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India IVF Clinic Noida, Noida

India IVF Clinic Noida

  4.2  (14 ratings)

IVF Clinic

Chikitsa NMC Superspeciality Hospital,16 - C, Block E, Sector - 30 Noida
1 Doctor · ₹800
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India IVF Clinic Noida   4.2  (14 ratings) IVF Clinic Chikitsa NMC Superspeciality Hospital,16 - C, Block E, Sector - 30 Noida
1 Doctor · ₹800
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Call Clinic
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About

Our medical care facility offers treatments from the best doctors in the field of Hysteroscopy & Laparoscopic Surgeon, IVF (In Vitro Fertilization) Specialist, Infertility , Infertility S......more
Our medical care facility offers treatments from the best doctors in the field of Hysteroscopy & Laparoscopic Surgeon, IVF (In Vitro Fertilization) Specialist, Infertility , Infertility Specialist, Reproductive Endocrinologist (Infertilty).By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about India IVF Clinic Noida
India IVF Clinic Noida is known for housing experienced IVF Specialists. Dr. Richika Sahay Shukla, a well-reputed IVF Specialist, practices in Noida. Visit this medical health centre for IVF Specialists recommended by 73 patients.

Timings

TUE, FRI
11:00 AM - 01:00 PM

Location

Chikitsa NMC Superspeciality Hospital,16 - C, Block E, Sector - 30
Noida, Uttar Pradesh - 201303
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Doctor

Dr. Richika Sahay Shukla

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist
84%  (14 ratings)
16 Years experience
800 at clinic
₹300 online
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Natural Cycle IVF

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Natural Cycle IVF

Natural Cycle IVF

What is natural cycle IVF?

Natural cycle IVF involves collecting and fertilising the one egg that you release during your normal monthly cycle. No fertility drugs are used in this treatment.

Is natural cycle IVF for me?

It may be worth discussing this treatment option with your clinician if your periods are fairly regular and you are ovulating normally.

You are unable to take fertility drugs (for example, cancer patients or those whose clinician has suggested that they are at risk of OHSS – ovarian hyper-stimulation – a dangerous over-reaction to fertility drugs) because for personal or religious beliefs you do not wish to have surplus eggs or embryos destroyed or stored.

How does natural cycle IVF work?

The treatment is the same as conventional IVF, but without the fertility drugs that are used to stop natural egg production and hormones that boost the supply of eggs.

As your ovaries aren’t being artificially stimulated, you don’t need to rest as you would after conventional IVF.

If your treatment is unsuccessful, you can try again sooner if you wish.

1 person found this helpful

IUI (Intrauterine Insemination)

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
IUI (Intrauterine Insemination)

IUI (Intrauterine Insemination)

Intra Uterine Insemination is the process where artificial insemination of prepared sperm of husband / donor is done in the uterine cavity for conception in a planned cycle at the time of planned ovulation.

It is done in cases where the tubes are functional as well as patent . This can be performed in a natural cycle or with artificial hormone stimulation.

If the couple is diagnosed with unexplained infertility, cervical mucus problems, minor sperm abnormalities or other male disorders.It is also a cheaper solution for azoospermic males who cannot afford ICSI with TESA . They can have artificial insemination with donor semen.

8 people found this helpful

Why Should You Go For Laparoscopy?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Why Should You Go For Laparoscopy?

Diagnostic laparoscopy is a surgical process for examining different kinds of organs present in the abdomen. It is a low-risk and minimally invasive process in which just a small incision is made. This allows the doctor to evaluate the conditions of your abdominal organs without opting for an open surgery. It’s mostly performed when the patient complains of pain in the pelvic region and when other assessing methods have failed to detect the reason behind the pain and discomfort.

How is laparoscopy done?
The laparoscope is a slim and well-lit telescope that allows your doctor to evaluate the conditions of various organs in your body. It can help in determining whether there is any instance of fibroid or endometriosis. It can help in performing a variety of surgeries like removal of ovarian cysts, hysterectomy and tubal ligation. This surgery involves much lesser healing time compared to other elaborate surgeries.

