Infertility Experts Recommend Infertility Treatment at Right Time

Given an alarming rise in infertility rate in India, experts have said proper education and counseling on reproductive health is very essential for couples.

Experts say right treatment at the right time is key to overcome the problem of infertility.

The World Health Organization states that infertility is a disease of the reproductive system, defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.

According to WHO estimates, around 60-80 million couples worldwide currently suffer from infertility. According to Indian Council of Medical Research estimates, the incidence of infertility in India is at approximately 4 per cent. In the different age groups, the overall prevalence of primary infertility is estimated to be between 3.9 and 16.8 per cent.

Delay in pregnancy, age, and sedentary lifestyle (tobacco, smoking, diet, stress) are the main reasons for the rising infertility in the country. The latest data showed the prevalence of stress among young adults around the world is estimated to range from 5-70 per cent, said Dr Shivani Sachdev Gour, founder-Director of SCI IVF Hospital.

This stress further gives rise to various other problems of which infertility of both men and women is on the rise. Both sexes contribute to different risk factors.

Infertility in men can be due to alcohol and drug use, toxins, smoking, age, health problems like obesity, medicines like testosterone, radiation, excessive testicular heat, and chemotherapy.

While in women, infertility includes ovulation problems like polycystic ovary syndrome, blocked fallopian tubes, uterine problems, uterine fibroids, age, stress, poor diet, excessive exercise and physical activities are believed to be responsible.

Read full articlehttps://www.theweek.in/news/health/2019/08/14/Seek-infertility-treatment-at-right-time.html

The Best Ways to Increase Fertility in Men

The responsibility of carrying and delivering a baby mainly rests with women, but men too have a crucial role to play in pregnancy. Fertilization in women requires healthy sperm and it should be strong enough to penetrate the women’s egg. There are several causes of male infertility and it is important to treat them before deciding to have a baby.

Infertility is now a growing concern for several men and several treatment options are available for curing the disease. Here are some tips to increase men’s fertility which is discussed below.

Check Your Weight & Diet

If you are overweight it can affect your sperm count and increase blood flow problems which can hurt your erections. You should make dietary changes to maintain your regular weights. Have a good serving of fruits, leafy vegetables in your regular diet and drink at least ten glasses of water daily.

Regular Exercise

The benefits of exercise are immense and it boosts your mental and physical health. Men who exercise regularly have higher testosterone levels and produce a better quality of semen than inactive men. So, becoming physically active is one of the key ways to improve fertility.

Reduce Your Stress

Stress hurts your body in as much as it decreases your sexual desires and makes you impotent. They are several clinics for male fertility treatments in Delhi who have a comprehensive stress management program which is designed to decrease your anxiety levels.

Stop Smoking & Speed up Sperm

Smoking decrease the sperm counts in men and also makes it move slowly so you should quit it immediately. There are many clinics for male infertility treatments that can help you to get rid of your habit. If you two are trying to get pregnant you should stop smoking at least three months before your wife will conceive. There are several centre’s for male Infertility treatments which can help you to quit smoking.

Include Vitamin D in your Diet

Vitamin D can help you to increase your testosterone levels and men with low intake of vitamin D have decreased vitality. So, you need to take at least one vitamin capsule per day to increase your fertility.

Beware Of Age-Related Factors

Studies done by some of the best male infertility treatment centres have shown that as a person ages the volume and quality of his semen tend to decrease.  There is also a falloff in the number of healthy sperm counts which in turn makes it difficult for a couple to conceive. So, you should do regular tests as you get older and take medications to address the problems.

Limit Your Sauna Visits

The reason why testicles hang outside the body is they have to keep it cool all the time. So, if you do something which overheats your testicles it can harm your sperm production. So, you should limit the time you spend in hot tubs, saunas, and steam rooms.

Like women, men should also take special care of their health because of their important role in reproduction. These tips can help you to improve your fertility rates and help your partner conceive easily with your sperm.

Prevalence of Surrogacy in India and its Implication

Surrogacy is a method or mutual concept of conceiving where a woman consents to deliver a child for someone else, who will end up being the infant’s parent(s) after birth.

Expected guardians may look for a surrogacy center, either in India or abroad, when either pregnancy is medically inconceivable. Other reasons include pregnancy issues presenting an unavoidable risk to the mother’s health or if same sex couple favored having a child.

