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Dr. Richika Sahay Shukla - IVF Specialist, Delhi

Dr. Richika Sahay Shukla

87 (88 ratings)
DNB (Obstetrics and Gynecology), MBBS

IVF Specialist, Delhi

16 Years Experience  ·  800 at clinic  ·  ₹300 online
Dr. Richika Sahay Shukla 87% (88 ratings) DNB (Obstetrics and Gynecology), MBBS IVF Specialist, Delhi
16 Years Experience  ·  800 at clinic  ·  ₹300 online
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Dr. Richika Sahay Shukla,Formerly at AIIMS & Sir gangaram hospital, New Delhi is an infertility and IVF Specialist, is a well qualified and trained professional . Dr. Richika has wide exp......more
Dr. Richika Sahay Shukla,Formerly at AIIMS & Sir gangaram hospital, New Delhi is an infertility and IVF Specialist, is a well qualified and trained professional . Dr. Richika has wide experience and has done extensive training in the field of IVF-ICSI & Gynecological Endoscopy. She has worked with some of the pioneer institutes in India such as AIIMS and Sir Ganga Ram Hospital. Expertise in doing In- vitro fertilization(IVF) /ICSI by various protocols and in difficult cases like elderly patient, postmenopausal , poor ovarian responders . Expertise in doing Surrogacy , Donor eggs conception .Expertise in doing difficult oocyte retrieval - adhered ovaries , high ovaries , ovaries with endometrioma . Expertise in doing difficult Embryo transfers . Have made several patients conceive by doing fertility enhancing surgeries by Laparoscopy and Hysteroscopy like septal resection, intrauterine adhesiolysis, myomectomy ,tubal cannulation ) . Well versed with Ultrasound catering to infertility , gynecology and obstetrics. You can get the phone number of Dr. Richika Sahay Shukla on www.lybrate.com
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)

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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  (88 ratings)
800 at clinic
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Dr Richika Sahay's India IVF Fertility Clinic

939 Basement Sector - 40, Landmark: Unitech Cyber ParkGurgaon Get Directions
  4.4  (88 ratings)
800 at clinic
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India IVF Clinic Noida

Metro Multispeciality hospital, sector 11Noida Get Directions
  4.4  (88 ratings)
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What Does Cosmetogynaecology Include?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
What Does Cosmetogynaecology Include?

Cosmetogynaecology refers to the specialization in female cosmetic medicine and surgery. We live in an age where appearance primarily defines your personality and acts a great deal in boosting self-confidence and morale.

Since time immemorial, we have never been pleased with what have been given to us. Thanks to this trait, scientists are always looking for new ways to satisfy our needs. Don’t like your nose? Think it’s too fat? Want to look like Megan Fox?

Medical science can now do all this, and beyond!

What does Cosmetogynaecology include?

Cosmetogynaecology is a subset of cosmetic surgery that mainly caters to the needs of women and includes cosmetic procedures such as-

  1. G-spot Augmentation: This procedure mainly concentrates on increasing the size and sensitivity of the G-spot to amplify pleasure during intercourse. It is also known as G-spot amplification

  2. Genital area Bleaching and Resurfacing: Genital bleaching is a safe and easy way to whiten your intimate areas. As for genital resurfacing, it is a procedure to even out the appearance around the intimate area or to improve the colour on the clitoral hood.

  3. Labia Augmentation: This procedure includes the surgical enlargement of the Labia Majora (part of women’s genitalia) in order to improve the contour or increase the fullness to make it look more appealing.

  4. Vaginal Tightening: Several factors can lead to the loosening of the vaginal walls, including childbirth. This can reduce the pleasure during intercourse for you and your man. These treatments can be done by lasers, which are non-invasive and work wonders!

  5. Permanent Laser Hair Removal: We all know the extent of pain that women go through in order to make themselves fuzz-free. And the amount of money that goes in doing that annually is probably enormous. Laser hair removal can permanently take care of this issue and you will be ever ready for a party.

