Tag: <span>fertility</span>

fertility

What are Risks and Benefits of Social Freezing?

February 26, 2020March 30, 2024
by Eva Hospital

You will be surprised to know that men produce new sperm almost throughout their life but women’s fertility graph is almost hill-shaped; it increases as they grow and begins to deteriorate after their 35th birthday tentatively.

The egg cell is important for female fertility.

A unique egg reserve starts to form in the body of a new baby girl. As the girl grows, the majority of eggs are wasted in the process of growth and degeneration (apoptosis).

By the time of puberty, only about 4, 00,000 eggs are left and roughly only 300-500 eggs qualify for ovulation in the fertile years.

The regular menstrual cycle does not coincide with fertility and another fact is that fertility may terminate much before menopause sets in. This gave rise to the concept of Social Freezing where the woman could freeze the eggs at the most fertile period of her life to be able to get pregnant later.

What is Social Freezing?

Social freezing is like a new ray of hope for women who want to get pregnant. Women can lengthen their fertility period by getting the eggs (oocytes) frozen at the right age and time.

Fertility preservation or social freezing is gaining popularity as people are delaying childbirth for various inevitable and important reasons.

The oocytes or eggs are extracted, frozen, and stored. The women can choose to get the eggs thawed, fertilized and transferred to the uterus to get pregnant at any point in time in the future.

How does Social Freezing Happen?

Eggs (oocytes) are frozen using either a controlled rate (slow-cooling method) or the latest flash-freezing method called Vitrification. Vitrification is much faster but requires a high amount of cryoprotectants.

Also, vitrification has increased oocytes’ survival post-thaw and marked a significant improvement in pregnancy rates with social freezing.

The doctor first examines the ovarian reserve and the functioning of the woman’s ovaries. The process of retrieving and freezing the eggs takes about two weeks including hormone treatment and egg retrieval.

What are the Benefits of Social Freezing?

Egg freezing is a process carried on for more than three decades now. Social freezing is a boon for women who wish to get pregnant after 38 years of age. Following are the benefits of social freezing:

Pregnancy at Any Age

Social freezing has made pregnancy possible at an advanced age and avails the joys of parenting even after the 40s.

High Chances of Healthy Children

Social freezing reduces the chance of having children with chromosomal abnormalities considerably.

Egg freezing is considered a better and safer option than embryo freezing on social and moral grounds.

Who should opt for Social Freezing?

Women at all age groups prefer social freezing on account of the following important and unavoidable reasons:

Cancer Treatments

Women who have to face chemotherapies or cancer treatments prefer social freezing as the strong radiations tend to damage ovaries and the chances of healthy pregnancy go down.

Endometriosis

Women with severe endometriosis or any other autoimmune diseases opt for social freezing increasingly to be able to parent a child smoothly. Women with endometriosis prefer IVF for conception and pregnancy.

Pregnancy when prepared mentally

Work pressures, family stability, income status, or a rising career graph are some reasons when women tend to postpone family planning and having a baby. Social freezing gives them a chance to utilize their fertile eggs to get pregnant at any point in their lives when they are ready.

Suitable Partner

Sometimes women are unable to find a suitable partner and postpone the decision of having their own genetic baby till they find a suitable partner. Social freezing helps them to have their own baby when they are comfortable with a suitable partner.

What are the Risks of Social Freezing?

The best gynecologist and fertility expert of Punjab, Dr. Shivani Bhutani, EVA Hospital, states that the risks of social freezing are almost negligible.

Only one out of four women may report insignificant side-effects with social freezing.

There may be hormonal fluctuations temporarily with the medications and routine PMS-like symptoms such as mood swings, insomnia, headaches, or bloating.

Dr.Bhutani says that the side effects last only about 8-10 days till the time the medicines are injected. An experienced doctor will apprise you of the situation and make you comfortable.

Conclusion

With the scientific developments and technological advancements, social freezing has seen an upsurge in the process of postponing baby-making.

The success rates are high under the aegis of an experienced doctor like Dr. Shivani who is well-equipped with the best state-of-art facility to conserve and preserve eggs.

For more details or queries on social freezing, seek an appointment with Dr. Shivani and avail the benefits of social freezing at the right age.

Eva Hospital

What are the Precautions for a Female before an…

February 21, 2020March 30, 2024
by Eva Hospital

Motherhood and happiness are almost synonymous. If you are desperate for a child or plan to have a baby you will understand this feeling much better.

With almost 10%-15% of women finding it difficult to get pregnant, the infertility rates are bothersome and are further expected to rise because of the lifestyle and stress in today’s world.

With nearly 1 out of 8 women having difficulty in getting pregnant and giving birth to a child, infertility treatments are gaining popularity.

IVF or In-vitro fertilization is the most frequently chosen infertility treatment. In this procedure, the woman’s egg is fertilized with the sperm outside the uterus in a clinically controlled environment and the embryo is either frozen or transferred to the woman’s uterus.

