ICSI is very similar to conventional IVF in that gametes (eggs and sperm) are collected from each partner. The difference between the two procedures is the method of achieving fertilisation. In conventional IVF, the eggs and sperm are mixed together in a dish and the sperm fertilises the egg 'naturally'.read more
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Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Management of Surrogacy
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I've had a great experience with Dr. Shweta Goswami. Due to various gynaecological problems l couldn't conceive even after various treatments hence opted for surrogacy and visited her at Bournhall Clinic. We received all sorts of possible help from her and our experience was outstanding in every way. The IVF was successful the very first time and now I'm a proud mother of a 1 year old son. Dr. Shweta is just amazing. She kept constant rapport with us through out the procedure though it wasn't necessary and even efter my baby was born. I'm really grateful to her.
Many people gave very positive feedback for Dr Shweta Goswami. Thanks to her I am much better now. She definitely is aware about the latest and advanced ways to treat serious cases. The Max Hospital Gurgaon is designed in such a manner that all requirements of patients are taken care of. Even though it's been more than a year, still if I sometimes feel pain and call her, and Shweta Goswami still takes my call in case of any emergency. shhe helped me with my polycystic ovary synDrome.
I am amazed that Dr Shweta Goswami is such a sweet doctor, even though she is so busy all the time. The best thing about her is that she prescribes limited no. of medicines. I was diagnosed with fertilization. The overall atmosphere in the Max Hospital Gurgaon is very soothing. I was quite concerned, as my health was degrading day by day, but due to my Shweta Goswami , I didn't lose hope.The fertilization treatment given by her was very effective.
I have had an experience with several IVF specialist , and so far I have not come across anyone so understanding and committed to me. Its like Dr Shweta feels the pain of all the patients visit her, unlike other doctors she takes the pain of replying to your queries taking personal call. You know the doctor is good when she remembers you a year after the procedure. I am not going to any more doctors after her. I completely trust her judgement.
Thanks to Dr Shweta for the perfect advice as I was not able to conceive. I was quite depressed due to this problm. The doctor gave me perfect guidance and prescription which helped me deal with my situation. The complete process of the treatment was so painless and quick, and i am so relieved that I chose to consult her.
One of my cousin's referred to Shweta Goswami. she did my treatment for infertility. She is not just friendly, but also is very motivating. Shweta Goswami has amazing knowledge. Even in case of emergency, the staff is always willing to help. Max Hospital Gurgaon had all the amenities, a patient requires.
Even though I was fit and fine, it was shocked when I got to know that I have problem of infertility. Max Hospital in Gurgaon can handle all types of emergency cases. Thanks to the expert care and guidance by Dr Shweta, I feel much better than before. She is very talented and seasoned doctor.
Me and my wife were not able to conceive . When we consulted Dr Shweta Goswami, She told us about Embryo Donor program due to which we now ahve a beautiful daughter. I thank the doctor for helping us . She actually helped alot , she made our dream come true.
Dr. Shweta Goswami provides answers that are very helpful. Thnkyou so much ma'am... Caberlin 0.5 has been prescribed .. is it not gud for prolactin control?
Dr Shweta is a very understanding person, extremely patient n very positive. She is very ethical n professional at the same time.
Dr shweta... U r the one who brought little pari in our life n made me nanu!!!!!!! Can't thank u enough..
Megha Balecha Arora
I found the answers provided by the Dr. Shweta Goswami to be knowledgeable. helpful to solve my problem
She is an excellent doctor and very nice person.... We will always be thankful to her....
Dr. Shweta Goswami provides answers that are very helpful. Thanks so much
Doctors don’t know exactly what causes PCOS. They believe that high levels of male hormones prevent the ovaries from producing hormones and making eggs normally.Treatment for PCOS usually starts with lifestyle changes like weight loss, diet, and exercise.
As the cost of IVF declines and as treatment cycles become more easily tolerated, persistence in IVF can lead to successful pregnancy for a large proportion of couples. However success rate chances are around 60-65% usually in the same.
ICSI is very similar to conventional IVF in that gametes (eggs and sperm) are collected from each partner. The difference between the two procedures is the method of achieving fertilisation. In conventional IVF, the eggs and sperm are mixed together in a dish and the sperm fertilises the egg 'naturally'.
Blastocyst culture and transfer is a technique developed for in vitro fertilization (IVF). This procedure intends to maximize pregnancy rates while minimizing the risk of multiple pregnancies.
If you have been trying to get pregnant for years without success, then maybe it is time to take help from technology. The IVF technology is a process where the sperm and eggs are fused outside the human body and then inserted into the uterus. Many times, it all about getting the right start and if this process can be accomplished manually by technicians to help you get pregnant, then you should pursue this option aggressively. The process of IVF itself is not complicated but the factors surrounding the problem or issue with the couple can complicate things and therefore the results vary for different people.
