Welcome to Urogyn IVF Centre, Rohini, Delhi. I am Dr Surbhi Gupta, IVF and surrogacy specialist. Nowadays, infertility has become a very common problem in the society and it is rising day by day. It is accepted one and all. In addition to other modalities of infertility treatment, surrogacy is the latest and ultimate tool for infertility couple. In surrogacy, another woman carries and delivers a baby for the couple who wants to have a baby. In surrogacy, we take a sperm from the biological father, an egg from biological mother, we fertilise outside the womb in a lab and this developing embryo, and we transfer in the surrogate mother for nine months. She gives the nourishment for nine months. This foetus is not biologically or genetically connected to the surrogate mother. Surrogate mother gets adequate compensation by the end of this process. This complete procedure is lawful. It is a very complex and mature procedure. It is required a teamwork. In this team, main infertility specialist, gynaecologist, IVF specialist, anaesthetist, sonologist, lab technician, embryologist, counsellor, psychologist, and surrogate agencies are required.
At Urogyn, we provide this complete system under one roof in a very mature fashion. If you want to go for surrogacy, visit us at Urogyn and give us the opportunity to serve you through Lybrate.
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Doctors in Urogyn IVF Centre
Patient Review Highlights
Dr.Surbhi is a phenomenal doctor. She takes more time to listen to her patients, than any other doctor I have ever seen. She is thorough, intelligent and welcomes patient questions with thorough answers.She is the first OBGYN I have had that has given me her utmost attention during our appointments. She is personable, friendly, calm, and an absolute joy to talk to.She supports a woman through the entire experience. She came to my aid as an ally and friend from our very first visit. She is in a league of her own; this is what it is like to have a doctor who is truly a PARTNER and not a DICTATOR in YOUR health and welfare. We’re lucky to find her. :)I look forward to plan & delivery my second baby with her.
I saw Surbhi Gupta clinics advertisement in newspaper because i wanted to Go for IVF as I couldnt concieve and that is how we referred her. She never gets frustrated, even when I ask a number of queries. Surbhi Gupta certainly knows the in and out of herspeciality. I was having very bad thoughts regarding the delivery through IVF but she is a wonderful doctor. They took very nice care of the process, i never felt that I am in a Urogyn IVF Centre.
One of my colleague referred Dr Ashok Kumar Gupta. From quite some time i was suffering from pain, but never gave much importance to it. The overall atmosphere in the Urogyn IVF Centre is very soothing. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition. Urogyn IVF Centre has all the latest technology in place to handle severe cases. He is not just friendly, but also is very motivating.
It has been quite some time that i was suffering from fertility. I was suffering from fertility. She is not just friendly, but also is very motivating. The facilities available in the Urogyn IVF Centre are very nice. The guidance Dr Surbhi Gupta gave me has helped me immensely with my situation. Thanks to her I am much better now.
My son was suffering from Hydrocele for which I took him to Dr Ashok Kumar. He ensures that he gives enough time to each patient. He is quite knowledgeable in the field of Urology. The atmosphere in the Urogyn IVF Centre is always so positive and full of life. I thank him for provising such a beneficial treatment.
With the treatment of dr Surbhi Gupta about Artificial Insemination i am very happy. I got Quick result . Happy with the course and doctor. We got fast results and we are satisfied. Medicines too are good. We got it done at her clinic Urogyn IVF Centre in Delhi.
Thanks to Dr Ashok ,I am totally satisfied with the results. From quite some time i was suffering from Hydrocele.HIs guidance has helped me immensely with my situation. Urogyn IVF Centre had all the amenities, a patient requires.
Om Prakash Narang
World's best urologist. Very nice. Experience of everything. Cool. Man of words. Value of money. Recommendable. Expert in handling critical situations.
Dr. surbhi gupta is a very responsible doctor.she connects with her patients and try to give her best.we are satisfied with her efforts in our case.
Dr. Ashok Kumar Gupta provides answers that are helped me improve my health. Thank you so much sir!!
I found the answers provided by the Dr. Ashok Kumar Gupta to be knowledgeable. Thank you sir
Dr. Surbhi Gupta provides answers that are very helpful. Thanks for your valuable advice
Dr surbhi gupta mam is a very very good doctor....
Dharam Pal Arora
He is Well Experienced Doctor in his field
As we all know that IVF stands for In vitro fertilisation. It is a method of stimulating the ovaries in a female body, to release an ovum (egg), which is taken out of the body and fertilised artificially in the laboratory with the help of a sperm. After this, the embryo is transferred back to the uterus where it grows and develops naturally.
Understanding the Procedure
- The doctor attempts to have complete control over your menstrual and ovulation cycles, so as to know the correct time of the month when you ovulate. This includes, charting basal body temperatures, hormonal therapy drugs etc.
- Frequent blood tests, ultrasound will be required to map the progress of ovulation.
- Injections, drugs will be prescribed in required dosage to stimulate the ovaries.
