Patient Review Highlights
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
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 diseased uterus, which makes you infertile, you can undergo a procedure known as uterus transplant or uterine transplant to get pregnant. In the process of sexual reproduction, a diseased uterus does not allow embryonic implantation. This factor is referred to as uterine factor infertility or UFI. As a result, you will not be able to get pregnant.
Who requires a uterus transplant?
This procedure involves women who have UFI and women who had their uterus removed by hysterectomy. Women who have a damaged uterus on account of an injury or infection, which does not function anymore, can also undergo a uterus transplant procedure. Women from the age of 21 to 45 are eligible for this procedure. Many women are born without having a uterus. This condition is called Mayer-Rokitansky-Küster-Hauser syndrome.
Uterus transplantation begins with undertaking a uterus retrieval surgery on the uterus donor. The uterus, which is recovered has to be stored and transported to the location of the patient undergoing the transplant. An ischemic tolerance may last over 24 hours. Three major surgeries have to be carried out with the recipient. Firstly, a transplantation surgery is required in which the donor’s uterus gets transplanted. In case pregnancy develops, a caesarean section surgery has to be performed. The patient is given immune suppressive therapy. After childbirth, a hysterectomy is done in order to terminate the immune suppressive therapy.
Will the women be able to get pregnant after having sex?
Women receiving a uterus transplant will not be capable of becoming pregnant without undergoing fertility treatments. The transplanted uterus is not connected with the fallopian tubes, which is the location of the normal fertilisation process. The women will require to carry out IVF or in vitro fertilisation to become pregnant after a uterus transplant. IVF is a process in which the eggs are removed from the ovaries and get fertilised in a laboratory. Then, they are implanted in the uterus. After undergoing the uterus transplant procedure, a woman has to wait for a period of one year. The uterus requires time for healing and after recovery, the embryo may be implanted for pregnancy. After giving birth successfully, a woman will be able to keep the transplanted uterus.
She has the option to get pregnant again. However, after giving birth twice, a hysterectomy must be carried out for the removal of the uterus. This is done so that the woman can stop using the immune suppressant drugs, which are associated with major risks. Uterus transplant is a relatively new technology. In October 2014, the first healthy baby was born to a woman who had undergone a uterus transplant. This surgery is kind of experimental in nature and is usually the last option for getting pregnant. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Facing trouble conceiving? 3 Reasons you should consider IVF (In Vitro Fertilisation)
In vitro fertilization (IVF) is a medical procedure that side-steps the sexual act of conceiving and helps infertile couples, conceive a biological child. It involves the manual process of fertilization by combining an egg and sperm in the laboratory and then implanting the embryo into the female to impregnate her.
The inability to give birth through the natural way is caused due to complications like: blocked fallopian tubes, unexplained infertility, polycystic ovary syndrome or PCOS, endometriosis: where parts of the womb lining grow out of the womb, premature ovarian failure and so on.
If you or your partner is having trouble conceiving, you should opt for in vitro fertilization. It holds benefits like-
1. High success rates: Women who underwent in vitro fertilisation using fresh embryos of their own fresh eggs, the projected live birth percentage was 32.2% for those under 35 years, 27.7% for women aged between 35 and 37 years, lowering to 5.0% in 43 to 44 year olds and 1.9% for ages above 45. It has been proved that a female’s ability to conceive decreases with age. If infertility is detected at a younger age, the process of IVF is highly advantageous and successfully results in childbirth.
2. Proven track record: Technology has come a long way since the first baby via IVF Louise Brown was born in 1978 using a natural IVF. Medical techniques have advanced to create safer and successful treatment. The usage of the safest forms of IVF with low drug regimens today, have prevented side effects such as ovarian hyperstimulation syndrome (OHSS).
3. Harvests multiple eggs: If you are planning to have more than one child, via IVF you can freeze multiple eggs for future use. Unused or spare embryos can be donated to medical organisations for research purposes or to another couple willing to have a child.
IVF has proven successful in giving couples a wholesome and happy life.
I am six weeks pregnant I am 39 years old and have 2 kids wants to abort the child what medicines to be taken.
Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected sexual intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.
Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic Ovarian Syndrome, premature failure of the ovaries (a condition wherein a woman’s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.
Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.
Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.
Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.
Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman’s uterus in order to help her conceive) and Assisted reproductive technology consisting of IVF, which is the safest and the best.
Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.
Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one’s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.
