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Dr. Ruchi Malhotra  - IVF Specialist, Delhi

Dr. Ruchi Malhotra

89 (482 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecol...

IVF Specialist, Delhi

27 Years Experience  ·  500 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Ruchi Malhotra 89% (482 ratings) MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - ... IVF Specialist, Delhi
27 Years Experience  ·  500 at clinic  ·  ₹300 online
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There is nothing more stressful to a patient and a caring gynaecologist than to face repeated IVF...

There is nothing more stressful to a patient and a caring gynaecologist than to face repeated IVF failure or recurrent pregnancy loss following IVF. So to advise couples who have failed one or more attempts, to keep on trying over and over and over; is not an easy job.

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Infertility refers to being able to get pregnant after one year of trying. Women who can get preg...

Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.

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Polycystic ovarian disease (PCOD) or syndrome (PCOS) is a condition where there are multiple cyst...

Polycystic ovarian disease (PCOD) or syndrome (PCOS) is a condition where there are multiple cysts in the ovaries and as a result there are several symptoms in various body parts. One of the significant things to note is that there is a strong correlation between diet and PCOD/PCOS.

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The specific causes of PCOD are yet to be determined. In PCOS patients, the ovaries produce exces...

The specific causes of PCOD are yet to be determined. In PCOS patients, the ovaries produce excess androgens or male sex hormones, which result in an imbalance in ovulation, acne breakout and development of excess body hair. Your body faces problems using insulin and develops insulin resistance.

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Namaskar! <br/><br/>Me Dr. Ruchi Malhotra, IVF Specialist. Aaj apko IUI ke bare sari chizen btaun...

Namaskar!

Me Dr. Ruchi Malhotra, IVF Specialist. Aaj apko IUI ke bare sari chizen btaungi. Intra mtlb andar, Uterine mtlb bacha dani, Insemination mtlb dalna. Easy language me iska mtlb hai ki bache dani ke andar semen dalna. Ab IUI krne ke bhut sare indications hote hain and bhut sare contra-indications hote hain. Hum kis condition me patient ko IUI suggest krte hain. IUI unke lia hota hai jinke semen me problem hai ya to semen absent ho. Semen me sperm hi nhi hai. Un cases me donor semen leke IUI kia jata hai. Or agar semen me sperm kam hai to aise cases me bhi IUI kia jata hai. PCOS me IUI kia jata hai. Ya fir cervical problem ho means bache dani me koi problem ho jo sperm ko andar nhi jane deti. Next condition hai vaginismus, isme intercourse nhi ho skta, islia IUI kia jata hai.

Ab me apko contra-indications btaungi. Kis cases me IUI recommend nhi kia jata. Tubal block TB, endometriosis or ectopic pregnancy ki vjha se ho skta hai. In cases me IUI nhi kia jata hai. Bachedani me ande na bane jise hum kehte hai premature ovarian failure ya fir low AMH level ya menopause, in cases me bhi IUI contra-indicated rehta hai. Ab me apko btaungi ki IUI me actually kya kia jata hai. Patient ko hum second day of periods me bulate hain. Medicines and dawaiyon ke through ye treatment proceed kia jata hai. Injections islia dia jate hai so that eggs follicles ban saken. Isko transvaginal scan (TVS) bolte hain. Ye 4-5 times kia ja skta hai. Jab egg ka size normal ho jata hai to usse trigger dia jata hai. Ye ek inejection hota hai so that egg ande dani me se nikal jaye. Ise rupture bola jata hai. Fir iske 36 hours baad IUI kia jata hai. Isme semen sample collect kia jata hai. Semen ko wash kia jata hai. Or best sperm leke bache dani ke andar rkha jata hai. Ye kam bina anesthesia ke kia ja skta hai. Or ache center me iska success rate 15-20% rehta hai.

IUI 5-6 times ki ja skti hai quki iska success rate IVF se kam hai. IVF ka success rate 60% tak jata hai ache center me. Agar aap is treatment ke bare me kuch bhi janna chahte hain to mujhe mere center me aa ke mil skte hain. Aap mujhe Lybrate ke through bhi call kr skte hain.