A brief look at laws, clinics, and doctors for surrogacy

Financial compensations might possibly be associated with the arrangements for surrogacy. If the surrogate gets financial support for the process of surrogacy, then it is commercially seeded surrogacy.

Indeed, there are laws in India which manage surrogacy and its outcomes. Nowadays, if any couple or an individual expects a child, then, it is possible for them to contact surrogate hospitals in Delhi.

Why Surrogacy is important in India?

Infertility is commonly known as a social disgrace in India. It brings up the distress and inferiority complex rising due to remarks of people. Most of the times, it is a sense of guilt that crops up in the mind of couple. This does not claim but rather it portrays destroying impact on the life of a mother for not satisfying the natural job of parenthood for no issue of his or her own.

As a social rule, Indian culture has a steady family structure, urge for children and especially for a child to forward the genealogy. With the advances in the field of medication, the infertility is now calming the stresses with utilizing the new innovative methods of surrogacy called as Assisted Reproductive Technology (ART).

Surrogacy: Types and Acquiring Ways

Based on the Selection of Surrogate Mother

Altruistic Surrogacy: In this type of surrogacy, the surrogate mother does not get compensation for her conceiving or the giving away the born-child to the guardians with the exception of medicinal costs. This typically happens in the case where surrogate mother is a blood relative or consented adult as per the rules.

Commercial Surrogacy: It is a case where surrogate mother is financially compensated with the important medical costs. This happens when the surrogate mother is not a relative of the mother.

Based on Embryos

Traditional Surrogacy: As a part of this process, the surrogate mother delivers the infant for the full term to the couple through artificial impregnation.

Gestational Surrogacy or Blastocyst Embryo Treatment: As a part of this medical procedure, the eggs of the mother are fused with father’s/contributor’s sperm, thereafter; the embryo is put into the uterus of the surrogate mother. For this, the natural mother is the one whose eggs are in use and the surrogate mother is known as the birth mother.

Surrogacy for Whom and by Whom

Dr. Shivani Sachdev Gour, a trusted gynecologist based in New Delhi says that surrogacy is an alluring option as a surrogate mother is compensated emotionally and financially and a childless couple gets a child too. It is a safe and clinical process to provide happiness.

Indeed, after the fist recorded artificially conceived child in 1986 in India, IVF facilities were being recognized and the best surrogacy clinics in India came in the limelight. The surrogacy centers or clinics currently follow the Indian Council of Medical Research (ICMR) drafted National Guidelines for Accreditation, Supervision, and Regulation of ART Clinics in India in 2002.

On a final note, surrogacy is being recognized in India as the alternative to pregnancy by the couples who cannot experience parenthood naturally.

Things You Need to Know About Egg Donation

  1. Egg donation is a highly regulated part of fertility treatments.

Eggs are just like any other organs when it comes to donations and there are lots of rules and regulations involved to become an egg donor, same as with any tissue donation.

  1. It’s recommended to only donate six times

The egg donors are recommended to donate only six times for their health concerns and also so there aren’t a number of half-siblings running around unknowingly. Sperm banks also have a limit to the amount of times that a donor can donate, although it changes from place the place.

  1. You need to undergo a series of psychological and physical screenings.

Egg donation requires several physical screenings to undergo. A donor can be disqualified if she has tattoo or piercing where sterile procedures were not used in the last 12 months. Doctors may also check donor’s travel history to make sure that they haven’t been to a Zika-affected country in the past six months. In the physical exam, the doctor check the blood work and do an ultrasound to check how many eggs the donor , and the likelihood of getting a good result.

  1. A very small percentage of interested women are actually eligible to donate

Due to the strict screening process only about 10% of women who does an initial screening make it to the second step. Generally only 10% of that second group makes it to involve in donation process. Sometimes women don’t meet the age requirements for donation and BMI requirements are also responsible for a lot of drop outs.

  1. The donor need be matched with a recipient before the donation process.

Egg donation is not similar as sperm donation. In this process a donor usually waits to match up with a recipient couple before undergoing the process. Only about 12% of their cycles are previously frozen eggs, while the rest are donors and recipients undergoing the treatment together.  As per Dr Shivani Sachdev Gour the majority of their egg donations are also “fresh” and fertilized at the time of the collection.

