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best ivf centre ludhiana

Infertility: Diagnosis, Prevention and Treatment

March 28, 2022November 16, 2023
by Eva Hospital

Introduction: An Infertility

If one is under 35 years of age and unable to get pregnant after having unprotected, regular sex for six months to one year, it can be a sign of infertility.

There are no definite symptoms of infertility. However, Women with infertility may sometimes have irregular or absent menstrual periods and some men with infertility may show signs of hormonal problems, such as changes in hair growth or sexual function.

The good news is that many safe and effective treatments are available nowadays and they can considerably improve the chances of pregnancy in couples who have been trying for a long time without success and a couple should immediately seek the consultation of a competent fertility specialist if they are facing issues in getting pregnant. The correct diagnosis and timely treatment can help couples in successfully achieving pregnancy.

When to See An Infertility Doctor?

Women Should Consult An Infertility Specialist if:

They are 35 years or older of age and have been trying to get pregnant for six months or longer
They have irregular or no periods
Their periods are painful
Have fertility problems they are aware of
They have been diagnosed with endometriosis or a pelvic inflammatory disease
They have a history of multiple miscarriages
They have at some point in life undergone the treatment for cancer

Men Should Talk to An Infertility Doctor if:

They have a low sperm count or other sperm-related issues.
They have a history of testicular, prostate, or sexual issues, they are aware of or suspect
Have at some point undergone treatment for cancer
They have small testicles
There has been a history of infertility problems in the family

How is Female Infertility Diagnosed?

The doctor may initially ask the couple to record the signs of ovulation. These signs include basal body temperature and cervical mucus.

There are a few tests that can also help diagnose infertility issues in females:

Pelvic examination: A pelvic examination, including a Pap smear, is performed to check for any structural issues or signs of disease.
Blood test: Blood tests can help to check hormone levels, including thyroid function tests.
Transvaginal ultrasound: An ultrasound wand is inserted into the vagina to establish problems with the reproductive system if any.
Hysteroscopy: A thin, lighted tube (hysteroscope) is inserted into the vagina by the doctor, to examine the uterus.
Saline sonohysterogram (SIS): The uterus is filled with saline and transvaginal ultrasound is conducted.
Hysterosalpingogram (HSG): An injectable dye performs an x-ray as it travels through the fallopian tubes, looking for blockages if any
Laparoscopy: A laparoscope i.e. a thin tube with a camera is inserted into a small abdominal incision. The pelvic laparoscopy in females helps to identify issues like endometriosis, fibroids, and scar tissue.

How is Male Infertility Diagnosed?

The following tests can help diagnose infertility issues in males:

Semen analysis: It helps to establish semen-related issues in men, such as low sperm count, poor morphology, and poor mobility. Needle biopsy is sometimes needed in some men to collect the sperm for testing from the testicles and this is the only test needed in the workup of infertility for most men.
Blood test: Testosterone, thyroid, and other hormone levels are checked through a blood test. Genetic blood tests help find out chromosomal abnormalities.
Scrotal ultrasound: Varicoceles or other testicular problems, if any can be identified with the help of the ultrasound of the scrotum.

Besides all these tests, the patient should listen to their body and inform the doctor if at any time they notice a sign or a symptom. The earlier an infertility problem is diagnosed, the more are the chances of getting pregnant.

How Can Infertility Be Prevented?

Some types of infertility are not preventable. However, many techniques may increase one’s chance of getting pregnant.

Following steps can be taken by both men and women to protect their fertility, particularly while trying to conceive:

They must eat a well-balanced diet and maintain a healthy weight.
They must avoid smoke, drugs, or excessive alcohol consumption.
They must take treatment for STDs.
The exposure to toxins must be limited.
Physical activity is important but overdoing exercise must be avoided.

Additionally, the men must:

Avoid high temperatures found in hot tubs and hot baths as they can have a temporary effect on sperm production and motility.
Avoid exposure to industrial or environmental toxins as they can sometimes affect sperm production.
Try to maintain a healthy weight as being both overweight and underweight can affect hormone production and cause infertility.

What Is The Treatment For Female Infertility?

