Dr. Rimmy Singla - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | IVF Specialist in Mohali

Dr. Rimmy Singla

15 Years Experience
500 Consultation Fee
Personal Statement
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.

More about Dr. Rimmy Singla

She has over 15 years of experience as a IVF Specialist. She has done MBBS, DGO. Book an appointment online with Dr. Rimmy Singla on Lybrate.com.

Find numerous IVF Specialists in India from the comfort of your home on Lybrate.com. You will find IVF Specialists with more than 29 years of experience on Lybrate.com. Find the best IVF Specialists online in Mohali. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Madurai Medical College, Madurai
Dayanand Medical College, Ludhiana
  • Infertility Specialist
    IVF Specialist

    It is as important for the man as it is for the woman to undergo certain tests before the IVF cycle is started. Fertility is not only an issue for a woman, but it also might be for the man in question. There are certain tests that need to be conducted on men before they can gear up for IVF:

    1. Semen Analysis: One of the most important tests for male infertility is semen analysis. Sometimes, a man may be completely healthy, but his sperm production could be of poor quality. Semen analysis is done to provide an accurate evaluation of sperm number, the ability to move (motility), size and shape (morphology), as well as the consistency and volume of the sample collected.

    2. Binding Test: Sometimes agglutination occurs where the sperms might stick to each other by their heads or tails. Sperm antibodies might cause this problem. The IVF treatment's success might be compromised if this happens. A simple binding test is done to determine this.

    3. Trial Wash: This is also known as sperm wash. It is mostly done to remove chemicals from the sperm. Not doing a sperm wash might end up affecting the later stages of the IVF treatment. In this process, the misshapen and immotile sperm is separated so a clean sample of motile and healthy sperm can be collected.

    4. TUNEL Assay: Since sperms build up about half of a child's genetic makeup, a TUNEL Assay or 'sperm DNA test' is required. This test is done to measure the sperm population that have fragmented DNA. Negative impacts on genetics can hamper the success of the fertility treatment.

    TUNEL Assay is usually recommended to men with:

    • Leukocytes detected by the sperm analysis
    • Age approaching 50
    • A history of diabetes II type or prostatitis
    • Exposure to chemicals or prolonged heat at workplaces

    5. Screening for Infectious Diseases: This test is done for both the partners to check for diseases like AIDS, Hepatitis C, and so on.

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  • B.H.M.S

    Infertility is a condition, which is diagnosed as the inability of the woman to conceive a child even after a prolonged duration of unprotected intercourse (for about 6 months to 1 year). This condition can affect both the genders. Infertility might cause immense societal embarrassment for the couple and can mar the joys of a relationship. The causes of infertility in male and female are as follows:

    1. In males, infertility might stem from injury to the testicles, erectile problems, premature ejaculation, infections due to sexually transmitted diseases, structural deformation of the testicles, little or irregular sperm count and blockage of the ejaculatory duct.
    2. In females, infertility might develop due to abnormal periods, polycystic ovarian syndrome, diseases which cause inflammation of the pelvis such as gonorrhoea and chlamydia, a disorder in the thyroid glands, blockage of the fallopian tubes and structural deformation of the uterus.
    3. The common reasons of infertility in both men and women can be attributed to increased body weight, old age, excessive consumption of alcohol, diabetes, mental anxiety, side effect of radiation therapy and prescribed medications.

    As it is a holistic mode of treatment, Homeopathy can be used to treat infertility as the preparations do not contain any toxin and has zero side effects.
    1. In men, if the reason behind infertility is irregular sperm count, then a prescribed dosage of X-Ray might help.
    2. If infertility is caused due to erectile problems along with symptoms of severe mental stress, involuntary discharge of semen and lack of sexual desire, a prescribed dosage of Caladium or Selenium might be helpful.
    3. If the discharge from the vagina appears to be acidic which gradually destroys the sperms, Borax might be prescribed.
    4. If the woman suffers from episodes of irregular, but enduring menstrual periods, a prescribed dosage of Calcarea Carb might be helpful. If the duration of the periods is short, Pulsatilla might also be prescribed.
    5. In women, if the symptoms include a lack of sexual desire along with excessive pain in the vagina during sexual intercourse, Sepia might be recommended.


