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Pro-Fertility Counselling

Infertility is clinically defined as the inability to conceive even after having carefully timed, unprotected sex for over a year. There are various causes which can lead to infertility – age, genetics, lifestyle, and so on. This could come from either partner’s side, or both. Various factors like sedentary lifestyles and unhealthy diets are contributing to an increase in cases of infertility.

Infertility can take a toll on the life of the couple. It can cause distress, depression and even create tension in the relationship. Counselling can help the couple overcome the stress caused due to infertility. Hence, an effective treatment of infertility should involve counselling to help the couple overcome various issues caused due to infertility.

Should you opt for it?
Dealing with infertility is a difficult task, and hence, couples struggling with infertility should seek the help of a professional. You must opt for counselling if you can relate to the following reasons.
• If infertility overwhelms you and takes over your life. Many people cope with infertility without any professional help. However, if you find that infertility is causing sadness, depression, or mental health issues, it is strongly advised to seek the help of a counsellor.
• If infertility is straining your personal relationships. Talking to a counsellor can be quite beneficial if this is the case. You may also opt for joint counselling with your spouse as a counsellor. This can help immensely.
• If you are considering alternate options like surrogacy or adoption. We highly recommend talking to a counsellor before you take any major decision in this regard. Opting for sperm donation, egg donation, or surrogacy is a very important decision to make. Many couples underestimate the emotional impact of such a decision and regret it later. Hence, it is important to take professional help and advice before such an important step.
• If you are thinking of living a child-less life. Accepting and realising the fact that you are going to lead a life without a child can be quite overwhelming for many couples. A counsellor can help you process the emotions and overcome it in a strong manner.
• If you are feeling indecisive or clueless in general. Taking decisions related to infertility, treatments, or adoption can be quite difficult and a counsellor may assist you in making a more informed decision.

Motherhood is one of the leading chains of maternity and childcare hospitals in the country. We offer holistic treatment and care ranging from prenatal counselling to neonatal facilities. Our experts are highly qualified and experienced, and promise the best possible treatment and care.

Fertility Enhancement Endoscopy
Pregnancy is a happy milestone for many couples. But, not every couple goes through this journey smoothly. According to the American Pregnancy Association, 1 in 6 couples struggle with infertility, where half of the cases solely involve female infertility, while the other half includes male infertility.

What exactly is happening?
Daily rigor and stress can take a toll on your reproductive system. Also, there are underlying problems in men and women that can cause infertility – like endometriosis, hormonal imbalances, a block in the fallopian tubes, irregular monthly ovulation from polycystic ovarian syndrome (PCOS), eating disorders, stress, weight gain, cysts in female reproductive parts, abnormal sperm production, problems with the delivery of sperm due to sexual issues, overexposure to certain environmental factors, and cancer-related issues.

Needless to say, all of this can be a tricky situation. So what is the solution? Your doctor can help you in many ways to improve your fertility. But to improve fertility, your doctor needs to understand the underlying problem first. Thankfully, there are tools available to figure out what exactly is going on inside of you and how to treat it.
What is the significance of Fertility Enhancing Endoscopy Surgery?
Fertility enhancing endoscopy surgery is like a boon for infertile couples at home desperately trying to extend their family. As said before, many problems can cause infertility in both men and women. These problems can be corrected by diagnostic laparoscopy and hysteroscopy.

Diagnostic laparoscopy is a surgical procedure to examine a woman’s reproductive organs. Gynaecological endoscopy or diagnostic laparoscopy is a medical discipline that uses specially designed optical instruments to diagnose female disorders and pathologies that cause infertility problems. Here, a laparoscope, which is a thin viewing tube (similar to a telescope). is passed via a small incision into the abdomen of the patient to look directly at the outside of the uterus, fallopian tubes, ovaries, and nearby organs. The doctor recommends this diagnostic test to:
• Check if there is a blockage of the fallopian tubes (which might have caused infertility)
• Examine the cause of the pain in the pelvic and abdominal regions
• Confirm certain conditions like endometriosis, pelvic inflammatory disease, etc.
• Examine the abnormal tissue mass
Another procedure is hysteroscopy. It is a simple procedure that allows your healthcare specialist to look inside the uterus to diagnose and treat the causes of infertility.
Both laparoscopy and hysteroscopy are very useful in diagnosing the problem and treating these problems on time. They are accurate, painless, safe, and can be performed on an outpatient basis.
If Fertility Enhancement Endoscopy is on your mind, we invite you to step into one of our centers. The highly qualified team of surgeons and nurses at Motherhood, coupled with the latest advancements in medicine and technology, make for a safe and successful journey.

