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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
In Vitro Fertilization (Ivf) Treatment
Treatment Of Female Sexual Problems
Urinary Incontinence (Ui) Treatment
Sperm Donor Program
Natural Cycle Ivf Treatment
Management of High-Risk Pregnancy
Artificial Insemination Treatment
Preimplantation Genetic Diagnosis (Pgd)
Egg Donation Procedure
Treating Disorders of The Unborn Child
Fertilisation In Vitro - Embryo Transfer (Ivf - Et
Intracytoplasmic Sperm Injection (Icsi) Procedure
Embryo Donor Program
Evaluation & Treatment of Infertility
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Patient Review Highlights
I saw Mukesh Fogla clinic's advertisement in newspaper and that is how we referred him. Mukesh Fogla guidance has helped me immensely and has helped gain confidence. Mukesh Fogla has in depth knowledge and ensures that he explains the problem in detail. The overall atmosphere in the Global Fertility Centre is very soothing. Not only he is very calm and composed, but is also a very understanding doctor. Due to my fertility i was feeling very depressed and had no hope. It's been so long, I have lost all hope, but then I met Mukesh Fogla and I am hopeful again that I will be fine.
Not only Dr Mukesh Fogla is very calm and composed, but is also a very understanding doctor. He is very knowledgeable person. I was shocked to know that I could not conceive but doctor Mukesh Fogla helped me immensly in the fertilization treatment.
There are technical ways in which you can get your body all set for labour. Although you may not know how your labour will progress, you can ease the pain that you experience during childbirth to a significant extent by doing these four exercises:
1. Kegel Exercises: These exercises target the muscles that provide support to your bladder, uterus, urethra and rectum. By strengthening the muscles of the pelvic floor, these exercises help in improving the flow of blood to your vaginal and rectal area. Kegel exercises involve contracting of the muscles of your pelvic floor as you would do if you had to prevent passing urine or stool. It is also known to reduce the duration of the pushing stage of childbirth, which is the second stage. You can do the exercises sitting or standing and in either of the two ways-
Slow kegels: For this, contract the muscles of your pelvic floor and hold them for 3-10 seconds. Release and repeat the exercise for ten times.
Fast kegels: To do this, you need to contract and loosen up your pelvic muscles 25-50 times. Do the set for about 4 times with 5 seconds interval between each set.
2. Squatting: Practising squatting during your pregnancy can help in preparing your pelvic muscles for labour. While strengthening your thighs, it opens up your pelvis for an easy descent of the baby. So, here’s what you should do:
1. Begin by standing behind a chair for support with your feet wide apart
2. While contracting your abdominal muscles, relax your shoulders and chest before lowering your tailbone towards the floor
3. While inhaling and exhaling deeply, push into your legs and go back into a standing position
3. Pelvic Tilt: This exercise helps in strengthening the muscles of your back, pelvis and thigh regions while improving posture. Ensuring your pelvic joints remain flexible, it eases the pain experienced during delivery. Here’s how it’s done:
1. Get down on both your hands and knees while keeping your head in a parallel position with your back
2. While arching your back, pull in your stomach
3. Hold this position for a few seconds before releasing
The exercise needs to be repeated 3-5 times - all the while maintaining a strong hold over your back and stomach.
4. Tailor Pose: The tailor pose is designed to help relax your hip joints as well as open up the pelvis. It also helps in improving your body posture while easing the aches that occur in the lower part of your back. For this, you need to perform the following steps:
1. While keeping your back straight, sit comfortably on the floor
2. Placing the soles of both the feet together, press your knees gently towards the floor
3. Keep the position for 10-15 seconds. You can repeat the exercise for 5-10 times. If you wish to discuss about any specific problem, you can consult a gynaecologist.
The uterus is a muscular structure held in place inside your pelvis with the help of muscles, ligaments, and tissues. These muscles weaken in women due to pregnancy, childbirth or delivery complications and can lead to severe complications. One such complication is a uterine prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position into the vaginal canal.
The causes of uterine prolapse are varied and include:
- Delivering a large baby
- Difficulty in labor and delivery
- Reduction in estrogen levels post menopause
- Traumatic childbirth
- Loss or weakening of the pelvic muscle
- Conditions which lead to increased pressure in the abdominal area such as a chronic cough, straining, pelvic tumors or accumulation of fluid in the abdomen
- Loss of external support due to major surgery in pelvic area
Uterine prolapse can be complete or incomplete depending on how far the uterus sags into the vagina. Women who have minor uterine prolapse may not have any visible symptoms. However, if the condition worsens, it manifests itself in visible signs.
Symptoms of moderate or severe prolapse are:
1. A feeling of fullness or pressure in your pelvis when you sit
2. Seeing the uterus or cervix coming out of the vagina
3. Vaginal bleeding or increased discharge
4. Painful sexual intercourse
5. Recurrent bladder infections
6. Continuing back pain with difficulty in walking, urinating and moving your bowels
Without proper attention, the condition can cause impairments in the bowel, and can also affect bladder and sexual function. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Infertility is known to usher a lot of emotional stress in the lives of those who go through it. Often, an overwhelming sense of grief descends upon the couple who try to grapple with the sense of loss. The social and psychological ambience plays a very important role in reconciling one with the harsh reality and prepping one up for a fresh start.
While IVF has proven to be a boon in the lives of many couples, many still take to IVF as the last resort. Another factor that makes the responses about IVF rather ambiguous is the uncertainty of the results. There are numerous factors like failure in embryo attachment or uterine incompatibility that often results in a failed IVF. Therefore, before opting for this surgery, one must be mindful of the consequences.
Some of the ways, one can prepare for IVF have been enlisted below:
- Informed choice: Considering IVF is a rather stressful surgery, one needs to be well aware of the stakes. Reading up about the potential risks and the details about the process, helps one to be prepared for the consequences and deal better with the trauma.
- Take good care of your intimate relationships: Since IVF tends to take a toll on not just the mother, but also the close family, it is important to maintain a strong bond of trust and compassion in the course of the surgery. Hostility and discordance adds on the stress and sometimes inflict grave health implications upon the mother. It is important to support your partner through the entire journey. You may consider professional counselling too.
- Prepare yourself for all possible situations: While the advanced technology aims to minimize any hazard, the results can often be unpredictable. You might want to adequately monitor your cycle in order to anticipate the potential problem areas and the results thereof. You should discuss these with your loved ones to avert excessive stress. It is a good idea to keep oneself productively busy in the due course to avoid anxiety. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.
Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive.
While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions.
Infertility Symptoms in Women
In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Symptoms include:
- Abnormal periods. Bleeding is heavier or lighter than usual.
- Irregular periods. The number of days in between each period varies each month.
- No periods. You have never had a period, or periods suddenly stop.
- Painful periods. Back pain, pelvic pain, and cramping may happen.
Treatment: Female patients can turn to medication that will stimulate ovulation, intrauterine insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. Male patients can go through a treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal and art or assistive reproductive technology.
If these methods fail, the patient or the couple can always turn to methods like in vitro fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception. If you wish to discuss about any specific problem, you can consult a gynaecologist.