Why should you go for laparoscopy?
Your gynaecologist may recommend you to get a laparoscopy for a treatment or for diagnosis. It is mostly performed due to unexplained pelvic ache, infertility and a history of pelvic infection. Laparoscopy is also performed for the diagnosis of conditions such as uterine fibroids, ovarian cysts, endometriosis, pelvic pus or abscess, ectopic pregnancy, painful scar, inflammatory disease in the pelvic region and reproductive cancers.

How to prepare for gynaecological laparoscopy?
Your gynaecologist would ask you to prepare for the laparoscopy test on the basis of the type of surgery. Your doctor would ask you about the medication you take, which would include health supplements and over-the-counter medications and in certain cases you may have to stop certain medications. This process is performed under anaesthesia and you would be able to go home on the same day. The following process depends on the type of process. The diagnosis process is completed faster than the surgical process in which an incision is required to be made. The instrument would be inserted through the incision and then the surgery is executed by inserting the laparoscope tool. Once the process is completed, all the tools are removed from the body and the incision would be closed with stitches and the affected area would be bandaged.

In recent times, the laparoscopic process has advanced to a great extent and robotic surgery is often used for performing the surgical process. This is because it has been proven that robotic hands are steadier than human hands and can perform fine manipulations effortlessly. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

How Gestational Diabetes Affects Your Baby?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
How Gestational Diabetes Affects Your Baby?

You may develop a form of diabetes during pregnancy, which is known as gestational diabetes. The condition usually goes away after childbirth. During pregnancy, hormonal changes within the body may cause the blood sugar level to rise. This condition affects the developing fetus as well, as the baby receives nutrients from your blood. The baby may store the extra sugar as fat and may grow unusually large.

How gestational diabetes affects the baby

Owing to the abnormally large size, the baby may be at risk of facing several complications, if you have gestational diabetes. Your baby may be affected in the following ways:

1. There may be injuries during birth due to the large size.

2. Low blood sugar level and mineral level during birth.

3. Jaundice, which is a condition which turns the skin to yellow.

4. The baby may be born prematurely.

5. Breathing problems which are temporary.

6. The baby will be at a higher risk of obesity later in life.

How gestational diabetes affects the mother

The chances of several pregnancy complications get enhanced due to gestational diabetes. The possible risks are as follows:

1. Chances of undergoing a C-section

2. Chances of miscarriage

3. High blood pressure.

4. Pre-term birth

5. After giving birth, the mother has high chances of developing type 2 diabetes.

How to manage gestational diabetes?

You can follow several tips and must undergo lifestyle changes for keeping your diabetes in control. These include the following:

1. You should have a healthy diet with reduced amount of carbohydrates as they cause the sugar level to increase. You must abstain from high sugar food items.

2. Regular physical exercise is essential for the management of sugar levels. You should work out for at least 30 minutes every day.

3. Regular health check-ups are very important, especially for your baby after birth. These may include ultrasounds and nonstress tests.

4. Prescribed medication such as insulin and several others help in the management of blood sugar levels.

5. You must observe your blood sugar level properly. You should take a blood sugar test many times a day.

6. You should always watch your symptoms for any sign of blood sugar during pregnancy.

In case you are diagnosed with gestational diabetes, you must consult a doctor immediately. Managing this condition at an early stage will prevent your baby from being affected in several ways. The condition can be successfully managed and majority of women with gestational diabetes have regular vaginal births and produce healthy babies. If you wish to discuss about any specific problem, you can consult a gynaecologist.

 

1785 people found this helpful

Common Cause of Infertility in Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Common Cause of Infertility in Females

Common Cause of Infertility in Females

For pregnancy to occur, every part of the complex human reproduction process has to take place just right. The steps in this process are as follows:

  • One of the two ovaries releases a mature egg.
  • The egg is picked up by the fallopian tube.
  • Sperm swim up the cervix, through the uterus and into the fallopian tube to reach the egg for fertilization.
  • The fertilized egg travels down the fallopian tube to the uterus.
  • The fertilized egg implants and grows in the uterus.

In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of these factors.

Ovulation disorders

Ovulation disorders, meaning you ovulate infrequently or not at all, account for infertility in about 25 percent of infertile couples. These can be caused by flaws in the regulation of reproductive hormones by the hypothalamus or the pituitary gland, or by problems in the ovary itself.