Semen Analysis
Semen Analysis is done to evaluate the quality of semen and the amount of sperm in it. It is mostly done for the evaluation of fertility. Infertility affects a significant percentage of couples and can be quite frustrating and heartbreaking. To know the exact cause of infertility, various tests are done. Semen analysis is just one such test which is done for the evaluation of male fertility. A semen analysis is also done to check for the success of a vasectomy.

Preparing for the test:
Your doctor will let you know the exact guidelines to be followed before opting for semen analysis. However, some general rules to be followed are:
• Avoiding ejaculation up to 72 hours before the test.
• Avoiding the consumption of alcohol, caffeine and drugs
• Avoiding hormone medications or supplements.
The sample can be obtained either through masturbation, or while having sex using a condom. Masturbation is usually considered the preferred way to obtain a clean sample. The sample should be delivered to the testing facility within an hour of ejaculation. The results can take anywhere between an hour to a week.

Parameters Evaluated:
Depending on the necessities, one or more of the following parameters are evaluated through a semen analysis:
• Sperm count: Also known as sperm density, it is one of the most commonly tested parameters, as low sperm count is one of the leading causes of infertility in men. The normal sperm count in a semen analysis should be between 20 to 200 million. A lower sperm count may be considered the reason for infertility.
• Volume: Semen volume is also an important parameter that is evaluated during semen analysis. Semen volume of less than 2ml may indicate a lesser number of sperm and excessive volume may indicate diluted sperm. Either of these can make conception difficult.
• pH: A semen analysis also measures the pH value of the semen sample. Normal pH values range from 7.2 to 7.8. Higher values may indicate an infection, while lower levels may indicate a blockage in the ducts. Either of these factors can lead to infertility.
• Shape: The test also evaluates the percentage of normally shaped sperm. If a man has more than 50 percent of abnormally shaped sperm it may cause difficulty in conceiving. The abnormalities in the structure of the sperm can be identified through the test.
• Motility: This is another major factor which causes infertility in many cases. Normally, at least 50 percent of the total sperm must move after ejaculation. Lower movement may lead to infertility as the sperm may not be able to travel and reach the egg.
• Liquefaction: Normally, it should take about 15 to 30 minutes for the sperm to liquefy. This is important as liquefaction helps in the movement of the sperm. If the sperm does not liquefy quickly, it may lead to infertility.

Motherhood is one of the leading chains of maternity and childcare hospitals in the country. We offer holistic treatment and care ranging from prenatal counselling to neonatal facilities. Our experts are highly qualified and experienced, and promise the best possible treatment and care.



Dr. Ashwini M. Patil

MBBS, MD - Radiology
Consultant Radiologist, Consultant - Radiology
HRBR Layout, Bangalore

Dr. Dhanalakshmi R

MBBS, PGPN(Boston University)., Fellowship in Neonatal Medicine (UK), DNB
Consultant Neonatologist & Paediatrician
HRBR Layout, Bangalore

Dr. S. Giridhar

MBBS, DM(Neonatology)., MD(Pediatrics)
Consultant Neonatologist & Paediatrician
Alwarpet, Chennai

Dr. Suhaim Afsar

MBBS, PGPN(Boston), Fellowship in Neonatalogy RCPCH (UK), MRCPCH (UK), DNB (Pediatrics)
Consultant Neonatologist & Paediatrician, Consultant Neonatologist and Pediatrician
HRBR Layout, Bangalore