Laparoscopy for Infertility: How It Helps Diagnose, Cost & Success Rate

If you have been trying to conceive without success, your doctor may recommend further evaluation when routine fertility tests do not explain the cause. Laparoscopy for infertility is a minimally invasive procedure that allows a gynaecologist to directly examine the pelvis, uterus, ovaries and fallopian tubes through small abdominal incisions.

At Motherhood Hospitals, laparoscopy may be considered when conditions such as endometriosis, pelvic adhesions, ovarian cysts or tubal disease are suspected, or when diagnostic findings suggest that treatment may also be possible during the same procedure.

What Is Laparoscopy and How Does It Work?

Laparoscopy is a form of keyhole surgery performed through small incisions in the abdomen.

During the procedure, the surgeon inserts a thin instrument called a laparoscope, which contains a camera and light. This provides a magnified view of the pelvic organs and allows the doctor to assess structures that may not be fully evaluated through ultrasound or other routine investigations.

A diagnostic laparoscopy is generally performed under anaesthesia. Small incisions, often around 5 mm, are made in the abdomen to introduce the camera and instruments.

Carbon dioxide gas is used to gently expand the abdominal cavity so that the surgeon can see the pelvic organs clearly.

Many procedures are performed as day-care surgery or with a short hospital stay, although this depends on what is found and whether treatment is carried out at the same time.

For a broader understanding of minimally invasive procedures, read about advanced laparoscopic surgery in modern gynaecology.

When Is Laparoscopy Recommended for Infertility?

Laparoscopy for infertility is not required for every couple experiencing difficulty conceiving.

Before considering surgery, fertility assessment may include:

  • Ultrasound examination of the uterus and ovaries
  • Assessment of the fallopian tubes, such as hysterosalpingography where appropriate
  • Hormonal investigations
  • Ovulation assessment
  • Semen analysis for the male partner
  • Review of the couple’s fertility history

A diagnostic laparoscopy for infertility may be considered when these investigations do not fully explain the problem or when there is a reason to suspect pelvic disease.

Your doctor may recommend laparoscopy in situations such as:

  • Unexplained infertility after basic investigations
  • Suspected endometriosis
  • Severe menstrual pain associated with infertility
  • Previous pelvic or abdominal surgery
  • Suspected pelvic adhesions
  • Previous or suspected pelvic inflammatory disease
  • Suspected tubal damage or blockage
  • Hydrosalpinx
  • Ovarian cysts that may affect fertility
  • Certain fibroids or other pelvic abnormalities
  • Selected cases after unsuccessful fertility treatment when pelvic disease is suspected

The decision should be individualised rather than based on infertility alone.

Conditions Diagnosed by Diagnostic Laparoscopy

One of the main benefits of laparoscopy for infertility is that it provides a direct view of the pelvic organs.

This can help identify abnormalities that may not always be obvious on routine imaging.

Endometriosis

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterine cavity.

It may be associated with:

  • Painful periods
  • Chronic pelvic pain
  • Pain during intercourse
  • Ovarian endometriomas
  • Pelvic adhesions
  • Difficulty conceiving

Laparoscopy can help identify endometriosis and, in selected cases, allow treatment of lesions or adhesions during the same procedure.

The benefit of surgery depends on the extent of disease, symptoms, ovarian reserve, age and the couple’s overall fertility plan.

Blocked or Damaged Fallopian Tubes

Healthy fallopian tubes are important for natural conception because fertilisation usually takes place within the tube.

During laparoscopy, a doctor may assess the fallopian tubes and sometimes perform chromopertubation, in which dye is passed through the cervix and uterus to observe whether it travels through the tubes.

This can provide information about tubal factor infertility, including:

  • Tubal blockage
  • Pelvic adhesions around the tubes
  • Hydrosalpinx
  • Distortion of the tubes following previous infection or surgery

Not every tubal blockage can or should be corrected surgically. Findings may influence whether further tubal treatment or assisted reproductive treatment is considered.

Ovarian Cysts and Endometriomas

Certain ovarian cysts may affect the anatomy of the pelvis or be associated with endometriosis.

Laparoscopy can help inspect the ovaries and, when clinically appropriate, an ovarian cyst may be treated during the procedure.

However, ovarian surgery can affect ovarian reserve in some situations, particularly with endometriomas. The potential benefits and risks should therefore be discussed before surgery.

Pelvic Adhesions

Adhesions are bands of scar tissue that may form after infection, endometriosis or previous surgery.

They can sometimes alter the position or movement of the ovaries and fallopian tubes.

Adhesiolysis, or surgical division of adhesions, may be performed during operative laparoscopy when the surgeon believes the adhesions are contributing to symptoms or fertility problems.

Fibroids and Other Pelvic Abnormalities

Fibroids can affect fertility depending on their size and location.

Laparoscopy may be used for selected fibroids that project outward from or lie within the muscular wall of the uterus. Fibroids that primarily affect the uterine cavity may instead require hysteroscopic assessment and treatment.

Motherhood Hospitals’ gynaecological and laparoscopic surgery services include minimally invasive approaches for selected gynaecological conditions.

Laparoscopy vs Hysteroscopy: Which Do You Need?

Laparoscopy and hysteroscopy are both minimally invasive procedures, but they examine different areas.

