Patients with joint problems find it difficult to perform daily activities effectively, such as Walking or Climbing stairs. They may also feel pain while sitting or lying down. For such patients, Knee Replacement can be a helpful option. Knee Replacement Surgery is one of the safest and most effective methods for people with knee problems to provide relief from pain, correct leg deformity, and perform normal activities effectively.read more
Obesity and a shapeless body are problems that plague many people around the world. Besides leading to an appearance that is less than ideal, it can also lead to severe health problems include heart failure, heart diseases, diabetes and more. While there are many ways to combat being overweight with the help of exercise and a proper diet and even medication, very severe causes of obesity can also be fixed with a surgical process known as Bariatric Surgery.read more
I am Dr. Atul Mishra, director and head of the department orthopedics. Now we are talking about osteoarthritis of the knee. Osteoarthritis of the knee joint is the most common cause of pain in the knee, ghutne mein sujan, dard aur iss tarah ki pratikriya jo hai at the age of around 55 to 60 years hoti hai patients ko, isi ko osteoarthritis bolte hain. Osteoarthritis mein jo basic abnormality hai wo ye hai ki ghutne ke andar jo surface pe jo cartilage hai vo cartilage ke andar chote chote ghaav ban jate hai, vo ghaav andar bleed karte hai or pain karte hai jisse patient ko dikkat hoti hai chalne mein, roz marra ka apna kaam karne mein, sidhi chadne utarne mein. In fact, kuch mareez hamare paas is condition mein bhi aate hai jisme vo apne bed se uthke toilet tak bhi jane mein asamarth hote hai.
To hume ye dekhna hai ki awareness badhe, patients jo hai vo sahi samay pe doctori salah le paye or osteoarthritis se ek jo crippling vise jo stage hoti hai jisme insaan itna majboor apne aap ko feel karta hai ki vo thoda bohot bhi na chal paye vaise paristithi na aye. Kul mila ke 10 lakh se zada log hamare desh mein is bimari se peedit hai. Shuruvati lakshano ke andar ghutne mein sojan hona, jaha tahan ghutne ke aajo bajo aas pas dard hona, rozmarra ki activity jisme sidhi chadna utarna, niche baith ke prarthana karna, puja karna ye sab cheeze patient karne mein asamarth hojata hai. Ye bimari jo hai isme dard ek waxing and waning type phenomena hota hai, patient do mahine theek rehega or teesre mahine patient ko ye problem ayegi, phir wo kuch pain killers, kuch balm, iodex laga ke apna kaam chalata hai, problem kam ho jati hai lekin andar hi andar joint ka degeneration jo hai vo hota rehta hai. Ultimately the best possible way is to consult a doctor as early as possible or doctori salah ke andar kuch minimum amount of pain killers taki soojan aur dard kam ho vo shuru karna chahye aur ek X-ray jo hota hai jisme ghutne ki paristhiti pata lagti hai vo kara lena chahiye. X-ray se ye clear-cut define ho jata hai ki haddi ya haddi ke andar ka cartilage vo damage hua hai ya nahi hua hai.
Ek MRI scan usse bhi kafi kuch pata lagta hai. MRI cartigram naam ki ek nayi jaanch hai jo ki aaj kal hamare desh mein uplabdh hai, usme cartilage ka volumetric analysis bhi ho jata hai jisse ye maloom chalta hai ki kitna healthy articular cartilage ghutne ke andar bacha hai aur is tareeke se hum bimari ka prognosis jo hai woh determine kar sakte hai. Activity modification upchar ke liye bohot jaroori hai. 3 activities aisi hai jo ki hum patient ko bolte hain ki three activities like climbing of stairs woh kam se kam kare agar disease active hai to, niche ukdu baithna Indian style toilet mein woh kam se kam kare aur padmasan laga ke baithna yani ki ghutne ko 120 degree se zada mod ke rakhna ye aisi 3 cheeze hai jo aap apni activities daily activities mein thoda kam karein to ghutne ke andar articular cartilage mein pressure kam padega or pressure kam padega to uska wear and tear jo hai vo slow hojaega. Iske saath saath physiotherapy, regular exercises, cycling, swimming or walking iska ek apna mehtva aur apna role hai. Ye activities hamesha patient ko hum salah dete hai ki vo karte rahe taki disease badhe na.