The usual treatment for infertility in women include:

Medications: Fertility drugs are prescribed to alter hormone levels to stimulate ovulation.
Surgery: Blocked fallopian tubes can be opened and uterine fibroids and polyps can be removed through surgery. Surgical treatment of endometriosis can increase a woman’s chances of pregnancy by almost two times.

What Is The Treatment For Male-Related Infertility?

The recommended treatments for male infertility include:

Medications: Testosterone or other hormone levels can be raised with the help.of medications. There are a few drugs that can help with erectile dysfunction.
Surgery: Blockages in the tubes that store and carry sperm can be opened surgically.

What Are The Fertility Treatment Options For All Genders?

Although the above prevention and treatments can help some couples to conceive successfully, others might need more treatment options to increase their odds of pregnancy. Some medications may be prescribed to women to stimulate ovulation, before trying one of the following options:

Intrauterine insemination (IUI): A long, thin tube is used to place sperm directly into the uterus.
In vitro fertilization (IVF): A kind of assisted reproductive technology, it implicates harvesting the eggs at the end of the stimulation and placing sperm and eggs together in a lab dish. These eggs are then fertilized by the sperm and one of the fertilized eggs (embryo) is placed into the uterus.
Intracytoplasmic sperm injection (ICSI): In a procedure similar to IVF, a single sperm is directly injected into each of the harvested eggs by an embryologist and then an embryo is transferred into the uterus.
Third-party ART: Donor eggs, donor sperm, or donor embryos are recommended to be used by Some couples may also need a gestational carrier or surrogate, who agrees to carry and deliver their baby.

Outlook For Couples With Infertility

Dr. Shivani Bhutani at Eva Hospital has been dealing with patients of both genders with infertility. She explains that almost 90% of couples succeed in getting pregnant after undergoing fertility treatments. However, the success rates of these treatments depend on the cause of infertility, the couple’s ages, and other aspects.

Although Infertility can pose many challenges and can sometimes affect relationships as well as emotional health, infertility treatments these days are proving highly successful in helping couples to eventually

start a family. An accurate diagnosis and appropriate treatment is the right step in this direction.

If you and your partner have been facing problems in conceiving despite trying for more than 6 months to a year, you may book an appointment here with Dr. Shivani Bhutani.

Eva Hospital

Polycystic Ovary Syndrome (PCOS): Symptoms, Causes, and Treatment

January 18, 2022March 29, 2024
by Eva Hospital

Overview

Polycystic Ovary Syndrome and Pregnancy is a condition that affects a woman’s hormone levels during their childbearing years. Women’s ovaries, the reproductive organs that produce the menstrual cycle regulating oestrogen and progesterone are affected in PCOS.

A small amount of male hormones called androgens is also produced by ovaries. An egg is released by the ovaries every month to be fertilised by a man’s sperm. This process is called ovulation.

PCOS affects the ovaries and ovulation. Its three main features are:

Cysts in the ovaries
Higher levels of male hormones
Erratic or skipped periods

Many small, fluid-filled sacs or cysts grow inside the ovaries in PCOS. The word “polycystic” infers “many cysts.” The cysts though not harmful otherwise, can lead to an imbalance in hormone levels.

These sacs are actually follicles, each one containing an immature egg. The eggs never mature enough to trigger ovulation.

The levels of oestrogen, progesterone, FSH, and LH are altered, making Progesterone levels lower than usual and androgen levels higher than usual. A disruption in the menstrual cycle is caused by higher male hormones, thus women with PCOS get lesser periods than usual.

Higher than normal amounts of male hormones in women cause them to skip menstrual periods and this imbalance makes it harder for them to get pregnant.

Hair growth on the face and body, baldness and long-term health problems like diabetes and heart disease are also caused by PCOS.

Women with PCOS have a higher incidence of miscarriage, gestational diabetes, pregnancy-induced high blood pressure and premature delivery if they conceive.

Causes

The exact cause of PCOS is not known by doctors. It is believed that elevated levels of male hormones prevent ovaries from a normal production of hormones and eggs.

Though the exact cause of PCOS is unknown, there is an indication that genetics play a major role.