I am pregnant for 8 weeks I am not getting vomit or vomiting sensation. I have heard when ppl have these feel their baby growth is good.
Maine 6 may ko sex kiya or sperm andar gaya ya nahi wo confirm nahi hai kyuki mera partner mere niche tha or uske penis bahar nikalte hi sara sperm bahar gir gaya or mera period 11 ya 12 tak har month me lag jata hai is baar avi tak nahi aaya mujhe kuch taklif v nahi ho rahi hai mere sarir me kuch hoga toh nahi koi kuch bataye.
4 myths on IVF you should stop believing right now
In-vitro fertilisation (IVF) is one of the popular Assisted Reproductive Technologies (ART) for treating infertility and helping couples to conceive. The process involves the fertilisation of the egg with the sperm in a laboratory and thereafter, inserting the embryo formed, into the uterus. But lack of understanding about the topic has given rise to a number of myths such as:
Myth 1: IVF increases your fertility levels
Instead of making you more fertile, IVF stops your natural fertility cycle. This is usually done through hormones that are taken at the beginning of the process. The aim of such an action is to essentially put an end to your natural fertility process and create in its place an artificial cycle.
Myth 2: IVF hormone injections make you prone to uncontrollable emotions
In actuality, IVF hormone injections don’t cause you to suffer from out of control emotions but make you happier. This is because they come packed with the female hormone oestrogen, which produce endorphins (brain chemicals) that give you a sense of wellbeing. The wave of emotions that you end up experiencing is a result of the stress and anxiety surrounding the success of a cycle.
Myth 3: IVF never fails but is always successful
The success of the procedure depends on a number of factors such as quality and quantity of embryos and age. It is said that chances of conception decreases with age, with women above 40 reporting reduced fertility potential as well as success rate. On the other hand, women below the age of 35 have about 41% chance of getting pregnant.
Myth 4: It causes you to have triplets or twins
No, it’s not necessary for multiple births to take place if you opt for IVF. You can reduce the prospect of having twins or triplets by cutting down on the number of embryos that get inserted into the uterus. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
In vitro fertilisation (IVF) has brought a lot of happiness to thousands of couples around the world. It has made the life of people who are looking to have a baby, but who are not able to conceive, a lot easier. That being said, there are some very crucial questions which need to be asked when a couple is taking into due account the possibility of going for IVF treatment.
Is it right for you?
When it comes to having a baby, couples should considergoing for IVF treatment, only if all other possible solutions have not panned out to render a beneficial result. Similarly, IVF treatment should be opted for after all other options on the table have been thoroughly reviewed to judge how effective they might be. Problems like a low sperm count can usually be remedied in other ways. The reason for this is that while it is true that IVF is, on the whole, a very safe process, the reason for caution of its use is due to the fact that among all the options available, it is surely the most invasive of the lot.
There are great chances of success when it comes to getting pregnant by making use of fertility medicine, clearing fallopian tubes which are blocked by undergoing a surgical procedure, etc. Another viable solution, depending on the case happens to be intrauterine insemination. With all these options, it can be said to be a little imprudent for a person to rush to register for IVF treatment.
While going through the IVF treatment cycle and hoping for a positive result,do not forget to think about what you are going to do if you have any embryos left over. This is referred to as ‘spare’embryos in the case of a successful current cycle. You may have to decide how many embryos to freeze. For many women, this leads to an ethical dilemma which can be tough to get through. To be able to avoid this, it is important for women to take their time and decide what is to be done with the spare embryos.
A woman who plans to go for IVF should also bear in mind that the entire process, which takes weeks, can be quite stressful, to say the least. She should be ready for it. This means that her physical state as well as her mental makeup should be conducive to the rough ride that IVF promises. If you wish to discuss about any specific problem, you can consult a gynaecologist.
An in-vitro fertilisation procedure carried out to counter the problem of male infertility is Intracytoplasmic sperm injection. Male infertility factors include poor quality of sperm, low sperm counts, poor sperm movement or the disability to penetrate an egg. Azoospermia is one such rare condition wherein there is no sperm in the semen. Through this injection, a single sperm can be injected into the egg directly. The fertilised egg is placed into the woman s uterus or the fallopian tubes. The first successful birth using this procedure was on January 1992 after the conception took place in April 1991.
Sperm can be collected from the male through masturbation. If this procedure somehow fails then sperm can be removed through a surgery. Using a small incision, sperm can be withdrawn from the testicle and is used in the procedure. If the ejaculation of sperm is prevented due to a blockage or if the problem arises in the development of the sperm, surgery method is used.