Thank You. 

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Hello Everyone!<br/><br/>I am Dr. Ruchi Malhotra . And today I am going to discuss about IUI. Wha...

Hello Everyone!

I am Dr. Ruchi Malhotra . And today I am going to discuss about IUI. What is it, what are its indications and what are its goals, what are its contraindications, what are its success rate and how does it differ from IVF. I will cover all these questions.

Now let's know what is IUI and why is it done? It is planned in that way, best sperms are placed inside the uterine cavity of the woman. It is an advantage that it gives a head start to the sperm to reach the eggs very quickly to give the results of pregnancy. On the basis of certain indications IUI is done. First when the sperm count is less or the absence of sperm and that is why donor sperm is used. Then there could be a problem of PCOS in which eggs are there but they are not released. In such situations also, IUI helps or there could be some cervical factors. In which sperms are not able to reach. There could be other factor like vaginismum in which proper intercourse cannot happen. So, these are the basic indications in which IUI is used.

There are certain contraindications where IUI is absolutely contraindicated. The indication when the tubes are blocked and if it is blocked, even if we placed the sperms inside the uterine cavity, it will never be able to fertilise the egg. Then there is absence of egg like premature ovarian failure or periods stops very early. In such cases IUI is not going to help. In menopausal women, IUI is not going to help. Or there could be severe tuberculosis of uterine cavity in which linings are not there, in such cases also, IUI is not going to help. So, these are contraindications where we should not do IUI. Now let's talk about the procedure. Treatment starts from the 2nd day of the periods in which injections or the tablets are given to the patient to let the eggs formed. Now this is done by follicular monitoring which is done by transvaginal ultrasound scan. In this growth of the follicle is seen.

Sometimes injections could be use to increase the size of the egg. We need to give a trigger to release the egg in paritonial cavity. And approximately at 36 hours, IUI is done. After that we collect the semen sample after the sterile condition. Semen preparation is done in the lab. We wash the semen and remove all the unhealthy components to take out the best sperm. This we place in uterine cavity. This increases the chances of pregnancy pretty much. Now the success of IUI depends on lots of factors. Success rate of IUI is 15-20%. IUI can be done may be for 5-6 times. And if it does not succed than one can go for IVF. So, if you have any question you can contact me at FSIVF & Research Center through Lybrate.

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Hi!<br/><br/>I am Dr. Ruchi Malhotra from FS IVF Centre, Delhi. I am a senior consultant. I ve be...

Hi!

I am Dr. Ruchi Malhotra from FS IVF Centre, Delhi. I am a senior consultant. I’ve been working with Lady Hardinge medical college for many years as a senior consultant. Thereafter I worked at All India Institute of Medical Sciences, after which I came into this infertility practice. Today I am going to discuss about Artificial Reproductive Techniques or ART. Now ART is a technique which is used for patients who are suffering from infertility. What is infertility? We define infertility when a couple is living together without any precautions and is unable to conceive after one year without any precautions. When such couple comes to us we need to find what is the cause? why they are not conceiving? and furthermore how do we need to treat them? So there are certain basic tests when the patient comes to us for such a complaint. Most important is the history, whether the couple is living together or not. Sometimes it happens when couple comes to us but the husband is travelling, husband is not living so they are not having a normal sexual activity because of which may be they are missing the ovulation period and may be they are not conceiving.

May be there is some kind of sexual problem with in the couple which also comes out in the history or there could be a problem with the hormones in the female. She might be having delayed periods or early period or prolonged cycle or maybe she is having no cycles at all. So these are the main causes which we find out in the history from the couple and then further we need to decide how we need to treat these patients. So ART includes many methods, most important of which are IUI (Intrauterine Insemination) and IVF (In-Vitro Fertilization ). So first we will discuss about IUI. In IUI, the method is, first we stimulates the ovary of the patient by giving them tablets or by giving them some injections. We make the eggs ready which is called as the follicle which finally give us the baby. These follicles are then followed by a transvaginal ultrasound. In this once we reach the particular follicle size then we give them a trigger injection so that the follicle can rupture and comes out of ovary.

