Doctors in Indian IVF
Patient Review Highlights
The pre menstrual synDrome treatment for pre menstrual synDrome has helped me greatly and now I am perfectly fine. One of my colleague referred Savita Gupta. They took very nice care of me, i never felt that I am in a Pribbgom Test Tube Baby Center & Infertility Hospital. Savita Gupta certainly knows the in and out of her speciality. Pribbgom Test Tube Baby Center & Infertility Hospital had all the amenities, a patient requires. Due to my pre menstrual synDrome i was feeling very depressed and had no hope. She is a very practical doctor.
i needed a treatment for painfull periods. Our family physician personally recommended Dr Savita Gupta. I'am almost on the path to recovery, Thanks to her perfect advice. With great ease Savita Gupta explained us the problem and how the treatment will be carried out. Even in case of emergency, the staff is always willing to help. My previous experiences were not so good, but she has completely changed my opinion as she is very helpful and humble.
I have had this stomach pain from quite some time. My previous experiences were not so good, but Dr Savita Gupta has completely changed my opinion as she is very helpful and humble. I was quite depressed due to my condition, but she guided me to change my attitude. She definitely is aware about the latest and advanced ways to treat serious cases. The friendliness of staff is the best in the Pribbgom Hospital.
I was shocked to experience gynae problems. It was an amazing experience as everyone in the Pribbgom Hospital is so nice. Never once that I felt that she is getting impatient, rather she has always responded to my each and every doubt with immense patience. Someone from the office, referred us that Savita Gupta. Savita Gupta has in depth knowledge and ensures that she explains the problem in detail.
Even though I was fit and fine, it was shock when I got to know that I have Adenomyosis.dr Savita Gupta certainly knows the in and out of her speciality.The clinic is designed in such a way that every patient feels at ease. Her clinic is at Pribbgom Test Tube Baby Center & Infertility Hospital in delhi . she did a very nice and resulting treatment for the same.
I was panicked, because I never thought I will suffer from adenomyosis like this.dr Savita Gupta with great ease handled my serious case with ease and gave me Adenomyosis Treatment .I must say the hygiene was maintained very nicely in the Pribbgom Test Tube Baby Center & Infertility Hospital in Delhi.I owe Her a big thanks for making me fine again.
for the purpose of childbirth education we visited Dr. savita Gupta. she is so pleasant to talk to and always ready to answer your doubts. the nurses at the Pribbgom Test Tube Baby Center & Infertility Hospital in Alwar were really helpful. Savita Gupta has expert knowledge in the field.
dr Savita Gupta of Pribbgom Test Tube Baby Center & Infertility Hospital in Delhi does wonders. I consulted her for treatments to avoid pregnancy. I am very benefitted with her treatment. I am happy that I chose her for my treatment.
During my pregnancy dr Savita Gupta did my antenatal Checkups at her clinic Pribbgom Test Tube Baby Center & Infertility Hospital at delhi. The guidance she gave me has helped me immensely with my pregnancy. .Thanks to her.
I found the answers provided by the Dr. Savita Gupta to be very helpful. Helpme plz...im goin into depression
I found the answers provided by the Dr. Savita Gupta to be very helpful. Thnx
Many women develop uterine fibroids by the time they hit the age of 50 years and above. These are non-cancerous growths that may occur in the uterus. Most women go through severe bleeding and pain as well as discomfort as a result of these fibroids. Age, family history of the same condition, obesity or being overweight, eating habits and even ethnicity play a large role in deciding the risk of each individual patient. These fibroids can grow in the submucosal, intramural and subserosal areas.
Following are the common side effects of uterine fibroids:
- Frequent urination: Due to the pressure of the fibroids on the uterus, the patient may experience a constant feeling of fullness in the lower pelvic area of the body, which may lead to frequent filling of the bladder. This gives rise to frequent trips to the washroom for urination.
- Heavy Bleeding: Severe bleeding is one of the most common causes of the presence of these kinds of fibroids. The patient may experience a lot of bleeding during menstrual periods, as well as pain and cramps the rest of the time. The periods will also be very painful when there are fibroids in the uterus or the uterine lining.
- Painful Intercourse: It is a well-known fact that any kind of infection or growth as well as sores and other such ailments can lead to vaginal dryness as well as pain during sexual intercourse. This is true for uterine fibroids as well, which can lead to severe pain during sexual activity. These fibroids can also give rise to pain in the lumbar or lower back region.