IVF is a process of one or more cycles depending on the success of the treatment. With the increase in the number of cycles, the costs also rise.

It is natural for a couple to be anxious, disturbed, or full of emotions because of uncertainty and the rising costs of IVF.

Dr. Shivani Bhutani is a leading infertility expert of Punjab and she suggests that for the success of IVF, the man and the woman must prepare their bodies and mind almost three months prior to the treatment.

5 Precautions for the Female before the IVF Process

Women have to go through a lot during the ‘pregnancy trying’ phase. Dr. Shivani from EVA Hospital says that stress is one major reason for the difficulty in pregnancy.

She lists a few dos and don’ts for success in IVF. Here is a list of precautions that a female must follow from almost three months prior to IVF:

1. Pregnancy Booster Diet

A healthy diet full of vitamins, fiber, and nutrients is a must before an IVF. Dr. Shivani endorses a Mediterranean diet to her patients. She insists on including plant-based colorful fruits and vegetables on the plate.

Mediterranean diet is proved to enhance the chances of IVF pregnancy in non-obese women below 35 years of age. Even the male partner should follow certain precautions and focus on this diet for enhanced sperm production.

The couple should introduce lean protein (fish, poultry), whole grains (like quinoa, whole-wheat pasta), and legumes like beans, chickpeas, lentils in the diet on a regular basis. You must switch to low-fat dairy products and incorporate nuts and seeds in the diet for their high nutritional value.

You must strictly avoid red meat, sugar, refined grains, and other packaged and processed foods. IVF will be successful sooner if you follow the right type of diet.

2. Work out and Exercise

You may be caught in the battle of to-exercise or not-to-exercise as according to you it may harm the IVF treatment. However, Dr. Shivani has tremendous experience in infertility and she strongly recommends continuity in the fitness regime. Yoga, swimming, and walking are strongly recommended. You must seek permission from your doctor before speedrunning or hitting the gym.

3. Avoid Chemicals and Certain Medications

Certain chemicals can disrupt the functioning of the endocrine and are usually found in regular routine products. Some of them are:

Formaldehyde (found in nail polish)
BPA and other phenols (found in food packages made of plastics)
Parabens (found in commonly used items like cosmetics, lip balms, moisturizers, and soap)
Perfluorinated compounds (found in most commonly used non-stick pans and stain-resistant materials), etc.

These are a few chemicals that are found in items of daily use and a strict note must be made of the same.

Dr. Shivani also recommends against the use of certain medications and the doctor must be apprised of the use of the same. Some such drugs are listed below:

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) such as Aspirin, Ibuprofen found in Advil, Combiflam, etc.
Anti-depressant medicines
Steroids for asthma or any other purpose
Thyroid Medications
Chemotherapy Drugs
Certain skin products which contain estrogen and progesterone

Your gynecologist must be aware of medications of any type that you have been taking.

4. Induce the Intake of Supplements

Supplements nurture the body and help in supporting pregnancy. Pre-natal vitamin-Folic acid is a must to include in your daily regime almost two to three months before IVF and pregnancy. It is an essential vitamin for the brain and body of the fetus. Also, Dr. Shivani recommends fish oil and supplements of Vitamin D after consulting the doctor. Supplements support the strong health of the mother and the fetus alike.

5. Rest, Sleep and Stay Stress-Free

A stress-free lifestyle and mind are likely to get pregnant faster. So the doctors advocate seven to eight hours of sleep daily along with a stress-free lifestyle. Both the man and the woman must incorporate activities like yoga and meditation for enhancing fertility and calmness in mind and relationship.

Before bedtime, you may listen to soft music or read a light book and limit the screen-time almost an hour before sleep. These activities are likely to increase the happiness quotient and can make your lifestyle stress-free.

Over to You

Pregnancy and IVF are no rocket science. Dr. Shivani, the best fertility expert in Punjab, states that incorporating some lifestyle changes and a positive frame of mind are quintessential for a successful IVF and pregnancy.

For any kind of advice or prenatal consultation, get in touch with Dr. Shivani at EVA Hospital, Ludhiana, and enjoy your way to parenthood.

IVF

Can Smoking affect Fertility?

February 11, 2020March 30, 2024
by Eva Hospital

If fertility and making a baby are at the top of the priority chart for you at the moment, you must have shifted to healthy food and exercises and loaded up vitamins and folic acid on your plate. Having tried all that you could, you are still finding getting pregnant impossible each month. Before one gets frustrated, check for the silent damage invigorator- Smoking.

You may be an active smoker or a passive smoker and you haven’t realized that smoking affects fertility and the pregnancy adversely. Both men and women are worse affected by smoking and if you want to get pregnant, both must quit smoking. Easier said than done but smoking is a silent culprit affecting your eggs, sperms, fertility and delays pregnancy.

Can Smoking by my Partner affect Pregnancy?

