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infertilityjourney

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.

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.

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।