Following which we take the husband’s sperm and we segregate the best sperm and we inject them into the uterus of the female. So this is the process of IUI. Now if we discuss about IVF, it is totally different process and in which basic treatment is we give injections and we will make the eggs ready. Now IVF is all about the number of eggs which we get from the ovaries. We give them gonadotropins and we increase the number of eggs and when these eggs reach a particular size, we under anesthesia need to take out these eggs. These eggs are taken out in a test tube in specific conditions of temperature, air and lab. Then we take the husband’s sperm and we inject the sperm into the eggs.

We leave the eggs and sperm together outside in a lab environment and let the embryos grown. Embryos can grow to stage 3 or stage 5, day 3 or day 5. So the transfer is then prepared, the uterus is prepared and these embryos are then transferred into the uterine cavity. This is the entire process of IVF. After 14 days of transfer we can look for a positive result. Aap bhi is infertility ki samasya se pareshan hain aur apko iska koi ilaj samaj mein nahi aa rha toh aap mere pass visit sakte hain. Mera centre Azadpur Sabzi Mandi ke samne hi hai. Ye adarsh nagar metro station ke paas padta hai. Aap directly bhi yahan aa sakte hain aur via Lybrate bhi aakar mere se mil sakte hain. Online consultation bhi ho sakte hai aur Video Conference bhi ho sakte hai.

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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ruchi Malhotra
Dr. Ruchi Malhotra is a trusted IVF Specialist in Azadpur, Delhi. She has been a practicing IVF Specialist for 27 years. She is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO . You can consult Dr. Ruchi Malhotra at FSIVF & Research Center in Azadpur, Delhi. She has received 19 delightful feedbacks from satisfied patients. Book an appointment online with Dr. Ruchi Malhotra on Lybrate.com.

Lybrate.com has a number of highly qualified IVF Specialists in India. You will find IVF Specialists with more than 36 years of experience on Lybrate.com. You can find IVF Specialists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS Bachelor of Medicine and Bachelor of Surgery - Lady Hardinge Medical College, New Delhi - 1992
DNB - Obstetrics & Gynecology - Lady Hardinge Medical College, New Delhi - 1997
DGO - Lady Hardinge Medical College, New Delhi - 1996
Languages spoken
English
Hindi
Awards and Recognitions
Awarded Certificate of Merit For Proficiency In Clinical Medicine
Awarded Best Intern Award
Professional Memberships
Fetal Medicine Foundation India
Indian Medical Association (IMA)
Delhi Medical Association (DMA)
...more
Federation of Obstetric and Gynaecological Societies of India (FOGSI)

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FSIVF & Research Center

A - 6, Panchwati, Metro Station Pillar Number.84, Landmark : Opposite Azad Pur Sabzi Mandi & Near Adarsh Nagar Metro StationDelhi Get Directions
  4.5  (634 ratings)
500 at clinic
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"Very helpful" 48 reviews "Caring" 5 reviews "knowledgeable" 22 reviews "Saved my life" 2 reviews "Professional" 6 reviews "Inspiring" 1 review "Helped me impr..." 3 reviews "Practical" 5 reviews "Well-reasoned" 5 reviews "Sensible" 3 reviews "Thorough" 1 review

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IVF - Can Success Rates Be Enhanced?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
IVF - Can Success Rates Be Enhanced?

A landmark development, which could help widen the scope of fertility treatments, has been achieved through the growth of human eggs from the nascent stage to full maturity outside the body.In UK, one out of six couples face fertility problems and so the question is that whether this development in any way offer some hope to all those people.

The majority of the opinion is that it presents an important step in the right direction but the general progress in research into the very basic secrets, related to the origin as well as the creation of life, gets measured by decades more than years.

