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Dr. Durga Vytla  - IVF Specialist, Hyderabad

Dr. Durga Vytla

90 (42 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reprodu...

IVF Specialist, Hyderabad

11 Years Experience  ·  400 at clinic  ·  ₹350 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Durga Vytla 90% (42 ratings) MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, F... IVF Specialist, Hyderabad
11 Years Experience  ·  400 at clinic  ·  ₹350 online
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Personal Statement

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.
More about Dr. Durga Vytla
Dr. Durga Vytla is an experienced IVF Specialist in Hi Tech City, Hyderabad. She has been a successful IVF Specialist for the last 11 years. She studied and completed MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine . She is currently associated with Hegde Hospital in Hi Tech City, Hyderabad. Book an appointment online with Dr. Durga Vytla 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 42 years of experience on Lybrate.com. We will help you find the best IVF Specialists online in Hyderabad. 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 - Kasturba Medical College - 2007
Dgo - Mysore Medical College - 2012
Fellowship In Reproductive Medicine - Ihr - 2016
Languages spoken
English
Hindi

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Hegde Hospital

67/68, Madhapur,Vittal Rao NagarHyderabad Get Directions
  4.5  (42 ratings)
400 at clinic
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"Well-reasoned" 3 reviews "knowledgeable" 4 reviews "Very helpful" 6 reviews "Helped me impr..." 1 review

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Recurrent Miscarriage: Role Of IVF

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
Recurrent Miscarriage: Role Of IVF

What is recurrent miscarriage?

If you have three or more miscarriages in a row, doctors call it recurrent miscarriage. If you have experienced recurrent miscarriage, your GP or midwife will refer you to a gynaecologist. Your gynaecologist will try to identify the reason for your losses.

Having miscarriage after miscarriage may leave you feeling utterly drained of hope. At times, it may be hard to keep trusting in the future. This experience affects every aspect of a woman’s life from her mental and emotional health to her physical health and social well-being. 

If you can, try to draw comfort from the fact that most women who experience recurrent losses do go on to have a baby. This is especially the case if tests can find no reason for the losses. Six out of 10 women who have had three miscarriages will go on to have a baby in their next pregnancy.

Treatment of Recurrent Pregnancy Loss

Treatment for anatomic abnormalities of the uterus involves surgical restoration through removal of local lesions such as fibroids, scar tissue and endometrial polyps or timely insertion of a cervical cerclage (a stitch placed around the neck of the weakened cervix) or the excision of a uterine septum when indicated.

A thin endometrial lining has been shown to correlate with compromised pregnancy outcome. Often times this will be associated with reduced resistance to blood flow to the endometrium. Such decreased blood flow to the uterus can be improved through treatment with sildenafil (Viagra), Terbutaline and possibly aspirin.

Sildenafil (Viagra) Therapy Viagra has been used successfully to increase uterine blood flow. However, to be effective it must be administered starting as soon as the period stops up until the day of ovulation and it must be administered vaginally (not orally). Viagra in the form of vaginal suppositories given in the dosage of 25 mg four times a day has been shown to increase uterine blood flow as well as thickness of the uterine lining. To date, we have seen significant improvement of the thickness of the uterine lining in about 70% of women treated. Successful pregnancy resulted in 42% of women who responded to the Viagra. It should be remembered that most of these women had previously experienced repeated IVF failures.

Terbutaline this is a medication that relaxes the muscle in the uterine wall and so permits improved hormone delivery to the endometrium. The use of Terbutaline will often cause an increase in heart rate. It should not be prescribed to women who have irregular heart beats (arrhythmias), and women who have decreased cardiac reserve.

Aspirin this is an antiprostaglandin that improves blood flow to the endometrium. It is administered at a dosage of 81mg orally, daily from the beginning of the cycle until ovulation.

Selective Immunotherapy Using Intralipid, heparin, aspirin and corticosteroid

Many causes of pregnancy loss or failure can be treated with immunotherapy comprising combinations of aspirin and heparin and corticosteroids (dexamethasone or prednisone) and Intralipid (IL) to regulate increased NKa. Achievement of optimal success with Intralipid/corticosteroid therapy requires that the treatment be initiated well before ovulation takes place (about 7-14 days prior to anticipated implantation). Given the fact that only 10-15% of natural cycles (with or without the use of insemination and/or fertility drugs) will result in a pregnancy, it follows that repeated administration of Intralipid will be required in most cases before a pregnancy will occur. IVF achieves pregnancy rates that are often 2-3 times higher. This often makes IVF a treatment of choice in cases of immunologic recurrent pregnancy loss.

