Patient Review Highlights
Dr.Surbhi is a phenomenal doctor. She takes more time to listen to her patients, than any other doctor I have ever seen. She is thorough, intelligent and welcomes patient questions with thorough answers.She is the first OBGYN I have had that has given me her utmost attention during our appointments. She is personable, friendly, calm, and an absolute joy to talk to.She supports a woman through the entire experience. She came to my aid as an ally and friend from our very first visit. She is in a league of her own; this is what it is like to have a doctor who is truly a PARTNER and not a DICTATOR in YOUR health and welfare. We’re lucky to find her. :)I look forward to plan & delivery my second baby with her.
I saw Surbhi Gupta clinics advertisement in newspaper because i wanted to Go for IVF as I couldnt concieve and that is how we referred her. She never gets frustrated, even when I ask a number of queries. Surbhi Gupta certainly knows the in and out of herspeciality. I was having very bad thoughts regarding the delivery through IVF but she is a wonderful doctor. They took very nice care of the process, i never felt that I am in a Urogyn IVF Centre.
With the treatment of dr Surbhi Gupta about Artificial Insemination i am very happy. I got Quick result . Happy with the course and doctor. We got fast results and we are satisfied. Medicines too are good. We got it done at her clinic Urogyn IVF Centre in Delhi.
Dr. surbhi gupta is a very responsible doctor.she connects with her patients and try to give her best.we are satisfied with her efforts in our case.
Dr. Ashok Kumar Gupta provides answers that are helped me improve my health. Thank you so much sir!!
I found the answers provided by the Dr. Ashok Kumar Gupta to be knowledgeable. Thank you sir
Dr. Surbhi Gupta provides answers that are very helpful. Thanks for your valuable advice
Dr surbhi gupta mam is a very very good doctor....
There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity,diabetes, hypertension, etc. could be reasons.
Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).
Poor sperm perms motility
Semen where sperm concentration is low
Male infertility with unidentifiable cause
Poor sperm quality, with sluggish sperms
Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
Useful in couples who have failed IVF.
What to expect?
The following outlines some of the steps for both male and female before and during the procedure.
Before the procedure - males:
First step is the sperm collection; a screening is first done
Sperms collection happens through either masturbation or directly from the testicles via a small incision
Sperms could be collected fresh or collected and frozen for later use
Before the procedure – women:
In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release
During the procedure - How ICSI happens:
A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %. If you wish to discuss about any specific problem, you can consult an IVF specialist.
Infertility is a condition that can be caused due to a variety of reasons, for both males as well as females. Yet, it also comes with plenty of emotional baggage because there is a great deal of social stigma attached to childless parents, especially in the developing countries like India, where we still hold on to traditional thinking which does not really justify modern day realities.
Understanding Infertility in the Developing World: As per medical science, infertility is defined as a problem that is faced by couples who do not manage to conceive even after a year of trying without any birth control measures. In countries like ours, there is a great social stigma that is attached to being childless. As per many studies by the World Health Organization (WHO), about 15% of couples the world over are affected by infertility. Also, such cases go undetected because there is a great social stigma attached to the same. Further, there may be underlying conditions like Tuberculosis which may have been undiagnosed because people do not like to talk to doctors about the symptoms. The main problem in countries like India, and others areas is that people do not open up about such problems and they consider doctors and other medical practitioners as strangers.
Still in the Dark Ages: Even though we have made the transition from an agricultural country where we would pray to the elements and wait for signs for all our everyday activities from harvesting to childbirth, to an industrial country we are still in the dark ages as far as our social setup goes. There are many educated and well-heeled families where being childless is considered as an issue. And many people tend to go to astrologers and temples to change their fate, where a simple visit to a doctor and procedures like IVF, or adoption as the last resort, can also work out.
Infertility Stigma for Males and Females: For an infertile couple, the problem may stem from the male, or the female or both partners. There are still many social stigmas that are attached to this and many people in countries like India tend to call the woman barren, if she is unable to bear a child. In many cases, the male partner does not even go in for a check up as it is not even considered as an option that the problem might lie with him. Male erectile dysfunction, ejaculation problems, and general infertility can cause a range of issues for the couple when it comes to conception. So it is imperative to have the same checked by the doctor so that a sperm test can also be conducted and the treatment can carry on accordingly with the help of IUI or In-vitro fertilization (IVF). If you wish to discuss about any specific problem, you can consult a gynaecologist.
Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.
Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).
What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:
- Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
- Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
- Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.
What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)
- Frequent urge to urinate
- Urinary incontinence (unwanted leakage of urine)
- Pain during urination
- Pain during sex
- Frequent urinary tract and bladder infections
- Pain in the vagina, pelvis, lower abdomen or lower back
- Incomplete urination
If you wish to discuss about any specific problem, you can consult an urologist.