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.read more
In vitro fertilisation or IVF is a boon for the couples who are unable to have a baby due to infertility. In this process, an egg is combined with sperm outside the body, in vitro. The woman’s ovulatory process is stimulated by removing an ova from the woman’s ovaries and letting sperm fertilise them in a liquid in a laboratory.read more
Infertility: Causes and Treatment
I am Dr. K.D. Nayar. I’m a senior consultant and head of the department at Akanksha IVF center, Mata Chanan Devi Hospital. This center is there since 2002, more than 15 years. Right now we’re doing almost 700 to 800 IVF cycle every year with the success rate of 40 to 45 percent. Basically, infertility is affecting nearly 15 percent of the population that means one in every six couples is infertile and when we look at the causes of infertility 30 percent is reason because is in the wife, 30 percent is in the husband and 30 percent causes are in both the husband and wife and 10 percent are unexplained. Whenever we get a patient with infertility we have to first investigate them and find out what is the cause of infertility.
Generally speaking 5 percent of the patients land up in the IVF cycle. In a IVF cycle, before starting IVF cycle we have to check the husband’s profile, husband’s seminal traces, whether the husband got any problem in ejaculation or erection. He must be able to produce a normal semen sample. Once we have the husband’s profile then we will investigate along with that we investigate the wife and then we start the IVF treatment.
IVF treatment, basically we give injection to the wife, around 10 to 12 days to produce more number of eggs. We monitor her with ultrasound; see how the follicles are growing. Once the eggs are ready we take out this eggs through a very small procedure through vagina only, no cuts. We take out the eggs at the same time we take the husband’s semen, put them together in a dish, fertilize it. All this process is being done in our IVF labs.
If the husband’s semen count or motility is poor then we can catch hold of one sperm individually and inject into egg itself this is called ICSI. Once we have mixed these sperms and eggs, we leave it in the incubator and observe the further process of fertilization. We check next day they become two cell, day two they should become four cell and so on, they’re growing.
Generally speaking, we like to take them to day five when they become blastocyst and then we have the transfer. Embryo transfer is also a very simple procedure, done without anesthesia. It hardly take 3 to 4 minutes. So, that will be the most vital step in the procedure and patient has to be reassured that there is no pain limitation. There is no obligation to the patient, there is no side effect to the patients general health. Once we do embryo transfer there after 15 days we check whether this embryo is implanted or not. That is a brief summary of the ideal procedure IVF or ICSI which we are doing generally in our center.read more
Here are some tips to manage PCOD
Tips and Treatments for PCOD
I’m Dr. K.D. Nayyar Infertility Specialist and the Senior Consultant and Head of Department at Akanksha IVF Centre.
One of the most common causes present in these days is Polycystic Ovarian Disease which is prevalent in almost 8 to 10 percent of the population.
Polycystic Ovarian Disease is affecting whole spectrum of women right from puberty till middle ages even post menstrual stage. And younger women, they are more worried about their menstrual disturbances, ovulation problem, the infertility problem, the sexual health and the older women are more worried about their metabolic problems, the pregnancy complications, and the chances of developing type-2 diabetes, the cardiovascular risk and the quality of life.
Whenever you have a woman with polycystic ovarian disease, you need a multi specialist input like, you need to have a gynaecologist, you do need to have a endocrinologist, a nutrition specialist, a psychologist, ultra-sonographer, all of them can combine and give their inputs in looking after these women.
The younger woman is too much worried about the acne, the excessive hair. They are advised to avoid certain types of food which can increase their sugar like, chocolates, which is a common thing among the younger age group, and they are advised to eat lot of green vegetables, tomatoes and meat products. The idea is they should not gain too much of weight. A reduction of 5 percent of the weight, help their menstrual cycle and ovulation.
Older age group who are looking for infertility treatment, they can start with simple oral medication, which has been there for a long time and if they don’t respond with this oral medication, they can either go for indictable colonography and if that doesn’t help they may go for laparoscopic ovarian drilling and there are lot of achievement available in your market these days. One has to choose the right type of achievement, it can be, by forming N- Acetyl Cysteine and it can be Dexamethasone it can be the only cases of hyperchlonaemia. And there are other lot of antioxidants available in the market but one has to choose the right combination.
The idea is that women should have an ovulation which should result in pregnancy and a healthy baby.
These women who have Polycystic Ovarian Disease even after the delivery they should be followed up for the blood sugar level and it will provide regularly they should be monitored because there is always a risk of type-2 diabetes developing in this group so one has to be careful that this need a monitoring for the rest of their life.
All such women who are suffering from Polycystic Ovarian Disease, they are advised to contact me on lybrate on their website or mobile app or they can come to me directly at my clinic.