Disease ka ghutne ke andar jo progression hai vo slow rahe. Pain killers kam se kam lene chahiye kyunki pain killers se kidney ke upar or pet ke andar gastritis, ye 2 cheeze aisi hai jispe iska dushprabhav jo hai pain killers se padta hai. Disease modifying agents kafi sare available hai aur kuch injections bhi available hai jo ki ghutne ke andar lagaye ja sakte hai, jo ghutne ko andar se lubricate karte hai or cartilage ki healing process jo hai use enhance karte hai. Activity modification aur injections in sab cheezo ke saath saath mein ek nayi padhti jisko sarkar se manyata abhi mili hai wo hai autologous chondrocyte transplant. Autologous chondrocyte transplant jo hai vo ek jo young patients hai hamare jinko bohot jaldi jo hai ghutne ke andar cartilage ka wear and tear ho jata hai khaskar chot lagne se, jab cartilage ke andar chot lagti hai, ghutne ke andar chot lagti hai or cartilage jo hai woh scruff off hoke, rub off hoke us ek chip ki tarah vo nikal jati hai, aisi paristhiti mein vo samay ke sath bohot hi kharab tareeke se ghutne ko kharab kar sakti hai.
Early stage ke andar khaskar young patients mein jinko chot lagne ke bad cartilage ki problem shuru ho, vaha par autologous chondrocyte transplant jaisi padhti jo hai vo bohot upyogi hai. Is padhti ke andar hum patient ke cartilage ke kuch cells jo hai vo lab mein regenerate karte hai aur fir 1.5-2 mahine me jab vo cells kafi regenerate ho jate hai lab mein, to fir ghutne ko chota sa incision laga ke, ghutne ko khol ke unko hum re-implant kar dete hain ghutne ke andar. Lekin ye padhti young patients ke andar kafi successful hai aur iske iski jabse abhi manyata jabse sarkar se mili hai to isse kafi mareez jo hai laabhanvit hue hai. Autologous chondrocyte transplant ke alava jab mareez ki condition aisi ho jati hai jiske andar vo cripple hona shuru hojata hai yani ghutne ki bimari ke sath mein pair ke andar alag alag tareeke ki deformity woh sab develop ho jaye aur pair tede ho jate hain, to aisi condition ke andar knee replacement naam ki jo padhti hai woh bohot kargar hai. Knee replacement surgery koi nayi ya koi vishesh tareeke se kari jane vali nahi hai, pichle 10 ya 12 saal mein is surgery ke andar bohot sare technical advancements hue hain.
Mai ye kehna chahunga ke actual mein knee replacement aisa surgery hai jo ki jisme hum ghutne ke andar pura ghutna nikal ke koi kambje vala jod nahi dalte. Basically ye surgery ki philosophy ye hai ki hum iske andar ghutne ke upar ke surface jo hai vo change karte hai. To sahi mayne mein isko surface replacement kaha jata hai. Ye ek model hai jiske andar ye ek artificial knee hai aur is artificial knee mein knee replacement kaise kaam karta hai ye dikhaya gaya hai. Jo upar ki haddi hai jise femur bolte hai usme ye is tareeke se cap ki tarah se ye upar ka component lag jata hai aur niche ki haddi yani tibia uske andar ye tibial tray ki form mein lag jati hai aur upar aur niche ke components ke beech mein ek ye high density polythene hota hai. To upar ka component is high density polythene pe glide karta hai is tareeke se aur yahi kritrim joint ya knee replacement ya surface replacement ya pratyaropad hai. Ab aaj kal jo technical advancements hai usme biomaterials ke upar nayi cheez samne jo ayi hai vo pichle 2-3 saal se naye biomaterials jaise ki gold knee naam se available hai.