Feature Laparoscopy Hysteroscopy
What it examines Pelvis, ovaries, fallopian tubes and outside of the uterus Inside of the uterine cavity
How it is performed Through small abdominal incisions Through the vagina and cervix
Anaesthesia Usually performed under anaesthesia May be performed with or without anaesthesia depending on the procedure
Can assess fallopian tubes? Yes, including dye testing in selected cases Primarily evaluates the uterine cavity
Common infertility findings Endometriosis, adhesions, tubal disease, ovarian cysts Polyps, submucosal fibroids, septum and intrauterine adhesions

In some infertility evaluations, a doctor may recommend hystero-laparoscopy, where both procedures are performed in the same sitting.

This allows examination of both the uterine cavity and the pelvic organs when clinically appropriate.

Laparoscopy for Infertility Treatment: Diagnostic vs Operative

A laparoscopy may be purely diagnostic, or it may become an operative procedure if a treatable abnormality is identified.

Diagnostic Laparoscopy

Diagnostic laparoscopy is performed mainly to inspect the pelvic organs and determine whether an underlying condition could be contributing to infertility.

It may include examination of:

  • Uterus
  • Ovaries
  • Fallopian tubes
  • Pelvic lining
  • Areas behind the uterus
  • Adhesions or endometriotic lesions

Operative Laparoscopy

If an abnormality is identified and treatment is considered appropriate, procedures may include:

  • Adhesiolysis for selected pelvic adhesions
  • Treatment of visible endometriosis
  • Ovarian cystectomy for selected ovarian cysts
  • Removal or treatment of hydrosalpinx where indicated
  • Selected tubal procedures
  • Laparoscopic treatment of certain fibroids
  • Laparoscopic ovarian drilling in carefully selected women with PCOS

Ovarian drilling is not routinely required for all women with PCOS. It is considered only in selected circumstances after assessment by a gynaecologist or fertility specialist.

One advantage of operative laparoscopy is that diagnosis and treatment can sometimes occur during the same procedure.

Does Laparoscopy Improve the Chances of Pregnancy?

There is no single laparoscopy for infertility success rate that applies to every patient.

The chance of pregnancy after laparoscopy depends largely on:

  • Age
  • Duration of infertility
  • Ovarian reserve
  • Semen parameters
  • Condition of the fallopian tubes
  • Severity of endometriosis
  • Extent of pelvic adhesions
  • Whether both ovaries are functioning normally
  • Other fertility factors
  • Whether natural conception, IUI or another treatment is planned afterwards

For example, removing mild endometriosis or treating selected adhesions may improve the opportunity for conception in some women, while severe tubal disease may make assisted reproductive treatment more appropriate.

Because of these differences, a universal success percentage would be misleading.

Your doctor should explain what the laparoscopic findings mean for your individual fertility plan.

Recovery After Laparoscopy: What to Expect

Many women undergoing uncomplicated diagnostic laparoscopy are discharged on the same day or the following day.

Recovery depends on whether the procedure was diagnostic or whether additional surgery was performed.

After laparoscopy, you may experience:

  • Mild abdominal discomfort
  • Bloating
  • Tiredness
  • Minor discomfort around the incision sites
  • Shoulder-tip pain caused by residual carbon dioxide gas used during surgery
  • Light vaginal spotting in some cases

Most women can begin gentle movement soon after surgery.

A return to routine activity may take several days, while recovery from more extensive operative laparoscopy can take longer.

Follow your surgeon’s instructions regarding:

  • Wound care
  • Bathing
  • Driving
  • Exercise
  • Lifting
  • Sexual intercourse
  • Returning to work

How Soon After Laparoscopy Can You Try to Conceive?

There is no standard one-to-three-month waiting period that applies to every woman.

When you can try to conceive depends on:

  • What procedure was performed
  • Whether the fallopian tubes were treated
  • Whether an ovarian cyst was removed
  • The extent of endometriosis surgery
  • Healing after the procedure
  • Your age and fertility history
  • Whether further fertility treatment is planned

After a simple diagnostic laparoscopy, your doctor may allow attempts at conception relatively soon once recovery is complete.

After more extensive surgery, the recommended interval may be different.

Your fertility plan should therefore be discussed at the postoperative review.

What Is the Cost of Laparoscopy for Infertility in India?

The laparoscopy for infertility cost in India varies because diagnostic and operative procedures are not the same.

The overall cost may depend on:

  • Whether the procedure is diagnostic or operative
  • Type and complexity of surgery
  • Anaesthesia
  • Hospital stay
  • Investigations required before surgery
  • Whether hysteroscopy is performed at the same time
  • Whether treatment such as cystectomy, adhesiolysis or endometriosis surgery is required
  • Location and hospital facilities

For this reason, an exact laparoscopy for infertility cost should only be provided after consultation and clinical assessment.

At Motherhood Hospitals, your gynaecologist can explain the recommended procedure and the associated hospital estimate once the extent of treatment is known.

Benefits of Laparoscopy for Infertility

Depending on the clinical situation, laparoscopy can offer several advantages:

  • Direct visual assessment of the pelvic organs
  • Detection of endometriosis and pelvic adhesions
  • Assessment of selected tubal problems
  • Ability to perform chromopertubation where appropriate
  • Possibility of diagnosis and treatment during the same procedure
  • Small incisions compared with open abdominal surgery
  • Shorter hospital stay for many uncomplicated procedures
  • Faster recovery than traditional open surgery in many cases

However, laparoscopy is still surgery and should only be recommended when the expected diagnostic or treatment benefit justifies the procedure.

Laparoscopy for Infertility at Motherhood Hospitals

At Motherhood Hospitals, infertility-related laparoscopy is considered as part of a broader gynaecological and fertility assessment rather than as an automatic test for every couple who has difficulty conceiving.