Smoking affects the rate of conceiving even if one or both the partners are smoking. The couple will have some irreversible fertility issues and are likely to take much longer to get pregnant. The chemicals in cigarettes and alcohol affect the quality of eggs and sperms and make them incapacitated to fertilize.

Dr. Shivani Bhutani, the best infertility expert of Punjab, states that there is no limit to smoking and any amount of smoking will affect the fertility rate and pace. She even insists that women who are exposed to a smoking atmosphere (passive smokers) damage the pregnancy and the health of the unborn babies as much as a smoker.

What are the Side-Effects of Smoking in Fertility and Pregnancy?

A couple who smokes will take much longer to conceive than non-smokers with similar given conditions. The chemicals in a cigarette- nicotine, carbon monoxide, and tar affect the health of the unborn baby as well as the immunity of the baby after birth.

Following are the ill-effects of smoking on pregnancy:

Miscarriage: This is a common sight for people who smoke. Losing a baby in the first three months of pregnancy or even after 20 weeks of gestation (stillbirth) can be wrecking for the couple and can torment them enough.
Placenta Previa: A low lying placenta may cause miscarriage or covers the cervix partially or fully. The placenta usually tears in such cases and causes excessive bleeding and the fetus shall be deprived of the necessary oxygen and nutrients.
Miscarriage and Still Childbirth: The termination of pregnancy at any stage can be tormenting for the couple and chances of miscarriage are higher if either or both the partners smoke. Smoking couples have also reported a higher chance of stillbirth after 20 weeks of pregnancy. The harmful chemicals cause irreversible damage to the body which may lead to miscarriage and stillbirth.

Placental Abruption: The placenta is the life-support system of the fetus and provides it with essential nutrients and oxygen. If the female smokes or is exposed to passive smoking, chances of placental abruption are high. The placenta separates from the uterus before childbirth and this puts the life of both the mother and child in danger. This also causes enormous blood loss and cannot be stitched back. Hence smoking causes acute damage to pregnancy.

Ectopic Pregnancy: This is a life-threatening situation where the fallopian tubes have contracted due to smoking. Consequently, the embryo cannot pass through fallopian tubes, and the fertilized egg implants outside the uterus or in the abdomen. As a result, the pregnancy has to be terminated timely.

Low-weight Birth or Pre-term Birth or Birth Defects: Having a child is a blessing but with parents who smoke, chances are that babies are born prematurely with low weight and low immunity.
Moreover, the chances of health risks like mental disability, visual and hearing impairments, learning, and behavioral problems in kids are on the rise as a result of excessive smoking by parents.
Not only this, even anomalies like congenital birth defects and heart problems can be attributed to the genes of smokers.

What is Worse- Smoking by Man or Woman?

Smoking by both the man and woman affect pregnancy and delivery in an adverse manner. The infertility ratio in both men and women doubles up if they are smokers. Dr. Bhutani laments that even treatments like IVF may not be fully successful in overcoming the damages done by smoking.

Erectile dysfunction and pregnancy delays are the direct ill-effects of smoking. Smoking is equally bad for both men and women. Smoking attacks on all sides- the uterus and it’s inside where the baby grows, the chromosomes of the baby, hormone levels of man and woman, and the fertilized egg’s pace to reach the uterus.

Following are the adverse effects of smoking in men:

Men who smoke face more problems in getting erections.
Sperm usually takes three months to mature and smoking damages the DNA of the sperm which has to be passed on to the babies.
Children of heavy smokers are more susceptible to severe health ailments like leukemia.

Following are some irreversible damages done by the cigarettes in a woman’s body:

The chances of miscarriages, stillbirth, low weight birth, or premature delivery increase manifold times in the case of women who smoke.
Active or passive smoking affects the ovaries and organs of the newborn baby.

Last Words

Smoking has detrimental effects on pregnancy. It may affect either the man’s sperms or the woman’s eggs and cause severe health troubles to the baby as well. Dr. Shivani Bhutani, leading infertility expert of Punjab from EVA Hospital, strictly recommends quitting smoking at least three months before planning a baby. For any queries or genuine advice on pregnancy, infertility, and planning a baby, get in touch with Dr.Bhutani.

Eva Hospital

What is the Right Diet to Boost Fertility?

December 16, 2019March 30, 2024
by Eva Hospital

Motherhood is a quintessential female requirement. The internet and grandma’s bag are full of tips to suggest food when you get pregnant to endure a healthy baby and a healthy pregnancy.

But have you ever thought what goes inside the body before getting pregnant has a huge impact on the chances of getting pregnant?

The Harvard Medical School has proven in a study of diet and fertility that the food items you consume determine your chances of getting pregnant.

The best infertility expert of Punjab, Dr. Shivani Bhutani says there are a few factors like age and genetics that lead to infertility and these are beyond control.

However, the intake of both men and women while trying to or planning to conceive will make a huge impact on fertility.

Do some Super Foods help in Getting Pregnant?