  6. Breast Size Augmentation or Reduction: Getting breast implants (silicone or saline) can be used to increase the size of your breasts if you are not too happy with your gifted assets. It can also be done for reconstructive purposes after undergoing mastectomy post breast cancer. On the other hand, large breasts can be the cause of chronic back pain. If that bothers you too much, you can have them reduced to your desired size.

  7. VaginoplastyVaginoplasty is a plastic surgery for both the vaginal canal and the tissues of its mucous membrane that tightens. The procedure strengthens those muscles and tissues while removing excess or damaged lining from the canal. It is specifically designed to strengthen and enhance the working of the vulva-vaginal body structures. When vaginal plastic surgery is performed to specifically construct or reconstruct the vulva-vaginal complex, either partially or totally, it is referred to as a neovaginoplasty. When the surgery is performed to specifically reshape the tissue and firm the muscles and lining of the vaginal canal for a more youthful appearance plus tighten up the canal after the stretching it endures through childbirth, then it is termed a vagina reduction for cosmetic reconstruction and is considered an elective surgical procedure.

  8. Hymenoplasty: Hymenoplasty is the procedure to restore natural hymen to regain virginity. In simple words, hymenoplasty is repair of broken hymen or ruptured hymen and is the sure shot way to restore or regain virginity. The layered ultrafine microsurgical repair of hymen being done at Olmec leads to a normal hymen without any sign of repair and without any sign of lost virginity.

  9. Clitoroplasty: A clitoroplasty is a surgical procedure that refines or improves the appearance of a woman’s clitoris. It can also be performed to create an artificial clitoris in men undergoing sex reassignment surgery. It is also known as clitoral hood reduction, as it can reduce the size of the clitoral hood in some patients.

  10. Labiaplasty: Labia surgery, which usually involves labia reduction—and vaginal rejuvenation, or tightening, are becoming as common today as other cosmetic procedures. New advancements and techniques in Labiaplasty and Vaginoplasty typically lessen scarring, pain, recovery time, and show excellent results in the area sometimes referred to as Vaginal Cosmetic Surgery.

3 people found this helpful

Hello sir I am trying to get pregnant since last 2 months even I have regular periods and had sex as per the ovulation dates but still not getting pregnant. Could I know the possible reasons.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Hello sir I am trying to get pregnant since last 2 months even I have regular periods and had sex as per the ovulatio...
Hello lybrate-user, 2 months is very less time to give any feeback. Try at least for 6 months for natural conception, if it doesn't happen then consult doctor.
2 people found this helpful
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Hi. We are planning for baby since 7 months .my last period was on 20th June and have 35 days duration of periods. Me n my husband had intercourse in ovulation time .in feeling headache constipation n tiered but not breast tender it's normal like before is there chances of pregnancy.

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Hi. We are planning for baby since 7 months .my last period was on 20th June and have 35 days duration of periods. Me...
It is too early to give any feedback. You can check your result using a pregnancy test kit and let me know the findings.
3 people found this helpful
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Breast Pain - 6 Ways To Treat It!

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Breast Pain - 6 Ways To Treat It!

Breast pain, also known as mastalgia, can be termed as any type of discomfort, pain or tenderness in and around the breast or the underarm region. It can also be accompanied by a sharp pain or a burning sensation.

There are two major types of breast pain

  1. Cyclical Pain: As the name suggests, this type of pain occurs on a cyclic basis and is linked with one’s menstrual cycle. It may happen when one is going through her periods and is influenced by hormonal imbalances. This type of pain is generally not a cause of concern.

  2. Non-Cyclical Pain: This is generally not common and its cause can be linked to a variety of reasons; cancer or a malignant tumour in the breast being the most severe consequence.

Causes of Breast Pain

  1. Lumpy breasts along with soreness and pain can be caused due to fibrocystic breast tissue.

  2. Hormonal imbalance can also lead to pain or discomfort in and around the breast region. Abnormal prolactin limits can also be a contributing factor.

  3. Breast cancer can also lead to pain, mostly in the left breast. Along with the pain, it can also induce a dull ache, tightness or heaviness in the chest.