I’m Dr K.D Nayyar. I’m the senior consultant and head of the department, Akansha IVF Centre. This centre originated from the last 15 years. We have grown over a period of time and the main aim of this centre is to look after an infertile couple.
Infertility is growing every day, increasing number of patients. It is because the couples are not getting worried about infertility. Previously they never used to come out with their problem. But now they have become more perceptive and even an average middle class, lower middle class think of going for treatment for infertility. Generally speaking 12 to 15% of couples have infertility issues.
When you look at the causes of infertility, the important issue is either it can be a problem in the husband or problem in the wife or many times it can be a problem in both of them. Generally speaking, 40% problem is of the husband, 40 % time there will be a wife, 10% time it is combined both of them husband and wife and 10% we cannot find any reason and we label them s unexplainable infertility.
Coming to male infertility, the male person is responsible for 20 to 25% of the cases and in another 25 to 30% of the cases the male is the contributing factor. So if you look at it male infertility is responsible for nearly 50% of infertility.
At Akansha IVF Centre we are regularly doing the semen analysis and we are doing Sperm Fragmentation Test with the head of sperm media. At our centre, all these facilities are existing under one group. The whole team consists of a neurologist, embryologist, infertility specialist for taking out dreamer sperms. All the infertile couples should approach Akansha IVF Center for all their problems because infertility put a lot of stress on the couples. They cannot keep on going from living their life like that and it is always better to identify and approach a centre which can look after their problem. This is to inform all the couples to approach lybrate for finding out the proper IVF centre where they probably can be tackled.
They can approach lybrate at the website. They can approach directly to me to my clinic.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 Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
All of sudden I developed this polycystic ovary synDrome and didn't know what to do as I wasnt able etp concieve. It was so quite pleasant in the Akanksha IVF clinic. I thought that post treatment it won't happen again, but then after sometime, the symptoms re appeared. Dr Nayar guidance has helped me immensely and has helped gain confidence. All the staff members were very helpful.
I was trying to conceive but was not able to. I chose to consult Dr Nayar. Her treatment has give me a ray of hope. With great ease Renu Jain explained us the problem and how the treatment will be carried out. She is not just friendly, but also is very motivating. I must say that she is the best gynaecologist in the city
Even after my treatmentwith my old doctor, I never felt so much relief, but K.D Nayar has treated my problem completely. All of sudden I developed this infertility and didn't know what to do. With great ease K.D Nayar explained us the problem and how the treatment will be carried out. she is a nice doctor.
I was shocked to know thata I was suffering from thyroid during pregnancy. I consulted Dr Nayar who is an IVF specialist. He is very talented and seasoned doctor. I am so much benefitted with his thyroid disorders treatment, that i am perfectly fine now. I am glad that I chose to consult him.
I found the answers provided by the Dr. K.D Nayar to be very helpful. My husband semen analysis is also done.. Doctor said he s doing fine. Doctor adviced me to take HCG injection every week and progesterone tablets every day..
Dr. K.D Nayar provides answers that are very helpful. My age is 27. I dont have thyriod. Even i had pelvic scan. Its normal . All reports are normal. My husband age is 32. He is a software engineer.
I found the answers provided by the Dr. K.D Nayar to be very helpful and helped me improve my health. Thank u doctor
I found the answers provided by the Dr. K.D Nayar to be very helpful. Thanku so much sir for give your valuable time
I found the answers provided by the Dr. K.D Nayar to be caring. Your reply gives me a positive energy.thank u a lot
Dr. K.D Nayar provides answers that are well-reasoned. Such a good response tq so much. Very good response
I found the answers provided by the Dr. K.D Nayar to be knowledgeable. Nice guidelines
Dr. K.D Nayar provides answers that are very helpful. Thank you sir
Dr. K.D Nayar provides answers that are very helpful. Thanku Dr.
Of course Dr. Is great and the awesome treatment experience
Manish P Kapur
It was great meeting Dr.Nayyar...bestest doctor in OUR town
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.
In vitro fertilization (IVF) is continually helping many infertile couples achieve their goal of conception. It has the highest success rate of Assisted Reproductive Technologies (ARTs). Along with helping the parents overcome diseases in their bodies, they help prevent predicted diseases in the offspring by offering the option to pick and choose healthy and improved embryos. Needless to say, it is both a biological and social breakthrough.
• Low Sperm Count
This condition occurs when the man produces healthy, normal sperm but produces it in very low quantities. As a result, fertilization cannot properly occur. IVF can help in this regard. The healthy sperm is obtained, and procedures are carried out in the laboratory to make it suitable for fertilization.