  1. Egg donation can be fatal

Egg donation has shown to be a safe process with no long-term side effects. However, it is good practice to understand the potential short-term side effects and risks that involved the process. Ovarian Hyperstimulation Syndrome or OHSS is a potential risk associated with the egg donation, in which too many hormones during the egg retrieval process can make a patient sick with abdominal pain, diarrhea, vomiting, nausea, bloating, or even death.  After the egg retrieval, some donors may experience physical discomfort. In some cases, surgery may be required to repair any internal damage.

As per IVF expert Dr Shivani, egg donation is not a benign process. A donor needs to go through 10 to 14 days of injections of hormones to make her to ovaries grow to produce too many eggs. If the donation procedure is done correctly, you shouldn’t get sick.

Types of High Blood Pressure during Pregnancy

Blood pressure is the force of blood that pushes against the walls of your arteries each time the heart contracts to pump the blood through each parts of the body. Arteries are blood vessels that transport blood from your heart to other parts of the body. If the pressure in your arteries becomes too high, this condition is known as have high blood pressure or hypertension. Hypertensioncan lead to health problems and pose extra pressure on your kidneys and heart, however in most cases hypertension is preventable and treatable. Uncontrolled or severe hypertension during pregnancy when not appropriately treated can cause health risk for you and your fetus. Complications arise from high blood pressure in pregnancy have become more common over the years.Some women have high blood pressure before they get pregnant, others may have high blood pressure for the first time during their pregnancy. Approximately 8 percent of women have some kind of high blood pressure during pregnancy. There are four types of high blood pressure in pregnant women:

  • Chronic hypertension: Chronic hypertension is high blood (over 140/90) pressure that develops before the 20th week of pregnancy or is present much before the woman becomes pregnant or continue to have it after delivery. High blood pressure usually doesn’t have symptoms so it is possible that a woman has high blood pressure for a long time before she gets pregnant, but she doesn’t aware about it until she has first prenatal check-up. Chronic hypertension usually treated with blood pressure medication.
  • Gestational Hypertension: Gestational Hypertension is a high blood pressure that develops after week 20 in pregnancy without the presence of protein in the urine or other changes in liver function.This form of high blood pressure is typically temporary and normally to go away after delivery.However, it can increase the risk of developing high blood pressure later in women life.In some cases, the blood pressure will remain high after the delivery, which results in chronic hypertension. Some women with gestational hypertension finally develop preeclampsia in her later age.
  • Preeclampsia: Preeclampsia is a high blood pressure condition when a pregnant woman has high blood pressure usually after 20 weeks of pregnancy or after giving birth. It is a serious condition that can associate with signs of damage to other organ systems, including liver, kidneys, blood or brain. Untreated preeclampsia can lead to serious health problems for both mother and baby and can develops seizures (eclampsia). Previously, it was diagnosed only if a pregnant woman had protein in her urine and high blood pressure but now it’s quite possible to have preeclampsia without having protein in the urine. Signs and symptoms of preeclampsia include high blood pressure, excessive swelling of the face and hands, weight gain due to fluid retention, blurred vision, severe headaches, sensitivity to light, dizziness, shortness of breath, nausea and having protein in the urine.
  • Chronic hypertension with superimposed preeclampsia: This health complication occurs in women with chronic hypertension before pregnancy. In this condition women develop deterioration high blood pressure and protein in the urineduring pregnancy.

Pregnancy and Opioids

Some women required medicines while they are pregnant. But consumption of most of the medicines are not safe during pregnancy. Many medicines create risks for you and for your baby.It can cause problems for you and your baby whiles you are pregnant, when you missed Opioids. Opioids sometimes known as narcotics are a type of drug. They include strong prescription pain relievers such as hydrocodone, oxycodone, tramadol and fentanyl. The illegal drug heroin is also an opioid.A doctor provider may give you a prescription Opioid to reduce pain caused due to a major injury or surgery. You also may be advised, if you have severe pain from health conditions like cancer. A doctor may prescribe them for chronic pain.

