AUGUST 20, 2019 BY SARAOGI
Diseases are known to come and go as epidemics and pandemics. Only a few diseases have been known to withstand the test of time and continue to increase in prevalence progressively year after year. Infertility is one such menace.
In todays times infertility is a more prevalent issue than ever before. Couples and singles delay both marriage and child bearing for a variety of reasons such as career, personal space etc. When they are eventually ready for marriage/ child bearing – their body is not. This results in a crisis of sorts with a mad rush to the doctor to get themselves checked and treated.
Before rushing to the doctor we need to know which couple falls into the definition of being infertile. Any couple that has been trying for pregnancy for a whole year without using contraception and has still not successfully conceived will be requiring the services of a fertility consultant. Also women having irregular menstrual cycles or husbands having diagnosed low sperm counts require treatment at an earlier date.
40% cases of infertility are due to a male factor such as an abnormal semen parameter ( low sperm count/ motility etc) ; 40% are due to a female factor ( bloacked tubes, anovulatory cycles ); 10% are due to a combined factor & 10% cases are unexplained fertility.
The general treatment of infertility requires evaluation of both the male and the female partner first. When obvious clinical abnormalities are ruled out and a basic semen evaluation has been performed – we can move forward with the treatment of infertility. It is of utmost importance to have a semen test done by a reliable lab as abnormal findings and reporting can lead to mistreatment and a lot of anguish later on. We at Saraogi Hospital and Iris IVF centre pride ourselves on being one of the best semen testing labs in malad west and Mumbai as we follow the strict WHO criteria for semen testing.
In the normal situation – the first step in the treatment of infertility is to stimulate the ovaries to produce follicles and monitor the growth of the follicles by performing serial ultrasounds. The ultrasound is generally scheduled on the second or third day of your period. You will take two tablets of letrozole (5 mg total) daily, starting on Cycle Day 3 (the first day of menses is Cycle Day 1) and ending on Cycle Day 7. This allows us to monitor the growth of the follicles and decide on the time of injection for ovulation trigger. When the follicles are ready, a hormonal injection is given to cause maturation and rupture of the egg inside the follicle. When rupture occurs, the couple is asked to have planned relations with the hope of conceiving in that cycle.
When serial planned relation cycles have failed , we move on to tubal patency testing. The best IVF specialist in Mumbai usually prefer to do this by performing a hysterolaparoscopy with chromopertubation ( dye injection ). This is preferred to HSG ( Hysterosalpingography ) as it allows us to simultaneously visualize both the inside and the outside of the uterus. Any abnormalities if found can be corrected simultaneously. The best ivf centres in Mumbai usually have an attached endoscopy or operative unit which allows them to both diagnose and treat any treatable causes which may be discovered.
Once tubal patency testing has been confirmed we move on to IUI or intrauterine insemination. The best infertility specialists in Malad west, Goregaon, Jogeshwai, Kandivali and Andheri individualize the method of semen washing for IUI. There are different methods for semen washing for IUI like simple wash, swim up technique, Single density gradient Centrifugation and Double Density Gradient Centrifugation. The best method depends on the semen parameters. The success rates with IUI range from 14 to 20 percent and vary from centre to centre.
IVF is the last stage in the sequence of treatment in infertility. It is not the same as ICSI which is intracytoplasmic Sperm Injection. Both procedures are synonymous with test tube babies. The best ivf specialists in Malad West, Goregaon, Jogeshwai, Kandivali & Andheri also individualize the method of test tube baby fertilization varying from patient to patient. In our centre in Malad west we have one of the best IVF specialist in Mumbai to address all infertility related issues. Our success rates in infertility are better than those of most centres globally. Which is why patients who come to Saraogi Hospital and Iris IVF centre usually go back happy.
Surrogacy is another component of infertility treatment which is indicated in patients who have been hysterectomized or have a poor ovarian reserve. In this case the genetic embryo of the commissioning couple is implanted in a third party uterus and allowed to grow and develop there. The baby that is eventually born belongs to the genetic parents. The commissioning couple in turn provide financial support to the surrogate and cover the cost of medical expenditures.
All in all it is important that you choose a good fertility specialist in Mumbai who has exclusive specialization for the same. We recommend that you come to Saraogi Hospital & IRIS IVF centre for any infertility related consultation, so that you can comfortably leave your troubles behind & be assured of the best quality treatment available.
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