The gynaecologist may review ultrasound findings, tubal assessment, previous surgery, symptoms, fertility history and other investigations before recommending laparoscopy.

If surgery is needed, minimally invasive techniques may be used to evaluate and treat selected conditions affecting the ovaries, fallopian tubes and pelvis.

You can learn more about gynaecological and laparoscopic surgery at Motherhood Hospitals.

FAQs

Does Laparoscopy Improve the Chances of Getting Pregnant?

It can help some women when infertility is related to treatable conditions such as endometriosis, pelvic adhesions or selected tubal abnormalities. Pregnancy chances depend on age, ovarian reserve, semen findings, disease severity and other fertility factors, so no single success rate applies to everyone.

How Long After Laparoscopy Can I Try to Conceive?

The timing depends on the procedure performed and your recovery. Some women may be able to try relatively soon after uncomplicated diagnostic laparoscopy, while operative procedures may require a longer healing period. Your surgeon should provide an individual recommendation after reviewing the findings.

Is Laparoscopy Painful?

Laparoscopy is performed under anaesthesia, so you should not feel the operation itself. Mild abdominal pain, incision discomfort, bloating or shoulder-tip pain from the carbon dioxide gas can occur afterwards and usually improves during recovery.

What Is the Cost of Laparoscopy for Infertility in India?

There is no fixed cost because diagnostic laparoscopy, hystero-laparoscopy and operative procedures differ considerably. The final amount depends on the procedure, anaesthesia, hospital stay and whether treatment such as adhesiolysis or cyst removal is required.

What Is the Difference Between Diagnostic and Operative Laparoscopy?

Diagnostic laparoscopy is primarily used to examine the pelvic organs and identify possible causes of infertility. Operative laparoscopy includes treatment during the procedure, such as removing selected cysts, treating endometriosis, dividing adhesions or managing certain tubal abnormalities.

Conclusion

Laparoscopy for infertility can be useful when routine investigations do not fully explain difficulty conceiving or when conditions such as endometriosis, pelvic adhesions, ovarian cysts or tubal disease are suspected.

Its value is not simply in looking inside the pelvis. In selected cases, diagnostic findings can also be treated during the same procedure.

At the same time, laparoscopy is not necessary for every infertility evaluation, and its impact on pregnancy chances depends on the underlying condition and the couple’s complete fertility profile.

If you have been advised to undergo diagnostic or operative laparoscopy, you can consult a gynaecologist at Motherhood Hospitals by calling +91 96203-96203, writing to writetous@motherhoodindia.com, or booking an appointment.

I Am Very Fortunate: Embracing the Gift of Parenthood with Motherhood Fertility and IVF

I Am Very Fortunate: Embracing the Gift of Parenthood with Motherhood Fertility and IVF

 

Embarking on the journey to parenthood is a mosaic of emotions, hopes, and challenges. In this pursuit, many couples feel fortunate to have found a guiding light in Motherhood Fertility and IVF. Our campaign, “I Am Very Fortunate,” is a testament to the countless dreams we’ve helped come true, a reflection of gratitude from those we’ve served.

The Distinctive Edge of Motherhood Fertility and IVF: 

For more than 10 years, Motherhood Hospitals has not just been a healthcare provider but a partner in the intimate journey of creating families. Our uniqueness lies in our holistic approach to fertility and IVF treatments. Each patient’s story is heard, respected, and carefully considered in crafting individualized treatment plans.

Expertise that Matters: 

Our team comprises the best in the field – fertility consultants, embryologists, and counselors who bring not only their extensive knowledge but also a deep sense of empathy to each case. This blend of expertise and compassion is what makes our patients feel “very fortunate” to have chosen us.

Financial Assistance – A Pillar of Support: 

Understanding that financial constraints should never be a barrier to the dream of parenthood, we offer tailored financial aid.

Corporate Tie-ups Enhancing Accessibility: 

Our network of over 500 corporate partners, including leading names like Infosys and Amazon, is a testament to our commitment to making fertility care accessible.

When to Seek Help – Knowing the Signs: 

Fertility issues often go unnoticed. Conditions like low sperm count, irregular ovulation, or medical histories like endometriosis can be hidden impediments to conceiving. We encourage couples to seek guidance early in their journey, as understanding these nuances is crucial in overcoming fertility challenges.

Our Exclusive Offers – Your Gateway to Parenthood:

  • FREE AMH Testing: This pivotal test gauges your ovarian reserve, offering insights into the most suitable fertility treatments.
  • FREE Second Opinion: For those undergoing IVF elsewhere and seeking new perspectives, our experts offer a complimentary second opinion.
  • FREE Registration for New Patients: Begin your journey without any upfront costs.

Understanding AMH Testing: 

The AMH test is a cornerstone in fertility assessment. It not only helps in understanding your current fertility status but also aids in planning future family expansion. By determining the right medication dosages and assessing the number of eggs that can be retrieved, it sets a realistic expectation for treatment outcomes.

At Motherhood Fertility and IVF, we understand the emotional and physical nuances of the journey to parenthood. Our campaign “I Am Very Fortunate” echoes the sentiments of countless couples who have realized their dreams with us. We’re not just about providing treatments; we’re about nurturing hopes, dreams, and the incredible journey of bringing new life into this world.

 Join the many who say “I Am Very Fortunate” by starting your journey with Motherhood Fertility and IVF. Contact us today, and step into a world where dreams of parenthood are nurtured and fulfilled with care, expertise, and compassion.