Dr. Shivani Bhutani suggests that if you start eating the way you would while you are pregnant solves half the dilemma.

‘Load up more than half your plate with fresh fruits and vegetables and the battle is won should be the mantra.

Eating a nutrient-rich meal is safer and better than popping supplements. There are certain nutrients that go a long way in inducing and activating the fertility cycle.

Dr. Bhutani clarifies that there are some superfoods that endorse fertility; however, they are not complete solutions to infertility.

The food one eats affects the level of hormones, the quality of the blood and its circulation, and above all fertility by helping to regulate and time the menstrual cycle in women and the quality and quantity of sperm production in men.

What are the Super Foods that Help Women in getting Pregnant?

A diet comprising healthy nutrients is the key to easy fertility and pregnancy. Read the following categories of food items to be included or not included in the diet of women who wish to get pregnant:

Protein

For a healthy pregnancy and fertility, the quantum of protein, zinc, and iron must be increased in diet and are found in chicken and pork devoid of fat. You must avoid red meat and fish protein.

Eggs and plant protein is the best source of protein during the conception phase. Beans, nuts, tofu, seeds, and legumes like chickpeas and lentils are an important sources of plant protein and must be included in the diet.

Fats

Dr. Shivani recommends healthy, plant-based fats in moderation. Studies have shown that good mono-saturated fats in the form of nuts, avocados, olive oil, and grape seeds reduce inflammation in the body, regulate ovulation and improve fertility.

However unsaturated fats and all trans fats should be strictly avoided. The lip-smacking French fries, commercial snack foods, and margarine of some types must be avoided in order to increase fertility.

These types of fats increase insulin resistance leading to metabolic disturbances and difficulty in ovulation.

Dairy

The whole milk and the intake of yogurt, specifically homemade yogurt or Greek-style yogurt help in improving the chances of getting pregnant. The probiotic microbes help in improving fertility as well as the good mental health of the fetus.

Complex Crabs

The body has a tendency to digest bad carbs like cookies, cakes, white rice, and white bread quickly compared to complex carbs.

Complex carbs or ‘slow carbs’ or ‘the good carbs’ are found in beans, brown rice, whole grains, fruits, and vegetables and are digested slowly and have a controlled effect on blood sugar and insulin.

They are also a source of vitamin B, vitamin E, and fiber which are all fertility inducers.

Whole Foods

Dr. Bhutani insists on eating whole complex foods than processed foods. According to Telegraph UK, a Mediterranean Diet consisting of fresh vegetables, fruits, whole grains, legumes, fish and olive oil has significantly higher chances of boosting pregnancy.

Vitamins

Folic acid and iron have known to stipulate fertility hormones and must be started at the time you even think of planning a family.

The gynecologist will recommend the daily optimum dosage and starting in the right quantity will help in overcoming ovulatory infertility.

What are Fertility Foods for Men?

It is said that if both the man and the woman fill up their plates with healthy, fresh, and homemade food items, the chances of conception are way much higher.

Food items like asparagus, sunflower seeds, zinc, a variety of cheese, and high dairy intake have been known to increase sperm motility and sperm concentration.

Last Words

Good chances of fertility are very important if the couple wishes to start a family. Nothing beats the goodness that comes from a colorful plate loaded with a high healthful quotient and improves fertility in a more natural way.

You must consult Punjab’s best fertility expert, Dr. Shivani Bhutani from EVA Hospital for the right kind of diet suggestions to enhance fertility and enjoy your way to a healthy pregnancy.

IVF

How quickly can you Expect to get Pregnant?

December 10, 2019March 30, 2024
by Eva Hospital

Your world changes the moment you think of planning a baby. Getting pregnant becomes the most prior thing once the idea of entering the threshold of motherhood enters your mind. The factors which determine the time it takes to get pregnant are usually age, well-timed intercourse, and a body ready to accept the pregnancy.

What is the best time for intercourse to get Pregnant?

Best time to get Pregnant: Some women get pregnant very quickly. Nearly 1 out of every three women can get pregnant within a month if they time the intercourse around ovulation days.

Ovulating days or fertile days have to be calculated and having unprotected intercourse during the fertile days increases your chances of getting pregnant.

It is important to know when you ovulate each month to get pregnant quickly. Dr. Shivani Bhutani, the leading infertility expert of Punjab, says that having unprotected intercourse on the days of ovulation leads to the best results.

Ovulation happens 10 to 16 days before the start of your next period. This will help you determine the cycle length before planning pregnancy. When an egg is released from the ovary, calculate the day before that and the day after that as the most fertile days.

Some factors that may help you calculate Ovulation are:

Release of Eggs

The egg lives for nearly 12-24 hours after it is released and if it comes in contact with the sperm during this time, you can get pregnant instantly. You may also note that the life of the sperm is about 5 days inside a female body and if intercourse takes place around the ovulation days, chances are that sperm in the body can fertilize the eggs.