For instance, around 66 percent of women, who are under the age of 35, undergoing in-vitro fertilisation treatment, will not conceive a baby after going through their treatment cycles. Specialists are not sure about the fact that why most of the IVF treatments fail but the development leading to advancement of knowledge along with the study of human eggs, which are grown in lab, could surely be encouraging signs for boosting rate of success in IVF.

The rate of success achieved through IVF treatment may give disappointing number but thankfully, due to the research, they are around 85 percent that what they were in 1991. A similar kind of pattern might be followed while transforming human eggs which are lab-grown into feasible treatment procedures. The research was carried out by one Professor named Evelyn Telfer and colleagues at Edinburgh University, the Royal Hospital for Sick Children, Edinburgh and the New York Center for Human Production.

Ten women, who were undergoing caesarean-section births had donated their eggs, which were grown from ovarian tissue.The research had gone on to provoke some tough questions, like why did few of the developed eggs mature in only 22 days in comparison to the five months, which it would have normally taken in the body and also why only 10 per cent of the eggs reach full maturity. The idea of the lab-made eggs attaining maturity should be same as that of the natural cycle was challenged by Professor Telfer. He had given out his argument that the fact it takes longer in the body because eggs have to work simultaneously with the hormonal cycle of a woman, which consists of a number of control mechanisms within the body.

Opinion of the ProfessorThe professor opined that he would like to describe the way eggs tend to grow outside the body in their system not as any kind of accelerated development but it is to be seen as development without any brake being put into it. As far as the logic goes, he felt that there was no concrete reason why human eggs should take a number of months to mature.He had also gone on to say that the main problem was the lack of basic knowledge about human eggs. Lack of progress made by IVF in the last 40 years is mainly due to the lack of understanding about the fundamental aspects of how human egg develops. He even believed that this kind of research work would allow them to give the necessary insight which they need.

Which Are The Genetic Disorders That IVF Can Help?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Which Are The Genetic Disorders That IVF Can Help?

In vitro fertilization is a procedure where a doctor extracts eggs from a woman’s ovaries, fertilizes it and implants an embryo in her uterus. But before the implantation, the embryos are tested for genetic disorders.
These tests are conducted to find out if there are any genetic disorders in the embryo. Genetic problems lead to failed implantation and even if implantation is successful, there is a high risk of miscarriage.

The embryos that are revealed to have defects are rejected and only the healthiest embryo is implanted. So screening during IVF actually increases the likelihood of the woman becoming pregnant.

The two chief benefits of these tests are-

• No risks of transferring your genetic abnormalities to your child
• A safe and healthy pregnancy

The genetic disorders that these procedures look for are-

• Huntington’s disease: It causes degeneration of the brain’s nerve cells. It results in cognitive impairments, involuntary movements of the limbs and twitches, muscle dystonia, unnatural eye movement etc.

• Sickle cell anaemia: The body produces sickle-shaped rigid red blood cells that are unable to carry the requisite amount of oxygen to all parts of the body. It is not curable and causes excruciating pain, inflammation of hands and feet, infections and problems with eyesight.

• Muscular dystrophy: The body cannot utilize proteins to strengthen muscles and this leads to loss of muscle mass, extreme weakness, muscle cramps, unsteady gait and breathing problems.

Cystic Fibrosis: It interrupts the function of the lungs and that causes persistent infections. The mucous isn’t drained and blocks the airways of the body which results in inflammation of the lungs, respiratory distress or failure, asthma and even pneumonia and bronchitis.

• BRCA Mutation: BRCA 1 and 2 genes produce proteins that are cancer tumour suppressors. They keep the structure and composition of the cell stable. They can also repair damaged DNA. Mutations of these vital genes can increase risks of breast and ovarian cancer.

• Fragile X syndrome: this disorder affects a child’s ability to learn and impairs their speech, control their impulses and learn how to walk. Boys are more prone to it than girls are.

• Tay-Sachs disease: This disorder damages the nerve cells of the brain and the spinal cord and leads to motor disabilities, seizures, loss of sight or hearing, rupture of blood vessels in the eyes etc.
Screening for genetic disorders can ensure that your baby is born healthy with no genetic abnormalities.

