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
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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
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Treatment Of Female Sexual Problems
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Treatment Of Menstrual Problems
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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.
I am having doubt that am pregnant so I took 4 pills of zitotec and one pill kept vaginally. But till now no bleeding is there. If am not pregnant whether there is any complication of taken the zitotec tablet. Will it bring normal bleeding if am not pregnant?
Hi Sir, Present I am pregnant 37 weeks pregnancy when labour pains start that time doctor gives epidural injection or not please doctor advice me I can't face lot of pain Please doctor.
Hi Sir, My follicular study reports uterus size 60×30×45 mm Right ovary: 36×17 mm Left "35x20 mm dominant follicles in right ovary: 1.0 E -17 mm Left "1.0E -20 mm 2.0E -15 mm. Et: 6.4 mm This my report. And I would like to know any problems there for conceive baby. And I would like to know what the 1.0E and 20 mm means. Please tell me.
I am 33 year old, get married 3 months before and planning for a baby. If we do sex everyday is there any problem in conceiving or its normal. My husband like to do everyday and sometime twice in a day. What is the best time to do for getting positive result.
Among the assisted reproductive techniques, In Vitro Fertilization (IVF) is quite popular and offers hope when other infertility procedures fail to work. The procedure involves the female egg being combined with the male sperm outside the body (in vitro condition), and as a final step, the grown embryo is placed inside the uterus.
Chances of getting pregnant is dependent upon Embryo Quality and Endometrial receptivity.
Embryo transfer is a crucial step of the procedure, and following is an account of the process that would give you a detailed insight into what really happens before and after embryo transfer.
The entire process involved-
Before an embryo is transferred, a series of procedures happen.
Step 1: (Ovarian Stimulation)
In the very first step of embryo transfer, the patient undergoing the IVF treatment is given injections containing medicines that are meant to boost the development of the eggs in the follicles of the ovary.
Step 2: (Egg retrieval)
As the follicles start to mature or develop completely, the eggs are removed carefully.
Step 3: (Fertilization)
In the designated environment, the collected eggs are then fused with the collected sperm to form the embryo.
Step 4: (Incubation)
After the successful fertilization is successful, the embryos are cultured in an incubator.
Step 5: (Choose the best embryo for transfer)
If the process is successful and once embryos are formed, the good quality embryo is chosen from them and then transferred into the uterine cavity to complete the procedure.
Are there any risks?
Embryo transfer is a critical step of the infertility procedure and would need an expert to handle the process. There are a few risks associated with the embryo transfer procedure. However, those risks are very minimal. One such associated risk is the embryo getting implanted in the wrong place, for example in the fallopian tube. Another issue that could occur is the loss of embryos during the procedure of transferring them from the in vitro environment to inside of the uterus.
Is it a painful process?
The embryo transfer is similar to a pap smear and would need no anaesthesia for the woman, however, some women prefer to be on sedation during the process. The entire procedure of embryo transfer is a painless one, though some women may experience mild cramping which is quite normal.
Precautions to be taken after embryo transfer-
After the embryo has successfully been transferred to the uterus, the patient must lie on her back for a while before leaving the clinic. Also, the woman is advised rest and limit physical activity.
The chances of getting pregnant increases with the quality of embryo, and hence it is imperative that your doctor chooses the best quality embryo for transfer into the uterus. Also, the position of placing the embryo is extremely important. You can discuss with your doctor regarding these aspects while you are undergoing the treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am married since last 15 month. Me and my planning have a baby. So my question is how many time do we need to do sex. And what is right time to have sex. And what should be sex duration for pregnant. Please advise.
People say that marriage makes a man and woman complete, but it is a child that completes a family!
Sadly, World Health Organization (WHO) researchers claim that in 2010, 48.5 million couples worldwide were unable to have a child. Nevertheless, thanks to the Medical science elevations, that invented (IVF) In vitro fertilization, which is the panacea of all the infertility ailments.
However, there are several factors that play a crucial role in deciding the outcome of the IVF procedures. They are:
- Age: The age is considered the foremost IVF success factor, and younger women have higher chances of IVF success. Statistics of the live birth IVF success rate for women under 35 are 40 percent whereas women over age 42 have a 4 percent success rate. Women above 42 has 4% live birth rates with her own eggs.
- Previous Pregnancy: If a woman was conceived a child with the same partner that is currently undergoing IVF treatment, then there is a greater probability of IVF success. A history of recurrent miscarriage or a different partner tends to significantly reduce the chances of IVF success.
- Type of infertility problem: Problems like uterine abnormalities, exposure to DES or fibroid tumors decrease the likelihood of success with IVF along with some male infertility problems. The IVF success factors are also majorly dependent on ovulation, hence ovarian dysfunction, like high FSH levels that indicate a low ovarian reserve, may be a cause of worry.
- Use of donor eggs: If a woman is over 35-40, donor eggs become a significant consideration, as there may be a higher rate of IVF success. The probability of pregnancy for women over 40 also increases if donor eggs are from younger women.
- Lifestyle habits: Women who have poor lifestyle habits have a much lesser IVF success rate. Also, being obese or underweight can increase the risk of infertility as well as miscarriage. Most importantly, women who smoke can face multiple problems, such as:
- Fertility clinic: A reliable, licensed clinic for IVF procedure is of great importance as they will have well trained and experienced staff to conduct the IVF procedure. Also, in a good clinic, the laboratory and technology used by the clinic will be of required standards that can add up to the success factor.
Every month, IVF clinics see a substantial amount of childless couple walking in with despair but later walking out with their bundle of joy. As it is always said, “Optimism is the faith that leads to achievement”, it is recommended to pay a visit to the clinic, go through the initial screening and hope for the best.
In case you have a concern or query you can always consult an expert & get answers to your questions!