Body Temperature

Note your body temperature each morning when you wake up and you will notice a rise of about 0.2 degrees Celsius when the ovulation has taken place. Though this is not a conclusive means to get pregnant, yet you may monitor body temperature to assess the fertile window.

Changes in Mucous

A sticky, white mucus is secreted by the cervix throughout the menstrual cycle. Gauge the secretion and as it becomes thinner, clearer and increases in secretion, ovulation is either going to start or it is going on. The best time to have intercourse or the ‘peak day’ is when you experience the wetter secretions.

There is an ovulation test kit that also detects a particular hormone in urine that signifies the onset of ovulation. After you calculate ovulation, the position of intercourse will also determine how quickly the sperm and the egg can mate.

The man should be able to ejaculate sperm into the vagina and the position of the intercourse doesn’t matter. However, it is advisable that the woman raises her leg upwards for a while post-intercourse so that the sperm can travel to the womb and is not ejected from the body.

How long will it take to get Pregnant?

If you have had regularly unprotected (without the use of contraceptives or condoms) vaginal intercourse every two to three days, the chances are that under the age of 40, more than 8 out of every 10 women can get pregnant within one year. 90% of the couples can conceive within 2 years of unprotected intercourse.

The age of the couple is very significant. Beyond 35 years of age, the fertility quotient goes lower. The number of eggs and sperm production decreases with increasing age. Beyond 40 years of age, you may be advised of particular fertility treatments.

You must seek advice from the best gynecologist around you if you do not get pregnant within one year of unprotected intercourse at the time of ovulation. Dr. Shivani says, stressing too much about getting pregnant also delays your chances of getting pregnant. So you must enjoy and have stress-free intercourse while you plan a baby.

The doctor will analyze the causes of your not getting pregnant and thus may vary with age, fertility timings, weight, infertility symptoms, or maybe just a ‘matter of time’.

Last words

Dr. Shivani from EVA Hospital advises women to be active, have a normal weight, avoid alcohol and smoking, and follow a healthy, balanced diet to get pregnant quickly.

A healthy body with a stress-free mind has better chances of conception. For any queries or suggestions to get pregnant quickly, contact Dr. Shivani Bhutani for the most genuine advice.

IVF

Unexplained Fertility

November 20, 2019March 30, 2024
by Eva Hospital

[wbc_heading title=”Unexplained Fertility
“]

It is startling that globally about 10% of infertile couples have unexplained fertility. Approximately one in four fertility challenged couples are usually told that there is no explanation as to why they haven’t been able to conceive. This is an alarming proportion and the unexplained or idiopathic infertility, as it is usually called, can be a reason of frustration to the childless couples.

Good news is that Dr. Shivani Bhutani, Eva Hospital has made an indelible mark in treating patients with unexplained infertility. She often says to her patients that this is not the end of the world and shows them the magic doors to treating unexplained infertility.

Unexplained fertility or UI is an oft-repeated term where the doctors are unable to diagnose the type or reason for infertility. The couple has got all possible tests and even after negating the prominent causes of infertility, the reason or the cause for infertility in their case is yet unknown.

The couple has consistently been failing to get pregnant despite unprotected sexual intercourse or any visible symptoms of anomalies. Even the experts in the field are also clueless about idiopathic infertility.

Unexplained infertility is justified if it is proven that:

The female is ovulating regularly
The female ovarian reserves are good
The female fallopian tubes are open and healthy
The sperm count, sperm shape and sperm movement is normal
Hysteroscopy reveals there are no uterine fertility issues.

When the normal infertility causes are ruled out, the following symptoms may be checked to detect the possible causes of unexplained infertility:

Some unrelated health ailments have come to light in cases of infertility. It could be celiac disease, diabetes, undiagnosed thyroid disorder or autoimmune illness that could affect fertility.

There may be improper functioning of cilia or the way in which fimbria picks up the egg during ovulation.

While the eggs may be mature, follicle inside which the eggs mature doesn’t burst to release the eggs. As a result the egg remains trapped inside the unopened corpus luteum. This anomaly is called Luteinized Unruptured follicle (LUF).

Too much stress, incompatibility, relationship issues are inexplicable reasons which may affect fertility in couples. Dr. Bhutani recommends some fertility yoga exercises and a diet to alleviate stress and help patients get pregnant.

The doctor may take time in guessing that with normal sperm count, the male sperm is unable to fertilize the eggs. During the transition period, the semen may reach cervix from the cervical mucus. The condition is called hostile cervical mucus and technically difficult to comprehend.

Endometrium lining or uterine lining can be a major barrier for implanting the embryo. Endometrial cysts may cause fallopian tube blockage or disrupt ovulation. A series of ultrasound scans have to be carried out to detect this cause of infertility.

A series of tests may be conducted if you are under 35 years and have been trying for one year or if you are over 35 and have been trying for more than 6 months. Various tests like laparoscopy (to detect endometriosis), semen analysis, blood tests (to check hormone levels), ovulation tests, Hysterosalpingogram (HSG) for detailed fallopian tube analysis, FSH/AMH tests (to check for egg quality) and analysis of basic medical history may be conducted to detect any unexplained cause of infertility.

