Dr. Rachna Mazumder Clinic

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
7. Low AMP reserve
8. Low egg quality
9. Tubal blockage

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. The 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

In Vitro Fertilization (IVF) Treatment 
The process of IVF (In Vitro Fertilization) is a laboratory procedure where the egg is fertilized with the sperm in a laboratory dish and is implanted into the woman’s uterus. Intra Cytoplasmic Sperm Injection (ICSI) Intra Cytoplasmic Sperm Injection (ICSI) is an assisted reproductive technique wherein a single sperm is injected into the cytoplasm of the oocyte with the help of special micro-manipulators.

Is there anybody who is happy with their body? Definitely not! Almost everyone wants to lose weight. While some want to reduce their overall weight, others are concerned about their thighs, arms, buttocks, and/or belly and get rid 
of the fat accumulated in these areas. The last couple of decades have seen a drastic change in the lifestyle of people.

With more processed and refined items finding their way into each of our meals and physical activity drastically declining, the new epidemic is obesity. No germs causing it, but our foods. Extensive research is being done to identify newer methods to manage obesity. The complicating issue is also that once lost, the chance of fat re-accumulation always exists. One such new technique is the ultrasonic lipolysis. This technique involves the use of ultrasound waves to kill the fat cells (lipo - fat, lysis - kill). This is a noninvasive method wherein localized fat deposits are reduced, especially in areas like the abdomen, hips, thighs, upper arm, and buttocks. This is an advanced technique available to patients who want to achieve weight loss 
and body contouring.

How it works: The fat that is consumed through foods is digested but then accumulates under the skin. The accumulated fat is seen as fat globules or bubbles. These bubbles are difficult to break but attract more fat bubble formation and therefore fat accumulation continues over a period of time. After a detailed case history and examination, a customized programme is 
drawn that could be of 3 to 5 sessions spread over a period of one to two weeks. 

During each session, heat waves of different wavelengths are applied to the area of fat deposition through fiber-optic lasers. The sound energy gets converted into mechanical energy which helps in bursting of the fat molecules. By a process known as emulsification, the larger fat cells are broken into smaller ones, almost to a liquid form, thereby reducing fat deposits.

Benefits of this include:
1. Non-invasive
2. Painless
3. Improves body contour
4. Reduces body circumference
5. Muscle toning and firming
6. Localized body shaping

Earlier, liposuction was used which would remove the fat leaving sagging skin behind. New research has shown that a combination of lipolysis and liposuction can produce the best results. There is no sagging of the skin in these patients, 
and as an added advantage, there is also skin firming indirectly when lipolysis is done.

Studies have shown that obesity is linked to increased morbidity with higher incidence of cardiovascular disease, stroke, and paralysis. It is therefore, extremely essential that both women and men do all that is possible to reduce weight and fight obesity.

Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus. 

Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically. 

However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.

Success Rates of ICSI:

The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.

1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age

Advantages of ICSI Treatment:

Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.

In case you or your near ones are going through pain and need to undergo surgery. Consult these best general surgeon in Mumbai. A general surgeon are well trained to perform surgeries involving the gastrointestinal tract, endocrine system, liver, colon, and some other parts of the body. These surgical procedures are generally small and carried out using minimally invasive procedures like advanced laparoscopic methods. Best general surgeon in Mumbai that can be of help in general surgery as well as in cases related to trauma surgery are:

1. Dr. Jiten Chowdhry

MS - General Surgery, FAIS, Fellowship in Minimal Access Surgery, FICS, Dip. Lap Surgery, MRCS (UK), MBBS, Fellowship in Gastroenterology

Dr. Jiten Chowdhry is a well known and an awarded General Surgeon who is practicing from 19 years in these fields. He is currently associated with Godrej Memorial Hospital and Ruby Hospital - A Venture of Arogyam Hospital, Mumbai. During his career he has earned various fellowships at national and international level. He is also a member of various medical associations. His area of specialisation are Fistula Treatment, Colorectal Surgery, Thyroid Swelling, G.I. Surgery and Cancer Surgery etc.

Consultation fees: ₹600 

2. Dr. Khomane Gorakshanath

M. S. , MBBS

Dr. Khomane Gorakshanath is a reputed General Surgeon and Laparoscopic Surgeon. In 22 years of his career, he has handled several cases of Endosurgery, Laparoscopic Surgery and Endoscopy.He is currently affiliated with Sanchaiti Superspeciality Hospital, Aditi Hospital and Suchak Hospital, Mumbai. He is also a member of Maharashtra Medical Council.

Consultation fees: ₹800-1000

3. Dr. K.P. Madhukar

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, FMAS

Dr Kumar Premjeet Madhukar with 10 years of his practice has become an eminent name in his field. In addition to his experience he has several years of fellowship and an active member of medical associations. Other than being a practicing doctor, he is also a professor. His special interest are minimal invasive gastrointestinal surgery, hepato-pancreatico-biliary (HPB) surgery, liver-pancreas-bile duct surgery, gallbladder surgery and hernia surgery. He is associated with multiple hospitals.

Consultation fees: ₹1000

4. Dr. Avinash Agrawal

MS - General Surgery, MBBS

Dr. Avinash Agrawal has over 14 years of experience, he is amongst the best surgeon in Bangalore. He has successfully performed several laparoscopic surgeries like appendix, hernia repair and gallbladder surgeries and open surgeries such as gastric resection, pancreatic and thyroid surgeries. He has contributed in various clinical papers and part of research in India and internationally.

Consultation fees: ₹1500

5. Dr. Nimesh Shah

MBBS, MS - General Surgery

Dr. Nimesh Shah, in 20 years of experience has performed a wide range of surgeries through advanced laparoscopic techniques as well as endoscopy. His areas of expertise are cholecystectomies, hernia surgeries and appendectomies. He currently practices at 
Sanjeevanee Hospital and Anand Clinic.

Consultation fees: ₹800

6. Dr. Ojas Potdar

DNB General Surgery, MBBS

Dr. Ojas Potdar practices at Bhabha Hospital. He has 4 years of experience and has done fellowship in Laproscopic Surgery (Minimal Access Surgery) after completing his MBBS. He is an active member of Association of Surgeons of India (ASI), Association of Surgeons of India (ASI). He is known for his treatments and surgeries related to kidney stone treatment, pancreatic surgery and piles treatment. 

Consultation fees: ₹200

7. Dr. Parag Shah

MS

Dr. Parag Shah has 29 years of experience. He has successfully performed several laparoscopic surgeries like appendix, hernia repair and gallbladder surgeries and open surgeries such as gastric resection, pancreatic and thyroid surgeries. He is associated with several hospitals and clinics.

Consultation fees: ₹1000

8. Dr. Arun J Ranade

MS - General Surgery, MBBS

Dr. Arun Ranade is  a senior surgeon with 45 years of experience. He is currently associated with Unnati Hospital, Mumbai. He specialises in treating illness, trauma-related crises, and pancreatic and thyroid surgeries. 

Consultation fees: ₹500