1 person found this helpful

How Can You Get IVF Done If You Have Arthritis?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
How Can You Get IVF Done If You Have Arthritis?

Arthritis is a swelling of either of your muscles and joints or a number of joints. According to medical reports, there are more than a hundred different categories of arthritis. However, the two common ones affecting the majority of the population across the world are rheumatoid arthritis (RA) and osteoarthritis (OA).

Arthritis has been seen to commonly occur in individuals who are more than 60 years of age. However, it can also occur in teens, children and young adults. Another important factor is that arthritis as a condition is more common in females than males. Also, people who are overweight are more susceptible to suffering from it.

Symptoms of Arthritis:

Aside from the already mentioned persistent sign of swelling or inflammation other common symptoms include stiffness and joint pain. People who suffer from the condition of arthritis experience painful swelling in the morning along with redness around the skin of the joint.

Those who suffer from RA specifically are prone to suffering from tiredness, reduced appetite, anaemia and fever.

Causes of Arthritis:

Arthritis can be caused by mere wear and tear of the joints. Sometimes infection or damage to the joint muscles can also trigger the condition. Also, arthritis is hereditary.

Living with Arthritis:

For those suffering from arthritis carrying out simple daily activities can be extremely painful. This includes walking, and climbing stairs and personal grooming activities such as shaving combing hair etc. Also, people have trouble gripping, kneeling and reaching out to grab objects. Other limitations posed by arthritis include difficulty in getting pregnant via In Vitro Fertilization or IVF.

IVF and Arthritis:

Women who suffer from rheumatoid arthritis have lowered the chances of getting pregnant with assisted reproductive technology such as IVF. This has been a rather recent finding in the Annals of the Rheumatic Diseases journal.

A few cases studies were carried out which have been reported within the journal. It has been discovered that women affected with RA were found 22 per cent less likely to get pregnant compared to other women. The chances of clinical pregnancy in women with RA were also less by 20 per cent.

According to doctors, it is recommended that patients take corticosteroid medication prior to opting for IVF. This increases the chance of conception.

3252 people found this helpful

How To Prepare For Your First Fertility Clinic Appointment?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
How To Prepare For Your First Fertility Clinic Appointment?

The success rates of IVF are in the spotlight but there is a worry among patients. IVF cycles are extremely costly and so if things don’t work out at one go and women require more cycles for getting the desired success, then that means, you would need to spend a lot.

The problem lies with the fact that clinics are not bound to disclose the kind of success rates they have, so this makes it impossible for anyone to compare each and every clinic. So, how to make sure that you get down to a genuinely good IVF Clinic, where there is surety that going through an IVF cycle would not let your money go in waste. 

Now, we take into account certain key factors that influence the success of an IVF cycle along with some tips for asking the right kind of questions:

  • Pregnancy against live birth rates: There is a steady decline not only in woman’s fertility but also in the success rates of IVF, as they grow older. In case of almost all clinics, the success rates tend to be on the higher side for those women, who are under the age of 30, with them having 26% chance that they are going to take home a baby after going through each cycle of IVF. On the other hand, those are aged above 40 years have just about 6% chance of getting success and take a baby home. Generally, figures suggest that only half of the pregnancies through IVF, for women above the age bracket of 40 years will lead to live birth. So, it is important to take note, if you see on the website of any clinic that they are showing pregnancy rate rather than live birth rate, most importantly if you are in your 40s. Prospective patients must ask their clinic to disclose the pregnancy rate as well as the live birth success rate for their respective age groups.
  • Blastocyst cultures: Another way through which one can easily predict the success of any particular clinic is by seeing whether they use blastocyst culture. The normal tradition was to grow embryos just for a few days till the stage of cleavage but now, the main aim of most treatment is to the growth of embryos for five days till they reach the stage of a blastocyst.
  • This is a kind of a situation wherein the best survive till the end and the weaker ones tend to die down. This process of selection makes it easier for embryologists to take the best embryo for transfer, hence leading to better results.
  • Sperm injections: Success through IVF is also dependent upon the cause behind infertility. Some male counterparts have really low sperm count and hence require intra-cytoplasmic sperm injection. This leads to injection of an individual sperm into an egg. At times when things are not clear whether a patient would need ICSI, doctor will generally allow half of the eggs to get inseminated through the standard process of insemination and the other half would be injected through ICSI. If someone gets enough eggs, then it would surely require to enquire.
     