Dr. Shivani is very optimistic for her patients and thoroughly conducts all the tests to determine the root cause of the problem. The treatment for unexplained fertility is empiric as the cause is not restricted to a particular impairment.

Following are the possible treatments that can help in unexplained infertility:

Gonadotropins are the hormones which help in stimulating the reproductive organs of the body. Treatments such as IVF and IUI use gonadotropins as a part of treatment to stimulate the ovaries.

In this process sperms are placed directly inside the uterus and moved to the fallopian tubes so that fertilization takes place.

FSG and LH are the natural hormones which are used to make medicine. These help to stimulate the ovaries and produce more eggs. This increases the chances of getting pregnant.

Eva Hospital offers the best diagnosis of infertility and Dr. Shivani insists that unexplained infertility is the result of incessant stress or ‘trying too hard’. She counsels her patients in the best way and offers logical and result derived conclusions. For any difficulty in getting pregnant get in touch with Dr. Shivani for best results.

IVF

Reciprocal IVF- Shared Motherhood

November 8, 2019March 30, 2024
by Eva Hospital

Science is almost a miracle when you see new inventions. The latest development since 2009 has enabled couples of the same sex to grow their families and bring home a baby.

Yes, it is true that now with the help of donor sperm and fertility options like IVF and IUI, thousands of female LGBT partners or lesbian couples have been able to become parents of babies with a biological connection to at least one partner.

The process of producing children by couples who both have female reproductive organs is called Reciprocal IVF or Partner-assisted reproduction or shared motherhood or Partner IVF or even co-IVF sometimes.

A survey in 2018 revealed that there was a 60% live birth rate in a group of 120 lesbian couples who opted for reciprocal IVF.

How Does Reciprocal IVF work?

Reciprocal IVF is the process in which one partner acts as an egg donor to the other.

Usually, in IVF, the eggs are retrieved after the female’s ovaries are stimulated with hormone medication. Then the eggs are fertilized with sperm in the laboratory under controlled conditions and one or more embryos are created.

As the embryos develop within 3-5 days, one is transferred into the uterus resulting in pregnancy.

In Partner-assisted IVF or reciprocal IVF, one partner goes through the stimulation of medicines and acts as the egg donor. Their eggs are retrieved and fertilized in the laboratory using donor sperm.

The resulting embryo is then transferred to the uterus of the other partner who is willing to carry the pregnancy. One partner is the egg donor while the other partner is the gestational carrier of pregnancy.

Alternatively, the partners may opt for egg freezing so that they can use it at a later date. They can be transferred (FET-Frozen Egg Transfer) to the other partner when they wish to have a baby.

This process ensures each partner is the biological mother of the child. The menstrual cycle of both partners is synchronized so that they are receptive to the treatment at the same time.

Reciprocal IVF is gaining popularity as it helps the same-sex partners carry out the family and strengthen the bond within the child and within themselves.

How to choose who will Provide Eggs and who will get Pregnant?

This is more of a personal choice and a decision by both the partners mutually. However, there are certain criteria that may be looked at for better results. They are as follows:

The younger the partner, the better the eggs will be. It is advisable to use the younger partner’s eggs as the quality and quantity decline as the age increases.

Plans for future pregnancies

In case the couple wants to plan more than one baby, they can take turns carrying the pregnancies. This can be done using the leftover eggs or embryos from the earlier IVF or a fresh cycle of reciprocal IVF may be done.

It is also possible that both the partners undergo IVF at the same time and get pregnant at the same time. It is also feasible that one partner acts as an egg donor with one child and may reverse the role in second childbirth so that both can have a biological link with the children and experience pregnancy and childbirth as well.

Desire to experience Childbirth

The feeling of getting pregnant and experiencing childbirth is usually stronger in one partner and with mutual consent that partner can become the carrier of pregnancy.

Medical Health

Both the partners must discuss the genetic as well as the medical health conditions with the gynecologist to determine who stands a better chance to be an egg donor and who is a better pregnancy carrier.

Last words

Dr. Shivani Bhutani is a leading fertility expert in Punjab and has helped many couples in reciprocal IVF successfully. She says that one should change with the changing times and why devoid yourself of the beauty of motherhood when reciprocal IVF can help you achieve it.

Contact Dr. Bhutani for any medical, insurance, and technical aspects of shared motherhood and go ahead with the family planning.

Knee Surgery

Endometriosis and IVF

October 24, 2019March 30, 2024
by Eva Hospital

Infertility has been a major cause of depression among women. The causes of infertility may be many but one of the most debatable and discussed cause is endometriosis.

