IDEA) group published a systematic approach to sonographically evaluate the pelvis in patients with suspected endometriosis. This consensus statement was developed to standardise anatomical landmarks, nomenclature of disease and the components of an ultrasound seeking to identify DE. A four‐step system was introduced, including routine evaluation of the uterus and adnexa, evaluation of soft markers such as site‐specific tenderness (SST), assessment of the pouch of Douglas (POD) using the ‘sliding sign’ and, finally, assessing the presence of DE nodules compartmentally throughout the pelvis The ultrasound: uterus   The orientation (anteverted, retroverted or military) and dimensions in three orthogonal planes should be recorded. Patients with endometriosis have a high likelihood of concurrent adenomyosis and as such, signs of this should be sought. In addition, the ‘question mark sign’, signifying a fixed anteverted/retroflexed uterus with the fundus adhered posteriorly to the rectum and/or sigmoid colon can represent adenomyosis and/or endometriosis and should be documented

The ultrasound: adnexa

Includes evaluation of the ovaries and Fallopian tubes. The entire ovarian size should be measured in three orthogonal planes. Any abnormalities should be quantified, measured and documented. The sonographic characteristics of any ovarian abnormality should be described according to terminology published by the International Ovarian Tumor Analysis (IOTA) group Ovarian mobility can be judged by applying pressure to the ovaries using the TV probe. Non‐mobile ovaries are considered a ‘soft marker’ potentially signifying superficial pelvic endometriosis and/or DE. The mobility of the ovaries is assessed against the pelvic side wall laterally, uterus medially, uterosacral ligaments (USLs) inferiorly and each other ‘Kissing’ ovaries, an ultrasound diagnosis of ovaries fixed to each other  indirectly indicates intra‐abdominal adhesions and possibly underlying DE of the Fallopian tubes and/or bowel.

Hydrosalpinx or hematosalpinx may be identified in endometriosis.

The ultrasound: site‐specific tenderness SST-‘soft markers’- The key anatomic locations to assess in this component of the scan include the uterus, adnexa, USLs and POD. Currently, the IDEA group recommends a scoring system of 0 or 1; 0 for no pain and 1 for pain. However, this test is still limited in that no scoring system has been validated as yet.

The ultrasound: Sliding sign The test is considered positive when the uterus and cervix move independently (i.e. slide) along the anterior rectum and sigmoid . Clinically and surgically, this is reassuring for a non‐obliterated POD. Conversely, if the uterus and cervix move in unison with the anterior rectum and sigmoid, the test is negative and the POD is thought to be obliterated.

Schematic Drawing Demonstrating How to Elicit the ‘Sliding Sign’ in an Anteverted Uterus (a) and Retroverted Uterus

The ultrasound: anterior and the posterior compartment Lesions may appear as hypoechoic linear or spherical lesions, with or without regular contours . The uterovesical region should be examined for tethering to the uterus (i.e. obliteration of the space). The concept of the ‘sliding sign’ can be applied here as well. The operator should hold the TV probe in the anterior fornix with one hand and the other hand should be placed over the suprapubic region. By balloting the uterus between the probe and hand, the operator can judge whether the posterior bladder slides freely over the anterior uterine wall, When the bladder and uterus move together, the operator should document a negative ‘sliding sign’, representing an obliterated space.  An independently moving bladder from the uterus represents a positive ‘sliding sign’. The posterior compartment sites include USLs, posterior vaginal fornix, rectovaginal septum (RVS), anterior rectum, anterior rectosigmoid junction and sigmoid colon.  Done by gently placing the TV probe in the posterior vaginal fornix

Schematic and Ultrasound Images Demonstrating an Isolated RVS Nodule. Note the Hyperechoic Nature of the RVS (Red Star) and Adjacent Hypoechoic Layers of Vagina (Yellow Star) and Rectal Wall Muscularis (Green Circle).

It is an accepted fact that the problem of infertility is rising alarmingly these days. There are various reasons for it - lifestyle issues, stress and postponement of pregnancy are among the most common factors for it.  

Though there are various treatment available for infertility issues, it is always best to conceive naturally and it helps to be clear about exactly when you need the infertility treatment.   The first thing that you need to know is that it is perfectly normal for a couple to take six months to one year of trying, without contraception, for conception. 

They should not expect the conception to happen in the first month itself. If you are under 35 years of age and you have been trying for a baby for over a year and are unable to conceive, then you should see a fertility doctor. If you are over the age of 35 years and you have been trying to have a baby for at least six months without success, then you should see a fertility doctor. In the medical world, we consider a couple to have infertility issues only if she fails to conceive even after one year of unprotected sexual intercourse. It is because 80% of the couples conceive within one year, and about 90% of the couples conceive within two years. 

So only those 10% to 15% of couples who have a problem in conception even after one to two years need to have fertility treatment. The most fertile days The couple should know the most fertile days when they will have the maximum chance of conception. We need to understand that egg development starts from the second day of the lady’s menstrual cycle and around the 13th – 14th day of the period for anybody with a regular menstrual cycle of about 28 to 30 days is when the egg would ovulate, and that is the most appropriate time to conceive. 

