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Dr. Richika Sahay Shukla - IVF Specialist, Delhi

Dr. Richika Sahay Shukla

88 (187 ratings)
DNB (Obstetrics and Gynecology), MBBS

IVF Specialist, Delhi

16 Years Experience  ·  800 at clinic  ·  ₹300 online
Dr. Richika Sahay Shukla 88% (187 ratings) DNB (Obstetrics and Gynecology), MBBS IVF Specialist, Delhi
16 Years Experience  ·  800 at clinic  ·  ₹300 online
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Richika Sahay Shukla
With over 15 years of experience in her hands, Dr. Richika Sahay Shukla has earned a reputation on her name as one of the most reliable gynecologist, infertility and IVF Specialist around Vasant Kunj, Delhi. Presently, she is associated with Dr Richika Sahay?s India IVF Clinic in Vasant Kunj, Delhi. Dr. Richika also specializes in Obstetrics-related problems and Hysteroscopy/Laparoscopy Surgery. You can also avail her services at India IVF Clinic Noida. Dr. Sahay Shukla is also well-equipped with Ultrasound catering to treat infertility related problems. Dr. Richika Sahay Shukla finished her MBBS in 2001 from MGM Medical College. In 2005, Dr. Sahay Shukla received her DNB, specializing in DNB (Obstetrics and Gynecology) from National Board of Examinations, Ministry of Health, Government of India in 2005. A well-revered name in her field, she is also a professional member of the prestigious Federation of Obstetric and Gynecological Societies of India (FOGSI) and Indian Society for Assisted Reproduction (ISAR). In her clinic, you can avail treatment for many types of gynecology-related problems in a relaxed and caring atmosphere. The services that she provides in her clinic are Pre and Post Delivery Care, Donor Eggs Conception, HPV Vaccination, Treatment of Menstrual Problems, contraceptive advice and treatment of Menstrual Problems among others. So, if you are having distressing concerns regarding gynecology related problems or pregnancy related issues, it is recommended to seek help of Dr. Richika Sahay Shukla to get an effective remedy.

Info

Education
DNB (Obstetrics and Gynecology) - National Board of Examinations, Ministry of Health, Government of India, - 2005
MBBS - MGM Medical College - 2001
Languages spoken
English
Hindi
Professional Memberships
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
Indian Society for Assisted Reproduction (ISAR)

Location

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Fortis India IVF Clinic

India IVF Clinic, Fortis Flt Lt Rajan Dhall Hospital, Sector B, Pocket 1, Aruna Asaf Ali Marg,Vasant KunjDelhi Get Directions
  4.4  (187 ratings)
800 at clinic
...more

Dr Richika Sahay's India IVF Fertility Clinic

939 Basement Sector - 40, Landmark: Unitech Cyber ParkGurgaon Get Directions
  4.4  (187 ratings)
800 at clinic
...more

India IVF Clinic Noida

Metro Multispeciality hospital, sector 11Noida Get Directions
  4.4  (187 ratings)
800 at clinic
...more
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"Professional" 2 reviews "Very helpful" 16 reviews "knowledgeable" 8 reviews "Caring" 3 reviews "Thorough" 1 review "Well-reasoned" 3 reviews "Sensible" 3 reviews "Inspiring" 1 review "Practical" 1 review

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Sequential Embryo Transfer

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Sequential Embryo Transfer

Sequential embryo transfer-(SET) is an improved method of increasing pregnancy rates and implantation rates in infertile couples.  According to the  American Society for Reproductive Medicine (ASRM), the average  pregnancy rate is about 20% for patients undergoing in vitro fertilization (IVF) treatment.  Patients undergoing SET have a pregnancy rate of over 50%!     SET is the transfer of two groups of embryos in the same menstrual cycle of a woman undergoing IVF treatment for infertility.  One group of embryos-the best looking and fastest growing embryos are transferred to the uterus 2 or 3 days after the oocytes (human eggs) are collected from the ovary.  The second, more highly developed, group of embryos are transferred to the uterus a few days later-when at least one embryo has reached the expanded blastocyst stage-an advanced stage when an embryo is about to hatch from its shell called the Zona Pellucida  and attempts to implant in the lining of the uterus called the endometrium.  SET has an increased implantation rate ( embryos implanting from the total number of embryos).