Inn biomaterials ka jo sabse bada advantage hai vo ye hai ke inke implantation ke baad patient ko kisi bhi tarike ka koi allergic phenomena nahi hota hai kyunki usme ek alloy ka upar se coating hota hai. Dusri yeh hai ki woh zada uski surface property jo hai woh zada acchi hai, vo zada chikna hota hai to isse patient ko artificial jo hum surface lagate hai uski jo longivity hai vo mil jati hai. Normally ek knee replacement ka life jo kritrim joint hai uska life 10-15 saal hota hai lekin nayi technological advancement se, naye biomaterial se ab iski life 20-25 saal tak badh gyi hai. Dusra inke banavat mein, kafi revolutionary design mein, kafi technical advancements hue hai, pehle jo designs hote the wo kafi crude the lekin ab jo designs hai unki surface geometry ek is tareeke se hai joki ek insaan ke ghutne ko bohot closely match karti hai. Isilye ye knee implantation ke baad mein patient ko kafi kuch original joint jaisa hi feel hota hai, natural feel hota hai aur usme patient ko ek jo pehle ek abnormal sensation ati thi vo nahi ati hai.
Dusri cheez hai kyunki ye itna disabling disease hai aur pehle logon ke mann mein dar tha lekin ab patients ka acceptability is surgery ke liye bohot badh gya hai aur ye bohot hi safe operation hai aur agar ye ek ache centre par, ek experienced surgeon se aap karvayenge to patient ko hamesha laabh milega aur kisi tareeke ki pareshani nahi ayegi.
Thank you very much!read more
I am Dr. Nitin Jha, Fortis Hospital, Noida me a senior consultant, laparoscopic surgeon hun. Stomach ke major problems ko hum laparoscopic surgery se treatment krte hain. Aaj me sabse common symptoms acidity and gas ke bare me discuss krenge. Kuch logon ko khana khane ke baad peat fulna or gas formation, khatte dakar aana or kbhi kbhi adha pacha hua khana vapsa muh me aana. Ye sab upper GI ke symptoms hote hain. Iska sabse common cause hai gallbladder stones. Iske or bhi symptoms hai jaise muh me kadva pani aana, khatte dakkar aana, indigestion hona. Isko noral condition maanke hum normal tablets lete rehte hain.
Or fir kuch time baad jab pain jhela nhi jata to hum hospital jate hain. Uske baad diagnosis hota hai jisme kbhi gallbladder stone paya jata hai or hiatal hernia milta hai. GERD me khana upar se niche jane ke baad niche se upar bhi aa skta hai. Is bimari me itna major ho jata hai ki stomach bhi chest tak aane lgta hai. Hiatal hernia ko medicines se control krne ki koshish krte hain. Ise prevent krne ke ek baar me heavy khana nhi khana, thoda khana khana or bar bar khana, khana khane ke baad turant nhi letna and thoda walk krna, in sabse isko control kia ja skta hai. Bina surgery ke hi ise thik kia ja skta hai. Lekin in sab ke bad bhi agar ye overcome na ho to surgery di jati hai.
Iska operation laparoscopy se kia jata hai. Laparoscopic nissen fundoplication surgery ka name hai. Isme hum stomach ko niche late hain. Chest and stomach k bich ke gap ko thik kia jata hai. Is se stomach abdominal cavity me rhega and chest me nhi jayega. Isme khana niche ko hi puch krega. Islia simple advice hai ki acidity and gastric problem ko avoid na kren. Iska proper diagnosis bhut important hai taki surgery tak jane ki requirement na pade. Medicines lene se bhi apko problem ho skta hai. Islia kbhi bhi aisa problem ho to consult your surgeon. Agar aap mujhse koi information lena chahen to Lybrate ke through contact kar skate hain.
Thank You!read more
Hernia: Types, symptoms and treatment
Yeah! Hi, I’m Dr. Nitin Jha, I’m a senior consultant laparoscopic surgeon at Fortis hospital, Noida and I also have a clinic in sector 61 Noida which goes by the name of Agarwal Clinic and today we’ll be discussing about Hernia.
By Hernia we mean that there is a small gap in the muscle of the abdomen wall and through this gap there is a protrusion of the contents which are inside of the abdomen like small intestine or the, even large intestine or the omentum fat and which tries to come out of this hole and as long as they go out and then they come back it’s okay. But the day it gets stuck, you know if you have a swelling in which the swelling refuses to go in, that means it is like an emergency then you have to immediately go to the hospital and get it operated upon.