Many other factors play a role in causing PCOS:

Higher levels of male hormones (androgens): Ovaries are prevented from releasing eggs (ovulation) due to higher levels of androgen, causing erratic menstrual cycles. High androgen might also cause acne and excess hair growth in women.

Insulin resistance: The hormone produced by the pancreas to help the body use sugar from energy foods is called insulin. Elevated insulin levels trigger the ovaries to make and release male hormones, which in turn, suppress ovulation and add to other symptoms of PCOS. Obesity can also cause insulin resistance and both are contributing factors to an increase in the risk for type 2 diabetes

Low-grade inflammation: A tendency of chronic low-grade inflammation has been noticed in women with PCOS. Blood tests that measure levels of C-reactive protein (CRP) and white blood cells, can reveal the level of inflammation in the body. Inflammation can also be caused because of being overweight. Excess inflammation is linked to higher androgen levels.

Common Symptoms of PCOS

Symptoms are noticed by some women around the time of their first period, whereas others discover they have PCOS after they have gained a lot of weight or there is trouble getting pregnant.

The most common PCOS symptoms are:

Irregular periods: Lack of ovulation inhibits the shedding of uterine lining every month, causing missed periods or lack of periods.
Heavy bleeding: The uterine lining builds up for a longer period of time, causing the periods (when they happen) to be heavier than normal.
Hair growth: Excessive hair growth on, the face, body, back, belly, and the chest is experienced by many women who suffer from PCOS.
Acne: The skin is oilier than usual due to male hormones, causing breakouts on areas like the face, chest, and upper back, which is usually difficult to treat.
Weight gain: Difficult to lose weight gain and obesity is experienced by 80% per cent of women with PCOS.
Male pattern baldness: Thinning of hair or falling out of the hair on the scalp
Darkening of the skin: Dark patches of skin especially in body creases like the neck, armpits in the groyne, and under the breasts is noticed in women with PCOS.
Headaches: Hormone changes cause triggering of excruciating headaches in some women
Skin tags: Little flaps of extra skin are often found in the armpits or on the neck in women with PCOS.
Infertility: PCOS is one of the major causes of female infertility. Decreased ovulation or lack of it can result in not being able to conceive as the woman is not able to produce enough eggs to be fertilised. PCOS is one of the leading causes of infertility in women.

Metabolic Syndrome

Most of the women with PCOS are overweight or obese. Both of these can increase the risk for:

Elevated blood sugar
Raised blood pressure
Low level of HDL “good” cholesterol
High level of LDL “bad” cholesterol

All these factors together are called metabolic syndrome, and can pose to be a high-risk factor for:

Heart disease
Diabetes
Stroke

Endometrial Cancer

The uterine lining sheds during ovulation. However, if the woman is not ovulating every month, it can cause the lining to build up.

This thickened uterine lining can cause an increase in the risk for endometrial cancer.

Depression

Hormonal changes and symptoms like unwanted hair growth negatively affect emotions, eventually causing depression and anxiety in many patients with PCOS

Pregnancy and PCOS

As the normal menstrual cycle is interrupted by PCOS, getting pregnant gets harder. Fertility problem is experienced by almost 70 and 80 per cent of women with PCOS.

The risk for pregnancy complications, premature delivery, miscarriage, gestational diabetes, high blood pressure also increases with PCOS.

Management and Treatment

The treatment is based on the symptoms of the patient, medical history and other health conditions, and if the patient wishes to get pregnant.

Dr Shivani Bhutani at Eva Hospital says that the Management of PCOS includes medications, lifestyle changes or a combination of both.

Weight loss

Lifestyle changes like weight loss, diet, and exercise are the first step to treating PCOS

Losing bodyweight can help regulate the menstrual cycle and improve PCOS symptoms besides improving cholesterol levels, lowering insulin and reducing the risk of heart disease and diabetes.

Cosmetic Treatments

Excessive hair growth or acne can sometimes lower confidence and self-esteem. Cosmetic treatments or consultations with a dermatologist might prove helpful in this respect.

