Wings Hospitals

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

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....

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

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 i...

As we know, to form an embryo naturally, it requires one egg and one sperm and normal efficient environment in the body. Efficiency of sperm DNA, is a very important parameter for successful pregnancy. Genetically some inefficiency from birth in testes will produce defective less efficient sperm having less efficiency to create embryo.Lifestyle disorder which include unhealthy atmosphere, excessive stress, unhealthy food habits like tobacco and alcohol, smoking, pollution,pesticides and radiation directly affect fertility levels. Because of permanent damage from the above levels, unexplained infertility is seeing a steep increase.With the female part, Age is a major factor. After 30 years of age, their DNA become weaker year on year. Uterus and tubes, if damaged by infection than again it leads to fertility issues . So to know your fertility power specially in female when age is less than 32 years, they need to check AMH levels through a blood test and try to plan pregn...

I m sharing my personal experience today that to make sure that certain wrong things are not implemented in IVF treatments . Polycystic ovary patient with one time ovarian hyper stimulation should not happen in today’s era. Because of the previous hyper stimulation patient should not accept egg donation.Early move towards IVF treatment is a future in PCOS patients. Limit number of IUI to not more than 3 attempts.When patient is having 0 count in semen analysis, they should not accept sperm donation straight forward without biopsy. 50 percent men can retrieve sperm. Micro Tesa and Micro Pesa is the latest advancement in technology. Transferring embryos repeatedly will not improve pregnancy rate. Repeated trials is not the way forward. Money binding scheme are non scientific and will promote more of unnecessary egg donation. Don’t accept egg donation quickly at any low AMH levels. It is challenging to give pregnancy at any low AMH but it requires experience and tech...

According to the the literature, main reason is lifestyle which includes late work, more hour work in a day & Target which Male infertility increasing drastically as compare to female in today’s era. Main reason is lifestyle which includes late working hours, erratic food habits, stress, etc. Pollution and pesticide in food highly affect the sperm production. Radiation emitted by gazettes like mobiles and laptops are extremely harmful for fertility health as well. All of the above factors affect the production  and therefore ejaculated semen sample will have less count & motility(morphology). This disturbs or indirectly damage the DNA in the sperm nucleus called fragmentation of DNA which can be identified by DNA Fragmentation index test. Technique called MACS, basically separates old aged sperms called apoptic sperm to an adherent column of MACS and you will get young and least DNA fragmented. IMSI stands as the gold standard for sperm se...

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...

Dr Jayesh Amin is group clinical director for wings IVF Hospitals which are in Ahmedabad, Rajkot, Surat and Udaipur. After completing his MD(Gynec from M.P.Shah medical college in Jamnagar),he started his IVF career in 2005.wings hospital headed by Dr. Amin is trend setter in IVF industry for globally accepted protocols like day 5 for all and freeze all.IT has also been the adopter for that latest technology in the field of IVF which directly impact the patient outcomes like matcher witnessing system and Embryo scope.  The hospital has an excellent team of doctors from which Dr. Jayesh has been awarded the prestigious infertility treatments by the Honorable Health Minister.For following the best IVF practices, Wings Group has been awarded best quality award by European Medical Council.At present Dr. Jayesh Amin holds the post of secretary of Indian Fertility Society Gujarat chapter and National conveyor of fertility preservation SIG.  

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...

Let me try and put this entire concept in a layman terminology. The ability to grow a healthy plant requires a good seed be planted in a fertile soil. Then it requires proper nurturing till it thrives. Similarly, successful IVF requires the same relationship. A good seed is a competent, chromosomally normal embryo and fertile soil is a receptive uterine lining. Step by step approach in this concept can be as under : • It is important to define the variables that affect embryo quality and uterine receptivity for each patient • To avoid "one size fits all" protocols for controlled ovarian stimulation. Instead it is necessary to individualize the protocol to fit the profile of each individual so as to establish an optimally nurturing environment for developing follicles, eggs and uterine lining. • To precisely time the egg retrieval (ER) and then safely extract, eggs from the woman's ovary. • Provide the environment for the embryo to grow till the 5th day...