Anything between day 10 to day 18 for regular cycling women is the right time to try. One way to figure out your most fertile days are – divide your menstrual cycle into 3 equal parts of 9 days each (assuming a 27 to 30 days cycle). The first part (day 1 to day 9) and the last part (day 20 to day 28) are the less-fertile periods. Chances of conceiving in this period is low. The middle part (day 10 to day 19) is the fertile part. Chances of conception is higher in this period. If there are the following warning signs, then we should see a doctor. 

 1. If you have irregular periods. 

 2. If the fallopian tubes are inflamed or if you have had a gynecological surgery. 

3. If you have had a miscarriage and are trying to get pregnant or if you have endometriosis or pelvic inflammatory disease, then also you can seek fertility treatment. 

Best IVF Centres in India with IVF packages, Success Rates, Services & working fertility specialists in Jaipur. The best IVF centers in India are chosen based on IVF success rates in India, treatment quality, patient’s opinion, doctor’s qualification, and location accessibility.

Delhi IVF and Fertility Research Centre

Delhi IVF & Fertility Research Centre is top IVF Clinic in India, for Assisted Reproduction, offers world-class treatment in India following all the advanced procedures, techniques, and equipment, which have been making a significant mark to its high success rate. Delhi IVF & Fertility Research Centre has a team of IVF specialists, Embryologists, Ultrasonologists and Andrologists.

Delhi IVF and Fertility Research Center is one of the oldest and the first Infertility centers located in Rohini, Delhi. Established in 1993, they have been delivering smiles and comprehensive quality services across the globe for more than 2 decades. They are providing the best services and procedures keeping in mind the needs of the patients. The services are at a very affordable rate. The state of the art facilities provided by them are In-Vitro Fertilization (IVF), Intrauterine Insemination (IUI), IntraCytoplasmic Sperm Injection (ICSI), Surrogacy, Egg Donation, Laser Assisted Hatching, Male Infertility Techniques, Fertility Enhancing Endoscopy, Myomectomy, Laparoscopy, Hysteroscopy, Acupuncture, Fertility Yoga, Sexual and Mental Health Issues, Tubectomy/Tubal Ligation), and Fertility Enhancing Medication. Delhi IVF is a clinic of high repute, standards and has the reputation of having state-of-the-art facilities and patient care services in the country.

Dr. Anoop Gupta

Dr. Anoop Gupta is Best IVF Doctor in India and She is a senior consultant and renowned Infertility specialist based in Delhi. He has vast expertise in infertility treatments including Hysterectomy, Tubectomy, and Tubal Ligation, Intrauterine insemination (IUI), In Vitro Fertilization (IVF), PGD, Counseling, and other Advanced ART procedures. He has gathered an experience of more than 26 years and has made a huge contribution to the industry. He passed his doctor’s degree from L.N Mithila University, Darbhanga in 1981 with first-class results.

He trained in IVF at Osaka Clinic, Japan (ART Techniques), and has attended a number of National & International conferences related to ART (Assisted Reproductive Technology) & presented many papers. He also attended a two-week training course on infertility & blastocyst culture in Singapore in 1998.

Baby Joy Fertility & IVF Centre

There cannot be a stronger human emotion than the desire to have your little one. Baby Joy Fertility & IVF Centre is your partner in your journey towards parenthood. Baby Joy is a state of the art IVF & Surrogacy Centre with the primary mission to provide Highly Advanced yet an Affordable end to end IVF & Surrogacy solutions under 1 roof. Unlike individually run centers, we are a professionally run center that strives to offer fertility treatment, with Compassion, Accountability & Transparency (CAT). They further strive to offer High Success Rates through customization of fertility treatment & optimization of protocols & lab conditions. It is our vision to set benchmarks in the field Of IVF, globally, through cutting edge technology, most advanced treatment protocols, & a highly acclaimed team of doctors, embryologists & support staff.

Dr. Neha

Dr. Neha is a world-class Fertility & IVF expert in Delhi. After her MS in Obs. & Gynae, she has done a Post Doctoral Fellowship in Reproductive Medicine from one of the premiers Assisted Conception Centres of India at Bangalore. She has an extensive domestic & international (UK) experience of over 6 years exclusively in the field of reproductive medicine. She follows global treatment protocols to match international standards & achieve high success rates. She has a worldwide exposure with regards to the latest technologies & clinical practices adopted in the field of Fertility & IVF. She is adept at handling all aspects of Fertility including IVF, Surrogacy, Donor Cycles, ICSI, TESE, IUI, Surgical Procedures, etc. She has an accomplished track record in dealing with difficult & refractory cases, cases of repeated IVF failures, recurrent abortions, etc.

For more information, call at :  +91 – 9643264509

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Ovusense. Because Knowledge is Power.

Once in a while something comes along that changes the way you look at things. Trying to assess the human body and the way in which it functions – particularly in women – is not an easy task. We are all individuals and some of us know our own body better than others.

Women who are trying to conceive are probably more hyper-sensitive to how their bodies are reacting than most. Every month we look…