  • Polycystic ovary syndrome (PCOS).In PCOS, complex changes occur in the hypothalamus, pituitary gland and ovaries, resulting in a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity, abnormal hair growth on the face or body, and acne. It’s the most common cause of female infertility.
  • Hypothalamic dysfunction.The two hormones responsible for stimulating ovulation each month — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — are produced by the pituitary gland in a specific pattern during the menstrual cycle. Excess physical or emotional stress, a very high or very low body weight, or a recent substantial weight gain or loss can disrupt this pattern and affect ovulation. The main sign of this problem is irregular or absent periods.
  • Premature ovarian insufficiency.This disorder is usually caused by an autoimmune response where your body mistakenly attacks ovarian tissues or by premature loss of eggs from your ovary due to genetic problems or environmental insults such as chemotherapy. It results in the loss of the ability to produce eggs by the ovary, as well as a decreased estrogen production under the age of 40.
  • Too much prolactin.Less commonly, the pituitary gland can cause excess production of prolactin (hyperprolactinemia), which reduces estrogen production and may cause infertility. Most commonly this is due to a problem in the pituitary gland, but it can also be related to medications you’re taking for another disease.
2 people found this helpful

Your Egg Reserve

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Your Egg Reserve

Your Egg Reserve

Ovarian Reserve Testing – AMH

Females are born with approximately 1 million eggs and this number declines with age through natural attrition and ovulation but , the rate at which a woman can ‘lose’ eggs during her reproductive life varies greatly from individual to individual .

The number of eggs remaining at a given time, in a female is her ‘ovarian reserve.’

we can now estimate your ovarian reserve with a very simple blood test, it measures a hormone known as AMH; or Anti-Mullerian hormone, which can give us a good indication of your fertility status and an estimate of your ovarian reserve.

Basis behind the test?

AMH is produced by the granulosa cells in the developing early antral follicles of the ovary and as the number of eggs decline, the number of small antral follicles also decline along with the AMH.

This means that AMH is a clinically useful measure of ovarian reserve so as an early indication of your fertility status AMH can help you decide whether to start a family sooner or later.

What if my AMH is low?

Once the ovary runs out of eggs, the body can’t produce more and often the last remaining eggs can be of lessor quality so If you’re in a relationship and have a low ovarian reserve, the best option for having children is to go ahead and try as soon as possible.

If a woman experiences premature menopause, Dr. Richika can take you through all your viable options including the use of donor eggs.

We believe that information and knowledge is power and this test is one way you can take charge of your fertility future today.

You may be at increased risk of having a low AMH if you have;

2 people found this helpful

Diagnostic tests- Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Diagnostic tests- Females

Diagnostic tests- Females

We provide testing for fertility by all modalities ranging from reproductive hormones to diagnostic ultrasound to ascertain the cause. It is advisable that we make you undergo these tests before your final treatment/ plan of management is started.

  • Blood tests – These include a whole array of blood investigation ranging from CBC , Urine routine microscopy, RBS, TSH, PROLACTIN, VDRL, HIV, HBSAG, HCV, AMH. And any other test depending on the history of the couple.
  • Transvaginal ultrasound- A complete ultrasound of the uterus an adenexa is done to diagnose any anatomical disorder.
  • Specific tests – In cases of recurrent implantation failure and recurrent pregnancy loss or if required other tests are also advised.
  • Diagnostic Laparoscopy and Hysteroscopy – For many, this test is an important part of a fertility evaluation .Laparoscopy takes place under general anaesthesia with small incisions made at or just below the navel and the pubic hairline. A laparoscope (a small-diameter telescope) is passed through the incision, which enables one to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. We can check that the tubes are open (tubal patency) by injecting dye through the uterus and observing it spill or not through the ends of the fallopian tubes.

Hysteroscopy uses another small-diameter telescope called a hysteroscope. This enables to assess the uterine cavity for abnormalities such as polyps, adhesions or fibroids.

Gestational Surrogacy

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Gestational Surrogacy

Gestational Surrogacy

We will help you evaluate the benefits of gestational surrogacy and provide you with information about cost, legal issues, and treatment protocols.