    4186 Thanks
  • MS, MBBS

    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.

    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.

    2987 Thanks
  • Partners in Health
    Multi Speciality

    Have you been trying to have kids for a long time? Is inability and delay giving you sleepless nights?  It is important to know that Stress alone is a major factor for infertility.

    Can Stress Have an Effect on Your Fertility?

    If your mind and body is under stress your body is signaled to release a hormone - Adrenalin. This is a stress relieving hormone and gives your body the rush to face the stress. This hormone inhibits the utilization of the hormone Progesterone, which is essential for fertility. Also during stress Prolactin, another hormone, is relapsed which also interferes with infertility. Hence to conceive its essential that your anxiety levels are under control.

    Chronic Stress also decreases libido:

    Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become such a common issue that they have created a name for it Stress Induced Reproductive Dysfunction. These facts are very important to consider if you have been trying to conceive with no results. It also shows that stress relief should be a part of every couple's conception plan even if they are going through IVF.

    Ways to reduce stress & improve fertility:

    If you are having difficulty to conceive, it's imperative that you get fertility tests done and also evaluate your life. Look out for the stress points that may be hindering a relationship. Remember defeating the stress may be the solution to your worries.

    • Reduce stress in your life: The issues in your life may be work or result related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.

    • Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering so much about the future.

    • Let few things be the way they are: Stop getting bothered about people. Remember by nature everything will fall in place. Let few things be the way they are.

    • Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose options where there is less stress.

    • Sleep well: A good rest is essential for a healthy mind and body. Meditate, do yoga or seek counseling. Go for facials if it sooths you.

    Please note that if your fertility reports are normal, then it's just a matter of time. Give you, your partner and your body time. There are certain medical complications or disorders that can also be responsible for infertility. Be calm and composed so that you are able to face the rough waters clearly with your partner.

    3952 Thanks
  • MD, MBBS

    Infertility is a condition, which is characterized by the inability to have a baby for over a year in spite of having planned and unprotected sex. It is a pretty common phenomenon for both men and women. However, there are several treatments available for both the sexes to help them recover from this problem. Here are some of the most common treatments available for infertility:

    For Men

    1. Changing your lifestyle: Certain factors in your lifestyle, which may cause you to be infertile include the medications you take, lack of exercise or not having intercourse frequently enough or not at the right time. The solution for these problems is simply incorporating certain changes in your daily life, such as exercising more, sticking to a healthy diet or having intercourse more often at the right time.

    2. Sperm retrieval: Sperm retrieval is the technique used when you cannot ejaculate or when there is hardly any sperm present in your semen. It is also used in case of a low sperm count.

    For Women

    1. Intrauterine insemination: Intrauterine insemination is a process in which healthy sperm cells are put into the uterus so that the egg gets fertilized when it is released. The sperm cells have to be inserted at the time when your ovaries release eggs; therefore it is crucial to know your menstrual cycle as well as how fertility drugs are affecting it.

    2. Fertility drugs: Fertility drugs are used to stimulate ovulation. This is done by administering medications which either regulate or cause ovulation to occur. There are several types of fertility drugs, so you should talk to your doctor about which should be the best for you.

    3. Hysteroscopic surgery: This is a last resort, which is taken only when there are significant problems such as intrauterine scar tissue, uterine septum or endometrial polyps.

    4. IVF: IVF is an assisted reproductive technology. During IVF, the sperm is first retrieved, after which fertility medications are given to the woman so that the egg can be retrieved. Finally, the egg is fertilized on a laboratory dish and injected back into the mother or a surrogate mother.

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  • DNB (Obstetrics and Gynecology), MBBS

    In vitro fertilisation (IVF) is one of the popular Assisted Reproductive Technologies (ART) for treating infertility and helping couples to conceive.

    But lack of understanding about the IVF treatment has given rise to a number of myths such as:

    Myth 1: IVF never fails but is always successful
    The success of the procedure depends on a number of factors such as quality and quantity of embryos and age. It is said that chances of conception decreases with age, with women above 40 reporting reduced fertility potential as well as success rate. On the other hand, women below the age of 35 have about 41% chance of getting pregnant.