Endometriosis has been one of the most challenging diseases for gynecologists in helping women conceive. This is typically a condition where endometrial tissue which lines the womb, starts to grow outside the womb. Not only does it cause immense pain, it is one of the leading causes of infertility. The causes of endometriosis remain oblivious yet sometimes endometriosis may be caused due to genetic predisposition, immune dysfunction or may be environmental changes.

The process of endometriosis means chronic inflammation, scar tissue, and adhesions. Women with endometriosis usually complain of pelvic pain, dysmenorrhea, dyspareunia, and the whole baggage of infertility. Endometrial deposits can cause disruption or obstruction in the fallopian tubes and can prevent fertilization. The endometrial deposits can lead to cysts and interfere with the process of ovulation.

Endometriosis has been reported to affect 6%-10% of the female population and nearly 25%-50% of infertile women suffer from this debilitating disease. What’s even more startling is that nearly 35%-50% of the women with endometriosis are infertile.

Endometriosis at all stages has been reported to affect female fertility potential. With inflammation and subsequent formation of adhesions in the pelvis, the anatomy of the pelvis is distorted and this directly affects the anatomical connection between ovaries and fallopian tubes.

Advanced stages of endometriosis may lead to tubal blockages and also the formation of hydrosalpinges. In fact even mild or minimal endometriosis adversely affects spontaneous conception.

With all said and done it can be noted that some laparoscopic surgery may be a good option for younger patients. However for patients beyond 37 years the situation is alarming.

IVF comes as a blessing to patients suffering from endometriosis and are relatively not so young in age. Various researches show that after 1-4 IVF treatments nearly 56.7% women even in stage 3 or 4 endometriosis were pregnant and a whopping 40.3% were successfully able to give birth.

IVF provides a ray of hope for patients suffering from endometriosis. Women diagnosed with endometriosis have shown favorable results for conception when treated with IVF or FET (Frozen Embryo Transfer). In IVF, women’s eggs are retrieved and fertilized with partner’s sperms under controlled conditions in a laboratory. The resulting embryos are transferred in the uterus and pregnancy is ensured. Since endometriosis does not interfere with the fetus development, the pregnancy is healthy and so are the babies after IVF.

Endometriosis is a hindrance to conception and pregnancy. However under the aegis of an experienced doctor/gynecologist, the stumbling block can be removed and pregnancy can be accomplished. Dr. Shivani Bhutani, Eva Hospital, Ludhiana is a renowned doctor specialist in infertility and has handled umpteen cases of couples suffering from endometriosis successfully. She says, “Endometriosis has a detrimental effect on pregnancy. However with proper diagnosis and IVF/FET treatment, the infertility clause can be ruled out.”

Let there be million memories with your baby as you get rid of the infertility due to endometriosis. For any query or diagnosis, seek an appointment with the best infertility expert of Punjab, Dr. Bhutani.

Eva Hospital

क्या 40+ वर्ष की महिलाएँ माँ बन सकती हैं?

October 2, 2019March 22, 2024
by Eva Hospital

एक महिला का प्राकृतिक मूल है-माँ बनना। कोख में बच्चा आने से लेकर बच्चे के पालन पोषण में ही एक औरत को तृप्ति मिलती है।

लेकिन आज के बदलते युग में महिलाएँ अपने व्यवसाय, काम एवं आर्थिक स्थिति को पूर्णतया एहमियत दे रहीं हैं।

इसके रहते 40 की उम्र तक गर्भवती न होना बहुत सामान्य हो गया है। पर 40 की उम्र तक पहुँचकर क्या माँ बनना आसान या मुमकिन है?

[wbc_heading title=”गर्भपात विलंब के कारण”]

आज के आधुनिक युग में आदमी और औरत दोनो ही पारिवारिक एवं वित्तीय स्थिति का संतुलन कंधे-से-कंधा मिलाकर कर रहें हैं। इसके चलते परिवार नियोजन का फैसला कुछ देर के एिल विलंबित कर दिया जाता है। निम्न कुछ कारण है जिनके रहते औरतों को गर्भपात को स्थगित करना पड़ता है-

आज महिला भी अपने केरियर या व्यवसाय को पूरी तरह आगे बढ़ाना चाहती है। केरियर में वृद्धि ही मुख्य कारण है कि वह छोटी उम्र में बच्चा नहीं कर रहीं।

यदि किसी की एकलौती संतान अथवा एकलौते पुत्र की आकस्मिक मृत्यु हो जाए और पति यदि 50 वर्ष के करीब और माँ यदि 40 वर्ष की हो तो दूसरा बच्चा प्लैन करना असंभव लगता है।

आज मीडिया में प्रजनन की सहुलयित, यानि ART (Assisted Reproductive Technologies) की प्रचार इतनी ज़्यादा है कि कुछ दंपति छोटी उम्र में बच्चा पैदा करने को एहमियत ही नहीं देते।