Treatments for Breast pain

The various treatments for cyclical breast pain include:

  1. Making modifications in the diet

  2. Administering Vitamin E and calcium supplements

  3. Including thyroid hormonal supplements in the diet

  4. Reducing sodium intake in your diet

  5. For non-cyclical breast pain, which is often the cause of cancer, a thorough examination is recommended. A clinical biopsy will be advised if the lumpy tissues make the tumour harder to be detected through a mammogram.

  6. If the pain is on account of an injury, then appropriate painkillers will have to be administered to reduce the pain. If you wish to discuss about any specific problem, you can ask a free question.
2026 people found this helpful

Natural Cycle IVF

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Natural Cycle IVF

Natural Cycle IVF

What is natural cycle IVF?

Natural cycle IVF involves collecting and fertilising the one egg that you release during your normal monthly cycle. No fertility drugs are used in this treatment.

Is natural cycle IVF for me?

It may be worth discussing this treatment option with your clinician if your periods are fairly regular and you are ovulating normally.

You are unable to take fertility drugs (for example, cancer patients or those whose clinician has suggested that they are at risk of OHSS – ovarian hyper-stimulation – a dangerous over-reaction to fertility drugs) because for personal or religious beliefs you do not wish to have surplus eggs or embryos destroyed or stored.

How does natural cycle IVF work?

The treatment is the same as conventional IVF, but without the fertility drugs that are used to stop natural egg production and hormones that boost the supply of eggs.

As your ovaries aren’t being artificially stimulated, you don’t need to rest as you would after conventional IVF.

If your treatment is unsuccessful, you can try again sooner if you wish.

 If you wish to discuss about any specific problem, you can consult an IVF Specialist.

2 people found this helpful

IUI (Intrauterine Insemination)

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
IUI (Intrauterine Insemination)

IUI (Intrauterine Insemination)

Intra Uterine Insemination is the process where artificial insemination of prepared sperm of husband / donor is done in the uterine cavity for conception in a planned cycle at the time of planned ovulation.

It is done in cases where the tubes are functional as well as patent . This can be performed in a natural cycle or with artificial hormone stimulation.

If the couple is diagnosed with unexplained infertility, cervical mucus problems, minor sperm abnormalities or other male disorders.It is also a cheaper solution for azoospermic males who cannot afford ICSI with TESA . They can have artificial insemination with donor semen.

8 people found this helpful

Why Should You Go For Laparoscopy?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Why Should You Go For Laparoscopy?

Diagnostic laparoscopy is a surgical process for examining different kinds of organs present in the abdomen. It is a low-risk and minimally invasive process in which just a small incision is made. This allows the doctor to evaluate the conditions of your abdominal organs without opting for an open surgery. It’s mostly performed when the patient complains of pain in the pelvic region and when other assessing methods have failed to detect the reason behind the pain and discomfort.

How is laparoscopy done?
The laparoscope is a slim and well-lit telescope that allows your doctor to evaluate the conditions of various organs in your body. It can help in determining whether there is any instance of fibroid or endometriosis. It can help in performing a variety of surgeries like removal of ovarian cysts, hysterectomy and tubal ligation. This surgery involves much lesser healing time compared to other elaborate surgeries.

Why should you go for laparoscopy?
Your gynaecologist may recommend you to get a laparoscopy for a treatment or for diagnosis. It is mostly performed due to unexplained pelvic ache, infertility and a history of pelvic infection. Laparoscopy is also performed for the diagnosis of conditions such as uterine fibroids, ovarian cysts, endometriosis, pelvic pus or abscess, ectopic pregnancy, painful scar, inflammatory disease in the pelvic region and reproductive cancers.

How to prepare for gynaecological laparoscopy?
Your gynaecologist would ask you to prepare for the laparoscopy test on the basis of the type of surgery. Your doctor would ask you about the medication you take, which would include health supplements and over-the-counter medications and in certain cases you may have to stop certain medications. This process is performed under anaesthesia and you would be able to go home on the same day. The following process depends on the type of process. The diagnosis process is completed faster than the surgical process in which an incision is required to be made. The instrument would be inserted through the incision and then the surgery is executed by inserting the laparoscope tool. Once the process is completed, all the tools are removed from the body and the incision would be closed with stitches and the affected area would be bandaged.