Prescription opioids used for pain relief are usually safe when prescribed by your doctor and taken for a short time. However, dependency and addiction of Opioid can have a potential risk. These risks usually increase when these medicines are misused. Misuse means you are taking someone else’s Opioids or you are not taking the medicines according to yourdoctor’s instructions or you are using high doses of it.

The possible risks of taking opioids during pregnancy?

Taking opioids during pregnancy can cause problems for you and your baby. The possible risks are:

  • Neonatal abstinence syndrome (NAS): Withdrawal symptoms (vomiting, diarrhea, irritability, seizures, fever, and poor feeding) in newborns baby.
  • Loss of the baby either miscarriage (before 20 weeks of pregnancy) or stillbirth (after 20 or more weeks).
  • Gastroschisis – A birth defect of the newborn child’s abdomen, where the intestines stick outside of the body through a hole beside the belly button.
  • Neural tube defects: Birth defects of the Spinal Cord, Brain or Spine.
  • Stunted growth: Which results in low birth weight.
  • Congenital heart defects: Health issues with the structure of the baby’s heart.

Some women require to take opioid pain medicine during her pregnancy’s days. You should first discuss the risks and benefits, if your doctor suggests that you need to take opioids during pregnancy. Then if you and your doctor both decide that you need to take the opioids, you should work together to try to minimize the risks. Some of the ways to minimize the risks are:

  • Consume these for the shortest time possible.
  • Taking as much as least dose that will help you.
  • Meet your doctor for all your follow-up appointments.
  • Contact your doctor as soon as possible if you have side effects.
  • Carefully following your doctor’s instructions for taking the medicines.

Treatments for opioid disorders in pregnancy

If you are pregnant and have an opioid use disorder, do not stop consumption of opioids suddenly. Consult your doctor so you can get help.The treatment for opioid use disorder is medication-assisted therapy (MAT). MAT includes counseling and medicine:

  • Medicine: Medicine can reduce your withdrawal and cravings symptoms. For pregnant women, doctors usually use either methadone or buprenorphine.
  • Counseling: It includes behavioral therapies, which can help you to build healthy life skills,help to change your attitudes and behaviors related to drug use and for getting useful prenatal care guidance.

 

Dr Shivani Sachdev Gour | Dr Shivani Sachdev Gour Reviews

How is infertility diagnosed in Female?

A woman should be evaluated for any suspected infertility if she is unable to get pregnant after having 12 months of regular and unprotected sexual intercourse. A health care provider will ask basic questions about women health history for exploring root causes of infertility during evaluating of a woman’s fertility health. These questions may include:

  • History of past pregnancies
  • History of irregular menstrual cycles
  • History of abnormal vaginal bleeding or discharge
  • Known or suspected problems with the tubes, uterus or other problems in the abdominal cavity
  • Prior miscarriage cases
  • If she has abnormal vaginal bleeding or discharge
  • If she has a history of previous pelvic surgery or pelvic infection
  • Known or suspected male infertility problems

The evaluation should include the male as well as female partners and should be performed in a focused way to find all relevant factors for infertility. The least invasive methods should be tried first. The following tests may be performed as part of the infertility evaluation:

Hysterosalpingogram (HSG):  A hysterosalpingogram (HSG) is a procedure that uses an X-ray to see if the fallopian tubes are open and to if the shape of the uterine cavity is normal. This procedure usually takes less than 5 minutes and you can go home the same day. This procedure usually has been performed after period but before the ovulation, since it’s less likely that pregnancy occurred during this time.

Transvaginal Ultrasonography: An ultrasound probe is inserted into the vagina that causes sound waves to bounce off organs inside the pelvis to check the uterus and ovaries for abnormalities such as fibroids and ovarian cysts. These sound waves form echoes that are sent to a computer which produces a picture called a sonogram. This test is also called transvaginal sonography and TVS.

Male Partner Semen Analysis: Semen analysis is an important part of the infertility evaluation, although it is obtained from the male partner. A semen analysis provides information about the shape, movement and number of the sperm. A semen analysis is still important even if the male partner has fathered a child before.

Other Blood Tests: Other blood tests can be useful to check prolactin and thyroid-stimulating hormone (TSH) and to identify thyroid disorders and hyperprolactinemia which may cause problems with fertility, repeated miscarriages and menstrual irregularities. A blood test done around day 23 of the woman’s menstrual cycle can identify the amount of a hormone known as progesterone. This test detects whether ovulation has occurred and whether the ovaries are producing normal amount progesterone.

