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.
You can contact me through lybrate. Our whole team is there to help you in your endeavor to achieve pregnancy.
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
Book Clinic Appointment with Dr. K.D Nayar
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
Submit a review for Dr. K.D NayarYour feedback matters!
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.
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.
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. Thanku Dr.
Hello dr, I am 28 year old married girl, trying for conceiving, I am suffering from PCOS. Otherwise everything is ok, I face a miscarriage of 45 days in last year, now I am taking letrozole from 8 continues cycle, this month Dr. prescribed me NORMOZ tab twice daily, now days I am feeling body pain, what can cause body pain letrozole regular use or normoz? Is Letrozole is safe for long duration? Thanks in advance.
I am taking duphaston 10 mg and folic acid for 10 days as per my doctors opinion. And now its my 8th day. I wish I could be pregnant. I want to know that if we are taking this tablets. Is there only a possibility to get back our periods only after finishing the course. Or can we get periods in between? please reply.
My 5 months baby was removed by caesarean on Nov 3rd 2017 because of Anencephaly. Now I am 1 month pregnant is it ok or what should I do. But I need my second baby and I am 33 years old. My son is 5.8 years old. Is there any problem if I keep this baby.
At times being able to conceive becomes a challenge due to certain biological reasons. Feeling positive and eating healthy naturally takes you a step nearer to getting pregnant. In case of no medical condition acting as an obstruction, consuming the right food can increase your chances of getting pregnant.
Here’s a list of supplements you can include in your diet to maximise your chances of getting pregnant.
1. Choose whole grains over refined carbohydrates: Reducing the intake of refined carbohydrates (found in milk, potatoes, corn to name a few) can reduce inflammation of the genitals, which will help increase fertility. You can still continue to have your favourite foods, but ensure they are low GI (glycaemic index- a figure used to represent the ability of carbohydrate to increase glucose in blood) carbohydrates.
You can consume whole grains, which help in reducing insulin levels that in turn reduce the risk of heart diseases and diabetes and also help lower cholesterol levels. Try having whole grain bread instead of white bread and porridge instead of sugary processed cereals to reduce your GI ingestion.
2. Harness the power of Proteins: Proteins are an important part of your diet and the type of proteins you require careful consideration as they help make new hormones. Try having 25gms of vegetable protein like seeds, legumes and nuts instead of animal protein.
Add dairy foods to your diet as they are also a rich source of protein. They provide vital minerals and nutrients like magnesium, calcium and vitamin B12 to the body and at the same time are low in calories. Include milk, yoghurt and cottage cheese to your meals so that you have a minimum of three servings of dairy products a day, which is essential to meet your nutritional needs and increase your chances of having a baby.
3. Welcome Good Fats: Processed foods, fatty meats and takeaways are high in saturated fats including trans fats. These lead to inflammation and an increase of oxygen free radicals in the body, which decrease fertility. So, incorporate good fats in your diet in controlled quantities. Try having avocado and tomato on a whole grain toast, for instance.
4. Make folate an integral part of your diet: Folate is an essential nutrient that helps in decreasing the incidence of birth defects in babies, while ensuring a healthy conception. Along with the prescribed supplements, try to increase its intake in its natural form. The best way to do this is by having green leafy vegetables, which are a rich source of folate. You can also have veggie sticks and vegetable soup along or green vegetable dishes to increase your folate intake.
In case you have a concern or query you can always consult an expert & get answers to your questions!
1-I sex with my wife and discharge my sprem in wife pussy with out condom. To wo pregnant hongi kya nahi 2-and kab aur kaise sex karne se pregnancy hongi so kaise aur kab sex kare ki jis se pregnancy ho and pregnancy na ho. Matlab kaise safe sex kare yebhi batao.
Me and my wife planing for baby. What you have all to tell me? Someone told me 12 to 18 days r best. If I go 6 days regular for intercourse so that means after one or two days sperm quality or quantity will be low or effected? Due to regular 6 days intercourse? If yes then chances are low then what to do? Should I go for regular intercourse or alternate days? Can body produce enough sperm in one day to get women pregnant? Plzz help me.
At first time pregnancy l faced a bad experience. At first stage my placenta was low lying which occurred bleeding prob. But after taking rest and treatment l came out from this problem. Upto delivery l did my all work. Delivery time l faced heavy bleeding, took blood. Uterus not turn to normal position. Now my baby 5 years old & I have no problem in health. Can l take 2nd chance? Is it make any risk in my life? Please inform me in detail.
Sir I am 32 year old. I am trying for second baby. One day my penis not exit. This problem always remembered in my mind. I have checked in PGI hospital, and doctor say that every thing is fine. My testosterone levels is ok. I not smoker and drinker. Please guide me for conceiving.
I want to know if an healthy woman go for ivf And she is office going woman daily with public transport Can she continue her office after pregnant by ivf for 2 or 3 month What are the complications of ivf for healthy and fertile lady?
Of a million sperms released in one ejaculation, a single sperm manages to fertilize the egg, which grows into an embryo and then a baby. Due to various reasons, when this does not happen, it is termed as infertility and is currently on the rise.
With IVF, couples sometimes go through multiple sessions to ensure fertilization. ICSI or intracytoplasmic sperm injection improved this chance of fertilization. It is where a single sperm is used to fertilize an egg in an artificially controlled environment and then injected into the uterus where it grows further.
The next step in this technique is IMSI, where the chances of successful pregnancy are further enhanced and also promises improved quality of the embryo. IMSI, as it stands for, has “morphologically selected” which means under a highly powerful microscope, the best sperms are selected and then used to fertilize the egg. Morphology stands for shape, and the shape of the sperm is a direct indicator of the sperm quality. This not just ensures good success rate but also ensures the sperm which is used produces a high-quality embryo.
- High success rate of fertility
- Reliable and efficient method of ART (assisted reproductive technology)
- More expensive than traditional IVF methods or ICSI
- Requires complex equipment, training, and set-up
- Useful in couples who have failed IVF previously
- Male infertility with unidentifiable cause
- Poor sperm quality
What to expect?
Both partners are prepared both physically and mentally prior to IMSI.
Before the procedure - men:
- A screening is first done to decide if the sperms can be used directly
- In case of hereditary diseases, a donor is preferred
- The first technical step involves sperm collection, either directly or through a donor
- Sperms are collected either through masturbation or through a small incision in the testicles
- Sperms used could be fresh or frozen; fresh ones may be stored for later use also
Before the procedure – women:
- The woman is put on some ovulation therapy to ensure the release of multiple eggs, so a good one is picked. These high doses of hormones ensure multiple eggs are released.
- Egg release is monitored through blood and urine tests
- They are collected within after 36 hours of release
During the IMSI procedure:
- A healthy egg is chosen and placed in a glass container containing hyaluronidase
- Sperms are placed in a medium which will slow their movement, which enables picking a good sperm for fertilization
- The dual advantage of this is that in addition to a high success rate of fertilization, the quality of the embryo is also assured
In case you have a concern or query you can always consult an expert & get answers to your questions!