    Myth 2: IVF increases your fertility levels
    Instead of making you more fertile, IVF stops your natural fertility cycle. This is usually done through hormones that are taken at the beginning of the process. The aim of such an action is to essentially put an end to your natural fertility process and create in its place an artificial cycle.

    Myth 3: It causes you to have triplets or twins
    No, it's not necessary for multiple births to take place if you opt for IVF. You can reduce the prospect of having twins or triplets by cutting down on the number of embryos that get inserted into the uterus.

    Myth 4: IVF hormone injections make you prone to uncontrollable emotions.
    In actuality, IVF hormone injections don't cause you to suffer from out of control emotions but make you happier. This is because they come packed with the female hormone oestrogen, which produce endorphins (brain chemicals) that give you a sense of wellbeing. The wave of emotions that you end up experiencing is a result of the stress and anxiety surrounding the success of a cycle.

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  • MD, MBBS

    When a childless couple is not able to conceive, there are myriad paths that the couple may follow to obtain a solution. If IVF does not help the couple, then they can go in for surrogacy. In this method, another lady conceives, carries and gives birth to the baby created by the sperm and eggs of the intended parents. Let us find out more about surrogacy today.

    Who can use it?
    Surrogacy can be availed by couples who are not able to conceive due to many conclusive reasons including the absence of a womb or the malfunctioning of the same. Also, recurrent miscarriages can be one of the reasons. Further, a couple who has been through IVF or In Vitro Fertilisation implantation failure a number of times can opt for surrogacy.

    How does it Work?
    Full surrogacy, as it is known, is a process of implanting an embryo in a host body. This embryo is usually created using the egg and the sperm of the parents, or even a fertilised egg that has been donated by a donor, which is then fertilised using the sperm from the intended father. Also, this embryo may be created by using donor eggs and donor sperms. Partial surrogacy is also a method that may be used. When artificial insemination or intrauterine insemination (IUI) is used to create an embryo with the sperm from the intended father and the egg from the surrogate mother, then the process is known as partial surrogacy.

    Chance of having a baby with surrogacy
    The chance of having a baby with surrogacy depend on various factors. It depends on the ability of the surrogate to get pregnant, as well as her overall health. Before choosing a surrogate, it is important to put her through all the necessary tests to ascertain a good state of health. Further, the age of the egg donor is also a factor in such cases. The success of related procedures like IVF or IUI will also determine the chances of conception through this method. Furthermore, the quality of the elements used by the couple or the intended parents will also make a difference to the process and its efficacy. Yet, the most important factor includes the age of the woman whose egg is being used.

    Difference between IVF and Surrogacy
    In IVF, the eggs are gathered from the woman and the sperm is taken from her partner before an embryo is created and affixed in the uterus of the intended mother. In surrogacy, it is actually another woman who carries this lab-created embryo through methods like artificial insemination. The sperm may come from the father and the egg may be donated by someone else, in many cases involving full or partial surrogacy.

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  • Certified IVF Specialist, MS - Obstetrics and Gynaecology, MBBS

    IVF or In Vitro Fertilization is a process wherein an egg is fertilized by a sperm in a laboratory dish to form the embryo (baby's first cell) which after growth in artificial medium in the lab is transferred into the uterus of women.

    Reasons that make IVF a popular procedure:

    1. Harvests multiple eggs: If you are planning to have more than one child, via IVF you can freeze multiple eggs for future use. Unused or spare embryos can be donated to medical organisations for research purposes or to another couple willing to have a child.IVF has proven successful in giving couples a wholesome and happy life.
    2. High success rates: Women who underwent in vitro fertilisation using fresh embryos of their own fresh eggs, the projected live birth percentage was 32.2% for those under 35 years, 27.7% for women aged between 35 and 37 years, lowering to 5.0% in 43 to 44 year olds and 1.9% for ages above 45. It has been proved that a female's ability to conceive decreases with age. If infertility is detected at a younger age, the process of IVF is highly advantageous and successfully results in childbirth.
    3. Proven track record: Technology has come a long way since the first baby via IVF Louise Brown was born in 1978 using a natural IVF. Medical techniques have advanced to create safer and successful treatment. The usage of the safest forms of IVF with low drug regimens today, have prevented side effects such as ovarian hyperstimulation syndrome (OHSS).
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  • MICOG, MS - Obstetrics and Gynaecology, MBBS

    Infertility refers to the inability to conceive after having regular unprotected sex for a period of 12 months or so. The complex process of ovulation and fertilization need to work right in order to become pregnant.