1 person found this helpful

Things To Know About IVF Failure

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Play video

There is nothing more stressful to a patient and a caring gynaecologist than to face repeated IVF failure or recurrent pregnancy loss following IVF. So to advise couples who have failed one or more attempts, to keep on trying over and over and over; is not an easy job.

4965 people found this helpful

How To Treat Infertility?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Play video

Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.

4755 people found this helpful

The Major Differences Between IVF & Surrogacy!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
The Major Differences Between IVF & Surrogacy!

Often most couples face difficulty in trying to conceive and are distraught by the fact that they cannot have a child of their own by natural methods. Nowadays, there are countless alternative options for trying couples to find a solution to this pressing issue.

In vitro Fertilization or IVF is a procedure in which the doctor combines the sperm from the man and egg from the woman to develop an embryo in a laboratory. This step is carried out in a test tube and is therefore referred to as a test tube baby.

Afterwards, the embryo will be transferred back into the woman’s womb. The in vitro fertilization procedure was advanced in order to help women suffering from dysfunctional fallopian tubes. In a situation where IVF fails to provide help to the concerned couple, surrogacy is suggested.

Procedure of IVF:

The IVF procedure begins with hormone therapy on the female candidate’s body. This is done in order to promote the development of eggs within her ovary. The eggs are then collected and put in a test tube for fertilization. This facilitates the production of a number of embryos. After four days in the incubator, one of the embryos will be transferred within the mother’s womb for implantation.

What is Surrogacy and How is it Different?

Surrogacy comes as the next obvious step in light of an IVF procedure failing to make the mother pregnant. In this procedure, the eggs are implanted within the womb of another woman who is referred to as the surrogate. The surrogate keeps the baby within her womb for nine months and gives birth to the child.

Compared to an IVF procedure surrogacy is a very complex process where there are a number of legal, emotional and financial factors involved.

Often couples might take the route to surrogacy as the first option after the woman experiences repeated miscarriages when both the partners have been trying for a number of years and have not met with any success. Other reasons for considering surrogacy include Hysterectomy and frail health condition of the woman that makes her prone to further complications and risks.

Basic Difference:

The basic difference between IVF and surrogacy is that in IVF the egg is fertilized outside the body of the woman whereas in surrogacy, the egg is implanted in another woman’s womb and she carries the child for nine months.

3317 people found this helpful

IVF - Knowing Merits Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
IVF - Knowing Merits Of It!

IVF treatment is important as it helps many patients who would be otherwise unable to conceive. There are many reasons why IVF treatment is necessary. They are as follows.

  • It helps patients who are unable to conceive: Patients who are unable to conceive normally have to undergo IVF to be able to conceive.  IVF helps such patients to be able to have children. Women who have blocked fallopian tubes or damaged fallopian tubes can greatly increase their chances of having a baby via IVF.
  • It is also the best option for them Male infertility: Those couples who have a male infertility problem will have a much higher chance of conceiving with IVF. The chances of conceiving naturally for such couples are low. They have to depend on IVF as this is their best option.
  • Patients who are older: Patients who are older or have low ovarian reserves can maximise their chances of having a baby through IVF.
  • Safe track record: IVF has been used for a really long time and it has proved not only to be successful but also safe. Advancements in technology have further made the process safer. It has a great track record for safety. Women undergoing IVF do not face any health risks at all.
  • It can be more successful than IUI: IVF success rates have kept on increasing over the years and it will increase even more in the future. The success rate of IVF has kept on going high. Though there are other forms of assisted reproduction technology and IUI, IVF has been more successful than them.  The other forms of conceiving have not achieved as much success as IVF has achieved.
  • Unused embryos can be donated to another couple or used for research: The unused embryos do not go to waste. They can be used for research purposes which helps in the advancement of medical science. They can also be donated to another couple and this will allow them to have a baby. Either way, it is a win-win situation.
  • Embryos can be screened to detect inherited diseases: IVF is a very useful and reliable way to ensure that inherited diseases are not passed onto the child. This process is very helpful for people who are known carriers of genetic disorders. This process makes sure that their disorders are not passed onto their children. Pre-implantation genetic screening is known to improve the chances of a successful result. In this process, the embryos are screened to detect disorders like chromosomal disorders like Down’s syndrome.