- During this time, the doctors will monitor the growth of oocytes (eggs).
- After a suitable growth of the oocytes follicles, the eggs are retrieved for artificial insemination. (Fertilisation with the use of sperm cells in the laboratory).
- After the successful fertilisation, the embryo is transferred back to the uterus.
Can IVF have side effects?
- As a side effect it has a major chance of multiple pregnancies. People intending to have just one child, may not be mentally or economically prepared to take the responsibility of more than one child.
- The drugs and medicines used throughout the IVF procedure may create hormonal complications in the long run. It bears a risk of ovarian hyperstimulation syndrome, if the mother has to go through the cycle multiple times.
But it offers a number of benefits too...
- IVF increases the chance of pregnancy by a large percentage. It is one of the most successful methods of boosting fertility and pregnancy.
- Couples, who have repeatedly failed to bear children naturally, can opt for this treatment to produce their own offspring.
- In case the couples are completely infertile, donor eggs or sperms may be used in the process. However, in that case, the offspring will not bear the DNA of both parents.
- IVF can greatly reduce the chance of surgery on the fallopian tubes.
- IVF also provides an opportunity to choose the healthiest embryos before implanting it back in the uterus. A procedure, known as the pre-implantation genetic diagnosis, determines the presence of any abnormal genes or other chromosomal absurdity.
- The procedure of IVF has a very high success rate and with technological advancements in the field of medicine, it has also become much safer.
- IVF allows women, who go into premature menopause, to be able to bear a child. This treatment is mostly for women who decide to experience motherhood at a slightly older age.
- IVF allows same sex partners and single women to bear an offspring.
- It is extremely helpful for women who have their fallopian tubes damaged, blocked or surgically removed.
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.
- High success rate of fertility
- Reliable and efficient method of ART (assisted reproductive technology)
- More expensive than traditional IVF methods or ICSI
- Requires complex equipment, training, and set-up
- Useful in couples who have failed IVF previously
- Male infertility with unidentifiable cause
- Poor sperm quality
What to expect?
Both partners are prepared both physically and mentally prior to IMSI.
Before the procedure - men:
- A screening is first done to decide if the sperms can be used directly
- In case of hereditary diseases, a donor is preferred
- The first technical step involves sperm collection, either directly or through a donor
- Sperms are collected either through masturbation or through a small incision in the testicles
- Sperms used could be fresh or frozen; fresh ones may be stored for later use also
Before the procedure – women:
- 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.
- Egg release is monitored through blood and urine tests
- They are collected within after 36 hours of release
During the IMSI procedure:
- A healthy egg is chosen and placed in a glass container containing hyaluronidase
- Sperms are placed in a medium which will slow their movement, which enables picking a good sperm for fertilization
- The dual advantage of this is that in addition to a high success rate of fertilization, the quality of the embryo is also assured
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.
Are you an expectant mother? The feeling of expecting a child is unexplainable. It can only be experienced and enjoyed. Along with being pregnant, at times, a woman suffers from severe boredom and mood swings. During such time, it is always best to be involved in some activity or the other without stressing yourself too much or undertaking any heavy work.
In the modern tech era, gadgets are what keep a person going apart from food, water and shelter. Thus, this article explores 10 must-have gadgets for expectant mothers.
- Gravida Nurse Prenatal Educational Device: This small yet handy device provides you with all the informational articles that you need to know about your pregnancy and also baby care. It’s a complete educational device for the expectant mothers (and fathers).
- Pregnancy belly phones: Have you heard about headphones, but are not sure what belly phones are? Well they are headphones for your babies? When inside the mother’s womb, music and soft voices seem to soothe the baby and belly phones are used for this purpose. They can be attached to an iPod or any music system to play nice and warm music for the baby.
- Beforme MP3 stethoscope: This device lets you record the baby’s heartbeat and even presents it on the screen as a graph.
- Kicktrack: This device helps you to monitor your baby’s kicking movement inside the womb.
- Ultrasound scanner: This scanner is a small portable version of your own ultrasound machine, enabling you to see your baby as and when you wish.
- Pregnancy watch: This is just a simple watch coupling up as a pregnancy device. It lets you know the week of your pregnancy and also suggests cute baby names for your little bundle of joy.
- Biobands: For expectant mothers experiencing nausea and morning sickness, this little band can do you a lot of good every morning.
- Bellabeat leaf: This is a device which helps you monitor the correct amount of food for yourself and the child. It helps you to get the right nutrition needed for the baby and the mother.
- QuardioBase: This is one of the best gadgets to keep a track of your weight during your pregnancy.
Thus, these are some of the handiest gadgets that you need to keep beside you during your pregnancy. Apart from a little bit of monitoring of your and the baby’s health, all you need to do is relax and enjoy this beautiful feeling.
Fertility experts have made remarkable progress in infertility procedures such as In Vitro Fertilization. And, every year, a substantial number of women undergo various types of fertility procedures of which IVF is one of the most popular with a success rate of 40%. However, the procedure like any other medical procedure carries a set of associated risks leading to health complications.