In traditional surrogacy, the surrogate is pregnant with her own biological child, but this child will be raised by others. In gestational surrogacy, the surrogate becomes pregnant via embryo transfer with a child that is not biologically her own. The surrogate mother may be called the gestational carrier.

Once a suitable surrogate has been identified, and the screening process is complete, the cycle can begin. Timing depends on the surrogate’s and intended parents/donors menstrual cycle .

Surrogacy Cycle Overview

Evaluation Cycle

The surrogate needs to prepare her uterus for implantation with natural estrogen and progesterone. Because each woman is a little different, the dose, duration, and method of administering these hormones may need to be individualized. This can be determined ahead of time by conducting an evaluation cycle. This is a “dry run” in which we duplicate each part of the cycle except the actual transfer of embryos in order to determine how to maximize the chances of success. The evaluation cycle can be completed anytime before the actual procedure. In some circumstances, the evaluation cycle can be waived when the response of the uterus to hormonal stimulation is well known. This is fairly common for women who have undergone many treatment cycles in the past.

Gestational Surrogacy

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Gestational Surrogacy

Gestational Surrogacy

Cycle Synchronization

It is necessary to synchronize the menstrual cycles of the surrogate and the intended parent in order to obtain mature eggs and embryos and transfer these back into a perfectly prepared endometrium (uterine lining) to maximize the chances of pregnancy success. This is done using a variety of hormonal manipulations .We will determine which technique will work best for each circumstance. Once both women’s (surrogate and intended parent) ovarian function is suppressed and their cycles synchronized, they can begin the process of preparing for pregnancy.

Hormonal Therapy

On about the same day, the surrogate and intended parent will begin hormonal therapies to prepare the appropriate target for pregnancy success. The surrogate will begin taking estrogen to stimulate endometrial (uterine lining) growth and the intended parent will begin taking FSH to stimulate egg production. These treatments are monitored with ultrasound and blood estrogen levels until the eggs are ready to be retrieved and the uterus is ready to accept an embryo. Usually these treatments will take approximately two to three weeks and require five office visits for ultrasounds and blood tests.

Subsequently IVF and embryo transfer is done.

Pregnancy Success!

In successful cycles, the hormonal supplements are continued through the first trimester (12 weeks) of the pregnancy. Once the first trimester is completed and the placenta has matured to the point where it can provide for all the hormonal needs of the pregnancy, no further supplements are required. We will monitor blood levels of estrogen and progesterone at the end of the first trimester and taper off the hormone supplements gradually. Once the hormone supplements are stopped, the rest of the pregnancy is indistinguishable from any other pregnancy!

Natural Cycle IVF

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Natural Cycle IVF

What is natural cycle IVF?

Natural cycle IVF involves collecting and fertilising the one egg that you release during your normal monthly cycle. No fertility drugs are used in this treatment.

Is natural cycle IVF for me?

It may be worth discussing this treatment option with your clinician if your periods are fairly regular and you are ovulating normally, but:

you are unable to take fertility drugs (for example, cancer patients or those whose clinician has suggested that they are at risk of OHSS – ovarian hyper-stimulation – a dangerous over-reaction to fertility drugs) because for personal or religious beliefs you do not wish to have surplus eggs or embryos destroyed or stored.

How does natural cycle IVF work?

The treatment is the same as conventional IVF, but without the fertility drugs that are used to stop natural egg production and hormones that boost the supply of eggs.

As your ovaries aren’t being artificially stimulated, you don’t need to rest as you would after conventional IVF.

If your treatment is unsuccessful, you can try again sooner if you wish.

Male Fertility Surgery

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Male Fertility Surgery

Male fertility surgery

Microsurgery

Male microsurgery also involves specialised operative techniques for the repair of very small structures, such as the tubes that carry sperm (the vas deferens). It is commonly used where there is a low sperm count, or no sperm at all.

Microsurgery can be used to:

  • reverse a Vasectomy
  • bypass a blockage in the epididymis,
  • cure a Varicocele (swelling of the veins about the testis), which allows the testis to produce better sperm,
  • In the case of azoospermia (absence of sperm in the testes), microsurgery is also used to perform surgical sperm retrieval so it can be used for Intracytoplasmic Sperm Injection (ICSI). The genetic make up of the sperm is tested first, before fertility treatment.