Navigating Infertility – A Roadmap to Hope and Parenthood

Infertility

Author : Dr. Babita Rajesh Chauhan

MBBS, MD(OBG)

Consultant – Obstetrician & Gynecologist

Navigating Infertility – A Roadmap to Hope and Parenthood

India, grappling with a silent yet significant issue, faces a rising tide of infertility challenges. Traditionally celebrated for its family-centric culture, the nation is now confronting an increasing number of couples struggling to conceive. According to Dr. Babita Rajesh Chauhan, MBBS, MD(OBG), Consultant – Obstetrician & Gynaecologist , This article aims to shed light on infertility in India, offering a beacon of hope and guidance to those navigating this complex journey.

Understanding infertility is crucial in this pursuit. Infertility, often shrouded in misconceptions and social stigma, needs demystification. It’s not just a medical condition but a multifaceted challenge involving emotional, social, and physical aspects.

Understanding Infertility

Infertility, defined as the inability to conceive after a year of unprotected intercourse, manifests in two primary forms: primary and secondary. Primary infertility refers to couples who have never conceived, while secondary infertility denotes difficulties in conceiving following a previous pregnancy.

The causes of infertility in India are diverse, ranging from genetic to lifestyle-related factors. Biological issues such as ovulation disorders, fallopian tube damage, and low sperm count are common. However, lifestyle factors like stress, obesity, and environmental influences also play a significant role. Moreover, societal factors like late marriages and postponed childbearing are contributing to the rising infertility rates in India.

Treatment Options

In India’s dynamic medical landscape, several infertility treatment options have emerged, offering renewed hope to couples. These treatments range from conventional methods to advanced reproductive technologies.

IVF (In Vitro Fertilization): IVF stands as a beacon of hope for many. It involves fertilizing an egg outside the body and implanting the embryo into the uterus. IVF’s success in India has been a game changer, especially for couples with blocked fallopian tubes or severe sperm dysfunction. Its procedure, intricately tailored to individual cases, involves hormone treatments, egg retrieval, fertilization, and embryo transfer. The process, while complex, has opened doors to parenthood for many who had almost given up hope.

Adoption and Surrogacy: Beyond medical interventions, adoption and surrogacy offer alternative pathways to parenthood. Adoption, though sometimes tangled in bureaucratic procedures, presents a noble opportunity to provide a loving home to a child in need. Surrogacy, a more recent and complex option, involves a surrogate carrying a child for another couple. This method, regulated to protect the rights of all parties involved, requires careful legal and ethical considerations. Both these options embody the essence of parenthood, extending beyond biological boundaries to embrace a deeper, more inclusive definition of family.

These treatments, while promising, come with their own sets of challenges and implications.

Challenges and Solutions

Emotional and Social Challenges: Infertility often brings an emotional whirlwind, marked by feelings of inadequacy, frustration, and isolation. In India, where familial and societal expectations about childbearing are deeply ingrained, couples may experience heightened social pressure and stigma. This emotional turmoil can strain relationships and lead to mental health issues like depression and anxiety.

To navigate these challenges, seeking emotional support is essential. Counseling and therapy can offer a safe space for couples to express their feelings and cope with stress. Support groups, both in-person and online, provide a sense of community and understanding, reminding couples that they are not alone in their journey.

Financial Challenges and Solutions: The financial aspect of infertility treatments like IVF or surrogacy can be daunting. These procedures, often requiring multiple cycles, can strain a couple’s finances.

However, solutions exist. Some hospitals and clinics offer financial planning assistance or payment plans to make treatments more accessible. Organizations and charities sometimes provide grants or subsidies for couples in need. Furthermore, exploring cost-effective treatment options and being well-informed about the expenses involved can help couples prepare financially for their journey towards parenthood.

These challenges, though significant, are not insurmountable. With the right support and resources, couples can find their way through the complexities of infertility.

Community and Support

Support Groups and Resources: In India, support groups for infertility play a pivotal role. They offer not just emotional support but also practical advice and information. These groups, facilitated by healthcare professionals or experienced couples, can provide guidance on navigating treatment options, dealing with societal pressures, and maintaining emotional well-being.

Additionally, online forums and social media platforms have emerged as valuable resources. They offer a platform for sharing experiences, finding comfort in shared stories, and receiving encouragement from others who have walked a similar path. These communities break the silence around infertility, fostering a more open and supportive environment.

Role of Healthcare Providers: Healthcare providers in India are increasingly acknowledging the importance of holistic support for couples facing infertility. Clinics and hospitals are offering counseling services, educational workshops, and holistic care programs. These initiatives aim to address not just the medical but also the emotional and psychological needs of couples.

For instance, Motherhood Hospitals, with their comprehensive approach to infertility treatment, offer both advanced medical care and emotional support, recognizing the multifaceted nature of this journey. They serve as an exemplar of integrated care, combining expert medical treatment with compassionate support.

In conclusion, the path through infertility, though fraught with challenges, is illuminated by the support of a compassionate community and the guidance of dedicated healthcare providers. Motherhood Hospitals stand as a beacon in this journey, offering hope and comprehensive care to those navigating the complexities of infertility in India.

Dr. Babita Rajesh Chauhan will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Mohali. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries. 

Do make an appointment with the best woman care hospital in Mohali at a center closest to you. Please meet with our doctors who will carry out the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life. 

If you wish to get in touch with Dr. Babita Rajesh Chauhan, please book your appointment here.