Role of IVF

Preimplantation genetic diagnosis (PGD) a procedure whereby the embryo can be tested for genetic or structural chromosomal abnormalities requires the use of IVF to select the best embryo(s) for transfer to the uterus. In cases of structural chromosomal (translocations) egg or sperm donation is often another option worth considering.

In those cases where due to intractable anatomical or alloimmune dysfunction IVF repeatedly is unsuccessful or is not an option, Gestational Surrogacy might represent the only recourse other than adoption.
If a couple with Recurrent Pregnancy Loss is open to all of the diagnostic and treatment options referred to above, a live birth rate of 70% – 80% is ultimately achievable.

Intracytoplasmic Morphologically Selected Sperm Injection (IMSI): Choose To Live Your Dream!

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
Intracytoplasmic Morphologically Selected Sperm Injection (IMSI): Choose To Live Your Dream!

Of a million sperms released in one ejaculation, a single sperm manages to fertilize the egg, which grows into an embryo and then a baby. Due to various reasons, when this does not happen, it is termed as infertility and is currently on the rise.

With IVF, couples sometimes go through multiple sessions to ensure fertilization. ICSI or intracytoplasmic sperm injection improved this chance of fertilization. It is where a single sperm is used to fertilize an egg in an artificially controlled environment and then injected into the uterus where it grows further.

The next step in this technique is IMSI, where the chances of successful pregnancy are further enhanced and also promises improved quality of the embryo. IMSI, as it stands for, has “morphologically selected” which means under a highly powerful microscope, the best sperms are selected and then used to fertilize the egg. Morphology stands for shape, and the shape of the sperm is a direct indicator of the sperm quality. This not just ensures good success rate but also ensures the sperm which is used produces a high-quality embryo.

Features

  1. High success rate of fertility
  2. Reliable and efficient method of ART (assisted reproductive technology)
  3. More expensive than traditional IVF methods or ICSI
  4. Requires complex equipment, training, and set-up

Indications:

  1. Useful in couples who have failed IVF previously
  2. Male infertility with unidentifiable cause
  3. Poor sperm quality

What to expect?

Both partners are prepared both physically and mentally prior to IMSI.

Before the procedure - men:

  1. A screening is first done to decide if the sperms can be used directly
  2. In case of hereditary diseases, a donor is preferred
  3. The first technical step involves sperm collection, either directly or through a donor
  4. Sperms are collected either through masturbation or through a small incision in the testicles
  5. Sperms used could be fresh or frozen; fresh ones may be stored for later use also

Before the procedure – women:

  1. The woman is put on some ovulation therapy to ensure the release of multiple eggs, so a good one is picked. These high doses of hormones ensure multiple eggs are released.
  2. Egg release is monitored through blood and urine tests
  3. They are collected within after 36 hours of release

During the IMSI procedure:

  1. A healthy egg is chosen and placed in a glass container containing hyaluronidase
  2. Sperms are placed in a medium which will slow their movement, which enables picking a good sperm for fertilization
  3. The dual advantage of this is that in addition to a high success rate of fertilization, the quality of the embryo is also assured

In case you have a concern or query you can always consult an expert & get answers to your questions!

2057 people found this helpful

Hello doctor I am pregnant for second time and completed 20 weeks .But till today I have not felt any fetal movement and worrying about the foods if any abnormalities is lying with it. Hoping for the positive response. Thanks.

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
Hello doctor I am pregnant for second time and completed 20 weeks .But till today I have not felt any fetal movement ...
Ideally you should start appreciating fetal movements at 18-20 weeks, but they are subtle movements which you may not notice at times. Wait for 1-2 weeks, consult nearest gynaecologist and get an anomaly scan done to see the baby condition.
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I'm 30 years female my tsh is 3.24, is it normal actually we are planning for first baby?