• Fallopian Tube Damage
This occurs due to permanent and irreversible scarring of the Fallopian tubes in the female partner. Sometimes, the tubes are so damaged that surgery fails to bring it back to normal, or surgery is not feasible without harming the woman’s health farther. In such cases, IVF is very helpful as it discards the use of the Fallopian tubes in reproduction by bypassing them.
• Ovulation Issues
IVF can help a couple conceive in spite of ovulatory difficulties the woman might have. Ovulatory difficulties involve infrequent ovulation of the female More Than One Cause of Infertilityor irregular ovulation. Both these cases make it very difficult, if not impossible, for the couple to conceive.
• Inexplicable Infertility
IVF aids a lot in these cases too. In some cases, causes of infertility cannot be pinpointed after several diagnostic tests. The processes are both money and time to consuming and leaves the patients frustrated if the process fails. IVF can come to the rescue then. It has a proven track record of success aiding couples with undiagnosable infertility issues.
• More Than One Cause of Infertility
When there are several causes of infertility in both the male and female bodies, or if there are several problems with the body of an individual partner. IVF can aid successful conception.
IVF is a breakthrough biological and scientific procedure that is helping people conceive in spite of several fertility issues in their bodies. There are various debilitating reproductive disorders that IVF has helped overcome in recent years. The most major ones are listed above, and you can also benefit from IVF if you have those!
In vitro fertilization or IVF technology assists millions of infertile women and couples worldwide to have babies of their own. fertility problems can be of various types and origins can be congenital, acquired or accidental. However, they come as a great deterrent and source of unhappiness in the lives of people. To overcome that deficit, assisted reproductive technologies (ARTs) were developed.
IVF is one of the most popular, with one of the highest success rates, and here are 4 of its primary benefits:
• It Provides Couples Relief from Infertility
There are a lot of couples who are unable to conceive and start a family of their own due to problems in either the man or the woman’s body. As a result of disease or injury, fallopian tubes may be blocked, sperm count may be low or uteruses may be damaged. IVF helps couples bypass these difficulties smoothly.
• It Provides Great Support to Single Mothers
There is a lot of social stigmas associated with single motherhood, and the question of conceiving just adds to their troubles. There are many reasons a woman may choose to embark on single motherhood. She may have been constrained financially or emotionally, too much for taking on a partner, or she may just choose to live a life that way. Society doesn’t empathise, but IVF makes their job of conception much easier and absolves them of the need to find a male.
• High Chances of Achieving Objectives
Translated to simpler language, this means high success rates. In fact, the success rates of IVF procedures are the highest among all ARTs. Granted, it does not work in all cases and some people routinely report failure. To fix this, the therapist and the patients themselves have to ensure the entire cycle is completed and is carried out under textbook conditions.
• The Ability to Pick and Choose, and a Cheaper Option
This is a medical procedure which actually gives one the option to pick and choose future children. Tests are run to determine whether life-threatening conditions like genetic anomalies are present in the embryo the couple has conceived. If any are detected, they are immediately arrested and a healthier embryo is set up for growth. Moreover, in many cases, your health insurance will pay for your IVF, making it incredibly cheap.
IVF is a much-needed boost to the medical industry in the form of helping infertile couples to give birth to healthy babies. It takes place in a laboratory under controlled conditions and has a host of benefits even above and beyond helping people conceive.
Hello doctor My english is not good please trying to understand. I was 20 years old woman trying to conceive 1 over year. My husband sperm count is good. Now I consult a infertility specialist he was done my tvs scan mc day 4. And my period is very irregular. After tvs test he wrote my prescription I have pcos, and afc 40. What that means? Have I was normal? And conceive? Please answer? Thanks doctor for giving your valuable time.
Hi, My wife and I had been trying for pregnancy for quite sometime with no luck. I am 32. My sperm morphology showed 3% normal, 55% with abnormal head defects. Count 145mn. Doc advised me to do some blood tests. Results are Estradiol serum 12 pg/mL, fsh 1.6 mIU/mL, Lh 3.32mIU/mL, prolactin 4.14 ng/mL. Please provide your feedback.
Trying to conceive for 2nd baby from last 4 months, but not succeed, earlier my eggs was not raptured as doctors told me but from last two months its was ruptured, even though this 3rd month also I am not get pregnant, and my cycles comes two days prior. So pls suggest what to do, while my husbands sperm morphology is 4%is normal and sperm count is 39 so. Pls suggest. Thanks.
In vitro fertilisation or IVF is a boon for the couples who are unable to have a baby due to infertility. In this process, an egg is combined with sperm outside the body, in vitro. The woman’s ovulatory process is stimulated by removing an ova from the woman’s ovaries and letting sperm fertilise them in a liquid in a laboratory.