Signs Your Child Should See a Paediatric Urologist

signs of neurological issues in child

Author – Dr. Pawan Deep Singh

M.B.B.S, DCH, DNB Pediatrics, Consultant – Paediatrics & Neonatology

Signs Your Child Should See a Paediatric Urologist

Introduction:

As a parent, it could be difficult for you to know when your child’s bladder problems need attention. At times, you may not know if your child’s bedwetting is normal or highlighting other issues. According to Dr. Pawan Deep Singh, M.B.B.S, DCH, DNB Pediatrics, as a parent, you should consult the best paediatrician in Chandigarh preferably a paediatric urologist if you notice any change in the bladder patterns of your child.

What Does a Paediatric Urologist Do?

Paediatric urology is a different discipline from paediatrics. If you visit the best paediatricians in Chandigarh for consultation, they will provide treatment for many minor urological problems including urinary tract infections without fever, and so forth. You should, however, consult a paediatric urologist for ongoing, urgent, and non-routine urology issues involving your child’s kidney, ureters, bladder, urethra, testicles, and genitalia.

Signs Your Child Should See a Paediatric Urologist

You should visit the best paediatrician in Chandigarh for the following:

1. Bedwetting and Bladder Issues

Potty training of kids is not always easy. Sometimes you may not even know if your child has a medical problem or he is just a late bloomer. Bedwetting can occur because of urinary incontinence, stress, or a urinary tract infection. Of course, every child is different. As a general rule, however, if your child is not dry through the night by the age of six, you may have to consult a paediatric urologist.

2. Urinary Tract Infection

A urinary tract infection or UTI can affect even babies and children. It may also be common in children. You should, however, visit a paediatric urologist if your child has had multiple UTIs.

Dr Ashish Dharmik tells us that recurrent urinary tract infections may be a sign of anatomic abnormality leading to infections. Children having recurrent UTIs also have some type of abnormal voiding behaviours. Hence, it is important to identify such traits and get those treated.

3. Congenital Issues

A lot of children may have urological problems due to congenital issues. Paediatric urologists also perform surgery to treat a wide range of birth defects involving organs inside the body including kidney, bladder, or reproductive organs in both girls and boys. The primary goal of such surgeries is to let the child achieve or maintain a normal urologic function.

What are the Telltale Signs of Urologic Condition?

Your child may not be able to explain the cause of the pain to you. The telltale signs, however, can help you in discovering a urological condition. For instance, the most common sign of urological condition in children is bedwetting. Although your child has reached a certain age, he/she may not be able to control the urine. This can be a warning sign for you to visit a paediatric urologist. The other common symptoms include:

1. Pain while urinating.

2. Burning or stinging sensation when urinating.

3. Frequent urination.

4. An urgent need to urinate.

5. Foul smell in the urine.

6. Cloudy or bloody urine.

7. Pain in the lower back.

8. Pain around the bladder.

9. Fever.

If you notice any change in the regular urinating pattern of your child, visit a good paediatric urologist or Dr. Pawan Deep Singh at Motherhood Hospitals in Chandigarh.

Infertility And Aging: How it Affects Men?

Infertility and aging

Author – Dr. Shruti Mane 

MBBS, M.S, PG Diploma in ART AND Reproductive Medicine, FELLOWSHIP IN REPRODUCTIVE MEDICINE (MUHS), Consultant – Infertility Specialist

 

Infertility And Aging: How it Affects Men?

Contrary to what people believe, men are not born with any fertility potion. In fact, men are also affected by ageing and experience infertility with advancing age. It is true that the reproductive years are different for both men and women. The biological clock, however, also ticks for men and impact their fertility with age. According to Dr Shruti Mane, MBBS, MS, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant- Infertility Specialist¸ the peak reproductive age in men is between 30 to 35 years. This implies that the highest quality semen is produced in this particular age range. After the age of 35 years, the quality of sperms goes on a declining and the lowerst quality is produced at and aftet the age of 55 years. 

Sperm Motility and Age 

The ability of sperms to swim refers to sperm motility. For fertilization to occur, the sperm has to travel all the way from vagina to the ovaries. Since a greater path has to be traversed, the motility of sperm plays a defining role in conception. Dr Shruti Mane tells us that the sperms are most motile before the age of 25 and the lowest aftet the age of 55 years.

As mentioned above, thus, the top IVF doctor in Navi Mumbai corroborates that “good swimmers’ are produced in men between the age of 30 to 35 years. This particular age range thus can be viewed as the peak reproductive age in men.

Sperm Count, Concentration and Age

The number of sperms produced per ejaculation is called a sperm count. The lower the sperm count, the lesser are chances of you getting pregnant. It has also been found that the sperm count or the concentration of sperm per ejaculation also decreases with age. This way, it also affects your natural conception.

Genetic Problems

Age not only leads to lower quality sperms, but it also affects the genetic materials inside your sperms. When conceived in the later age, there are high chances of your baby to have genetic or chromosomal abnormalities. The common problems caused by defective sperms include: 

  1. Decreased fertility. 
  2. Frequent miscarriage. 
  3. More birth defects. 
  4. Greater chances of stillbirths.

Thus, older men do not only suffer from infertility but also pass genetic problems to their babies. Moreover, if the age of mother is also above 35 years, it can put the life of your baby at a serious risk with much higher chances of birth defects. The most common genetic defect in such cases is Down’s Syndrome. The other possible birth defects include:

  • Autism. 
  • Bipolar disorder. 
  • Childhood leukaemia. 
  • Schizophrenia. 
  • Achondroplasia. 