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
I'm 30 years female my tsh is 3.24, is it normal actually we are planning for first baby?
TSH level should be less than 2.5 if you are planning pregnancy. You can meet nearest gynaecologist/ endocrinologist and start medicines as per advice.
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How Intracytoplasmic Sperm Injection (ICSI) Can Help You Get Pregnant?

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
How Intracytoplasmic Sperm Injection (ICSI) Can Help You Get Pregnant?

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 %
1907 people found this helpful

When And Why Should You Go For Donor Egg IVF Program?

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
When And Why Should You Go For Donor Egg IVF Program?

Donor egg IVF is used by more than 70 percent of infertile women above 45 years to conceive. More than 8,000 babies are born in the US to women of all age groups by this method of Assistive Reproductive Technologies (ART). This kind of fertility treatment will become even more popular, in the days to come, because of advances in the egg-freezing technology.

What are donor eggs
Donor eggs are eggs given by a healthy, fertile woman to an infertile woman for in-vitro fertilisation or IVF.

How does the Donor Egg IVF program work?
Before you start this course of treatment, you must consult your doctor regarding its feasibility and effect on your health. Typically, the process has the following steps;

  1. After a donor has been identified, the infertile woman (referred to as ‘you’) and the donor are given medication so that the menstrual cycles of both are synchronised. You are also given medication so that your endometrium lining is ready for womb transfer.
  2. After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
  3. Since the donor is under 35, not more than three embryos are transferred from her to your womb.
  4. Embryos are formed after fertilising donor egg with partner sperm.

In some cases, the embryos may be transferred after they have been fertilised. This line of treatment is undertaken to reduce the stress of this treatment on you.

In cases of men, the following procedures are followed;

  1. Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
  2. The partner must give another sample on the day the eggs are collected.
  3. In the next stage, the eggs and sperm are mixed together and in vitro fertilised.

Chances of success in Donor Egg IVF program

The chances of you conceiving through this program are 60-70%. This strike rate is significantly higher than a conventional IVF line of treatment.

How to start with Donor Egg IVF program?

  1. Finding an egg donor is not that difficult these days. You can find a donor through a fertility clinic, an egg bank, an egg donation agency, a family member or a close family friend. Donors coming from a frozen egg bank are usually screened for health and other reasons. Most donors are in the age group of 21-35 years.
  2. Make it legal i.e while getting donors is easy, the tricky part is to comply with the various legal issues. Consult your spouse, doctor and your attorney before taking this step.
  3. Get counselling i.e. you need expert counselling before you conceive because, let us face it, your baby is not your biological offspring. You and your spouse need to be adequately psychologically prepared for this important development in the family.
1949 people found this helpful

Womb Scratching & IVF Success: Does It Help You Get Pregnant?

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
Womb Scratching & IVF Success: Does It Help You Get Pregnant?

In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. 

Endometrium explained in brief: 

The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. 

The enhanced success of achieving pregnancy: 

The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. 

Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: 

  1. Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. 
  2. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. 
  3. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. 

This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1777 people found this helpful

I have two kids both with c section. One was in Dec 2014 and other just born in April 2018. I have a question that if I ever plan for next baby, what is the ideal time for it and will it be cesarian only or there are some chances of normal delivery after 2 Cesarian. Please guide.

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
Third C/S is no doubt risky. But if you still want to go for it, take 3 years gap after last C/S. Chances of normal delivery is rare and risky.
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I am going through divorce as my husband don't want to have kids. I have crossed 30 and want to go for an IVF as I want to have kids of my own and don't want to adopt. Do I need husband permission for this? I am worried he may not give me divorce very easily. Please suggest me the best possible way to deal with this problem.

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
You can go for IVF and freeze the eggs, which can be used in future for fertization with future partners sperms.
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Hi doctor, I am planning to conceive so kindly suggest me the the best to do things to make this positive. Like how to take folic acid tablet and what are the steps to make this happen. Thanks.

MBBS Bachelor of Medicine and Bachelor of Surgery, Dgo, Fellowship In Reproductive Medicine
IVF Specialist, Hyderabad
Hi doctor, I am planning to conceive so kindly suggest me the the best to do things to make this positive. Like how t...
Take folic acid daily after breakfast. And intercourse every alternate day. This will give you better chances of pregnancy.
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