    The common reasons that cause infertility in female and male are listed below:

    Reasons for female infertility:

    1. Uterine abnormalities - This includes problems related to the opening of cervix or abnormalities in the shape of the uterus which includes arcuate or septate uterus or any congenital anomalies like bicornuate uterus or uterine didelphys. Fibroids may distort the uterine cavity interfering with implantation of fertilized egg. Adenomyosis or endometriosis of the endometrium is one the common causes of early infertility.
    2. Thyroid problems - Disorders of the thyroid gland, either too much thyroid hormone or too little can interrupt the menstrual cycle, leading to infertility in the long run.
    3. Ovulation disorders - This prevents the ovaries from releasing eggs. Examples include hormonal disorder (PCOS, hypothyroidism, hyperprolactinemia), excessive exercise, eating disorders, injuries, cysts be it follicular or endometriotic and ovarian tumors.

    Reasons for male infertility:

    1. Problems with delivery of sperm - This can happen due to sexual problems, such as premature ejaculation, retrograde ejaculation (semen entering bladder instead of emerging through the penis during orgasm), genetic diseases such as cystic fibrosis, structural problems such as blockage of the part of the testicle that contains sperm or injury to reproductive organs.
    2. Damage related to cancer - This includes radiation and chemotherapy. Cancer treatments can impair sperm production. Removal of one testicle due to cancer may also affect male fertility.
    3. Abnormal sperm production - This can be due to various problems like undescended testicles, genetic defects, health problems including diabetes, infections such as mumps, chronic urinary tract infection especially e. Coli or surgeries on the testicles. Enlarged veins in the testes increase blood flow and heat, affecting the number and shape of sperm.
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  • M.D.(E.H), B.E.M.S, D.E.H.M

    Male infertility is characterized by irregular sperm function or reduced sperm count. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity.

    The various symptoms of infertility in men are:

    1. You may experience lumps or swellings in the testicles
    2. You may have chronic respiratory problems
    3. You may experience low libido
    4. You may have ejaculation disorders
    5. Impaired sense of smell
    6. Chromosomal complications such as reduced body hair
    7. Your sperm count may be low

    The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

    The various reasons for infertility in men are:

    1. Infection: Various infections such as inflammation of the testicles and epididymis, which causes blockage of the tubes carrying the sperm can be a cause.
    2. Varicocele: This condition is characterized by swelling of the veins that are connected to the testicle. This condition is known to change the normal temperature of the testicles, thus leading to complications in sperm production.
    3. Hormonal imbalances: Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body. 
    4. Problems in sexual intercourse: Problems such as erectile dysfunction or premature ejaculation are reasons why you may have infertility. 
    5. Medications: Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus reduce your fertility.
    6. Radiation exposure: If you have been exposed to radiation such as x-rays, your sperm production may be impaired, thus causing infertility. However, this condition can be reversed if you are no longer exposed to the radiation.
    7. Consumption of alcohol and smoking: Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.
    8. Obesity: If you are overweight, then it's time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
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  • FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS

    Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

    1. Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
    2. Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

    The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

    1. Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
    2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

    The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

    Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

    Fertility Restoration through medication

    This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

    1. Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
    2. Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
    3. Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
    4. Bromocriptine: Used when the infertility is caused due to excess prolactin production.
    5. Letrozole: This also induces ovulation

    Fertility Restoration through surgery

    Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

    1. Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
    2. Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
    3. Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

    Assistance in Reproduction through techniques

    The most common used techniques for reproduction assistance are:

    1. Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
    2. Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

    Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

    3636 Thanks

    Infertility is a condition that affects approximately 1 out of every 6 couples. An infertility diagnosis is given to a couple that has been unsuccessful in efforts to conceive over the course of one full year. When the cause of infertility exists within the female partner, it is referred to as female infertility. Female infertility factors contribute to approximately 50% of all infertility cases and female infertility alone accounts for approximately one-third of all infertility cases.

    What causes infertility in Women?