Male Age and In-vitro Fertilization (IVF) 

The fertility specialist in Navi Mumbai observes a wide range of male infertility cases. Various couples seek help from therapies and assisted reproductive technology include IVF to conceive. The doctor observed that the age of men also affected the success or failure of IVF. Men above the age of 35 years had low sperm motility and thus produced lower quality eggs. Although, the women did get pregnant, the child still suffered from many genetic problems.

Hence, it is important to us to stop believing in old adages and accept the fact that fertility in men is affected by age. When it comes to conception, the biological clock is significant in both males and females. Going beyond a certain age or waiting too long for pregnancy deteriorates the quality of gametes in both genders.

If you are dealing with infertility or having trouble conceiving, consult Dr Shruti Mane at the Motherhood Hospitals.

How Does Smoking Affect Fertility?

how does smoking affects for fertility

Author – Dr. Shruti Mane 

MBBS, M.S, PG Diploma in ART AND Reproductive Medicine, FELLOWSHIP IN REPRODUCTIVE MEDICINE (MUHS), Consultant – Infertility Specialist

 

How Does Smoking Affect Fertility?

Smoking, both active and passive is detrimental for men and women. A constant habit of having cigarettes in your hands does not only affect your lungs but it also deteriorates other organs. The harmful chemicals from cigarettes spread all across your body through the blood vessels. While its consequences may not be evident today, it may cause hindrances when planning a baby. According to Dr Shruti Mane, MBBS, MS, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant- Fertility Specialist, smoking is dangerous for your reproductive system and decreases your chances of having a baby. This is one of the reasons why putting a hard stop to the smoking habit is the first advice given by Dr Shruti to her patients.

How Does Smoking Affect Women’s Fertility?

A woman’s body is affected greatly by smoking. The top IVF doctor in Navi Mumbai explains how:

1. It Impacts Your Eggs Quality

Carrying cigarettes in your hands may seem fun and games for you today. It, however, can be detrimental to your body in the long run. The chemicals emitted from a cigarette spread all across your body as well as the reproductive system. Upon reaching your reproductive organs, it starts damaging your eggs by promoting premature ageing. Consequently, this leads to a repository of lower–quality eggs in your ovaries. Moreover, this habit also hampers your regular ovulation cycle and brings you to the verge of menopause.

2. More Chances of Miscarriage

As mentioned above, ovaries are adversely affected due to smoking. The best IVF doctor in Navi Mumbai tells us that the chances of women conceiving with lower–quality eggs are rare. Even if a woman conceives, the eggs may not add up to the uterine environment. This way, the eggs may not be able to sustain themselves. Moreover, smoking may also affect the quality of your embryo and increase your miscarriage chances.

How Stopping Smoking Can Affect a Woman’s Fertility?

Since a woman’s body is required to be able to sustain a baby, the fertility specialist in Navi Mumbai restricts women from smoking or even being around those who smoke.  

1. It Improves Fertility 

Quitting cigarettes can bring miraculous changes to your body. Giving up on the habit of smoking can reverse the damage caused over the years and boost your fertility. The doctor advises this, especially for women with polycystic ovary syndrome. Women with PCOS also have a slower metabolism and smoking may further damage the condition. 

2. Normal and Full-Term Delivery 

Smoking causes hurdles in your motherhood journey right from conception. If you are a regular smoker, you may first find it difficult to conceive. Now, even if you conceive, your baby may have a premature birth or other abnormalities. Hence, putting a hard stop on cigarettes way before planning to conceive can decrease such risks. Eventually, this may also make your journey more memorable and you may also have a normal and full-term delivery.

3. Healthy Birth Weight

Smoking is hazardous for the health of both the mother and the baby. The smoke coming out of the cigarette also hampers the normal growth of your baby along with the birth weight. By quitting cigarettes, you can give your baby some fresh air to breathe and a healthy environment to grow.

If you are planning to start a family, you need to bid goodbye to cigarettes. Both you and your partner need to be clean to ensure a normal pregnancy. If you are finding it difficult to stop cigarettes or conceive, visit Dr Shruti Mane at the Motherhood Hospitals.

A Step-By-Step Guide to IVF 

Step by step guide for IVF guid

Author –Dr Shruti Mane

MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS),

Consultant Infertility Specialist

A Step-By-Step Guide to IVF 

Introduction:

 In-vitro fertilization or IVF is a type of fertility treatment for couples dealing with infertility. According to Dr Shruti Mane, MBBS, MS, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant- Infertility Specialist, IVF is a type of assisted reproductive technique (ART) that is effective in patients who are unable to conceive naturally. It involves various steps including pre-evaluation to ensure that your body is ready for the procedure. Since it is a complex process, it is best if you refer to the best IVF doctor in Navi Mumbai. 

What is In-vitro Fertilization (IVF)? 

As mentioned by the top IVF doctor in Navi Mumbai, IVF is a type of ART. During this process, the sperm and eggs are fertilized outside of the human body in a laboratory. The entire process starts from retrieving eggs from your body and sperm from your partner. Once the egg is fertilized in the laboratory, it is placed inside your uterus. Your pregnancy starts the moment this fertilized egg or embryo attaches itself to the uterine wall. 

What are the Steps of IVF? 