The four stages of the process:
- Ovulation Induction: Ovulation induction is a procedure that uses medication to increase the number of eggs ovulated per cycle, which may improve the chances of pregnancy. Every patient taking these medications will be monitored closely (during the clinic’s cycle monitoring hours) over a 2 – 3 week period of time, via ultrasounds and blood tests, to determine their response to the treatment.
This will increase the chances of getting pregnant.
- Egg Retrieval: This is the critical stage when the egg is retrieved. Here, most patients are given pain medication to help with the discomfort. A thin needle is used to retrieve the fluid from the follicles of the upper vaginal wall. A gentle suction is used to accomplish this. The egg is then isolated from the fluid so drawn and this egg is placed in a culture dish along with important nutrients. This is eventually transferred to an incubator,
- Fertilization: This is another vital stage as the egg is fused with the sperm in this stage. Here, the sperm from your partner or a donor is used. Generally, the most active sperm is picked and it is fused with the egg in a special chamber. While sometimes it is directly inserted into the egg, at other times it is just mixed in. This is left in an incubator and is constantly monitored to ensure that a healthy embryo develops from this.
- Implantation: This is the final stage of the process where the embryo needs to be transferred to the uterus. Here, the best embryo’s or the ones that have the best chance of survival will be picked and transferred through a speculum. A small plastic tube which is placed in the cervix is used to transfer the embryo. Once this process has been completed, generally at least 24 hours of bed rest is advised.
Such a controlled environment can significantly increase your chances of becoming pregnant. In case you have a concern or query you can always consult an expert & get answers to your questions!
Every woman is born with a finite number of viable eggs that can be fertilized. At puberty, most women have 2,50,000-5,00,000 viable eggs available. With age, the number of eggs available decreases. By the time a woman reaches her thirties, the number of viable eggs available can reduce to 27,000. The quality of these eggs also reduces considerably. This is known as a low ovarian reserve or diminished ovarian reserve. In many cases, though the number of viable eggs may reduce, the ovaries may still function normally. A low ovarian reserve can make it difficult for the woman to become a mother.
A low ovarian reserve is caused mainly by advancing age. However, the speed at which the quantity and quality of eggs deteriorate can be influenced by certain factors. These factors include:
- Genetic abnormalities
- Radiation treatment such as treatment for cancer
- Surgery on the ovaries such as surgery for endometriosis
In some cases, no clear trigger may be identifiable. There is no way to stop the deterioration of eggs but this does not necessarily mean that the woman will not be able to have a family. Women with low ovarian reserves who want to conceive can be aided through assisted reproductive technology. This includes:
Modern medical technology has found ways for a woman to preserve her eggs. This involves harvesting the eggs from her ovaries and freezing them until they are needed. The best time for a woman to do this is while she is young and has a richer ovarian reserve.
Sometimes by the time low ovarian reserve is diagnosed, it may already be too late for the woman to freeze her eggs. In such cases, the doctor may advise ovarian superovulation. This can be described as an aggressive form of inducing ovulation. The treatment involves injecting the woman with hormones to induce the ovulation of multiple eggs at a time. These eggs are then harvested and can be preserved for later use or used for an IVF cycle.
Pregnancy with donor eggs
Using a donor egg is the last course of treatment for women with low ovarian reserves. In such cases, the donor egg will be fertilized by the woman’s partner’s sperm cells. The fertilized embryo will then be implanted in the patient’s uterus. The baby born will not have the patient’s genes but she will get the opportunity to carry her pregnancy to full term and give birth.
Therefore, it is best to visit an IVF specialist as soon as possible to avoid complication caused due to age.
There are many different modes of contraception available to women today. Tubal ligation is considered the most effective amongst these. This involves permanently blocking the fallopian tubes by clipping, cutting or burning them. The only downside to this form of contraception is its permanence. Conceiving a child after tubal ligat ion is difficult but not impossible. The two modes of treatment available to women who have undergone this procedure are tubal ligation reversal and IVF.
As the name suggests, a tubal ligation reversal procedure reconnects the fallopian tubes. This procedure involves making a 10-15cm incision in the lower abdomen. Tiny stitches are then used to reconnect the two blocked ends of the fallopian tubes. This procedure is usually performed while the patient is under general anaesthesia and could involve a few days hospital stay. A tubal ligation reversal procedure can also be performed as a keyhole procedure. This procedure gives a woman a chance to conceive naturally. The younger the woman is, the higher are her chances of conception after this procedure. In the case of patients over the age of 40 years, the chances of a successful conception after this procedure are very slim.