In recent times, the laparoscopic process has advanced to a great extent and robotic surgery is often used for performing the surgical process. This is because it has been proven that robotic hands are steadier than human hands and can perform fine manipulations effortlessly. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

1901 people found this helpful

How Gestational Diabetes Affects Your Baby?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
How Gestational Diabetes Affects Your Baby?

You may develop a form of diabetes during pregnancy, which is known as gestational diabetes. The condition usually goes away after childbirth. During pregnancy, hormonal changes within the body may cause the blood sugar level to rise. This condition affects the developing fetus as well, as the baby receives nutrients from your blood. The baby may store the extra sugar as fat and may grow unusually large.

How gestational diabetes affects the baby

Owing to the abnormally large size, the baby may be at risk of facing several complications, if you have gestational diabetes. Your baby may be affected in the following ways:

1. There may be injuries during birth due to the large size.

2. Low blood sugar level and mineral level during birth.

3. Jaundice, which is a condition which turns the skin to yellow.

4. The baby may be born prematurely.

5. Breathing problems which are temporary.

6. The baby will be at a higher risk of obesity later in life.

How gestational diabetes affects the mother

The chances of several pregnancy complications get enhanced due to gestational diabetes. The possible risks are as follows:

1. Chances of undergoing a C-section

2. Chances of miscarriage

3. High blood pressure.

4. Pre-term birth

5. After giving birth, the mother has high chances of developing type 2 diabetes.

How to manage gestational diabetes?

You can follow several tips and must undergo lifestyle changes for keeping your diabetes in control. These include the following:

1. You should have a healthy diet with reduced amount of carbohydrates as they cause the sugar level to increase. You must abstain from high sugar food items.

2. Regular physical exercise is essential for the management of sugar levels. You should work out for at least 30 minutes every day.

3. Regular health check-ups are very important, especially for your baby after birth. These may include ultrasounds and nonstress tests.

4. Prescribed medication such as insulin and several others help in the management of blood sugar levels.

5. You must observe your blood sugar level properly. You should take a blood sugar test many times a day.

6. You should always watch your symptoms for any sign of blood sugar during pregnancy.

In case you are diagnosed with gestational diabetes, you must consult a doctor immediately. Managing this condition at an early stage will prevent your baby from being affected in several ways. The condition can be successfully managed and majority of women with gestational diabetes have regular vaginal births and produce healthy babies. If you wish to discuss about any specific problem, you can consult a gynaecologist.

 

1785 people found this helpful

Common Cause of Infertility in Females

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

Common Cause of Infertility in Females

For pregnancy to occur, every part of the complex human reproduction process has to take place just right. The steps in this process are as follows:

  • One of the two ovaries releases a mature egg.
  • The egg is picked up by the fallopian tube.
  • Sperm swim up the cervix, through the uterus and into the fallopian tube to reach the egg for fertilization.
  • The fertilized egg travels down the fallopian tube to the uterus.
  • The fertilized egg implants and grows in the uterus.

In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of these factors.

Ovulation disorders

Ovulation disorders, meaning you ovulate infrequently or not at all, account for infertility in about 25 percent of infertile couples. These can be caused by flaws in the regulation of reproductive hormones by the hypothalamus or the pituitary gland, or by problems in the ovary itself.