Now, what is the cause, the basic cause of any hernia is, the weakness in the muscle wall and it can be even sometimes without any cause. That is called as Idiopathic. Now, there are basically there are three types of common hernia that we all encounter. The one is the Inguinal Hernia which are present in the lower part of the abdomen on the left as well as on the right side. Then you have our Umbilical hernia which is a hernia in the umbilicus itself, so that in the umbilicus instead of being a pit it becomes a elevated out pouching and then you have something called Incisional hernia in which after any surgery in the abdomen you can have a small bulge occurring from that incision side which is called basically insicional hernia. So be it any type of hernia the treatment is always surgical only. In contents, the usually, the intestine, the small ball, the large ball or the omentum fat can be the content of the hernia.
Now, What is the problem? Why to get it operated? As long as, as I told you, as long as it comes out and then goes back in, it is okay. But the day it refuses to go back in, that means it has become a bit complicated hernia. It starts with irreducibility, matlab, it doesn’t go back inside. Then there is something called as obstruction in which the intestine gets stuck in that pouch and it causes obstruction of the intestine. That is obstruction to the flow of the contents of the intestine. In that case the abdomen becomes bloated, the patient is not able to pass gas or motion from below and he or she can have a continuous vomiting from up. So, and obviously if the time goes on like this because of a decrease in blood supply of the intestine, the intestine can sometimes become strangulated. In that case it is an emergency and we have to immediately go to the surgeon and get it operated upon because if we give it more time the intestines can lose its blood supply and then we have to do a proper, major, big surgery. In which we have to cut the caught part of the intestine and rejoin the normal part. So, obviously we should definitely avoid this kind of circumstances which increases the cost also and plus it increases the morbidity, the trouble to the patient also.
Talking about surgery we initially had only open surgery, in which a small cut almost of this size used to be given whether it was inguinal or umbilical or incisional, but it had its own problems. The issue was, with open surgery, was you had to have a big incision on the belly. Then the bigger the incision the more the pain. The bigger the incision the more the chances of infection. But usually now we don’t do it by open surgery. We do it by something called laparoscopic surgery, in which there are almost two or three small, small holes of the size of around 5 millimeter or 1 centimeter and through, without cutting open the abdomen, through these small, small holes only the whole surgery is done. So the advantage is the patient becomes alright much faster. He needs to stay in the hospital for lesser number of time. He can be back to his work probably in three to four days. But as the thing is you know is any good thing is costly. Similarly the laparoscopic surgery is costly because the mess and the things which are required to fix the mess to the abdominal wall are costly. But if you compare between these two methods, laparoscopic surgery is far, far, far better than open surgery.
My specialty is doing the same surgery which is usually done by all other laparoscopic surgeons by three or four small, small cuts, I do it by only one single cut. So, especially with a uncomplicated simple hernia of the anteroapical wall, be it incisional or be it umbilical or super umbilical hernias which is commonly referred as ventral hernia. They are done by single incision only. That means I just put a small cut almost of this size around 1 to 1.5 centimeters size in the left part of the abdomen and through this same incision we conduct the whole surgery. So, the patient has not three small cuts but only one small cut. That’s the advantage of single incision laparoscopic surgery. So, you can consult me at my clinic in
So, you can consult me at my clinic in sector 61 Noida, Agarwal Clinic C122 and, otherwise you can also meet me in Fortis hospital Noida. Plus you can take an appointment via Lybrate and we’ll be glad to discuss your problems, thank you.read more
Hi, I’m Dr Nitin Shah. I’m a senior consultant at Fortis hospital, Noida. I’m a laparoscopic surgeon. I do all sorts of abdomen surgeries. Today we are going to be talking about the gallbladder disease, in which there are stones formed in the gallbladder. We need to understand that patients can initially be absolutely asymptomatic. The patient can have no pain or any discomfort. Many times it is detected by routine health examinations when the patient undergoes an ultra sound of the abdomen.
The initial stages after asymptomatic, the patient starts having little bloating in the abdomen which is commonly referred as gas and acidity. So people have a tendency of neglecting it and keep on taking some antacid or pantocid or Digene and this kind of stuff to suppress the symptoms. So after dyspepsia, the patient starts having pain in the abdomen. This pain can initially very simple pain. It can even progress into severe pain. It starts usually in the pre-gastric region, upper abdomen and goes to the back. This is very typical of a bilicuric and increases after any fatty meal like any extra oily friend. This kind of stuff when we eat, the patient has more pain and then depending on the severity of the inflammation, even patients are known to have pus in the gallbladder, thereby, increasing the mobility of the disease.