If you are unable to conceive naturally, the best IVF specialist in Navi Mumbai will discuss your options to achieve pregnancy; IVF being one of the top-most treatments. Here are the steps involved in the IVF process: 

1. Enhancing Your Egg Production with Superovulation 

At the beginning of the process, you will be given fertility drugs to initiate stimulation or superovulation. The drug contains follicle-stimulating hormone which signals your body to produce more eggs. The more your number of eggs, the more your chances of successful fertilization. Apart from this, the top IVF doctor in Navi Mumbai will also conduct ultrasounds and blood tests to monitor your hormone levels and ovaries. 

2. Egg Removal 

Once the best IVF doctor in Navi Mumbai is sure that your eggs can be retrieved, you will receive another hormonal injection a day before the retrieval. This injection will ensure that your eggs mature quickly. Following this, you will also have a minor surgical procedure to remove eggs from your body.  

3. Sperm Collection from Partner 

When your eggs are removed, the sperm of your partner or donor will also be collected simultaneously. The collected sperms are put through a high-speed wash and spin cycle to find the healthiest one. The healthiest sperm, thus, is selected for fertilization. 

4. Combining Sperms and Eggs 

Once the doctor has sperm and egg samples, the mixing stage will begin. Your best eggs will be selected along with the healthiest sperm and combined for insemination. It usually takes a few hours for a sperm to fertilize the egg. If needed, your doctor might also inject these sperms directly into your egg known as intracytoplasmic sperm injection (ICSI).  

5. Transfer of Fertilized Egg into Your Uterus 

Once your egg is fertilized, you will receive another medication to prepare the lining of your uterus for the fertilized egg. After around 3-5 days of your fertilization, the doctor will place embryos in your uterus. Multiple embryos are placed to increase your chances of implantation. At times, more than one embryo can be implanted in the uterus which is common for IVF. A few days after this process, a pregnancy test will be conducted to confirm your pregnancy. 

In-vitro Fertilization is a safe and effective procedure for pregnancy. If you are having problems conceiving, you can discuss more about it with Dr Shruti Mane at the Motherhood IVF. 

Fertility and Cancer: What are Your Options?

Fertility and Cancer

Author –Dr Shruti Mane

MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS),

Consultant Infertility Specialist

Fertility and Cancer: What are Your Options? 

Introduction:

Cancer can be frightening regardless of your age. It is more difficult when you are in your reproductive years. According to Dr Shruti Mane, MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant Infertility Specialist, a lot of couples are worried about their chances of conceiving when fighting cancer. Modern medicine, however, provides solutions and allows cancer survivors to embrace parenthood. On this note, the best IVF doctor in Navi Mumbai recommends cryopreservation.  

What is Cryopreservation? 

Cryopreservation embryo freezing or embryo preservation is a process of storing and freezing embryos for future use. The best IVF specialist in Navi Mumbai recommends this technique to safeguard your chances of pregnancy. 

What is the Procedure for Cryopreservation? 

The primary goal of cryopreservation or embryo preservation is to save embryos for later use. The produced embryos are controlled and maintained in such environmental conditions to ensure that the embryo does not die. The top IVF doctor in Navi Mumbai explains the following steps: 

1.Embryo Selection: 

 Initially, the IVF doctor may give certain medications or injections to stimulate your body to produce more eggs. Similarly, your partner is also given medications to produce more sperm cells. Both sperm and eggs are mixed in the laboratory to generate plenty of embryos. The embryos go through extensive testing to select the healthiest one. These healthy embryos are stored for later use. 

2. Removing Water Content: 

The selected healthy embryo cannot be frozen directly since the water content from cells has to be replaced. According to the best IVF doctor in Navi Mumbai, the water from the cells is removed as it also freezes or crystallizes. These crystals can expand over time and burst the cell open to die. 

3. Embryo Freezing: 

 As the water is removed, the embryo is cooled and frozen. The embryos are put inside a tube to save them from any damage. The temperature inside the tubes is gradually lowered to prevent ageing and damage. Once an optimal temperature is reached, the tube is transferred from the freezer and stored in a liquid nitrogen container to maintain a temperature of -196 degrees Celsius.  

How are Embryos Used Again? 

The process to de-freeze an embryo is called thawing. When embryos are required, it is retrieved from the liquid nitrogen container and kept in a water bath to gradually increase the temperature. Once a required temperature is reached, the embryo is ready to be transferred into your uterus. 

Fighting cancer has its challenges as it hampers every aspect of your being. Mostly, it affects your chances of parenthood. The modern assisted reproductive techniques, however, including IVF and cryoprotection have made it easier for you to get pregnant after your cancer therapy. It is, however, also important for you to visit the top IVF doctor in Navi Mumbai when you are diagnosed with cancer to discuss your future options. You can visit Dr Shruti Mane at the Motherhood IVF for expert guidance. 

Cervical Cerclage: Procedure & Female Infertility Treatment 

cervical cancer

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Cervical Cerclage: Procedure & Female Infertility Treatment 

Introduction

Throughout the pregnancy, the cervix remains long and firm. It, however, begins to dilate and soften to allow passage of the foetus. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, the cervix in some women may lose its integrity and can result in miscarriage or preterm birth. In such cases, the best pregnancy doctor in Gurgaon suggests cervical cerclage to prevent complications.

 What is Cervical Cerclage? 

Cervical cerclage is a procedure to keep your cervix closed during pregnancy to prevent immature birth due to a weak cervix. If your cervix is weakened, your best pregnancy doctor in Gurgaon will recommend the procedure at the earliest. This will ensure that the foetus is inside of your uterus.