  • Polycystic ovary syndrome (PCOS).In PCOS, complex changes occur in the hypothalamus, pituitary gland and ovaries, resulting in a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity, abnormal hair growth on the face or body, and acne. It’s the most common cause of female infertility.
  • Hypothalamic dysfunction.The two hormones responsible for stimulating ovulation each month — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — are produced by the pituitary gland in a specific pattern during the menstrual cycle. Excess physical or emotional stress, a very high or very low body weight, or a recent substantial weight gain or loss can disrupt this pattern and affect ovulation. The main sign of this problem is irregular or absent periods.
  • Premature ovarian insufficiency.This disorder is usually caused by an autoimmune response where your body mistakenly attacks ovarian tissues or by premature loss of eggs from your ovary due to genetic problems or environmental insults such as chemotherapy. It results in the loss of the ability to produce eggs by the ovary, as well as a decreased estrogen production under the age of 40.
  • Too much prolactin.Less commonly, the pituitary gland can cause excess production of prolactin (hyperprolactinemia), which reduces estrogen production and may cause infertility. Most commonly this is due to a problem in the pituitary gland, but it can also be related to medications you’re taking for another disease.

          If you wish to discuss about any specific problem, you can consult an IVF Specialist.

2 people found this helpful

Your Egg Reserve

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Your Egg Reserve

Your Egg Reserve

Ovarian Reserve Testing – AMH

Females are born with approximately 1 million eggs and this number declines with age through natural attrition and ovulation but , the rate at which a woman can ‘lose’ eggs during her reproductive life varies greatly from individual to individual .

The number of eggs remaining at a given time, in a female is her ‘ovarian reserve.’

we can now estimate your ovarian reserve with a very simple blood test, it measures a hormone known as AMH; or Anti-Mullerian hormone, which can give us a good indication of your fertility status and an estimate of your ovarian reserve.

Basis behind the test?

AMH is produced by the granulosa cells in the developing early antral follicles of the ovary and as the number of eggs decline, the number of small antral follicles also decline along with the AMH.

This means that AMH is a clinically useful measure of ovarian reserve so as an early indication of your fertility status AMH can help you decide whether to start a family sooner or later.

What if my AMH is low?

Once the ovary runs out of eggs, the body can’t produce more and often the last remaining eggs can be of lessor quality so If you’re in a relationship and have a low ovarian reserve, the best option for having children is to go ahead and try as soon as possible.

If a woman experiences premature menopause, Dr. Richika can take you through all your viable options including the use of donor eggs.

We believe that information and knowledge is power and this test is one way you can take charge of your fertility future today.

You may be at increased risk of having a low AMH if you have;

2 people found this helpful

Diagnostic tests- Females

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Diagnostic tests- Females

Diagnostic tests- Females

We provide testing for fertility by all modalities ranging from reproductive hormones to diagnostic ultrasound to ascertain the cause. It is advisable that we make you undergo these tests before your final treatment/ plan of management is started.

  • Blood tests – These include a whole array of blood investigation ranging from CBC , Urine routine microscopy, RBS, TSH, PROLACTIN, VDRL, HIV, HBSAG, HCV, AMH. And any other test depending on the history of the couple.
  • Transvaginal ultrasound- A complete ultrasound of the uterus an adenexa is done to diagnose any anatomical disorder.
  • Specific tests – In cases of recurrent implantation failure and recurrent pregnancy loss or if required other tests are also advised.
  • Diagnostic Laparoscopy and Hysteroscopy – For many, this test is an important part of a fertility evaluation .Laparoscopy takes place under general anaesthesia with small incisions made at or just below the navel and the pubic hairline. A laparoscope (a small-diameter telescope) is passed through the incision, which enables one to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. We can check that the tubes are open (tubal patency) by injecting dye through the uterus and observing it spill or not through the ends of the fallopian tubes.

Hysteroscopy uses another small-diameter telescope called a hysteroscope. This enables to assess the uterine cavity for abnormalities such as polyps, adhesions or fibroids.

Gestational Surrogacy

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Gestational Surrogacy

Gestational Surrogacy

Cycle Synchronization

It is necessary to synchronize the menstrual cycles of the surrogate and the intended parent in order to obtain mature eggs and embryos and transfer these back into a perfectly prepared endometrium (uterine lining) to maximize the chances of pregnancy success. This is done using a variety of hormonal manipulations .We will determine which technique will work best for each circumstance. Once both women’s (surrogate and intended parent) ovarian function is suppressed and their cycles synchronized, they can begin the process of preparing for pregnancy.