अगर किसी का तलाक हो और पुनः जीवन व्यतीत करने के लिए पुनर्विवाह के बारे में सोचे, 40 की उम्र तक पहुँचना बहुत आम बात है। ऐसे में बच्चे पैदा करना विलंबित होना मामूली बात है।
इन कारणों अथवा अन्य किसी भी कारणों के चलते विलंबित गर्भपात बांझपन की ओर चलता है। 40 की उम्र तक बांझपन एवं नपुनसकता की संभावना बढ़ जाती है।

औरतों में 40 वर्ष की उम्र तक प्रजनन झूमता में गिराव आने लगती है। इसके निम्नलिखित में से कोई भी कारण हो सकते हैं
1. कम मात्रा में या अच्छे फर्टटाइल अंडे न बनना।
2. ओव्यूलेशन न होना
3. कुछ अदंरूनी बीमारियाँ जैसे फाईब्राइड, एंडोमिट्रीओसिस अथवा
4. ओव्यूलेशन ठीक से न होना
5. पुरुषों में करीब 40 की उम्र के पश्चात शारीरिक बदलाव आते है जिससे उनका पिता बनना मुश्किल हो जाता है। यह न केवल शारीरिक यद्यपि मानसिक तनाव एवं डिप्रेशन का मुख्य कारण है।

यौन इच्छाओं में प्रवृत्ति टेस्टिकल में दर्द या सूजना, शुक्राणु उपजाऊ न होना इनफटिलिटी के लक्षण है। महिलाओं में मुख्यतः अनियमित मासिक धर्म, पीड़ायुक्त मासिक धर्म, मासिक धर्म न आना या हार्मोन असंतुलन 40 वर्ष के बाद आपत्तिजनक है एवं इनफर्टिलिटी के लक्षण हैं। आज के इस युग में उम्र एक ऐसा कारक है जो महिला एवं पुरुष दोनों में इंफर्टिलिटि का मुख्य कारण है।

आज के दौर में 40+ वर्ष की महिलाओं का इनफर्टिलिटी से जुड़े विषयों पर इलाज की मांग बढ़ रही है। यह न सिर्फ भारत में, यद्यपि पूरे विश्व में इनफर्टिलिटी से झूझती महिलाओं की संख्या बढ़ रही है।
डा. शिवानी भुटानी, ईवा अस्पताल, की मुख्य फर्टिलिटी डाक्टर है। इनका कहना है कि केवल 2008 से 2016 इनफर्टिलिटी के मरीज़ों में 3.23 प्रतिशत की बढ़ौतरी रही है। डा. शिवानी, पंजाब की श्रेष्ठ इनफर्टिलिटी जाँच डाक्अर कहती है कि इन 5 कारकों पर निर्धारित है इनफटिलिटी के इलाजः-

1. ओवरियन सिसर्व
2. सिमेन (वीर्य) प्रोफाइल
3. टयूबल धैर्य एवं पैल्विक पैैथोलाॅजी
4. लोगों की स्वीकार्यता एवं सामथ्र्य

(1) अंडोत्सर्ग अधिष्ठापन – ओवयुलेशन इंडक्शन
(2) अनुक्रमिक अस्थिमृदुता एवं प्रोजेस्टेरोन, यानि अनुक्रमिक एस्टेजेरोन एवं प्रोजेस्टेरोन
(3) आई यु आई (IUI)
(4) दत्तक ग्रहण अथवा अंडोपशन
(5) ART असिसटिड रिपरोडक्त्टिब टकनीक

1. (IUI) (पति अथवा दाता शुक्राणु से)
2. IVF/ICSI (आॅटोलागस अंडे या दाता अंडेे)
3. IVF (दाता भू्रप के साथ)
4. IVF (सरोगेसी)

एक जाँच के दौरान (2008 से सितंबर 2016 तक) यह नतीजे निर्धारित किए गए जिनसे यह पता चलता है कि 40+उम्र के लोगों में इनफर्टिलिटी मैेनेजमेंट से कितना फायदा हुआ। ओवयुलेशन इडंक्शन से लगभग 2.99 प्रतिशत वृद्धि, अनुक्रमिक एस्टेजेरोन एवं प्रोजेस्टेरोन (3.95%), IUI (1.57%), IVF (महिला के अपने अंडे से 7.25%, IVF दाता के अंडों से 20.65% दाता एम्बे्रयो से 12.77% और सरोगेसी से 14.28% इंफर्टिलिटी मैनेजमेंट में वृद्धि हुई है।

डा. शिवानी IVF तकनीक को सर्वोत्तम मानती हैं।
IVF(इन विट्रो फटिलाइजेशन) से गर्भधारण की संभावना 30%-45% होती है। सेहतमंद भू्रण का पता लगाने के लिए नई स्क्रीनिंग विधि का प्रयोग किया जा रहा है जिससे 60 फीसदी ज़्यादा सफलता प्राप्त हो रही है। आज उम्र की बाधा को तोड़ते हुई 40+वर्ष की महिलाएँ अब गर्भपात एवं माँ बनने का सपना पूरा कर रहीं हैं।

Tag: <span>fertility</span>

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