IVF or In vitro fertilization involves harvesting the eggs from the patient’s ovaries, fertilizing them in a lab and then reintroducing the embryo into the patient’s uterus. When it comes to assisted reproductive therapy, IVF is more successful than a reverse tubal ligation. Another advantage of IVF over reverse tubal ligation is the fact that with IVF the woman will still have an efficient form of birth control even after the pregnancy. IVF also does not need any hospitalization. One of the downsides of a reverse tubal ligation is the high risk of a tubal ectopic pregnancy. In this case, the fertilized egg is implanted outside the uterus. This type of pregnancy cannot usually be taken to full term and can be life-threatening for the woman.
On the flip side, IVF can often need repeat cycles which often works out to be quite expensive. These costs can be an issue for a woman who wants more than one child. In the case of reverse tubal ligation, the costs are a one-time investment.
One of the other common side effects of IVF is multiple pregnancy. For women who do not want more than one child, this can again be a problem. Thus, both forms of treatment have their advantages and disadvantages.
IVF or In Vitro Fertilization is a form of technology that aids in assisted reproduction. While more people are turning towards this technology because of the results that they promise, not everyone sees the same results. If you look at the process, it seems quite simple. Here, a sperm and an egg are manually combined outside the body and then inserted into the uterus. It is almost impossible to accurately gauge how effective will this procedure prove to be for you, but there are factors that can affect the outcome of such a procedure-
- Age: The older you get the tougher it is to get the right outcome but it is not right to judge the success rate based on this factor alone. Age should be used as a factor only in conjunction with other factors or problems that you may be experiencing. Over the years, the age factor has steadily risen and this is thanks to the technology getting better. So, the technology is capable of helping you get pregnant and age should not restrict you.
- Earlier Pregnancies: If you have had successful pregnancies earlier, and have carried a baby to term, then the chances are quite high for a successful IVF procedure. However, on the other hand, failed pregnancies or miscarriages can reduce the chances of a successful IVF but you should not rule out IVF automatically as well.
- Fertility Problems: There are several common problems such as uterine abnormalities, fibroid tumors, ovarian dysfunction, length of time being infertile which can be treated quite effectively using the IVF technology. While statistically it is commonly seen that when people struggle with infertility issues over a period, the technology is progressively getting better and therefore each individual situation or problem should be carefully assessed before coming to a conclusion one way or the other.
- Lifestyle: One of the biggest problems that women of this generation face are lifestyle issues. So, issues such as obesity, smoking or excessive drinking can severely affect your chances of becoming pregnant. While smoking can age your ovaries much quicker, obesity can affect your menstrual cycle and ovulation. Smokers will need more cycles of IVF to be successful while being obese can also make it difficult for you to carry a baby to term.
- Clinic and the doctors: There are several fertility clinics and you should pay close attention to some things such as the experience of the doctors in the clinic, their success rates over the years and the types of patients they accept.
Getting pregnant through this technology can be stressful. So, look for the best clinic and professionals to better your chances of success! In case you have a concern or query you can always consult an expert & get answers to your questions!
My wife has pcod, her period is not regular, duration 1 to 3 days, she is used medicine obimet sr 1 mg, ecosprin 75, come 100, we are trying to conceive last 6 month but not success yet, her amh is 2.8, can she conceive naturally or we are thinking else. Please suggest us. Period follow is not normal.
Issues with conception and long periods of trying to have a baby without much success do take a toll on couples. Apart from buying several fertility and pregnancy tests, the overbearing thought of infertility treatments and their expenses can also be quite stressful for a couple. While the concept of stress and how it affects each individual may be different, the one commonality is that it does affect every couple that undertakes this journey. There have been enough studies about stress affecting the results of an IVF and there seems to be some agreement that stress does not affect the outcome one way or the other.
- Overall well-being: Stress is definitely a problem for our overall well-being but there is little to worry when it comes to the success of your IVF cycle. Well, thanks to that there is one less thing to worry about. Since there are quite a few things you worry about once a cycle has been completed, the common thing you will hear from everyone around you is to de-stress. For one thing, the drugs that go with such treatments make everything so much more magnified and hence every small thought is magnified ten-fold while on the treatment.
- Stress in combination with other habits may be affect outcomes: While stress can delay a successful outcome, it will not completely stop you from getting pregnant. However, this stress coupled with several bad habits or problems can lead to issues which may not help in this journey. For instance, sleep can play a huge role in keeping you healthy and in the right condition to get pregnant. So, if you are having sleepless nights thanks to long and stressful meetings, it is time to rethink your schedule. Your lack of sleep may be combining with the stress to prevent a successful IVF cycle.
- Unhealthy Eating: Stress is a big trigger for unhealthy eating and most people do tend to binge eat when they are stressed. IVF and the medications associated with it can keep you on the edge as far as stress is concerned and it is very critical to eat healthy while you are attempting to get pregnant. Obesity and weight gain can be a serious impediment as far as successful trials are concerned. It is not only females but males can also be seriously affected by obesity. The sperm count can be drastically low in those that are overweight.