Hormonal Therapy

On about the same day, the surrogate and intended parent will begin hormonal therapies to prepare the appropriate target for pregnancy success. The surrogate will begin taking estrogen to stimulate endometrial (uterine lining) growth and the intended parent will begin taking FSH to stimulate egg production. These treatments are monitored with ultrasound and blood estrogen levels until the eggs are ready to be retrieved and the uterus is ready to accept an embryo. Usually these treatments will take approximately two to three weeks and require five office visits for ultrasounds and blood tests.

Subsequently IVF and embryo transfer is done.

Pregnancy Success!

In successful cycles, the hormonal supplements are continued through the first trimester (12 weeks) of the pregnancy. Once the first trimester is completed and the placenta has matured to the point where it can provide for all the hormonal needs of the pregnancy, no further supplements are required. We will monitor blood levels of estrogen and progesterone at the end of the first trimester and taper off the hormone supplements gradually. Once the hormone supplements are stopped, the rest of the pregnancy is indistinguishable from any other pregnancy!

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

1 person found this helpful

Gestational Surrogacy

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Gestational Surrogacy

Gestational Surrogacy

We will help you evaluate the benefits of gestational surrogacy and provide you with information about cost, legal issues, and treatment protocols.

In traditional surrogacy, the surrogate is pregnant with her own biological child, but this child will be raised by others. In gestational surrogacy, the surrogate becomes pregnant via embryo transfer with a child that is not biologically her own. The surrogate mother may be called the gestational carrier.

Once a suitable surrogate has been identified, and the screening process is complete, the cycle can begin. Timing depends on the surrogate’s and intended parents/donors menstrual cycle .

Surrogacy Cycle Overview

Evaluation Cycle

The surrogate needs to prepare her uterus for implantation with natural estrogen and progesterone. Because each woman is a little different, the dose, duration, and method of administering these hormones may need to be individualized. This can be determined ahead of time by conducting an evaluation cycle. This is a “dry run” in which we duplicate each part of the cycle except the actual transfer of embryos in order to determine how to maximize the chances of success. The evaluation cycle can be completed anytime before the actual procedure. In some circumstances, the evaluation cycle can be waived when the response of the uterus to hormonal stimulation is well known. This is fairly common for women who have undergone many treatment cycles in the past.

Natural Cycle IVF

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Natural Cycle IVF

What is natural cycle IVF?

Natural cycle IVF involves collecting and fertilising the one egg that you release during your normal monthly cycle. No fertility drugs are used in this treatment.

Is natural cycle IVF for me?

It may be worth discussing this treatment option with your clinician if your periods are fairly regular and you are ovulating normally, but:

you are unable to take fertility drugs (for example, cancer patients or those whose clinician has suggested that they are at risk of OHSS – ovarian hyper-stimulation – a dangerous over-reaction to fertility drugs) because for personal or religious beliefs you do not wish to have surplus eggs or embryos destroyed or stored.

How does natural cycle IVF work?

The treatment is the same as conventional IVF, but without the fertility drugs that are used to stop natural egg production and hormones that boost the supply of eggs.

As your ovaries aren’t being artificially stimulated, you don’t need to rest as you would after conventional IVF.

If your treatment is unsuccessful, you can try again sooner if you wish.

 If you wish to discuss about any specific problem, you can consult an IVF Specialist.

Male Fertility Surgery

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Male Fertility Surgery

Male fertility surgery

Microsurgery

Male microsurgery also involves specialised operative techniques for the repair of very small structures, such as the tubes that carry sperm (the vas deferens). It is commonly used where there is a low sperm count, or no sperm at all.

Microsurgery can be used to:

  • reverse a Vasectomy
  • bypass a blockage in the epididymis,
  • cure a Varicocele (swelling of the veins about the testis), which allows the testis to produce better sperm,
  • In the case of azoospermia (absence of sperm in the testes), microsurgery is also used to perform surgical sperm retrieval so it can be used for Intracytoplasmic Sperm Injection (ICSI). The genetic make up of the sperm is tested first, before fertility treatment.