Some stones can slip from the gallbladder into the bile duct thereby obstructing the bile duct and producing something that is called obstructive jaundice. In which the patient has severe pain and has visible jaundice also. These stones not only block the bile duct but also can block the pancreas duct thereby causing something called as gall stone pancreatic. So, this is another very severe problem. As we all know, gall bladder cancer is quite common these days. In 4% of the cases, the gall stones are the causes of gallbladder cancer. So, for a simple disease like a gall bladder stone, if not treated at the immediate time this can land up into very very severe problems. now once the diagnosis is confirmed it is a simple surgery called as lap coly cystectomy in which we remove the gallbladder in very small three to four cuts that is called the laparoscopic surgery. The same surgery was previously done with a big cut that’s called the laparotomy, cutting open the whole abdomen and then removing the gall bladder. Now it is done by three or four small cuts. In fact, my specialization is getting the same surgery done by a single incision in the ablycus. In which there is one cut in the navel and no cut anywhere else in the abdomen and hence the surgical cut is hardly seen. Probably, even after two months, the surgeon will also not be able to make out whether any surgery is done on the patient or not. The scar is hardly seen and it is very cleverly hidden in the ablycus.
So, for any further information or any question that you want to ask I am available at lybrate.
You can log onto lybrate or even text me or video chat with me on lybrate and I will be more than happy to clear all your doubts regarding any surgical disease and help you in the best way I can.
Doctors in Fortis Hospital - Noida
Patient Review Highlights
Fortis Hospital - Noida Reviews
I found the answers provided by the Dr. Ankur Singhal to be knowledgeable. I am diabetic since 1996 and taking insulin 12 units in morning
He is very talented and seasoned doctor. Fortis Hospital Noida has all the latest technology in place to handle severe cases. I am so much benefitted with his treatment, that i am perfectly fine now. All of sudden I developed this gallstones and didn't know what to do. I searched this Nitin Jha online and saw his reviews. In order to diagnose my problem completely he asked me a number of questions. The staff was very attentive to my needs.
Dr. Arvind Jain is a great doctor. Talking to him makes you feel extremely comfortable and your problem seems smaller. He is super confident of what he does even though the patient may be scared of small issues pre or post surgery. We consulted him for my husband's finger crush injury and it has been a smooth journey so far. The support staff at Eternity hospital is also good and caring. We give them as a team 10 out of 10.
Due to my hernia i was feeling very depressed and had no hope. I was suffering from hernia, but the symptoms were not very visible. From quite some time i was suffering from pain, but never gave much importance to it. I stareted feeling pain then I chose to consult Dr Nitin Jha. On the very first day he identified my problem and started the treatment which benefitted me alot.
I am really grateful as Dr Nitin's hemorrhoids treatment has give me a ray of hope. I never get sick, but then last year i started developing these symptoms. I was shocked to experience the symptoms of hemorrhoids. Many people gave very positive feedback for thisdoctor. He is quite knowledgeable doctor. With the help of his treatment , I am feeling so great.
Tarun Kumar Gupta
Any Doctor may be expert in his field but a patient need expertness as well as a good behaviour like family members from his Doctor. Dr. Ankur Singhal is having both the qualities i.e. expertness as well as sympathetic and kind behiour with his patients. There are very few like him. God may bless him and give strength to continue the same in future.
My father developed an overnight chest pain, we doubting it for a heart attack took him to the nearest hospital ie Fortis Hospital in Noida sec 62. There he was treated by Dr Nitin jha and it turned out to be a case of acidity.Doctor nitin is experienced, responsible, knowledgeable and concerned doctor. thanks to him for being calm and composed.
I think that the way the virtual consultations offered Lybrate Team - this is a new direction in the diagnosis and treatment of patients. Virtual consultation gives the patient the opportunity to receive an accurate diagnosis and quality treatment without loss of time and unnecessary expenses. Good job Lybrate Team. Dr. Osipa, Kyrgyzstan.
I used to suffer from night cramps which became a bad dream for me. I could not sleep properly. I consulted Dr Nitin Jha who is a well known doctor in Noida. He treated my cramping issue. Though it took time for getting completely cured but I am absolutely fine now. I am gkad that I visited him for the treatment.
I was diagnosed with the problem of Anal Fissure. I went to dr Nitin Jha at Fortis Hospital in Noida for my treatment. In the very first sitting, he clearly told us the problem and the what the treatment procedure will be in future.I am so much benefitted with his treatment, that i am perfectly fine now.