    1. Damage to your Fallopian tubes: These structures carry eggs from your ovaries, which produce eggs, to the uterus, where the baby develops. They can get damaged when scars form after pelvic infections, endometriosis, and pelvic surgery. That can prevent sperm from reaching an egg.
    2. Hormonal problems:  You may not be getting pregnant because your body isn't going through the usual hormone changes that lead to the release of an egg from the ovary and the thickening of the lining of the uterus.
    3. Cervical issues: Some women have a condition that prevents sperm from passing through the cervical canal.
    4. Uterine trouble: You may have polyps and fibroids that interfere with getting pregnant. Uterine polyps and fibroids happen when too many cells grow in the endometrium, the lining of the uterus.
    5. 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 one of the following:

    • 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.
    • 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 oestrogen production under the age of 40.
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  • MRCOG, Laparoscopic Suturing Skills in Surgical Disciples, Medical Writing Course, Laparoscopic Training, Diploma in Gyanecology Endoscopy, Diploma in Minimal Access Surgeries, MD - Obstetrtics & Gynaecology, Fellowship in Basic Endoscopy Training, FOGSI Ethi Skills Course, Training Course in Ultrasound-Obstetrics & Gynaecology, MBBS

    Not being able to conceive a child can be one of the biggest problems for a woman. Infertility also includes not being able to carry a baby full term. Infertility can have a single cause or can be the result of a combination of factors. In most cases, infertility can be treated but in order to do this, it is essential to first understand the underlying cause of infertility.

    Let's take a look at some of the things that could be keeping you from getting pregnant:

    • Damaged Fallopian Tubes: Pelvic inflammatory disease can cause inflammation in the fallopian tubes and damage or block them. It can also be the result of a sexually transmitted disease. A blocked fallopian tube will not allow the egg to reach the uterus from the ovaries and hence does not allow you to get pregnant.
    • Hormones: Hormonal changes can prevent the ovaries from releasing eggs and can also thicken the lining of the uterus. Excessive stress and a sudden change in weight can disrupt the production of the follicle-stimulating hormone and luteinizing hormone leading to irregular or absent periods.
    • Cervical and Uterine Trouble: This includes abnormalities like fibroids and polyps in the uterus and abnormally shaped uterus. These fibroids could block the fallopian tubes or interfere with the implantation of the fertilized egg.
    • Endometriosis: This is a condition where the endometrial tissue grows outside the uterus. It can affect the functioning of the ovaries, fallopian tubes and uterus thus interfering with your chances of conceiving a baby.

    Treatment: Treatment for infertility depends on how long you've been infertile, age, the cause of infertility and your preferences.

    Some of the ways it can be treated are:

    • Fertility Drugs: Fertility drugs are of many types and are often the first step in treating infertility. If the infertility is caused by ovulation disorders, fertility drugs can help regulate or induce ovulation.
    • Surgery: Polyps and fibroids that are preventing pregnancy can be removed surgically to treat infertility triggered by them. It can also be used to treat intrauterine scars.
    • Intrauterine Insemination: This involves the placement of healthy sperm cells directly in the uterus and is timed to match the release of eggs from the ovaries. This can be used in combination with fertility drugs.
    • Assisted Reproductive: In vitro fertilization (IVF) is the most common assisted reproductive technique. This involves collecting eggs and sperm from the women and man and fertilizing the egg with the sperm cells in a laboratory. This fertilized embryo is then implanted in the uterus. 
    4311 Thanks
  • MD - Obstetrtics & Gynaecology, MBBS

    There are some commonest misconceptions about infertility and these misconceptions should be eliminated as soon as possible so that the actual facts can be known. There are many online sites where you can find detailed information on the scientific explanations regarding infertility and you can follow them.

    List of myths and facts regarding infertility:

    1. Myth: The menstrual cycle of a woman is for 28 days.
    Fact: Normal cycle ranges between 21 to 36 days.

    2. Myth: A woman can have pregnancy on the day one of menstrual cycle.
    Fact: The released eggs remain viable for almost 12-14 hours and a woman can get pregnant after an intercourse done two days after ovulation and five days before ovulation.

    3. Myth: Infertility occurs due to stress.
    Fact: Ovulation can surely get delayed due to hormone suppression, but infertility does not occur due to stress.