Most microsurgery is done as a day surgery procedure, and you will need up to a week to recover after the procedure. Occasionally we can cure obstruction to sperm passage in the urinary tract.

Freezing Sperm

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

Freezing sperm

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.

5 people found this helpful

Egg Freezing

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

Egg Freezing

Egg freezing allows a woman to preserve her fertility until she is ready to start her family. During an egg-freezing cycle, a patient will go through many of the same steps that are involved in a typical IVF cycle: ovulation stimulation, ultrasound monitoring, and egg retrieval. After egg retrieval, the eggs will be cultured for a few hours and then frozen the same day for future use.

1 person found this helpful

Common Cause of Infertility in Females

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

Common Cause of Infertility in Females

Damage to fallopian tubes (tubal infertility)

When fallopian tubes become damaged or blocked, they keep sperm from getting to the egg or block the passage of the fertilized egg into the uterus. Causes of fallopian tube damage or blockage can include:

  • Pelvic inflammatory disease, an infection of the uterus and fallopian tubes due to chlamydia, gonorrhea or other sexually transmitted infections

  • Previous surgery in the abdomen or pelvis, including surgery for ectopic pregnancy, in which a fertilized egg becomes implanted and starts to develop in a fallopian tube instead of the uterus

  • Pelvic tuberculosis, a major cause of tubal infertility worldwide, although uncommon in the United States

Endometriosis

Endometriosis occurs when tissue that normally grows in the uterus implants and grows in other locations. This extra tissue growth — and the surgical removal of it — can cause scarring, which may obstruct the tube and keep the egg and sperm from uniting. It can also affect the lining of the uterus, disrupting implantation of the fertilized egg. The condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg.

Uterine or cervical causes

Several uterine or cervical causes can impact fertility by interfering with implantation or increasing the likelihood of a miscarriage.

  • Benign polyps or tumors (fibroids or myomas) are common in the uterus, and some types can impair fertility by blocking the fallopian tubes or by disrupting implantation. However, many women who have fibroids or polyps can become pregnant.

  • Endometriosis scarring or inflammation within the uterus can disrupt implantation.

  • Uterine abnormalities present from birth, such as an abnormally shaped uterus, can cause problems becoming or remaining pregnant.
    Cervical stenosis, a cervical narrowing, can be caused by an inherited malformation or damage to the cervix.

  • Sometimes the cervix can’t produce the best type of mucus to allow the sperm to travel through the cervix into the uterus.
    Unexplained infertility

  • In some instances, a cause for infertility is never found. It’s possible that a combination of several minor factors in both partners underlie these unexplained fertility problems. Although it’s frustrating to not get a specific answer, this problem may correct itself with time.

  •  If you wish to discuss about any specific problem, you can consult an IVF Specialist.

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Diagnostic Tests- Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Diagnostic Tests- Females

Diagnostic tests- Females

We provide testing for fertility by all modalities ranging from reproductive hormones to diagnostic ultrasound to ascertain the cause. It is advisable that we make you undergo these tests before your final treatment/ plan of management is started.

  • Blood tests – These include a whole array of blood investigation ranging from CBC , Urine routine microscopy, RBS, TSH, PROLACTIN, VDRL, HIV, HBSAG, HCV, AMH. And any other test depending on the history of the couple.
  • Transvaginal ultrasound- A complete ultrasound of the uterus an adenexa is done to diagnose any anatomical disorder.
  • Specific tests – In cases of recurrent implantation failure and recurrent pregnancy loss or if required other tests are also advised.
  • Diagnostic Laparoscopy and Hysteroscopy – For many, this test is an important part of a fertility evaluation .Laparoscopy takes place under general anaesthesia with small incisions made at or just below the navel and the pubic hairline. A laparoscope (a small-diameter telescope) is passed through the incision, which enables one to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. We can check that the tubes are open (tubal patency) by injecting dye through the uterus and observing it spill or not through the ends of the fallopian tubes.

Hysteroscopy uses another small-diameter telescope called a hysteroscope. This enables to assess the uterine cavity for abnormalities such as polyps, adhesions or fibroids.

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