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 young patients with good AMH, IUI is suggested.
In patients with decreased AMH and grade 3 or 4 endometriosis, IVF is required.
Egg freezing is an evolving option in unmarried female to preserve fertility in such cases.

Best IVF Center in Ahmedabad - Wings Hospitals

Comments

When and where to start the IVF treatment?

Patients are confused about the time to start the IVF treatment. Should the age be considered as the parameter or the duration of the treatment? In Indian female, age beyond 35, IVF will be a better option. More than 5 years of infertility period again strongly indicates IVF treatment . At any point, if AMH is less than 2.0, IVF is strongly indicated. In the era of IVF treatments, 3 IUI attempts are enough. Due to lack of regulations, patients are confused where to start the IVF treatment. There are no set parameters to indicate which is the best centre for IVF treatments. But according to me, the following criteria is important in a IVF centre: • More than 5 years of specialty infertility experience of the doctor. • Most latest technology with 0.3 micron clean air modular lab. • In-house and more than 5 years experience of embryology team. • Atleast one triple gas bench incubator. • Day 5 embryo transfer & freeze more strategy for all. Advanced m

What are the latest trends in infertility management?

The most important and critical advancement is “only day 5 embryo transfer with freeze more strategy” • As at WINGS, we promote own egg pregnancy in any difficult situation through latest trends in infertility. As mentioned earlier, embryo freezing in advance maternal age (>35y) is the answer. We have to decide clinically whether we do it with or without PGT which is another current advancement option to increase the results. • Currently, egg freezing has also passed the experimental stage. Egg freezing is a good option specially in women detected with any cancer and also for young unmarried women with endometriosis and women who want to plan pregnancy at advance age. • Ovarian Tissue cryo preservation will be also possible in the near future. • Before going for surrogacy option, platelets rich plasma(PRP) and stem cell therapy are possible treatments in very thin uterine lining with multiple ivf failures. • We offer a Kid's embryo scoring software that h

‘IVF is a blessing’, Farah Khan urges couples who can’t conceive to try it.

Director-choreographer Farah Khan, who had triplets at 43 with film-maker Shirish Kunder through IVF, has encouraged couples who can’t conceive to go for the specialized treatment. Director-choreographer Farah Khan has encouraged couples who can’t conceive to go for specialized treatment, and says she herself underwent the IVF procedure which proved to be a blessing for her. Farah, who is married to film-maker Shirish Kunder, said they had failed attempts of trying to have a baby naturally for two years, before they went for IVF treatment. Now they are parents to triplets – one son and two daughters. “IVF is a blessing and I am really thankful as it has changed my life. A lot of factors today make it difficult for some couples to conceive, but we have solutions in the form of treatments. And I strongly believe in IVF, it helped me conceive my angels. “Being persistent, positive and patient towards the procedure paid off. And if IVF can change my life, it could cha

Wings Hospitals

Search This Blog