    4. Myth: Sperms stay active for few hours.
    Fact: Sperms stay alive at least for five days.

    5. Myth: Men with a higher sexual drive will have a normal sperm count.
    Fact: There is no relation in between fertility and virility. Sometimes, it has been found that men having a higher sex drive do not produce sperms.

    6. Myth: Women have to wait for three months to conceive after stopping the usage of contraceptive pills.
    Fact: As soon as a woman stops pill usage, hormonal levels go back to normal condition, as a result of which ovulation begins immediately.

    7. Myth: Only females have infertility troubles.
    Fact: Both women and men suffer from infertility troubles as per the current scientific studies.

    8. Myth: Ovulation occurs in a woman on the 14th day of menstrual cycle.
    Fact: Ovulation can be calculated by counting 14 days backwards from the past menstrual cycle's last day.

    9. Myth: Daily sex can increase conceiving chances.
    Fact: During ovulation, having sex each day, especially in between 12 to 16th day of the cycle can be the best timing.

    10. Myth: Fertility troubles occur at 35.
    Fact: Peak fertility timing in a woman's life is 20 and this might continue until late 30s. Fertility troubles might even arrive at a younger age. With age, conception chances get declined, especially after 35.

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  • Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, M.S Obstetrics and Gynaecology, M.B.B.S

    The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

    Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories. 

    1. Blocked fallopian tubes
    2. One blocked and one open fallopian tube
    3. Tubal scarring

    The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

    1. STDs such as chlamydia trachomatis and neisseria gonorrhea
    2. Adhesions caused by ruptured ovarian cysts
    3. Appendicitis
    4. Peritonitis
    5. A history of ectopic pregnancies

    Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

    1. Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
    2. Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

    Treatment for infertility caused by tubal scarring is of two types:

    1. Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
    2. In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
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  • MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)

    There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

    There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.

    It is found that endometriosis sometimes leads to infertility. Here is how:

    • Abdominal Adhesions and Infertility: Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body. Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.
    • Secretions from implants: Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.
    • Prostaglandins: Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

    Just like the endometrium, the implants also secrete these hormones. And, the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.

    A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.

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  • MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)

    Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression and unhealthy diets can contribute to fertility issues. As per a study published by Pharmion, around 30 million Indian couples were estimated to suffering from lifetime infertility, in 2015. Also, the Total Fertility Rate (TFR) fell to 2.3% in 2013 against 3.9% in 1990.
    Couples often seek help with methods such as artificial insemination and in vitro fertilization (IVF), but the problem can be solved in natural ways too. Sometimes, the root cause of infertility is simply irregular functioning or blockages in the body systems. The basic principle of Ayurveda is to get the body functioning to its optimum capacity and this is often all that is needed to treat diseases.

    Here are a few ways in which Ayurvedic medicine can help treat infertility:

    1. Phal Ghrit: The medicine is made by combining a number of herbs and it is taken with warm milk. It has been developed especially to treat infertility by controlling the level of hormones secreted in the body. It cannot remedy structural problems, but it can effectively treat functional disorders in the reproductive system.
    2. Shatavari (Asparagus): This plant is used to treat female infertility by regulating the cycles of menstruation and ovulation.
    3. Triphala Churna: A combination of three different fruits - baheda, amla and haritaki, this medicine helps to cleanse the body of toxins, strengthens the immune system and clears blockages in the fallopian tubes.
    4. Ashwagandha Churna (Indian ginseng): The medicine is used to treat male infertility by naturally increasing the production of sperm in the system.

    There are also a few Ayurvedic therapies which can help to cure infertility:

    1. Vamanam: In this treatment procedure, medicated oil is swallowed to induce vomiting, which expels all the contaminating elements in the body. This process can be done regularly depending upon the overall health of the patient and also helps to combat digestive and psychological conditions.
    2. Swedanam: This therapy is usually done before other Ayurvedic therapies to prepare the body systems. For patients of infertility, the patient is made to sweat excessively. This also flushes most nitrous compounds out of the body.
    3. Dhatu Nirman Karma: The cells of the body are made to metabolize, absorb and assimilate nutrients leading to the formation of healthy cells and destruction of the unhealthy ones. This is turn rejuvenates the organs. Usually, this is helpful for female infertility.
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  • M.Sc, MD, MBBS

    There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas, surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

    When to seek medical assistance:
    It is advisable to seek medical help if you have the following symptoms post abortion:

    1. Persistent pain in the lower abdomen, which lingers even after taking medication
    2. Excessive bleeding
    3. A high temperature

    Possible effects of surgical abortion on fertility:

    1. Infection after abortion: Infections post abortion like Pelvic Inflammatory Disease (PID), if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.
    2. Damage to the cervix during abortion: Damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.
    3. Damage to the womb during abortion: There are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

    Apart from the above mentioned complications there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth rate, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check up with your gynaecologist.