Injecting the sperm
This is performed through the following steps. A specialised pipette or a glass tube is used to hold the egg, a single sperm is picked with the help of a sharp and delicate needle, the needle is then inserted carefully into the cytoplasm of the egg through the egg shell, then the sperm gets injected into the cytoplasm and the eggs are checked to see whether they have been adequately fertilized.
After this process is done, eggs which are fertilised successfully are selected and placed into the uterus with the help of a catheter. The number of embryos an individual needs to transfer is determined depending on the age of the person and other health issues. For this purpose, a thorough full body check-up is carried out and the medical history is checked during the preliminary consultations.
Expectations from the treatment
The treatment of fertilisation using an Intracytoplasmic sperm injection can be demanding, both physically and mentally for the woman (mother). An individual has to go through regular shots and monitoring including blood tests. There are moments when the shots can be painful for the woman undergoing the procedure.
The reason behind the procedure
When a male is having severe infertility issues, the method of ICSI is helpful. There are times when very little sperm or no sperm ejaculation, the eggs can be fertilised through this procedure. Testing of an embryo for genetic problems is also accomplished through this procedure. When in vitro fertilisation or IVF does not work even after trying repeatedly, then couples can undergo the treatment using ICSI.
When ICSI is used along with better quality eggs, it is seen to be successful on many occasions. Especially for men who have sperm ejaculation issues. If you wish to discuss about any specific problem, you can consult a gynaecologist.
While you cannot cure breast diseases, family history and maturing, but there are some hazards or risks that you can control. Keeping in mind the fact that there is no certain approach to forestall breast cancer, there are things you can do that may bring down the hazard. Here are five approaches to ensure your breast's well-being:
- Watch your weight: Being overweight or hefty expands breast cancer chances. This is particularly true after menopause and for women who have put on weight as grown-ups. After menopause, the vast majority of your estrogen originates from fat tissue. Having more fat tissue can heighten your chances of getting breast cancer by raising the estrogen levels. Additionally, women who are overweight have a tendency to have more elevated amounts of insulin, than other hormones. Higher insulin levels have been associated with a few tumors, including breast cancer.
- Exercise routinely: Many reviews have found that exercise is the sign of having a healthy breast. Studies show that one to two hours of energetic walking each week, lessened a woman’s cancer risk by eighteen percent. Walking ten hours seven days decreased the hazard all the more.
- Constrain liquor: Women who have two to five mixed beverages every day have a higher danger of breast cancer than women who have just one drink a day or none . As much as three to six glasses of wine seven days have been found to somewhat increase breast cancer chances. It is not clear how or why liquor raises the hazard. In any case, constraining liquor is particularly essential for women who have other hazard variables for breast cancer, like, breast cancer running in their families.
- Restrain time spent sitting: Research has shown that sitting time, regardless of how much exercise you get when you are not sitting, increases the probability of growing cancer, particularly for women. Women who sit six hours or more a day outside of work have a ten percent more serious risk for breast cancer compared to the ladies who sit under three hours a day, and an increased hazard for other cancer types as well.
- Stay away from or confine hormone substitution treatment: Hormone Replacement Treatment (HRT) was utilized frequently in the past to control night sweats, hot flashes, and other troublesome manifestations of menopause. In any case, specialists now realize that postmenopausal ladies who take a blend of estrogen and progestin might probably create breast tumors or cancer. Breast cancer disease seems to come back within five years in the wake of ceasing the blend of hormones. Therefore, get a breast cancer test even if you feel a small lump. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Miscarriage is a spontaneous abortion that occurs around the first to second trimester of pregnancy; wherein the foetus is automatically expelled from the uterus due to its inability to survive because of environmental influences or chromosomal abnormalities.
Unless the miscarriage occurs due to a severe health issue, the fertility of the woman may not necessarily be compromised. Studies show that one miscarriage doesn’t predict the possibility of a future one. Once the bleeding and pain subside, it is the emotional trauma that must be addressed to begin with which poses a greater threat than the physical one.
The fertility of the woman remains unaltered and the body can be ready after the menstrual cycle returns to normal. However, it still requires some time for the woman to be physically and emotionally prepared to go through another pregnancy. The medical history and reasons behind miscarriage must be evaluated before the couple decides to try again.