Most microsurgery is done as a day surgery procedure, and you will need up to a week to recover after the procedure. Occasionally we can cure obstruction to sperm passage in the urinary tract.

Freezing Sperm

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Freezing Sperm

Freezing sperm

Before you begin chemotherapy or radiotherapy treatment, your sperm can be frozen and stored until you wish to start a family. Even if the sperm profile is poor, as is common during times of illness, it is usually possible to store sufficient sperm for use in IVF in the future.

Men who have to travel overseas or work in dangerous situations may also want to have their sperm frozen for possible use in the future.

About 25-50% of the sperm will survive the process of freezing, and they can be stored for many years. There is a yearly fee for sperm storage.

5 people found this helpful

Egg Freezing

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Egg Freezing

Egg Freezing

Egg freezing allows a woman to preserve her fertility until she is ready to start her family. During an egg-freezing cycle, a patient will go through many of the same steps that are involved in a typical IVF cycle: ovulation stimulation, ultrasound monitoring, and egg retrieval. After egg retrieval, the eggs will be cultured for a few hours and then frozen the same day for future use.

1 person found this helpful

Common Cause of Infertility in Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Common Cause of Infertility in Females

Common Cause of Infertility in Females

Damage to fallopian tubes (tubal infertility)

When fallopian tubes become damaged or blocked, they keep sperm from getting to the egg or block the passage of the fertilized egg into the uterus. Causes of fallopian tube damage or blockage can include:

  • Pelvic inflammatory disease, an infection of the uterus and fallopian tubes due to chlamydia, gonorrhea or other sexually transmitted infections

  • Previous surgery in the abdomen or pelvis, including surgery for ectopic pregnancy, in which a fertilized egg becomes implanted and starts to develop in a fallopian tube instead of the uterus

  • Pelvic tuberculosis, a major cause of tubal infertility worldwide, although uncommon in the United States

Endometriosis

Endometriosis occurs when tissue that normally grows in the uterus implants and grows in other locations. This extra tissue growth — and the surgical removal of it — can cause scarring, which may obstruct the tube and keep the egg and sperm from uniting. It can also affect the lining of the uterus, disrupting implantation of the fertilized egg. The condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg.

Uterine or cervical causes

Several uterine or cervical causes can impact fertility by interfering with implantation or increasing the likelihood of a miscarriage.

  • Benign polyps or tumors (fibroids or myomas) are common in the uterus, and some types can impair fertility by blocking the fallopian tubes or by disrupting implantation. However, many women who have fibroids or polyps can become pregnant.

  • Endometriosis scarring or inflammation within the uterus can disrupt implantation.

  • Uterine abnormalities present from birth, such as an abnormally shaped uterus, can cause problems becoming or remaining pregnant.
    Cervical stenosis, a cervical narrowing, can be caused by an inherited malformation or damage to the cervix.

  • Sometimes the cervix can’t produce the best type of mucus to allow the sperm to travel through the cervix into the uterus.
    Unexplained infertility

  • In some instances, a cause for infertility is never found. It’s possible that a combination of several minor factors in both partners underlie these unexplained fertility problems. Although it’s frustrating to not get a specific answer, this problem may correct itself with time.

2 people found this helpful

Diagnostic Tests- Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Diagnostic Tests- Females

Diagnostic tests- Females

We provide testing for fertility by all modalities ranging from reproductive hormones to diagnostic ultrasound to ascertain the cause. It is advisable that we make you undergo these tests before your final treatment/ plan of management is started.

  • Blood tests – These include a whole array of blood investigation ranging from CBC , Urine routine microscopy, RBS, TSH, PROLACTIN, VDRL, HIV, HBSAG, HCV, AMH. And any other test depending on the history of the couple.
  • Transvaginal ultrasound- A complete ultrasound of the uterus an adenexa is done to diagnose any anatomical disorder.
  • Specific tests – In cases of recurrent implantation failure and recurrent pregnancy loss or if required other tests are also advised.
  • Diagnostic Laparoscopy and Hysteroscopy – For many, this test is an important part of a fertility evaluation .Laparoscopy takes place under general anaesthesia with small incisions made at or just below the navel and the pubic hairline. A laparoscope (a small-diameter telescope) is passed through the incision, which enables one to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. We can check that the tubes are open (tubal patency) by injecting dye through the uterus and observing it spill or not through the ends of the fallopian tubes.