Laparoscopy: Laparoscopy is a surgical diagnostic procedure in which a lighted telescope-like instrument (called laparoscope) is inserted through the wall of the abdomen into the pelvic cavity used to examine the organs inside the abdomen. Laparoscopy allows your doctor to view and analyze inside your body in real time, without open surgery. Your doctor also can receive biopsy samples during this procedure. Laparoscopy should not be the first option in the evaluation of a female patient, as it involved high potential surgical risk and cost. It may be recommended depending on the woman’s health conditions and the results of other tests. How IVF can be a big life changer?

How to Improve Female Fertility?

Many environmental and genetic factors can affect fertility in men and women. However, it is quite possible to improve fertility capability using various natural methods. By following below mentioned methods, a woman can increase their chance of getting pregnant and can able to set the stage for a healthier pregnancy:

Managing stress

Stress is normally bad for our health no matter the circumstance, but it can have an even deeper hampering effect if you’re trying to conceive. For many women, trying to get pregnant can be stressful and stress can further reduce fertility. Do your best to reduce and manage anxiety and tension. Stress level can be measured by alpha-amylase which is directly linked to stress. A study showed that women with higher alpha-amylase levels may have a lower chance of getting pregnant naturally.

Women can increase their fertility by engaging in stress reduction activities. It is suggested that, women who wisely manage their anxiety and depression have a higher chance of becoming pregnant than those who do not. You can also try relaxation techniques like yoga, acupuncture or meditation for managing stress level. Just like you include cooking dinner and walking the dog in your daily schedule, also include stress reducing activities a priority in this list.

Maintain a Healthy Diet and Weight

Antioxidants like zinc and folate can considerably improve fertility for both men and women. Include foods rich in antioxidants (vitamins C and E, folate, beta-carotene and lutein) in your diet like fruits, vegetables, nuts and grains. Including healthy fat in your diet is also important for boosting fertility.

You can keep your reproductive cycle in balance, by ensuring that you’re not overweight or underweight. Obesity can harm your health in many ways, for example it can intervene with your ovulation. But women who are substantially underweight also possess a higher risk of ovulation problems. Whether you trying to lose or gain weight, try to achieve a healthy body mass index (BMI) to help maintain normal ovulation. BMI range of 19 to 24 indicates a healthy weight. Anything below or above this range should be discussed with your health care provider. A medical researcher found that women whose BMI is in the overweight or obese category have a much harder time becoming mother.

Stop smoking and reduce alcohol consumption

Smoking tobacco can interrupt hormone levels in your body and cause menopause to occur at much earlier age. Some study shows that smoking decreases your supply of eggs and ages the ovaries. It also increases the risk of ectopic pregnancy and miscarriage and also harms your cervix and fallopian tubes. Frequent drinking before pregnancy is directly linked to ovulation disorders. While you’re pregnant or planning to become pregnant, it is highly recommended not to smoke and drink alcohol at all to keep risks to your baby to a minimum.

Practice safe sex

Having unprotected sex with multiple partners increases your chances of sexually transmitted diseases (STDs). These diseases can permanently damage your uterus and fallopian tubes. So try to avoid these practices. Surrogacy Vs Adoption

Ovulation Cycle Tracking

Ovulation cycle tracking is a simple procedure that can be helpful to recognize which days are most fertile to conceive. It is done by tracking women hormone cycle to predict when ovulation is probably going to occur.

The rise of hormones from pituitary gland known as “Luteinising Hormone”, trigger the ovulation. This generally occurs 24 hours before ovulation.

Your fertility specialist can detect this hormone surge by carrying out simple blood and ultrasound tests. The specialist then can able to advise you of the suitable time to have sex that will surely give you the best chance of conception. It doesn’t any medicines or invasive fertility treatments and it can provide the far better prediction than the home ovulation predication kits. This procedure only require the female partner needs to visit the clinic for cycle tracking, so there is no involvement of male partner during the procedure and they can remain stay at home.

Importance of sex timing for successful conception

If you’re trying to fall pregnant, the timing of when you and your partner have sex is critical as many couples get this wrong.