For ones trying to get pregnant

Dr Shivani further adds that for the ones trying to conceive after having been diagnosed with PCOS, the first thing to keep in mind is to Eat healthily and lower the stress levels. These can go a long way in helping one manage PCOS.

The treatment options for patients wanting to conceive are-

Patches, shots, a vaginal ring or an intrauterine device (IUD) can help regulate the menstrual cycle, improve acne help with excess hair growth and protect against endometrial cancer

Surgery

As an option to improve fertility, surgery is usually recommended when other treatments don’t work.

Surgical options include:

Ovarian drilling: A procedure in which tiny holes are made in the ovaries to reduce the levels of androgens being produced.
Oophorectomy: Surgery for removal of one or both ovaries.
Hysterectomy: Removal of whole or part of the uterus.
Cyst aspiration: A procedure to remove fluid from the cyst.

Drugs to induce ovulation

Ovulation is a prerequisite for a successful pregnancy. Certain drugs can help to induce ovulation in women with PCOS. Clomiphene (Clomid), a combination of clomiphene and metformin, or injectable gonadotropins, such as follicle-stimulating hormone (FSH) and luteinizing hormone (LH) medications are generally recommended by Gynaecologist in Ludhiana In some cases, letrozole (Femara) may also be recommended.

In vitro fertilisation (IVF)

The woman’s egg is fertilised with the partner’s sperm in a lab and then transferred to the uterus. IVF is a highly recommended and viable option with a substantial success rate for women with PCOS who wish to get pregnant and medication doesn’t help with ovulation.

Conclusion

PCOS can play havoc with a woman’s menstrual cycles making it harder to get pregnant. Elevated levels of male hormones cause unwanted symptoms like hair growth on the face and body.

Lifestyle modifications are the first steps recommended to manage PCOS by the doctors, and they are highly effective too.

Weight loss helps to treat PCOS symptoms, improving the odds of getting pregnant.

However, if lifestyle changes do not work, medications are a viable option. Pills and metformin restore normal menstrual cycles to help relieve PCOS symptoms.

Early diagnosis can help alleviate symptoms, reducing the risk of complications. A timely consultation with a doctor helps to manage the symptoms of PCOS and treatments like Ovulation medicines and IVF Process Start to Finish can help the patients with PCOS to get pregnant and start a family.

Eva Hospital

Fulfill your Dream Of Motherhood- Options & Affordability

May 5, 2021March 29, 2024
by Eva Hospital

Fertility Clinics are the bright silver lining for women wishing to fulfill the dream of Motherhood. At Eva IVF, all our endeavors are aimed at fulfilling the hopes and desires of childless couples.

When there are super advanced procedures and experienced fertility specialists available, no woman should be deprived of the joy of motherhood.

If you have been delaying treatment due to fear or apprehension, please do not. You deserve it. Contact us to soon hear a baby’s laughter in your home.

How do you know it is time to consult a fertility specialist?

Following are important pointers that make the choice easier for you

If You Are Below 35 & Healthy

It usually takes up to a year to conceive after you start trying. Count 12 months from the time you start having unprotected sexual intercourse.

If you are healthy but still not pregnant in this period, you should see a specialist. Dr. Shivani Bhutani, Eva IVF Hospital, Ludhiana advises that normal healthy couples should wait for a year and try for pregnancy naturally before coming to us.

“Time your intercourse properly and take care of your diet and lifestyle habits. It may happen for you in this period.”

If you are above 35

For women above 35 years of age, do not wait beyond 6 months. It is not that 35 is old, but it is a pivotal age for reproductive ability when the chances of conception start becoming lesser.

The egg supply starts dipping. So, if six months have passed in trying naturally, see an infertility specialist/reproductive endocrinologist.

If you are above 40

Still, struggling with conception at 40? See your doctor immediately. Eggs quantity and quality both decrease after 40, so you may need assistance or specialist advice on getting pregnant.

There are chances of chromosomal abnormalities in the embryos too which requires screening.

If you have PCOS or Endometriosis

In case you have an issue that you are aware of, then see your specialist right away. Women who have polycystic ovaries (PCOS) or endometriosis, must get an evaluation even before they start trying for pregnancy.