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  • M.D.MEDICINE , Diploma in Diabetology

    Both women and men suffer from infertility troubles. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity. Male infertility is characterized by irregular sperm function or reduced sperm count. Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression, unhealthy diets; all of these can contribute to fertility issues.

    The various reasons for infertility in men are:

    1. If you are overweight, then it is time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
    2. Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body.
    3. Various infections such as inflammation of the testicles and epididymis that causes blockage of the tubes carrying the sperm can be a cause.
    4. Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus hit fertility.
    5. Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.

    The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

    Symptoms of infertility in men are:

    1. You may experience low libido
    2. Your sperm count may be low
    3. You may experience lumps or swellings in the testicles
    4. Chromosomal complications such as reduced body hair
    5. You may have chronic respiratory problems
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  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)

    A number of factors, such as physical ailments, stress, anxiety and even relationship problems can cause sexual problems. Relationship concerns where intimacy and the culmination of the various phases of sexual activity from stimulation to excitement and peak, cannot be possible in a satisfactory manner. So what are the routine sexual problems recognised and treated as per Ayurveda? Read on to know more.

    1. Erectile Dysfunction: This condition is also known as impotence and it usually occurs when male patients cannot muster up and retain an erection for long enough to enjoy sexual intercourse. This problem can be fixed with various herbs and condiments including Sanda Oil massage on the testicles and nearby areas in order to increase the blood flow. Also, one can have ginger, honey, drumsticks, milk and other such ingredients for better achievement and retention of an erection for a prolonged period of time during sexual intercourse.

    Sanda oil is not available in its pure form and simple branding of this name is not useful. Sanda is a wild reptile, which was boiled in ancient times and fats taken out to make Sanda oil. This is not possible now a days. Instead various 'Tilas' (penis massage oils) prepared by valuable herbs and vegetable oils such as Sesame oil should be used. Tila using Mall (purified arsenic) and egg are also effective. Preparation and use should be as per instructions in classic Ayurveda. Tila is selected as per history, present condition and duration of specific problem

    OTC or advertisement products are general products, which do not benefit all. Post application directions are also important otherwise there may be adverse effect of Tila application

    2. Premature Ejaculation: Premature ejaculation is a condition when the male patient may face ejaculation as soon as the intercourse begins, or upon insertion. This happens in an unplanned way and is a sudden occurrence that usually puts a damper on the sexual mood and activity. In Ayurveda, there are various herbs including Ashwagandha and a variety of oil massages that can help in treating this problem.

    3. Sexual Weakness: Sexual weakness is a condition when the female or male patient may not have the energy to go through with sexual intercourse and may even complain of pain during intercourse. This problem is especially common among women, and may be caused due to fatigue, stress or even low pelvic strength following childbirth or miscarriage. The best way to treat this issue is with the help of proper counselling and therapy that will help in introducing Yogic poses that can strengthen the pelvic area so as to have better sexual strength.

    4. Infertility: This problem may be found in both men and women. Ashwagandha, Vasant Kusumakar Ras, Shilajit and Labub Kabir are some of the herbs and concoctions that can help in increasing virility and the chances of conception by creating better sperm quality and quantity, as well as more effective ovulation.

    Most of the sexual problems in Ayurveda are recognised as factors that arise from stress and anxiety. These are recognised as temporary issues that can be fixed with the help of a proper routine of eating, resting and exercising, as well as a healthy diet where the patient stays away from smoking, excessive drinking as well as drug abuse. Before taking any herbal medicines, one will have to consult the doctor and find out about side effects for patients suffering from chronic ailments like diabetes, cardiovascular diseases and others.

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