- Abdomen Swelling: The abdomen may go through significant swelling in such a condition and the patient may even look like she is pregnant. The growth can push the shape of the abdomen outwards and create a full feeling.
- Pregnancy Complications: The presence of uterine fibroids can give rise to several complications during pregnancy and even after child birth. One of the most common problems in this case is bleeding, followed by more severe outcomes like miscarriage. The women suffering from uterine fibroids are at greater risk of undergoing a caesarean section for the delivery of the baby. The baby may also be born breech and a premature delivery may take place.
- Infertility: This is also a rare side effect of the uterine fibroids and is generally seen only in very severe cases.
- Cancer: Only one in every 1000 cases might transform into malignant tumours. These uterine fibroids are generally known to be non-malignant.
Any symptoms must be reported to a gynaecologist at the earliest to avoid any serious complications.
A rising number of teenage girls in the country are getting affected with Poly Cystic Ovarian Disease or PCOD. Though an advanced menarche has become very rampant these days, there are many young women who are suffering from a delay in menarche, which in turn is leading to PCOD as opined by gynaecologists. Obesity and sedentary lifestyle among young people have caused a rapid doubling of PCOD cases in the past five to eight years.
Occurrence and Symptoms:
- Gynaecologists report that they get at least 15 fresh instances of PCOD cases and a considerable number of teenagers aged 16-17 are not getting their menarche.
- Such patients are recommended to take a strictly balanced diet, which will help them to lose weight. Initially, their mothers think that they would experience their menarche in proper time, but some girls are diagnosed with PCOD when taken to a family gynaecologist.
- Even worse, they could never imagine that their obesity can pave the way for such a grave health issue.
- PCOD can cause numerous other problems like delayed and irregular menses, rapid weight gain and tremendous difficulty in losing weight, developing acne and blocked skin pores.
- Furthermore, it leads to thinning of hair and excessive growth of hair on chest, back and face. Infertility, continual miscarriage, high blood pressure and high blood sugar are also common with PCOD.
Help yourself with the right diet:
There is no proven evidence regarding the cause of PCOD though gynaecologists are of the opinion that some females possess a predisposition to this disease and it may run hereditarily in the family.
- You can alleviate your PCOD symptoms to a considerable extent by regulating your diet properly.
- Have loads of fruits and green leafy vegetables and try to abstain from dairy products as many experts believe that dairy products are a direct cause of an increase in insulin levels, which can aggravate skin troubles along with other PCOD symptoms.
- Avoiding red meat and eating lean meat instead will help the condition and reduce the chances of infertility.
- It is always recommended to avoid hydrogenated and saturated fats, which are normally found in animal and dairy-based food.
- Try to put a stop to cheese, cottage cheese, clarified butter, pork, lamb, beef, etc. and certain baked products like cookies, cakes and fudges as they will trigger a rise in your blood sugar and cholesterol levels.
PCOD is such a condition, which you can never afford to overlook. If you had been facing any of the common symptoms, then it is probably time to pay a visit to a responsive gynaecologist. In case you have a concern or query you can always consult an expert & get answers to your questions!
Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time.
Here is everything you need to know about this ailment:
Symptoms: Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period.
Stages: There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.
- Minimal Stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
- Mild Stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
- Moderate Stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
- Severe Stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.
Treatment: There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone, Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases.
A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed.
One must discuss all risks and complications before going in for a certain form of treatment for this ailment
The uterus is a very important organ within the human reproductive system as this is the chamber where an embryo grows into a baby. Due to a multitude of factors, the incidence of uterine cancer has been on the rise. Let's look at some of its symptoms.
Symptoms of uterine cancer: When cells within the uterus grow abnormally and turn malignant, it may be termed as uterine cancer. This may be in the form of a fibroid or tumor or be part of the uterine tissue itself. It may be caused due to a multitude of factors such as late menopause, radiation exposure, estrogentreatments and many others. Some of the common symptoms for uterine cancer could be:
- Pain in the abdomen, lower back and especially the pelvic area.