He is a great Doctor. Within 3months he resolved my problem. He is always ready to listen my problem even whenever asked him unnecessary questions. He is very punctual. I never wait in his clinic more than 5 minutes. That's the best part.
I found the answers provided by the Dr. Akshay Kumar Saxena to be caring, knowledgeable and very helpful. Some Doctors are born to help people honestly and not to take professionally in every time.. You're Someone of those good Doctor...
He is very kind very supportive he elaborates your problem and tell you exact problem.He never misguided me .He is very polite very gentle and one of the bestest doctor out there
Dr.Arvind Jain Ji good morning. Ur as like as God for me. You save my life so many times. SO I love you and respect you for ever until my last breath Nit Phukan Assam
Dr Ankur is an expert in Ortho and is great with his patients. My experience has been great with Dr Ankur as he is responsive, his treatments are really effective.
Dr. Akshay Kumar Saxena provides answers that are sensible. sir need u r help pls cont me or i wabt to contact u sir this my number 8681808204
Very helpful advise. Thanks to the doctor for lessening my worries. Very prompt and responsible attitude. Thanks again.
Experience was excellent and their explaning way is too gud, thank you so much for all Dr. Rutvij and Dr. Akansha
Dr was very helpful and polite. Dr also gave a good treatment. He suggested good therepies and medicine.
It was my 1st visit nd Dr. Sircar was very polite nd cooperative. Overall it was a good experience
Dr. Akshay Kumar Saxena provides answers that are knowledgeable. I am getting knowledge...thankq
Dr. Ajay is lack of knowledge.. not recommending to anyone.. He unable to answers of patient ..
Fortis Hospital - Noida Feeds
Ulcerative colitis is a chronic inflammatory condition whereby tiny abscesses and ulcers are formed on the inner lining of the large intestine, or on the colon or rectum. These ulcers may burst frequently resulting in diarrhea and bloody stools. This disease may also be responsible for causing anemia as well as harsh abdominal pain.
Ulcerative colitis normally alternates periodically from flaring up to receding quickly. These periods of remission can either last for weeks or maybe, even for years at a stretch. They are however, not permanent and although the disease may seem to have disappeared completely, it can soon show up again in no time. Usually beginning in the rectum, it can, by and by, spread rapidly to other parts of the colon. If it is, however, limited only to the rectum, then it is more commonly referred to as ulcerative proctitis.
Surgery is generally obligatory and mandatory when it comes to treating ulcerative colitis. If surgery is not performed, you may suffer long-lasting side effects, including cancer and colon rupture. Here are the different types of surgery that you may undergo:
This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer.
This concerns the total removal of both colon and rectum, and is usually the standard procedure when dealing with ulcerative colitis.
3. Ileal Pouch Anal Anastomosis
If the treatment does not require a permanent stoma, and if you can still manage to let out stool from your anus, then this surgery, also called restorative proctolectomy, would be most appropriate. Here, both colon and rectum are removed but at the same time, the small intestine is utilized to form an internal reservoir, called a J-pouch, which is linked to the anus and can hereafter serve as your new rectum.
What is IVF?
IVF stands for In Vitro Fertilization and is a method of artificial insemination that dramatically increases the chances of pregnancy. It is one of the assisted reproductive technologies methods used as fertility treatment across the world where other methods have had drastic results.
In simpler terms, a man's sperm is inserted in a woman's egg using controlled laboratory environment to proceed with fertilization. These embryos are then carefully put back into the mother's uterus after 4 to 5 days of fertilization in incubator in hopes that the embryo would grow in a full baby. The embryo transfer process needs to be carefully done in order for successful fertilization in the mother's womb.
There are many reasons why IVF is conducted:
- Poor sperm quality - Males having poor sperm quality are unable to achieve fertilization and increase the chances of conception with their female partners. This is male factor infertility due to which people move towards IVF.
- Fallopian tube problems - This is a female factor infertility, in which fallopian tubes either get blocked or damaged making it complicated and stressful for the embryo to travel to the uterus.