Here are some of the risks and complications involved in the in-vitro fertilization process that you must know about if you are considering it.
- Side effects of medications: The drugs administered for stimulating the ovary may result in minor side effects such as soreness and mild bruising at the site of the injection in some women. Another side effect is ovarian hyperstimulation syndrome, which happens when the ovaries have generated numerous follicles and fluid may start leaking from the blood vessels into the lungs and the abdominal cavity. In most cases, these complications are mild and can be resolved easily. But sometimes, ovarian hyperstimulation syndrome may result in extreme enlargement of the ovaries, dehydration, and infusion of fluids in the lungs and the abdomen which would need considerable medical attention.
- Complications during retrieval of eggs: As the eggs start to mature, the willing-to-be mother has to come to the fertility center for retrieval of the eggs. The woman may have to undergo mild sedation so that she can feel no pain while remaining conscious or she may be completely unconscious. At times, there may be excessive bleeding from the ovaries along with injuries to the organs in close vicinity. If the injury is too severe, surgery or blood infusions may also be required to repair the damage. It may also involve pelvic infection, and the women who have had a prior history of pelvic infection are more likely to suffer from this kind of complication.
- Damage during transfer of embryo: When the embryos are needed to be replaced, the gynecologist may place a speculum in the vagina while the embryos are placed into the uterus with the catheter. Some women report that it causes cramping while the catheter is inserted through the cervix.
- Multiple births: IVF surges the risk of multiple births when more than one embryo is implanted in the uterus. A pregnancy with many fetuses invariably brings along risks of early labor as well as low birth weight compared to pregnancy with a single fetus does. Also, research suggests that IVF slightly surges that the newborn will be of low birth weight, which is yet another risk of the IVF process.
It is important to understand that the complications and risks of IVF are very rare, and an expert health care provider will be able to monitor you closely to fend off all kinds of unwanted consequences.
A boon for many couples who fail to conceive naturally, IVF (In-vitro fertilization) is an assisted reproductive procedure that involves a series of steps like enhancing the production of eggs via Ovulation induction; Retrieval of the egg (by a procedure known as a Transvaginal Ultrasound Aspiration) and the sperm; Mixing of the retrieved egg(s) and sperm(s) under laboratory conditions to facilitate the fertilization of the egg(s) and; the final and the most crucial step of the IVF procedure involves the Embryo Transfer followed by an implantation.
While the success of the IVF and subsequent pregnancy depends on a variety of factors, utmost care, and precaution should be taken following the implantation of the embryo. Mentioned below are few vital tips that should be followed diligently after the implantation takes place for a successful IVF.
- Rest and Relax: In most of the IVF cases, following the embryo transfer, it takes 1-5 days for an implantation to take place. During this period, one should take good care of themselves. However, avoid lying on the bed for too long. Strenuous or physically and mentally exhausting activities are a big NO. Most importantly, don't overstress yourself thinking about the outcome of the procedure.
- Research well on the IVF clinic – Ask around and choose the best IVF clinic, embryologist and the attending physician before you opt for the procedure. An experienced doctor may make things a lot easier and fruitful for you.
- Hydrosalpinx fluid: Women who had suffered from Endometriosis or a Sexually-Transmitted Disease should get a Hysterosalpingogram(HSG) or an Ultrasound scan done before the IVF procedure. The HSG goes a long way in the detection of the hydrosalpinx fluid. Without timely medical assistance, the hydrosalpinx fluid that may be present in the fallopian tube(s) can get into the uterus and spell doom affecting the transferred embryo as well as the implantation process deleteriously.
- Dietary care: What you eat can go a long way to influence the implantation. While a balanced diet is essential, processed, fast and spicy foods, simple carbohydrates, pineapple, tofu, are best left avoided. Including multivitamins, more of proteins, and folic acids will also work wonders.
- Progesterone Supplements: An elevated progesterone level in the body will make the IVF and the implantation a lot more productive. In fact, most women are given progesterone supplements (either in the form of Progesterone-in-oil shots or intramuscular injections) following the egg retrieval to boost the embryo transfer and implantation procedure.
- Endometrial thickness: Before the embryo transfer, the doctor must ensure that the endometrial lining has the desired thickness (7mm-8mm or even more).
- Avoid hot baths: Following the implantation, avoid hot or bubble baths for as long as the doctor recommends.
- Be observant: Once the implantation takes place, there can be some bleeding or brown discharge accompanied by cramps (usually mild). Do not panic as it could be an indication of some good news coming your way. Though it is always good to consult your physician.
- Keep unhealthy practices at bay: It goes without saying that an individual undergoing an IVF should avoid alcohol consumption, smoking, and substance abuse.
- Do not cough or sneeze too hard: Refrain from coughing or sneezing very hard after the embryo transfer and implantation.
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.