We hope this article has been helpful in addressing your queries regarding IVF treatment and the need for it.

Can IVF solve All Infertility Problems?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Can IVF solve All Infertility Problems?

Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues.

When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things

  • Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance.
  • In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle.
    • Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator.
    • Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it).
    • Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place.
  • Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some. The failure of IVF treatment in some patients can be attributed to
    • The embryo not being healthy enough to undergo the implantation
    • Problems or severe damages to the uterine cavity.
    • Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations).

Can IVF solve all infertility problems?
Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for

In unfortunate cases, where IVF fails to produce the desired result, there are other fertility treatments available such as Intrauterine insemination, Gamete or Zygote Intrafallopian Transfer, Intracytoplasmic sperm injections, to put an end to the infertility problems.

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How Acupuncture Impacts IVF Success Rates?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
How Acupuncture Impacts IVF Success Rates?

A very frequently used treatment both before and during In-Vitro Fertlization is Acupuncture. There is hope among women that it will help increase their chances of conceiving a baby and also provide the necessary support related to reduction of stress during the time of treatment. A range of small clinical trials have been conducted to suggest that acupuncture helps to improve the outcomes of highly stressful and unpredictable treatments of fertility but recent study has found out that this is not what really happens.

The study was undertaken for more than 800 Australian and New Zealand women, who had undergone acupuncture treatment at the time of their IVF cycles but that treatment has not really ensured any significant difference in live birth rates.The finding have been published in the Journal of the American Medical Association, which support recent guidelines set by the American Society for Reproductive Medicine and two very high-quality meta-analysis.

Findings of the Study - the effects of a short course of an IVF cycle administered by acupuncture were examined. They could not come with any concrete conclusion to show that acupuncture leads to increase in live births, clinical pregnancy or result in less number of miscarriages.This study has been undertaken in 16 different IVF centres across Australia and New Zealand, the clinical trial controlled in a random manner, which compares the effects of any experimental treatment on one particular group with those of an alternative treatment for another group, mainly aims to increase the number of live births and pregnancies among 848 women, who are aged in the range of 18 to 42, undergoing an IVF cycle treatment through the use of fresh embryos for a period of four years.The first acupuncture treatment was provided right at the beginning of the In-Vitro Fertilization process, when they are given proper medication to stimulate the ovary for producing follicles.

The successful fertilization was followed by performing acupunture to recognized acupuncture points both before and after the embryo gets transferred to the womb of a woman.The control group used in this study was sham acupuncture. This is a kind of real acupuncture but the difference lies in the fact that it does not involve any needle to be inserted through the skin. For both the groups of women, the needle is being kept in place by a plastic tube but as and when the practitioner gets the needle placed on the skin, for the control group, the needle’s shaft tends to disappear right into the handle, whereas in case of the group receiving treatment, the needle gets through the skin.

The result came up that clinical pregnancy could be possible among 25.7% of women who had received acupuncture and only 21.7% of women in the sham control. Live birth could be achieved only for a mere 18.3% of women who had received acupuncture in comparison to 17.8% receiving the control.There was an increase of only 4%, especially given the low percentage of successful births through IVF. The study does not support that acupuncture can lead to an improve in pregnancy or live births for those undergoing IVF cycle.

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