According to Dr. Shivani, “In a known reproductive abnormality, there is no point in wasting precious time.

Polycystic women do not ovulate, so they require medications. Endometriosis also may have caused a blockage in fallopian tubes or other problems, or maybe nothing. Better get yourself evaluated right away.”

If you have other Issues or Symptoms

No matter what your age or health, to fulfill your dream of motherhood, look at each aspect carefully.

Thyroid problems, overweight, irregular periods, and pelvis pain indicate that you must consult a fertility clinic at once.

Enormous Options for Motherhood

Your dream of motherhood is within reach, thanks to Assisted reproductive techniques or ART, there are plenty of doors open for people with all sorts of fertility issues.

The options that suit you depend on your situation and the reasons for infertility.

Maybe you require treatment, or your spouse or both of you need to undergo a mix of treatments together. Treatments involve medicines to help with the sexual hormones and minor procedures to help in conception.

The main two types of procedures are:

IUI- Short for Intrauterine Insemination wherein sperm is obtained from the male and inserted directly inside the women’s uterus in the ovulation period for pregnancy.

IVF- Short for In-vitro Fertilization, it is commonly known as the test tube baby method. In this process, the eggs and sperm are retrieved, combined, and fertilized in the lab.

The resulting embryo is grown for three days and implanted in the womb for successful conception.

ICSI – A very popular male infertility treatment is Intracytoplasmic sperm injection or ICSI. It is a very credible Assisted Reproductive Technique, with a high success rate.

Of all the infertility treatments, In Vitro Fertilization is the most effective fertility treatment that takes the least time in pregnancy compared to other treatments or natural ways.

Although it is a detailed scientific process, basic knowledge is important for both of you to understand. The entire process of IVF can be simply distributed into 4 steps.

Ovarian Stimulation: Medication containing hormones are given to the female to increase the quantity and quality of eggs.

Egg Retrieval: Released eggs are retrieved from the ovaries via a minor procedure under local or mild anesthesia.

In-vitro Fertilization: In the Embryology Lab, fertilization of eggs with sperm takes place after which embryos are developed.

Embryo Transfer: The embryos are laden into a flexible tube and implanted into the woman’s womb. This completes one cycle of IVF.

Male Fertility Treatment

You do not have to go to a different clinic for your parenthood journey as a couple. At Eva, we offer you complete solutions for having a baby.

Both the partners need to undergo evaluation together. Four out of ten times, malefactors are responsible for not being able to conceive.

IVF

कितनी बार आईवीएफ संभव है ?

September 8, 2020March 30, 2024
by Eva Hospital

गर्भावस्था और मातृत्व कई महिलाओं के लिए एक असम्पूर्ण सपना बन जाता है, जब वे गर्भ धारण करने और गर्भवती होने में असमर्थ होते हैं। आधुनिक विज्ञान के कारण , ऐसे कई नए तरीके हैं जिनसे आप गर्भवती होने का लक्ष्य बना सकती हैं। बांझपन की दवाएं और एआरटी-असिस्टेड रिप्रोडक्टिव तकनीक की विभिन्न प्रक्रियाएं गर्भावस्था की स्थिति को प्राप्त करने के लिए एक वैज्ञानिक वरदान हैं।

आईवीएफ चिकित्सा कितनी सफल है?

आईवीएफ वह प्रक्रिया है जहां महिला के डिंबग्रंथि(ओवरी ) से अंडों को निकाला जाता है , नियंत्रित प्रयोगशाला में निषेचित किया जाता है और फिर परिणामस्वरूप भ्रूण को गर्भाशय ग्रीवा के माध्यम से महिलाओं के गर्भाशय में स्थानांतरित किया जाता है। यदि कोई प्राकृतिक तरीकों से गर्भवती होने की कोशिश कर रहे हैं और सफल नहीं हुए हैं, तो आगे की जांच के साथ, बांझपन के कारणों की जांच की जाती है ।

आमतौर पर, 40 वर्ष के अंतर्गत के रोगियों को जल्द से जल्द आईवीएफ चिकित्सा की सिफारिश की जाती है।

आईवीएफ दुनिया के सभी देशों में काफी सफल रहा है। रोग नियंत्रण और सीडीसी अमेरिका के आख्या अनुसार प्रति वर्ष 4 मिलियन जन्मों में से १-२ % शिशुओं का जन्म आईवीएफ से संभव किया जाता है। यह स्पष्ट रूप से दर्शाता है कि बांझपन का मुकाबला करने में आईवीएफ और अन्य एआरटी तकनीक काफी सफल रहें हैं।

आईवीएफ की सफलता को प्रभावित करने वाले कारक क्या हैं?