- Pain during urination,
- Weight loss without any apparent reason
- Vaginal bleeding with or without discharge
- Pain during sex
Stages of uterine cancer: Before we understand the stages of uterine cancer you need to know how doctors diagnose the various stages. This is done by the three following steps in the TNM method:
- Tumor: Doctors try and search for tumors and locate them within the uterus, estimate its size and whether it is malignant or not.
- Node: If the tumor is malignant, then doctors try to find out whether the tumor has reached the lymph nodes or not.
- Metastasis: Doctors look for Metastasis, which is whether the cancer has spread to other organs within the body and to what extent.
Stages of cancer: Cancer is primarily grouped in five stages from 0 to V according to the T, N and M stages mentioned below.
- Stage 0 - This is a very early stage of cancer where the cells have malignant growth but are still small in number and haven't spread anywhere.
- Stage I - If the cancer has developed a little, but is restricted within the uterus, it is considered as stage one. This is also further divided into Stage 1A and 1B.
- Stage II - When the cancer has started spreading, but only to some parts of the cervix from the uterus, it is diagnosed as stage 2 uterine cancer.
- Stage III - Categorized into Stage IIIA, Stage IIIB, Stage IIIC1 and Stage IIIC2, it is primarily where the cancer has spread to other organs, but it is only limited to the pelvic area.
- Stage IV A - When the cancer has gone beyond the pelvic area and also spread to the rectum and bladder area.
- Stage IV B - This is where the cancer has metastasized in the groin area or gone to other organs within the body as well.
I am 37 weeks pregnant my baby growth inside the uterus is less what precautions should I take to gain weight of my baby and whether the less weight will cause any effect during labour please help me out from this issue.
Sir I am addicted to ejaculation of semen daily My age is just 20, whether I may infertile after few years say after marriage may be 7 years.
In vitro fertilization or IVF is an assisted reproductive technique in which an egg and a sperm are fertilized in a petri dish in a lab and then the embryo is transferred into the mother’s womb, where it develops normally into a baby.
In most cases of IVF, the eggs used are of the real mother’s. But in some cases, this can’t be done. This is where IVF using donated eggs comes in.
IVF using donated eggs is recommended if:
You have had your ovaries removed
Post cancer treatment which has damaged your ovaries
You are over 45
You only produce few or low-quality eggs
You have tried using fertility drugs or IVF unsuccessfully
Post recurrent miscarriages
You have a serious genetic disorder.
How is IVF using donated eggs done?
It’s simple, the egg is provided not by the would-be mother of the child, but by a donor. The donor can be an unknown woman, a friend or a family member. If you decide to use donor eggs from an anonymous donor, you can find one using a fertility clinic, an egg bank where eggs taken from donors are frozen, or an egg donation agency. Just like in a sperm bank, you will also be able to choose the egg donor using usually data regarding physical characteristics, IQ, ethnicity, educational and economic backgrounds, and occupation.
Eggs used in IVF can be frozen ones or used from fresh donors. In egg banks, egg donors are usually healthy young women below the age of 35 donate their eggs after stringent screening and the harvested eggs are frozen for subsequent use, a procedure that happens in sperm banks regularly. Many fertility clinics have their own egg banks.
However, quite a few fertility clinics still provide fresh or non-frozen donor eggs for IVFS treatment. Both men and women desirous of having a baby can use IVF using donor eggs.
How it’s done?
In this the reproductive cycles of both you and the egg donor are synced using medicines. The eggs produced and used are taken straight away for fertilization with a sperm using IVF. You are simultaneously given medication to prepare your womb for an embryo transfer. The embryos produced will be transferred to your womb as in conventional IVF. No more than two embryos need to be transferred here.
Sometimes, the donor eggs are used to produce embryos which are frozen and then transferred into your womb. This is a much less stressful way of treatment. Sometimes, another technique called GIFT is used. Here the donor eggs and sperm are transferred together into your womb before fertilization takes place.
Doctors will check if your sperm is healthy. Then he or she will use them for IVF with a donor egg and the resultant embryo will be transferred into a surrogate mother’s womb.
If you want discuss any other problem, Consult an IVF Specialist.
The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.
There are a few important factors that contribute to the success or failure of the embryo implantation and some of them are:
- Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
- Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
- Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.
Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
At times being able to conceive becomes a challenge due to certain biological reasons. Feeling positive and eating healthy naturally takes you a step nearer to getting pregnant. In case of no medical condition acting as an obstruction, consuming the right food can increase your chances of getting pregnant.