Hysteroscopy uses another small-diameter telescope called a hysteroscope. This enables to assess the uterine cavity for abnormalities such as polyps, adhesions or fibroids.

1 person found this helpful

Common Cause of Infertility in Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Common Cause of Infertility in Females

Common Cause of Infertility in Females

For pregnancy to occur, every part of the complex human reproduction process has to take place just right. The steps in this process are as follows:

  • One of the two ovaries releases a mature egg.
  • The egg is picked up by the fallopian tube.
  • Sperm swim up the cervix, through the uterus and into the fallopian tube to reach the egg for fertilization.
  • The fertilized egg travels down the fallopian tube to the uterus.
  • The fertilized egg implants and grows in the uterus.

In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of these factors.

Ovulation disorders

Ovulation disorders, meaning you ovulate infrequently or not at all, account for infertility in about 25 percent of infertile couples. These can be caused by flaws in the regulation of reproductive hormones by the hypothalamus or the pituitary gland, or by problems in the ovary itself.

  • Polycystic ovary syndrome (PCOS). In PCOS, complex changes occur in the hypothalamus, pituitary gland and ovaries, resulting in a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity, abnormal hair growth on the face or body, and acne. It’s the most common cause of female infertility.
  • Hypothalamic dysfunction. The two hormones responsible for stimulating ovulation each month — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — are produced by the pituitary gland in a specific pattern during the menstrual cycle. Excess physical or emotional stress, a very high or very low body weight, or a recent substantial weight gain or loss can disrupt this pattern and affect ovulation. The main sign of this problem is irregular or absent periods.
  • Premature ovarian insufficiency. This disorder is usually caused by an autoimmune response where your body mistakenly attacks ovarian tissues or by premature loss of eggs from your ovary due to genetic problems or environmental insults such as chemotherapy. It results in the loss of the ability to produce eggs by the ovary, as well as a decreased estrogen production under the age of 40.
  • Too much prolactin. Less commonly, the pituitary gland can cause excess production of prolactin (hyperprolactinemia), which reduces estrogen production and may cause infertility. Most commonly this is due to a problem in the pituitary gland, but it can also be related to medications you’re taking for another disease.

ICSI (Intracytoplasmic Sperm Injection)

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
ICSI (Intracytoplasmic Sperm Injection)

ICSI (Intracytoplasmic Sperm Injection)

If you are diagnosed with male fertility problems, such as a low sperm count, previous history of vasectomy in male partner, recurrent ivf failure then conventional IVF is unlikely to result in fertilisation. It is also done when sperms are not present in the semen and they have to be obtained surgically from testicles.This is when Intracytoplasmic Sperm Injection (ICSI treatment) is recommended. It is like IVF only the main difference is the technique we use to achieve fertilisation.

How is ICSI done?

A single sperm is injected into each egg, using very fine micro-manipulation equipment. As the human egg is one tenth of a millimetre in diameter and the sperm 100 times smaller, this is a very delicate procedure performed by highly skilled embryologist under a micro-manipulator.

Is ICSI successful?

Together with IVF, ICSI is one of the most common techniques used in Assisted reproductive technology. Since it was introduced, it has led to the birth of many thousands of babies worldwide.

Ovulation Induction

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Ovulation Induction

Ovulation induction

It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. These females are given medication (as tablets or through injections) to stimulate there hormones.
How does Ovulation Induction work?

First, we’ll confirm your ovulation cycle by:

  • Taking blood samples to measure hormone levels at specific stages of the cycle,
  • Carrying out a transvaginal ultrasound to see the development of follicles in the ovaries, and the thickness and appearance of the lining of the womb.

The Ovulation Induction cycle

Day 1: (of your menstrual cycle) Call the clinic to arrange an appointment for a blood test.

