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Dr. Deepti

Gynaecologist, Delhi

300 at clinic
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Dr. Deepti Gynaecologist, Delhi
300 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Deepti
Dr. Deepti is a trusted Gynaecologist in Ashok Vihar, Delhi. Doctor is currently associated with SWASTHIK HOSPITAL in Ashok Vihar, Delhi. Save your time and book an appointment online with Dr. Deepti on Lybrate.com.

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Hindi

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SWASTHIK HOSPITAL

#14,Gopal Nagar,Off Jail Road, Ashok Vihar, DelhiDelhi Get Directions
300 at clinic
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Treatments of Infertility

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Bangalore
Treatments of Infertility

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

  1. Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
  2. Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

  1. Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
  2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

  1. Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
  2. Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
  3. Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
  4. Bromocriptine: Used when the infertility is caused due to excess prolactin production.
  5. Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

  1. Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
  2. Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
  3. Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

  1. Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
  2. Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

If you wish to discuss any other problem, Consult an IVF Specialist.

3652 people found this helpful

Whether there is a chance of getting HIV when had a sex with a married women having 1 year baby.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
There is always a chance of getting some sexually transmitted disease like HIV due to unprotected sex with an unknown partner, unless proven otherwise. A married woman naturally has another sexual partner in form of her husband whose sexual contacts also have to be taken into account.
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I am diagnosed with mild pcod changes in ovary. Ovary size RT OVARY-2.5x3.1 cm LT OVARY-3.1x3.2 cm Is it too serious? I have just 8-10 cysts and my prolactin and thyroid tests are normal. I am not obese. The only symptom I have is acne. I get more than 10 periods a year. I miss periods during exam time due to stress.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, DNB - Obstetrics & Gynecology, CCGDM
Gynaecologist, Mumbai
I am diagnosed with mild pcod changes in ovary.
Ovary size RT OVARY-2.5x3.1 cm
LT OVARY-3.1x3.2 cm
Is it too serious?...
Subashree, your ovarian size looks fine. See a dermatologist for your acne problem. If your periods are regular apart from your exam time, don't worry about PCOD.
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I'm 25 years old, june 2014 I got married, still we don't have a baby, what we should do?

MBBS
General Physician, Faridabad
I'm 25 years old, june 2014 I got married, still we don't have a baby, what we should do?
Try if your cycle is regular then take chance on mid of cycle. Say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. But it may happen at any time. It will. Welcome.
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Hello doctor, I want to know about., What are the causes and reasons for infertility? Even first abortion leads to infertility is it true.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Conditions affecting a woman’s fertility can include: Age – female fertility declines sharply after the age of 35 Polycystic Ovary Syndrome (PCOS) Gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage Medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases Lifestyle factors such as stress, being overweight or underweight, and smoking. Damage to the fallopian tubes Ovulatory problems Endometriosis Conditions affecting the uterus A combination of factors No identifiable reason. However, a small number of women have complications, such as: A severe infection, such as pelvic inflammatory disease (PID) Damage to the womb (uterus) Complications such as these can affect fertility. Also, repeated abortions can cause damage to your cervix and increase the risk of late miscarriages.
2 people found this helpful
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Advice for Patients on the Use of Herbal Products

BHMS, IPMS, Mumbai
Homeopath, Mumbai
Advice for Patients on the Use of Herbal Products

1. If you are going to take herbs, see a practitioner formally trained in botanical medicine.
2. Buy herbal remedies from trusted and reliable sources.
3. Avoid herbs in which the purity and quality are suspicious,especially imported herbs.
4. Most herbs, like drugs, should be avoided during pregnancy and lactation and should not be given to small children.

5. Consider drug/herb interactions.
6. Start with low dosages and beware of the dosages: two pills from the same bottle may have completely different strengths.
7. To avoid possible chronic effects, do not use herbal remedies for long periods.
8. If you are unwell, discontinue use immediately and seek medical advice.

Irregular periods is affected by pregnancy? And how we get fast pregnancy naturally.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Irregular periods is affected by pregnancy? And how we get fast pregnancy naturally.
irregular periods can affect to be pregant in a way, you don't know your ovulation day. But no problem you can do =Ovulation study from 10 day of cycle. When you get rupture ovum ,on that day you should keep sexual contact with your husband.
2 people found this helpful
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Hi. Recently I conceived and came with thyroid problem. Today I got brownish spot and pain. What to do?

MBBS, MS- Obs & Gynae, DNB - Obs & Gynae
Gynaecologist, Ranchi
Hi. Recently I conceived and came with thyroid problem. Today I got brownish spot and pain. What to do?
Person with thyroid problems has higher chances of abortion. Your symptoms are suggestive of threatened abortion. Meet doctor n get medicines for it. Restrict your self to light work, don€™t lift heavy weight n avoid physical relation at the moment.
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