Here’s a list of supplements you can include in your diet to maximise your chances of getting pregnant.
1. Choose whole grains over refined carbohydrates: Reducing the intake of refined carbohydrates (found in milk, potatoes, corn to name a few) can reduce inflammation of the genitals, which will help increase fertility. You can still continue to have your favourite foods, but ensure they are low GI (glycaemic index- a figure used to represent the ability of carbohydrate to increase glucose in blood) carbohydrates.
You can consume whole grains, which help in reducing insulin levels that in turn reduce the risk of heart diseases and diabetes and also help lower cholesterol levels. Try having whole grain bread instead of white bread and porridge instead of sugary processed cereals to reduce your GI ingestion.
2. Harness the power of Proteins: Proteins are an important part of your diet and the type of proteins you require careful consideration as they help make new hormones. Try having 25gms of vegetable protein like seeds, legumes and nuts instead of animal protein.
Add dairy foods to your diet as they are also a rich source of protein. They provide vital minerals and nutrients like magnesium, calcium and vitamin B12 to the body and at the same time are low in calories. Include milk, yoghurt and cottage cheese to your meals so that you have a minimum of three servings of dairy products a day, which is essential to meet your nutritional needs and increase your chances of having a baby.
3. Welcome Good Fats: Processed foods, fatty meats and takeaways are high in saturated fats including trans fats. These lead to inflammation and an increase of oxygen free radicals in the body, which decrease fertility. So, incorporate good fats in your diet in controlled quantities. Try having avocado and tomato on a whole grain toast, for instance.
4. Make folate an integral part of your diet: Folate is an essential nutrient that helps in decreasing the incidence of birth defects in babies, while ensuring a healthy conception. Along with the prescribed supplements, try to increase its intake in its natural form. The best way to do this is by having green leafy vegetables, which are a rich source of folate. You can also have veggie sticks and vegetable soup along or green vegetable dishes to increase your folate intake. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
In case the fertility odds are against your favour, you can undergo a procedure called IVF or in vitro fertilisation. It is a form of fertility treatment in which the sperms and eggs are combined in a laboratory. IVF is a very common fertility treatment procedure, involving modern technology. It is carried out by many women and couples worldwide. When you are facing ovulation problems and issues with the quality of eggs, have blocked fallopian tubes or if your male partner has a low sperm count, a sperm donor’s eggs are used via IVF to become pregnant.
The overall process of IVF involves several methods and steps:
- Ovarian stimulation: You will have to take a fertility drug called gonadotrophin eight to fourteen days before the beginning of your menstrual cycle. This will help to stimulate your ovaries for the development of multiple, mature eggs for fertilisation. You will also be given synthetic hormones like cetrorelix and leuprolide.
- Development of follicle: You should be visiting your doctor frequently while having the medicines for a check-up of your blood hormone levels. Your ovaries will also be measured using ultrasound. This will allow the doctor to monitor the follicle development.
- Trigger shot: You will be given a trigger shot injection when the follicles are prepared. This injection leads to full maturation of the eggs, making them ready for fertilisation. The eggs require a period of 36 hours for retrieval after receiving the trigger shot.
- Gathering of the eggs: An anesthetic will be given to you and an ultrasound probe will be inserted via your vagina for observation of the ovaries and follicles. A thin needle will be inserted through the vaginal wall with which the eggs are removed from the follicles.
- Fertilisation: The eggs will be observed one final time before being combined with your partner’s sperm. Then they will be incubated overnight. Fertilisation occurs during this period and the abnormal eggs do not get fertilised. Three days after the egg retrieval, some of the successfully fertilised eggs transform into embryos composed of six to ten cells. Within five days, some of these embryos turn into blastocysts composed of fluid-filled cavities and tissue. This separates into the baby and the placenta. The most viable embryos are placed in your uterus. One to five embryos are placed in your uterus by the insertion of a catheter through the cervix. The embryo implants itself to the uterus walls. Gradually, it develops into the baby. The chances of pregnancy are higher when there are multiple embryos.
Before thinking of undergoing IVF, you must consult a doctor to know about the entire process. You also need to know whether you are fit to undergo IVF as there are several criteria you should satisfy for IVF.
In case you have a concern or query you can always consult an expert & get answers to your questions!