आईवीएफ की सफलता को प्रभावित करने वाले कुछ कारक हैं। डॉ शिवानी भूटानी कहती हैं, “आईवीएफ की सफलता में महिला की उम्र एक प्रमुख कारक है। 35-41 आयु वर्ग के मरीजों में सफल आईवीएफ प्राप्त करने की संभावना अधिक है। 42% से अधिक आयु वाले रोगियों की सफलता की दर 4% है।

बांझपन का कारण यह भी निर्धारित करता है कि रोगी कितनी जल्दी गर्भवती हो सकती है। कभी-कभी ओवेरियन स्टिमुलेशन दवाओं की एक बड़ी खुराक से डिम्बग्रंथि रोग के रोगियों को प्रशासित करने की आवश्यकता होती है।

पिछली गर्भावस्था, गर्भपात, दाता के अंडो के मामले में, दाता की उम्र और दंपति को बांझ होने की अवधि आईवीएफ की सफलता को प्रभावित करने वाले कुछ अन्य कारक रहे हैं। डॉ। भूटानी दृढ़ता से कहते हैं कि चिकित्सा संबंधी असामान्यताओं के अलावा, रोगी की जीवनशैली आईवीएफ की सफलता को निर्धारित करने में महत्वपूर्ण भूमिका निभाती है। अधिक वजन या कम वजन वाली महिलाएं, धूम्रपान करने वाली महिलाएं, जो महिलाएं व्यायाम नहीं करती हैं या स्वस्थ नहीं रहती हैं उनमें लंबे समय तक बांझपन की संभावना अधिक होती है।

निष्कर्ष

गर्भावस्था कई जोड़ों के लिए एक ख्वाब है | हमारी सर्वश्रेष्ठ टीम आपके सपने को वास्तविकता में बदलने में आपके साथ है। कौशल और विशेषज्ञता में दक्ष और ईवा अस्पताल के अत्याधुनिक सुविधाओं के साथ, डॉ। शिवानी भूटानी पंजाब में आईवीएफ के लिए सबसे प्रतिष्ठित हैं। ईवा हॉस्पिटल में सर्वश्रेष्ठ विशेषज्ञों की सहायता से , अपने उलझनों को हल करें और पितृत्व के स्वप्न को वास्तविक आकार प्राप्त करने दें।

COVID-19

How has COVID-19 affected Couples and their IVF Treatment?

September 4, 2020March 30, 2024
by Eva Hospital

Covid-19 or the most dreaded Coronavirus has adversely affected the people, businesses, and the world economy at large. The economies have been upended and touched their lowest-ever with no jobs and businesses at a standstill.

Talking about the health of the people, the virus has touched the old and the young with a fatal grip that the death toll among the older population has been increasing ever since the months of March 2020.

The effect on people’s health, physical and emotional, has been inexplicable. This leads us to talk about another vulnerable population- i.e. women undergoing pregnancy and the couples seeking IVF or other infertility treatments.

“It has been a tough situation for the whole world, the doctors and medical fraternity along with patients seeking infertility treatments,” says Punjab’s best gynecologist, Dr. ShivaniBhutani, EVA Hospital, Ludhiana. She adds that Covid-19 had initially brought a standstill to all the important medical procedures at the outset.

However, with a change in the approach and mindset, and trying to move on with the virus, people have resumed their daily chores as well as medical procedures.

How can Covid-19 affect IVF Treatments?