During this procedure, the laparoscopic surgeon in Gurgaon will place one or several sutures in the opening of your cervix to keep it closed during pregnancy.

When a Cervical Cerclage is Performed? 

Cervical cerclage may be recommended for several reasons, such as:

1. Weak or incompetent cervix: At times the cervix may become weak due to past surgeries on the cervical tissues.

2. Past miscarriages: A past miscarriage can also cause an abnormally shaped uterus or damage to the cervix. A past miscarriage in the second trimester usually causes a weak cervix.

If your best pregnancy doctor in Gurgaon thinks that you require a cervical cerclage, they will perform it for about 12 to 14 weeks into your pregnancy way before the cervix thins out.

 How is Cervical Cerclage Performed? 

During a cervical cerclage:

1. You will be given a pain-numbing medication or a local anaesthetic.

2. After the anaesthesia takes effect, your doctor will stitch your cervix with strong sutures. This will tighten and secure the cervix.

The surgery may cause a slight discomfort and pain. Some patients also experience cramping, light bleeding, or spotting for a few days after the procedure. If, however, you feel abnormal pain after the procedure, contact your laparoscopic surgeon in Gurgaon at the earliest.

 How is Recovery after the Procedure? 

After your procedure, you will be discharged on the same day. You should, however, ensure proper rest for at least 10 days after the surgery to let your stitches heal. Make sure that you follow all the instructions given by the doctor including follow-up appointments to monitor your pregnancy.

 What are the Risks After the Cervical Cerclage? 

A cervical cerclage is recommended only in severe situations. The best pregnancy doctor in Gurgaon will only recommend the procedure if the benefits outweigh the risks. You may experience certain complications after the procedure such as:

1. Bleeding.

2. Infection in the cervix.

3. Premature rupture of membrane; you may experience your water breaking. This may lead to preterm labour. If you notice, any spotting after the procedure, make sure that you visit your doctor immediately.

4. Preterm labour.

5. Cervical stenosis.

6. Scar tissues on your cervix.

7. Tearing of cervix or uterus.

When Should You Visit a Doctor After the Procedure? 

Cervical cerclage is usually safe; however, you may experience certain complications as mentioned above. You should visit your doctor at the earliest if you notice the following:

1. A high fever.

2. Contractions in the lower abdomen.

3. Foul-smelling discharge from the vagina.

4. Water breaking or leaking.

5. Excessive bleeding.

Cervical cerclage is a common procedure performed to improve cervical integrity and prevent preterm birth. The procedure, however, should only be performed by the best pregnancy doctor in Gurgaon to avoid complications. You can visit Dr Preety Aggarwal at the Motherhood Hospitals for consultation and expert guidance.

Best Treatment Options for Infertile Women Above the Age of 40 

Best Treatment Options for Infertile Women Above the Age of 40_

Author – Dr Asha Baxi

MBBS, FICOG, FRCOG, MS

Consultant- Obstetrician, Gynaecologist & Infertility specialist

Best Treatment Options for Infertile Women Above the Age of 40 

According to the Centres for Disease Control and Prevention (CDC), 30% of women between the age of 40-44 experience infertility. The chances of getting pregnant are highly reduced by the age of 40 years. Dr Asha Baxi, MBBS, FICOG, FRCOG, MS, Consultant- Obstetrician, Gynaecologist & Infertility specialist, tells us that only 5% of women at the age of 40 get pregnant. If you are above 40 and planning to start a family, it is important to visit the top IVF doctor in Indore to discuss your treatment options. 

What Are the Fertility Treatments After 40? 

The assisted reproductive technology or ART from the best IVF doctor in Indore can allow you to get pregnant even after the age of 40. ART includes various techniques including intrauterine insemination (IUI) and in-vitro fertilization (IVF). The age of conceiving, however, can also greatly affect the method of fertility treatment. For instance, IUI success rates are lower than 5% in women over the age of 40. 

IVF, on the other hand, has greater success rates for older women ranging to 15% per cycle. The lower percentage is because of the deterioration of egg quality. As a woman gets older, the eggs in her ovaries begin to deteriorate. These damaged eggs make it harder to conceive as well as pass chromosomal abnormalities to children. Upon visiting the fertility specialist in Indore, the doctor will examine the quality of your eggs and the chances of chromosomal abnormalities in your children. If the percentages are high and your eggs are not meeting the standards, the doctor will recommend egg donation.  

The success rate of IVF with donor eggs can be as high as 35% for older women. Despite surmounting success rates, your child won’t share the same genetic makeup as yours due to egg donation. This can make the procedure difficult for couples.  

 What Are the Pregnancy Risks After 40? 

 Advanced science and technology have enabled a woman to get pregnant even after the age of 40. At this stage, however, the women face unique challenges and risks that can make the entire procedure difficult.  

 Becoming pregnant after the age of 40 can increase your risk for: 

1. Caesarean delivery (C-section). 

2. High blood pressure. 

3. Preeclampsia. 

4. Gestational diabetes. 

5. Premature labour and birth.  

 Apart from the above, a report has found that more than 34% of pregnancies in women between the age of 40-44 years end in miscarriage. This rate is up to 53% for women above the age of 45.  

Getting pregnant at or above the age of 40 without fertility treatments can put you and the health of your child at risk. If you are over the age of 40 and wish to conceive, seek help from Dr Asha Baxi at the Motherhood IVF. The fertility specialist will evaluate your health with different tests to assess your risk of infertility or miscarriage. Following evaluation, the doctor will suggest a proper treatment plan to help you conceive and have a child.