Dr. Sangeeta

We are celebrating 72nd independence day. On this day we got freedom from british government. Many freedom fighters devoted their life for freedom of india, for freedom of indians, so that overall development of every indians can occur.No doubt we have made several progress in every field of life. But every side has two phase so in this case also it is.Many people in india are suffering from different types of mental problem and it is increasing day by day. With changing society and human values it is more likely to be increase in future. In many rural areas people don't consider to consult any professional for many types of psychological and mental issue. And so the number and extent of these type of problems are increasing day by day. There is need to create awareness among the people so that they can enjoy and live their life happily. There are few things which can be follow to make life like heaven. What it requires is slightly change in attitude and approach.

1. Some times let the thing go don't think the topic again and again. Once discuss the topic with your closed ones and then stop thinking on that topic. During your working hour focus on your work, if random thought runs in your mind say to yourself that I will deal with it after office and after office write it down on paper.

2. Control your ego and anger. Many times our ego creates barrier to communicate with people. Think that every one is the creation of same god. Whatever distinction is made, it is made by our society.

3. Make some good friend with whom you can share everything whenever you feel negative/or any problem then talk to that person. It is proven fact that by expressing emotions/feelings 50 percent stress level decreases.

So by changing our life style we can change ourself and can live and enjoy every single moment in life. Make some changes in yourself and society before 73rd independence day.

 

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

1. Poor sperm perms motility

2. Semen where sperm concentration is low

3. Male infertility with unidentifiable cause

4. Poor sperm quality, with sluggish sperms

5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)

6. Useful in couples who have failed IVF.

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

1. First step is the sperm collection; a screening is first done

2. Sperms collection happens through either masturbation or directly from the testicles via a small incision

3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.

2. Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

During the procedure - How ICSI happens:

1. A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization

2. This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus

3. Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected

4. The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 % 

   If you wish to discuss about any specific problem, you can consult a gynaecologist.