PCOS - A Blessing in fertility treatments

As we know – PCOS is POLYCYSTIC OVARIAN SYNDROME which represents with irregular menses, skin manifestation and infertility.

India is considered as a hub for PCOS with every zone of India having 12-16% of incidence. Every 6th Infertile couple has PCOS. Therefore it is a question of worry and thus we need to discuss – weather is it really tough or a blessing in fertility treatment to have PCOS in current scenario.

As we know that in PCOS, IUI gives 13 -20 % of cumulative pregnancy rate after 6 cycles. But in PCOS ovary is very sensitive to stimulation and IUI stimulation is never controlled properly by any hormone. Apart from results, multiple pregnancy cannot be controlled by IUI Treatment, where ovarian hyper-stimulation is one of the threat behind the treatment.

After the invention of the antagonist injection in IVF Treatment , which overall controls the hyper-stimulation by 75 -85% followed by the strategy of giving lupride injection of ovulation trigger that reduces hyper-stimulation up to 98%.Further, with the invention of freezing technique,it is imperative to consider freeze all embryo technique which directly reduces ovarian hyper-stimulation up to the stage of 0 %

OHSS was considered as a big threat before 2008, and with the above mentioned protocols, we can make a clinic OHSS free. With the use of Embryo Vitrification & subsequently transferring an embryo in the HRT cycle after one month makes the way for higher success rate thereby empowering the clinician to give‘assurance’ to the patient to achieve the pregnancy in a fastest way with nil complications.

It can be concluded that in this era of fertility treatment, PCOS pathology can be considered as a blessing to enjoy the parenthood faster, easier, and without complications. All said and done, it is important to have a robust clinical strategy to tackle this menace.

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. Advanc...

How can we treat zero sperm count...???

Male Infertility increased day by day in which out of 50-100 percent of patients can get pregnancy by their own sperm. 2 variety can be seen in the population : 1) problem in production 2) travelling obstruction Maximum result and confidence can be explained to those who are having obstruction.which means there will be a obstruction from testis to ejaculation in the travelling component. So Doctor can obtain sperm by small needle aspiration. In difficult condition we can do Micro Tessa to retrieve best sperm.The most difficult scenario is problem in production. Our strong belief is to give minimum two month medical management on the basis of testosterone and estrogen. 25-30 percent can retrieve healthy sperm by a technique MicroTessa if required.we offer only Day 5 transfer and PGS & ERA in a recurrent failure and previous two abortion cases. Best Infertility Treatment in Ahmedabad - Wings Hospitals

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....

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