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Donor Sperm

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Donor Sperm

Donor Sperm

  • Couples use donor sperm (DI) when the husband/partner has no sperm or a very poor semen analysis (azoospermia, oligospermia, poor motility), or when there is a genetic problem which could be inherited from the male. Single women who want a biological child also use DI.

  • One must be psychologically ready to proceed with DI. Most doctors recommend that any patients considering DI see a counselor who is skilled at clarifying feelings about infertility, and about trying DI. It is essential that both partners feel comfortable with the decision and that all fears and questions be openly discussed. For some, it may mean dealing with various moral and ethical questions; for others, exploring questions about donor selection and whether to be open about the decision to do DI and whether to tell a child conceived by DI how they were conceived.

Sperm Freezing

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Sperm Freezing

Sperm Freezing

  • Before you begin chemotherapy or radiotherapy treatment, your sperm can be frozen and stored until you wish to start a family. Even if the sperm profile is poor, as is common during times of illness, it is usually possible to store sufficient sperm for use in IVF in the future.
  • Men who have to travel overseas or work in dangerous situations may also want to have their sperm frozen for possible use in the future.
  • About 25-50% of the sperm will survive the process of freezing, and they can be stored for many years. There is a yearly fee for sperm storage.

Donor Egg/Donor Embryo

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Donor Egg/Donor Embryo

Donor Egg/ Donor Embryo

If you’re over 40 or can no longer produce healthy eggs, donor eggs can help you carry and deliver a baby. This is also a good option if you’re at risk for passing a genetic disease such as Tay-Sachs disease or sickle cell anemia to your child.

Treatment: What to expect

  • If you decide on an anonymous egg donor, you can find her through your fertility clinic. You’ll usually be able to choose based on her physical characteristics, ethnic background, educational record, and occupation. Most donors are between 21 and 29 years old and have undergone psychological, medical, and genetic screening. Ask how your clinic screens candidates ” some do less extensive tests and background checks than others. If you choose to use donor embryos, you can either pick unrelated egg and sperm donors or use a frozen embryo donated by a couple that had extras.
  • Once you pick a donor, both you and she will take birth control pills to get your reproductive cycles in sync ” she needs to ovulate when your uterine lining can support an embryo. She’ll also take a fertility drug to help her develop several mature eggs for fertilization, while you will receive estrogen and progesterone to prepare your uterus for pregnancy. Once her eggs are mature, your doctor will give her an anesthetic and remove her eggs from her ovaries by inserting a needle through her vaginal wall using an ultrasound for guidance.
  • From here on out, the procedure is just like that of in vitro fertilization (IVF). Your partner’s sperm or a donor’s sperm will be combined with your donor’s eggs in a dish in a laboratory. Two to five days later, each of the fertilized eggs will be a ball of cells called an embryo. Your doctor will insert two to four embryos into your uterus through your cervix using a thin catheter. Although it’s not a common practice, many experts say couples should consider transfer of a single embryo to avoid the risk of twins or triplets. Extra embryos, if there are any, may be frozen in case this cycle doesn’t succeed. If the treatment does succeed, an embryo will implant in your uterine wall and continue to grow into a baby. In about 40 percent of ART pregnancies using donor eggs, more than one embryo implants itself and women give birth to multiples.