Day 2-4: Start taking medication.

Day 10 or 11: Visit the clinic for a blood test to determine your hormone level. /an ultrasound.

Day 14: (approximate) Attend the clinic for an ultrasound test.  This will determine if you are about to ovulate.
For women who don’t have a normal menstrual cycle, it may take some time to ovulate. In fact, it is not unusual for ovulation to occur much later in their cycle (after Day 14). You would then need to continue attending the clinic until you ovulate.

There are various treatments to treat ovulation disorders.

These medications may cause multiple follicle development, with the risk of multiple pregnancy. For this reason you need to undergo regular ultrasounds to determine the number and rate of growth of these follicles. If more than one follicle develops, your fertility specialist will discuss the risks of multifollicular ovulation.

After the follicle has developed we may use another injection of synthetic human chorionic gonadotropin (hCG) to trigger the release of the egg from the follicle.The fertile time is for 36 hours from the time of trigger.

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ERA (Endometrial Receptivity Assay)

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
ERA (Endometrial Receptivity Assay)

ERA (Endometrial receptivity assay)

If you have had implantation failure, we can help you

It is a state-of-the-art diagnostic method, to evaluate ,from a molecular point of view, the status of the endometrial receptivity.

ERA indicates the window of implantation (WOI), increasing your chances of successful transferThe endometrial receptivity is the status in which the endometrium is ready for embryo implantation to take place. This occurs around days 19-21 in each menstrual cycle of a fertile woman. Until now, the only study done on the endometrium was an ultrasound scan, and there was not analysis method available to help doctors in their clinical practice.

Now, during the process to treat an infertile couple, the ERA test (Endometrial Receptivity Array) leads to the evaluation, at molecular level, of the endometrial factor. This molecular tool allows us to diagnose whether the endometrium is receptive or not by analysing the expression of a group of genes related to endometrial receptivity. For that, an endometrial biopsy must be performed at P+5 (hormone replacement therapy cycle) or at LH+7 (natural cycle), and after its shipment to our installation, the expression of 238 genes is analyzed. According with these expression values, the endometrium is classified as receptive or non receptive by a computational predictor.

Donor Eggs or Donor Embryos

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Donor Eggs or Donor Embryos

Donor eggs or Donor Embryos

If you’re over 40 or can no longer produce healthy eggs, donor eggs can help you carry and deliver a baby. This is also a good option if you’re at risk for passing a genetic disease such as Tay-Sachs disease or sickle cell anaemia to your child.

Treatment: What to expect?

If you decide on an anonymous egg donor, you can find her through your fertility clinic. You’ll usually be able to choose based on her physical characteristics, ethnic background, educational record, and occupation. Most donors are between 21 and 29 years old and have undergone psychological, medical, and genetic screening. Ask how your clinic screens candidates — some do less extensive tests and background checks than others. If you choose to use donor embryos, you can either pick unrelated egg and sperm donors or use a frozen embryo donated by a couple that had extras.

Once you pick a donor, both you and she will take birth control pills to get your reproductive cycles in sync — she needs to ovulate when your uterine lining can support an embryo. She’ll also take a fertility drug to help her develop several mature eggs for fertilization, while you will receive estrogen and progesterone to prepare your uterus for pregnancy. Once her eggs are mature, your doctor will give her an anesthetic and remove her eggs from her ovaries by inserting a needle through her vaginal wall using an ultrasound for guidance.

From here on out, the procedure is just like that of in vitro fertilization (IVF). Your partner’s sperm or a donor’s sperm will be combined with your donor’s eggs in a dish in a laboratory. Two to five days later, each of the fertilized eggs will be a ball of cells called an embryo. Your doctor will insert two to four embryos into your uterus through your cervix using a thin catheter. Although it’s not a common practice, many experts say couples should consider transfer of a single embryo to avoid the risk of twins or triplets. Extra embryos, if there are any, may be frozen in case this cycle doesn’t succeed. If the treatment does succeed, an embryo will implant in your uterine wall and continue to grow into a baby. In about 40 percent of ART pregnancies using donor eggs, more than one embryo implants itself and women give birth to multiples

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