Complications after miscarriage only occur if the woman is above 35 years of age or has a rather unhealthy lifestyle. The concept of fertility varies from person to person and it isn’t possible to pass a common judgement about fertility in this scenario.
The gynaecologist mostly suggests couple therapy after the trauma of the miscarriage. The psychological loss is given more importance before considering another attempt by most doctors. The fertility loss only occurs with age and unhealthy lifestyle and it is widely accepted and proven that a miscarriage has little or nothing to do with it.
Ways to Increase Fertility
If a couple is certain they are ready to conceive again, there are a few things a woman can do to help her chances of becoming pregnant-
- The first thing to do is to stop any unhealthy habits. These include smoking, drug use, or alcohol abuse. It’s reported that high consumption levels of caffeine are detrimental to conception so that should also be limited.
- Eliminating stress can also help. Eliminating stress is one of the most important factors in having a successful pregnancy. So, it makes sense that getting over-stressed can reduce fertility levels.
- Eat healthy. If depression was experienced due to the miscarriage, it’s possible that the woman’s diet has not been the healthiest. It’s common for women who have experienced a miscarriage to have a loss of appetite and not eat enough or to eat out of sorrow, eating too much. More attention should be paid to the diet and more healthy foods added to meals.
Talk to a Doctor
If a couple is having issues with fertility after early miscarriage, they should talk to a doctor. There are many options available. More than likely, the first thing the doctor will do is to test fertility levels of both the man and the woman. If you don't want to visit a doctor for this, there is a new at-home kit available called Fertell. This test, retailing for approximately $100, measures fertility levels for both a man and a woman.
If it is found that there is a loss of fertility after early miscarriage, fertility drugs or therapies may be prescribed for a period of time.
The doctor may report that there are no issues with fertility. At this point, it would be a good idea to use an ovulation predictor in order to time effective intercourse. This isn't the most romantic idea, but it may well be one of the most logical ways for a couple to conceive.
Fertility is not normally decreased after miscarriage. A woman's fertility levels return to normal as soon as her menstrual cycle returns. Fertility may be decreased due to emotional issues as a result of the miscarriage. However, if a couple is ready, both physically and emotionally, there should be no physiological hindrances to conception.
The decision to try again is not an easy one. However, fertility won't typically be an issue.
A woman is an extraordinary and beautiful creation of nature, and it is natural that she would want to see herself as perfect and complete. And, staying sexually attractive is one of the major factors that motivate a woman to seek the benefits of Cosmetic Gynaecology. Cosmetic Gynaecology or Intimate Aesthetic Surgery covers procedures which alter the appearance of female external genitalia and make it seem more natural and youthful. These methods, aid in correcting congenital defects, enhances the self Confidence of a woman, and positively affects the intimacy she shares with her partner.
With age and life events like childbirth, the vagina and labia often change in appearance and structure, which not only hampers the feeling of self-worth in a woman, but also prevents her from enjoying sexual activities completely and Cosmetic Gynaecology emerges as the savior in such situations.
Here are some procedures, which are here to help the fairer sex rediscover the beauty of their body:
- Vaginal rejuvenation: With the help of laser technique, this process helps in tightening the internal diameter of the vagina, when it gets stretched during birth or owing to genetic factors.
- Labiaplasty: Through this method, the contours of the labia majora or labia minora are changed. It may cover reconstruction, augmentation or reduction.
- Hymenoplasty: It is done to create a pseudo hymenal membrane from hymenal tissue, which already exists or non-hymenal soft tissue. The intention is to cause bleeding when the membrane tears during intercourse.
- Clitoroplasty: This procedure deals with the surgical transformation of the clitoris, which caters to conditions involving increased tissue volume. It can also aid in creating clitoris in transgender women.
- Clitoral hood reduction: The method is focused on the loose skin around the clitoris, and can be conducted during labiaplasty or as a separate procedure.
- Monsplasty: The contours of the Mons pubis can be changed through this process. It involves liposuction for the reduction of excess fat, subcutaneous fat, as well as skin. Often, techniques like laser and ultrasound are used during monsplasty.
- Perineoplasty: Repairing and restoration of the loose, ageing or injured perineum is taken care of through this method. Perineum is the area between the vagina opening and the rectum. And this procedure is usually helpful for women who don't heal efficiently after a vaginal delivery or experience scars.
So if you are worried about the structure or appearance of your intimate area, don't fret. If you wish to discuss about any specific problem, you can consult a doctor.