Hi madam. I am 28 yrs. Trying to get conceive but I am not get it. But my period is regular. Can I know which is the right time to get it done. After the periods of 5 days complete. I want to know from 7th day can we try. If the tensions is the means can't get conceive.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Hi madam. I am 28 yrs. Trying to get conceive but I am not get it. But my period is regular. Can I know which is the ...
Hello dear, you can try during ovulation period which is 11th to 18th day of menses, when there is maximum chance for conceiving.
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Surgical Sperm Retrieval

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Surgical Sperm Retrieval

PESA / TESA / MESA

The main methods of surgical sperm retrieval available include:

  • PESA: percutaneous epididymal sperm aspiration.
  • MESA: microsurgical epididymal sperm aspiration.
  • TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).
  • TESE: testicular sperm extraction.
  • Microdissection TESE.
  • Perc biopsy: percutaneous biopsy of the testis.

Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.

Tests required before surgical sperm retrieval

A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.

Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.

If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead.

Myself and my wife are trying to conceive a baby. During intercourse, when I penetrate deeper, she feels some pain and hence I restrain myself from going deeper. Does this in way affect our chances of pregnancy? Please help.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Myself and my wife are trying to conceive a baby. During intercourse, when I penetrate deeper, she feels some pain an...
Hello Lybrate users ,you should try during ovulation period for pregnancy when maximum chance to got pregnancy. Which is from 11th to 18th day of menses.
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Common Cause of Infertility in Males

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Common Cause of Infertility in Males

Common Cause of Infertility in Males

Male fertility is a complex process. To get your partner pregnant, the following must occur:

  • You must produce healthy sperm.Initially, this involves the growth and formation of the male reproductive organs during puberty. At least one of your testicles must be functioning correctly, and your body must produce testosterone and other hormones to trigger and maintain sperm production.
  • Sperm have to be carried into the semen.Once sperm are produced in the testicles, delicate tubes transport them until they mix with semen and are ejaculated out of the penis.
  • There needs to be enough sperm in the semen.If the number of sperm in your semen (sperm count) is low, it decreases the odds that one of your sperm will fertilize your partner’s egg. A low sperm count is fewer than 15 million sperm per milliliter of semen or fewer than 39 million per ejaculate.
  • Sperm must be functional and able to move.If the movement (motility) or function of your sperm is abnormal, the sperm may not be able to reach or penetrate your partner’s egg.

Frozen Embryo Transfer

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Frozen Embryo Transfer

Freezing Embryos

Any excess healthy embryos from the IVF process can be frozen, in case more than one treatment cycle is needed. Freezing embryos, also known as cryopreservation, takes place for some 60% of all patients having IVF treatment – and frozen embryo transfers accounts for around 50% of all IVF births in our program.

Why do we freeze embryos?

  • Embryo freezing provides more opportunities for a pregnancy from each IVF stimulated cycle. For example, if a number of normal embryos are obtained in an IVF cycle, we might suggest transferring one or two of them and freezing the other four or five. This would generally allow further embryo transfers in later cycles without the need to undergo a full stimulated IVF cycle if pregnancy did not occur in the first cycle. If a baby is conceived in the stimulated IVF cycle then the frozen embryos can be used subsequently to try for another pregnancy without the need for further hormone stimulation
  • Embryo freezing gives more opportunities for a pregnancy for each hormone stimulation cycle and egg collection.
  • During a typical IVF cycle, we’ll be able to create more than one embryo, however there are serious risks associated with multiple pregnancies, so generally we won’t transfer more than one embryo at a time.
  • For example, if we manage to obtain two or three normal embryos (this does not always happen) we’ll usually recommend transferring one, and freezing the others. If you do not become pregnant in that first cycle, we can transfer another embryo.
  • This is called a Frozen Embryo Transfer (FET), and means you won’t have to undergo another cycle of hormone stimulation and egg collection.
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When shouldn't I do intercourse to not to make the women pregnant? Please advise me.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Dear user you should try during ovulation periods which is from 11th to 18th day of mense. Sexual intercourse during ovulation periods increase chance for pregnancy.
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