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Dr. Bharti Panwar

Gynaecologist, Ghaziabad

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Dr. Bharti Panwar Gynaecologist, Ghaziabad
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Bharti Panwar is one of the best Gynaecologists in Govind Puram, Ghaziabad. She is currently practising at Dr Bharti Panwar's Clinic in Govind Puram, Ghaziabad. Don’t wait in a queue, book an instant appointment online with Dr. Bharti Panwar on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 39 years of experience on Lybrate.com. Find the best Gynaecologists online in Ghaziabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Endometriosis - How It Results in Infertility?

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
Endometriosis - How It Results in Infertility?

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

  • A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
  • A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
  • Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis

Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3146 people found this helpful

I delivered a baby girl on 1st Dec 2016 that time only my periods came just for 5-6 days. After that till now I have not got it. And from 1-2 weeks i'm feeling drowsy and having slight stomach ache. Why so.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I delivered a baby girl on 1st Dec 2016 that time only my periods came just for 5-6 days. After that till now I have ...
In most of the female who are actively feeding the baby.. naturally (our body has that mechanism) don't have periods... and by that way they don't conceive by mistake... so it works as natural contraception... so the periods may not appear till you are feeding... The drowsiness and stomach ache might be of some other reasons... will need more data...
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I'm 33 and my wife is 25 years old. We got married in February'15. Now we are planning for child. But just after intercourse all semens are coming out from her vagina. Don't know what to do. We are in very much depression. How can she conceive? Is there proper technique or method? Which time is good to get pregnancy? Need your help, Please suggest.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I'm 33 and my wife is 25 years old. We got married in February'15. Now we are planning for child. But just after inte...
Hello, Try having intercourse during her fertile period and in missionary position mostly and also apply 2 pillows under her waist after ejaculation to allow ejaculate to stay inside vagina. This should help.
1 person found this helpful
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I recently got married before 6 months, but till now my spouse did nt got pregnant pls suggest me the best way to get her pregnant.

MD
Gynaecologist, Mumbai
I recently got married before 6 months, but till now my spouse did nt got pregnant pls suggest me the best way to get...
The fertile period is day 12 to 16 in a regular cycle if no response it is time to get both partners investigated proprly.
1 person found this helpful
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We have been trying to conceive since 4 months but failed every time ,m also taking folic acid but no success. Can you tell me any tabs dt l help me conceive. M in Amma fertile window.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
We have been trying to conceive since 4 months but failed every time ,m also taking folic acid but no success. Can yo...
Prescribing medicine is beyond the scope of this forum. The common causes of infertility are many But if you have just tried for 4 months, its too early to go for medicine Try sex during fertile period for a good year, this will maximise your chances of becoming pregnant by making the sperms available at ovulation. While sperms are deposited in vagina at every act of sex, the determining factor is whether ovum has been liberated in the womens body at that time and whether these two ovum and sperms meet and cause fertilisation Ovulation doesnot happen every month and there is no physical symptom which can predict its occurrence, so its a trial game. Keep on your effort. If you do conceive you will miss your period If you want to take medicines for becoming pregnant, you will have to meet a Gynecologist
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While taking ayurvedic medicine for pcod can I eat lemon doctor said to avoid intercourse ,ginger garlic and onion why.

PGDHHM, MBBS
General Physician, Delhi
While taking ayurvedic medicine for pcod can I eat lemon doctor said to avoid intercourse ,ginger garlic and onion why.
No restriction of diet in allopathy . Exercise. Reduce your weight. Regular medication. These three will help in treatment of pcod
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My wife is having itching in her vagina. After having sex she suffers from more pain n more itching, but after sometime pain goes but itching last for 5 6 days. This time v didn't had sex for 5 days but still she is suffering from itching. Please suggest me what we should do. And what ointment she can apply.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
She could be having fungal infection which is causing the itching. She can apply surfaz - sn cream 2-3 times a day locally. If there is no relief then get her examined by a gynaecologist.
2 people found this helpful
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My girlfriend and I have done unprotected sex as my condom broke while intercourse She has taken I pill water 5 hr of sex. The question is that Is she got pregnant or not Because there is no signs after taking I pill.

MBBS
General Physician, Chandigarh
My girlfriend and I have done unprotected sex as my condom broke while intercourse She has taken I pill water 5 hr of...
You will have to wait for at least 10 days and if she doesn't get her periods then test her urine for pregnancy.
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Me and my girlfriend had unprotected sex. I ejaculated in her just at entrance (about 1-2 inch deep). She was in last day of her periods. She took ipill within 1 hr of unprotected sex. Is there any chances of pregnancy? If yes then what to do to stop.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Me and my girlfriend had unprotected sex. I ejaculated in her just at entrance (about 1-2 inch deep). She was in last...
no worries about getting pregnant but take care of health read more about reproductive health through good books or counselor emergency medicine like ipill should be taken only when it's a real emergency and not a routine prevention of pregnancy
1 person found this helpful
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