In-vitro fertilization or IVF is the most effective and common treatment for patients with infertility for any explained or unexplained reasons. There is a 40% chance that a woman under the age of 35 conceives with IVF while a woman over the age of 40 has a 15% more likely chance of motherhood.

IVF is a cycle that starts with ovarian stimulation and goes on to egg retrieval, sperm collection, fertilization, and embryo transfer. This a timed procedure where each step happens on a proper timeline schedule and leads to the next consecutive step.

With the lockdown in the apprehension of Covid-19, the treatments and the ongoing steps in the timeline of the couples undergoing the treatment had to be called off. This led to disruption in the schedule of the treatment and led to despair among couples who badly wanted a baby.

This also led to financial loss and mental depression among patients. Most of the fertility centers canceled the treatments and enhanced the apprehensions and anxiety among patients. Covid-19 has definitely posed unique challenges for global healthcare systems and infertility treatments.

What are the Ways that can Fight Covid-19 while Resuming Treatment?

The medical fraternity has now started resuming medical care under strict vigilance and precautions. Dr. Shivani says ‘safety first’ is the protocol at EVA Hospital where they administered telemedicine or virtual appointments in cases where physical presence wasn’t necessary.

A staggered patient entry, only by appointment, has been the norm, and the staff, clinic, and patients have been monitored for stringent sanitization and other precautions like PPE kits, masks, and shields, etc.

Dr. Bhutani says that even the laboratories have been sanitized and embryology staff has been particular about sanitizing to rule out any possibility of contamination in the embryology laboratories. Strict care and monitoring is required to conduct any IVF treatment or contact with any asymptomatic patient.

The staff has given utmost priority in wearing protection uniforms that the regular work uniform. After every patient visit, the clinics are disinfected to rule any infection whatsoever.

Also Read- What are precautions for females before IVF?

The SARS-CoV-2 virus or the Coronavirus has exhibited strange features of surviving in the air for several hours and even at the usual laboratory temperatures of about 22 degrees. This enhances the chances of survival of the virus and can affect the preserved eggs or contaminate the embryos.

Dr. Bhutani advises clinics to re-evaluate and change the clinical temperatures and pressures to ensure the complete absence of the virus.

The doctors are working around using quality-controlled SARS CoV-2 free culture dishes as the virus can stay in plastic for about 72 hours.

What is the Need of the Hour- Protection or Parenting?

It is quintessential for couples to get the treatment started as they have invested a lot of money, time, and effort already. For the clinics and medical fraternity, cooperating with the norms to flatten the curve, is a priority. There has been no study to determine the impact of Covid-19 on the newborn babies but the risk of impacting the mothers or the would-be mothers is relatively high and disturbing.

Hence the clinics have to adhere to strict and no-exception safety protocols to assure the decline in the curve of Covid-19 cases all around the globe.

Must read: How can you choose the perfect IVF clinic?

Dr. ShivaniBhutani is known for her empathetic attitude and hence has been acclaimed as the most trusted gynecologist in Punjab. She has cautiously put holds on new patients and has been taking extra care with the procedures already in the pipeline.

This includes less human interaction, strict on-appointment treatments and to avoid any potential exposure to patients to imminent miscarriages or preterm deliveries in case of contact with the virus.

Last Words

Time and safety are two important buzzwords for existing and prospective IVF couples in the era of Coronavirus. With new facts and revelations and an increasing number of Covid-19 cases, the doctors have been on guards. For any query or consultation and especially for the most needed mental counseling, get in touch for a real or virtual appointment with Punjab’s best gynecologist, Dr. ShivaniBhutani, and get real and practical advises dealing with infertility in such testing times.

Eva Hospital

How many times is IVF Possible

July 20, 2020March 30, 2024
by Eva Hospital

Pregnancy and parenting a baby are a dream for many. It becomes a fond dream when you are unable to conceive and get pregnant.

Thanks to modern science and technology, there are many new ways in which you can target to get pregnant and raise a baby.

The infertility drugs and various procedures of ART- Assisted Reproductive Techniques are a scientific blessing to achieve the state of pregnancy.