The timing of when you and your partner have sex is very much important when you’re trying to get pregnant, but many couples are not aware about this fact. Your menstrual cycle is the most fertile time which can results in the ovulation, before the egg is released from the ovary.

The egg can only survives for just 24 hours after ovulation, while sperm continue fertilizing capability for coming two to three days in the fallopian tubes. Due to this reason, the fertility specialist recommend couples to have sex every two days all around the female’s fertile window which can results in the successful ovulation, as the sperm are ready and waiting for the egg to fertilize when the female ovulates.

You are most likely to miss your fertile window and the opportunity for successful conception in a particular month if you are waiting trying to have sex at exactly the time of ovulation. Due to this fact, tools that help you to identify when you are going to ovulated are only useful to predict when you will possibly going to ovulate next month, assuming your cycles are regular.

Home ovulation kits Vs clinical ovulation tracking

You can identify more accurate and comprehensive overview of your cycle and general fertility possibility by undertaking a combination of ultrasounds and blood tests.

The most home ovulation tests that only measure the luteinising hormone (LH), but in Ovulation Cycle Tracking the specialist measure the quantity of progesterone, estrogen and LH present throughout cycle which enable them to expect ovulation earlier and use the ultrasounds can confirm that there are actually follicles developing.

Dr. Shivani Sachdev Gour (gynecologist and infertility specialist) can help you to conceive naturally with the help of Ovulation Cycle Tracking. She will provide you with professional expert advice regarding this procedure and identify any underlying problems as per your requirement. You can get a valuable advice from her at SCI Healthcare and SCI IVF Hospital and Multispecialty Center.

How Is ICSI Performed?

Intracytoplasmic Sperm Injection (ICSI) is a micromanipulation procedure involves the direct injection of a single sperm into an egg to attempt fertilization. It usually used with male infertility or patients with previous IVF failure. There are generally five simple steps are involved in ICSI procedure which include the following:

  • The mature egg has been collected in a specialized glass tube.
  • A hollow, very delicate and sharp needle is used to pick up and immobilize a single sperm.
  • With care, the needle is then inserted through the cytoplasm of the egg and shell of the egg.
  • The sperm is carefully injected into the cytoplasm and the needle is than removed.
  • Following day, the eggs are checked further for the sign and evidence of normal fertilization.

The embryo transfer process is followed to physically plant the embryo in the woman’s uterus, once the all steps of ICSI are completed and fertilization become successful. Then it is a event to wait and watch for early pregnancy symptoms. The doctor may use ultrasound reports or a blood test to verify if implantation and pregnancy has occurred successfully.

Risks associated with ICSI

There are also several risks associated with ICSI procedure. The first risk is that, during the ICSI procedure, as a result of the needle insertion a small number of eggs (approximately less than 5 percent) may be damaged. Second, the overall risk of having a baby with a chromosomal abnormality in the X or Y chromosomes is 0.8 percent (or eight per 1000) which is nearly four times the average found with spontaneous conception. At present, we are unable to figure out the exact reason for this increased risk. It is important to know the following problems can be involved with sex chromosome abnormalities:

  • There may be a requirement of surgery for affected infants with heart problems
  • Increased risk of miscarriage
  • Increased risk of learning disabilities or behavior abnormality
  • Increased risk of serious infertility issues in your children during their adulthood
  • The risk of having a chromosomal abnormality like Down’s syndrome is basically not increased with ICSI procedure but increases with maternal age.

If a successfully fertilization takes place, a women chance of giving birth to a single baby, twins, or triplets is the same if they have IVF with or without ICSI. Several studies have indicated the issue of developmental delays in children born with ICSI. But, there is no definitive proof that this is the case.

How successful is ICSI?

Chances of successful fertilization with this procedure vary between patients (particularly according to the age of the woman). Fertilization rates of nearly  80 percent of all eggs injected which is equivalent to fertilization with normal sperm are currently being achieved, and high pregnancy rates are seen with ICSI procedure for the couples suffering male factor infertility.

The most important indicator of ICSI success found to be the fertilization rate achieved during the ICSI procedure. The fertilization rate at SCI Healthcare and SCI IVF Hospital and Multi-specialty Center is exceptional high (currently 80 to 85 percent). This indicates, on average, eight out of every 10 eggs will fertilize in proper and normal way.