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Showing posts from March, 2019

The prevalence and management of Endometriosis.

Endometriosis is the disease in which endometrium, i. e. the tissue that normally lines the uterus or womb, happens to grow outside of the uterus and on other areas in the body where it doesn’t belong. Total incidence is 1-2%. Usually the patients with endometriosis tend to have a very strong mental constitution, high achiever and usually very competitive with themselves.  Common signs and symptoms are painful periods, pain with intercourse, pain during urination  and defecation, infertility and excessive bleeding.  In short, endometriosis is a chronic disease that causes severe pain and fertility problems. Endometriosis is of minimal, mild, moderate and severe stages.  The most common sites affected are the pelvic peritoneum and ovaries. Diagnosis is through transvaginal ultrasound, rectal endoscopical ultrasound, 3 D ultrasound or by MRI.   Surgery is required only in patients with more than 4 to 6 cm lesions accompanied by severe pain.   Infertility treatment: In y

Issues in management of Advanced maternal age related fertility treatments.

36 years and above patients are considered as advanced maternal age patients.  One egg has 4.5% capacity to generate into an embryo. So collecting more eggs is the only way forward which may require more than 1 egg retrieval.  As embryo biopsy is the prime requirement to find out healthy embryo, there is a need to freeze all the embryo at day 5.  Even the embryo is genetically tested, it will never implant in 55-65% cases in normal uterine lining. So only PGT-A shall not suffice.  Combination of PGT and ERA, which highlights the personalized implantation window period should be carried out in advanced maternal age cases. Therefore,  Advanced Maternal age= Day 5 Embryo + PGT-A + Freeze all + ERA  Infertility Treatment in Ahmedabad - Wings Hospitals

How to choose the right IVF clinic?

It is important to choose the right IVF centre for good results. However, there are few parameters which are considered as must before starting the IVF process. Following questions should be answered: How long have the Medical Director, doctors, and embryologist been there at the centre?  Which type of procedures and protocols are followed at the centre? It is imperative that the clinic has a wide range of infertility treatment options and is familiar with the latest technology. What is the type of technology available at the IVF centre?It is important to ensure that there is a right combination of experience and exposure to the latest technology in the doctor team. What is the success rate of the clinic? This can be a very tricky question to answer but remains the most important point. Is the IVF centre doing advanced IVF techniques? PGT & ERA like advanced techniques are the future techniques using which couples can get better success rates. Therefore it is impor