One must approach IVF treatment with patience and a willingness to comply with all the tenets that the treatment is built upon. IVF clinics may vary the treatment a little according to what the patient's condition demands and different clinics may have different methods. The basic methods of IVF treatment, however, remain the same. The first step to the treatment is to find the right clinic which complies with factors like availability of resources, cost and quality of treatment. After deciding the clinic, the next step is to understand that IVF treatment happens in cycles and the success rate of conception varies. Patients must also be ready to face any disappointment.
Here’s the short version of the steps involved in an IVF treatment cycle:
- Ovarian stimulation. Your doctor prescribes a course of drugs for you to take to stimulate your ovaries into hopefully producing 12 to 15 mature eggs.
- Monitoring of your drug response. To monitor the progress of your ovarian stimulation you undergo an ultrasound examination and blood tests.
- Egg maturation. Two days before your eggs are due to be collected you have a hormone injection, which triggers maturation of the eggs.
- Egg collection. You receive a light general anaesthetic for this simple, short procedure, and your doctor retrieves your eggs using an ultrasound-guided technique.
- Sperm production. On the day of egg collection, your partner provides a sperm sample.
- Fertilisation. The embryologist puts sperm and eggs together in the lab and, if all goes well, the eggs fertilise and early embryo development begins.
- Embryo transfer. Two to five days after egg collection, your doctor places one or two embryos in your uterus. Frozen transfer can be planned after a gap of 1 month.
- Embryo freezing. If you have additional embryos suitable for use, they can be frozen and kept for future transfers. Also, frozen embryos are available.
- Pregnancy test. About two weeks after embryo transfer you have a blood test to find out whether the treatment worked.
- If the test is positive, you have your first pregnancy scan two weeks later.
- If the test is negative, you and your partner need to talk to your doctor and decide whether to try the treatment again.
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).
- Poor sperm perms motility
- Semen where sperm concentration is low
- Male infertility with unidentifiable cause
- Poor sperm quality, with sluggish sperms
- Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
- 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:
- First step is the sperm collection; a screening is first done
- Sperms collection happens through either masturbation or directly from the testicles via a small incision
- Sperms could be collected fresh or collected and frozen for later use
Before the procedure – women:
- 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.
- 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:
- A healthy egg is chosen and placed in a glass tube, and sperm is introduced to ensure fertilization
- This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
- Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
- The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
Patients with joint problems find it difficult to perform daily activities effectively, such as Walking or Climbing stairs. They may also feel pain while sitting or lying down. For such patients, Knee Replacement can be a helpful option. Knee Replacement Surgery is one of the safest and most effective methods for people with knee problems to provide relief from pain, correct leg deformity, and perform normal activities effectively.
With the recent number of breast cancer cases on the rise, it is important that we should get the examination done on a regular basis as a preventive measure. Even if someone is suffering from it, it is important that we should make an effort and learn about.
If you have breast cancer then a surgery will be part of your treatment. Based on the condition, surgery will be carried out due to any of the following reasons:
1. To remove the cancerous tissues from the breast
2. To reconstruct the breast once the cancer is removed
3. To check whether the cancer has spread to the lymph nodes below the arm
4. To treat symptoms of cancer that has progressed to an advanced stage
Breast cancer surgery may be classified into two types:
1. Mastectomy: Mastectomy involves removing the entire breast; tissues in the adjoining region may also be removed. A double mastectomy is a procedure where both the breasts are removed.
2. Breast-conserving surgery: In this surgery, only parts of the breast affected by cancer are removed. The area of the breast that is to be removed will depend on the severity of the cancer. Some healthy tissues may also be removed in this surgery.
Usually, if a woman is in the initial stages of cancer then she may opt for the latter as it entails removing parts of the breast. They may also undergo radiation therapy along with these surgeries.
For checking if the cancer has spread to the lymph nodes below the arm, the lymph nodes are removed from the body. Once they are removed, they are studied under a microscope to check if it has spread, if yes then the extent of their damage. This procedure is carried out along with the surgery to remove the cancer.
Once the mastectomy procedure is completed, you can opt for a breast reconstruction surgery to rebuild the area. You may opt for this procedure at the time of breast cancer removal or at a later stage. If you are considering breast reconstruction surgery then you should discuss it with your surgeon.
Surgery is sometimes not used to treat cancer, but in slowing the progression of cancer or even reducing its symptoms.It is important you talk to your surgeon before the procedure to understand the goal of the surgery.
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 the 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