The most common ART procedures are intrauterine insemination (IUI), In-vitro fertilization (IVF), sperm or egg donation, and Intra-cytoplasmic

Sperm Injection (ICSI). However, the most commonly used procedure with a high success rate is In-vitro fertilization (IVF). Over 200000 babies were conceived with IVF successfully in the US alone in a year and you are no exception.

“Don’t give up!” advocates Dr. Shivani Bhutani, the best gynecologist of Punjab, from EVA Hospital, “With calculated actions and appropriate treatments, pregnancy can be achieved.”

How successful is IVF Treatment?

IVF is the process where the woman’s eggs are extracted and fertilized under controlled laboratory conditions and then the resulting embryo is transferred into the women’s uterus through the cervix.

If you have been trying to get pregnant in natural ways and haven’t been successful, with further investigation, the doctor will examine the causes of infertility. The most likely infertility causes are as follows:

Premature ovarian failure
Ovulation disorders
Hormonal imbalances
Endometriosis
Blocked Fallopian Tube
PCOS
Male infertility (in case of low sperm count, poor motility, and poor quality sperm)
Failed IUI treatment cycle
Unexplained infertility

Patients with any of the above lacunas have known to benefit from the cycles of IVF. Usually, patients around the age of 40 are known to have recommended IVF at the earliest.

IVF has been successful in all countries in the world. The Centre for Disease Control and Prevention (CDC) reports about 4 million births per year in the US. This implies that nearly 1% to 2% of births in the US are IVF babies. This clearly signifies that IVF and other ART techniques are the new buzzwords in combating infertility.

What Are the Factors That Affect the Success of Ivf?

There are a couple of factors affecting the success of IVF. Dr. Shivani Bhutani says, “The age of the woman is a predominant factor in the success of IVF.

Patients between the age brackets of 35-41 are more likely to get a successful IVF. There is a 4% success rate of patients who are over 42 years of age. Chances of success of IVF are higher at a younger age than older women with fewer eggs or poor quality eggs.

The fertility problem or the reason for infertility also determines how quickly the patient can get pregnant. Sometimes a large dosage of ovarian stimulation drugs is needed to be administered to patients with ovarian dysfunction. Male infertility problems and unexplained infertility may, however, take longer than anticipated.

Previous pregnancy, miscarriages, age of the donor in case of donor eggs and the duration of time over which the couple has been infertile have been a few other factors affecting the success of IVF.

Dr. Bhutani strongly says apart from medical abnormalities, the lifestyle of the patient plays an important role in determining the success of IVF.

Overweight or underweight women, women who smoke, women who do not exercise or eat healthy have higher chances of prolonged infertility.

How Many Cycles of Ivf Are Recommended?

Depending on the factors mentioned above and the expertise of the doctor, the numbers of cycles of IVF vary from individual to individual.

The cost of IVF hovers between Rs.90000 to Rs.3,00,000 depending on the city and the facilities at the clinic. Research has shown that about 70% of the patients are usually successful after 6 or more cycles of IVF if the woman is about 40 years in age.

Dr. Bhutani recommends patients stop using their own eggs after 3-4 failed IVF cycles. The woman may not be producing sufficient eggs or eggs of good quality, so the doctor usually advises them to go for the donor eggs.

Dr. Shivani is known among her patients to endorse optimism and positivity and not to lose hope in such despairing times. She understands that the patient spends a fortune in each cycle and also adds to the mental agony with each failed IVF cycle. So she always advises her patients with empathy and positivity.

“There is no guarantee with each cycle and the process and the results vary from person to person,” says the best gynecologist in Punjab, dr. Bhutani.

You may be lucky to get pregnant in the first IVF cycle, but it may not hold true for any other couple. Dr. Bhutani says an average couple may need tentatively six IVF cycles before entering the threshold of parenthood.

Final Words

Pregnancy is a dream for many couples and lets the best team on board turn your dream into reality. Analyze the facilities the clinic provides and study the expertise of the gynecologist you plan to approach.

With finesse in skills and expertise and the best modern facilities at EVA hospital, Dr. Shivani Bhutani is the most trusted name for IVF in Punjab. Seek the help of the best team at EVA and get your queries solved and let the aim of parenthood achieve a real shape.