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...

what is it and what to do? Indian women is 5 year older in terms of fertility power compared to Caucasian population. • After the age of 30, Indian women should be prompt in checking the fertility power through blood test like AMH if they deciding for late family planning. AMH is a screening test by which couples can decide whether they should wait any longer or not. • After the age of 35, it is my simple advise- not to wait more than six months if you are not able to   conceive. • Don't waste your time after age of 35 for IUI, even if financially and psychologically the couple is   not ready for IVF . IUI should be restricted to 2 or less post 35 years of age. • At WINGS, we believe in high end & precise treatment for advance maternal age(>35)  in IVF. We strictly adhere to Only Day 5 embryo transfer, Freeze all, PGS and ERA which are advanced    genetic tests by which we can offer single and healthy pregnancy. Transferri...

IUI is a low success treatment which usually kills precious time, fertility power of the body,money and leads to psychological distress to the couple. So couples who have time on their hands, more fertility power and psychologically not ready could be offered IUI treatment to start with in the following case: • Young age < 30 years • PCO( AMH > 2.5) • But stop IUI beyond 3 attempts because it doesn't increase the success rates. • By killing fertility power through IUI, it decreases chances of pregnancy through IVF treatment as well. • Gynaecologists can refrain from overcommitting IUI results which will eventually benefits the patients through IVF. Don't go for IUI if: • More than 35 years age • AMH less than 2 • Husband semen count is less than 10 million • Both tubes are bad with grade 3-4 endometriosis. So the question that arises is that when to and where to start IVF?

India is considered as a hub for PCOD, every zone of India has 12-16% of incidence. Every 6th Infertile couple has PCOD. Therefore a question of worry and thus we need to discuss is it really tough to treat PCO with infertility? • In PCOS , IUI gives 15 -25 % of cumulative pregnancy rate after 6 cycles. But it should be noted that in PCOS, ovary is very sensitive to stimulation and IUI stimulation is never in control by any hormone. So apart from results, multiple pregnancy could not be controlled by IUI treatment , where ovarian hyperstimulation is one of the threat behind the treatment. • After some inventions of injections, hyper-stimulations can be prevented by upto 98% and freeze all embryos strategy will give 100% safety in IVF. • So it can be concluded that in this era of infertility treatment , PCO cases can be successfully treated with robust clinical strategy and experienced embryology team. Best IVF Center in Ahmedabad - Wings Hospitals

I recommend that you probably don't need to see a  fertility doctor about infertility issues unless you have been trying regularly to conceive for at least one year. However see your doctor, If you are a Woman and: • You are aged 35 to 40 and have been trying to conceive for six months or longer • You are over the age of 40 • You menstruate irregularly or not at all • Your periods are very painful • You've been diagnosed with endometriosis or pelvic inflam-matory disease • You've had multiple miscarriages • You've undergone treatment for cancer  When should a male patient see a doctor? • You have low sperm count or other problems with sperm • You have a history of testicular, prostate or sexual problems • You've undergone treatment for cancer • You have testicles that are small in size or swelling  in the scrotum known as a varicocele • You have others in your family with infertility  problems

YES! Usage of good quality injections assist in producing good quality of eggs which ever lead to better embryo formation. Also, high-end techniques like IMSI are required to set qualitative sperm especially in cases with relation to the male factor. But all of the abc techniques require the doctors and embryology team to have more than 5 years of experience Usually all Day 5 embryos will not lead to 9 months pregnancy. So we need to ensure to the best grade embryo is transferred to increase the chances. Gardener's grading system now a benchmark to find out the most competitive embryo. It is important to limit the San cycle transfer only in those couples who have more than 4 Day 5 embryos as success rate  is not more than 20-25%. The remaining embryos can be frozen. But it is of prime important' to note that the concept of vitrification/freezing requires a lot of meticulousness & perfection from the embryology team. Choosing of the normal uterus with 8-9 mm Endonietr...

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 ...

For millions of women struggling to conceive, fertility drugs are the first step in treatment. What do these little pills and injections do exactly? Are they really needed ? How does fertility medication differ? Reasons differ from person to person. For instance, women with polycystic ovarian syndrome (PCOS) generally respond well to clomiphene, but those who don't may be given the insulin-sensitizing drug metformin to help them ovulate. Some women with PCOS respond well to a combination of metformin and clomiphene. Women with hyperprolactinemia have too much of the hormone prolactin in their blood, which interferes with ovulation. Women with this condition who want to conceive will most likely take bromocriptine or cabergoline to restore ovulation. What are the risks of fertility drugs? Many of these drugs have been used safely and successfully for more than 40 years. But like other fertility treatments, these drugs can increase the chance of conceiving multiples...

Today, infertility is a common factor, according to experts; India has witnessed a 20 to 30% increase in infertility rates, in the last few years. IVF process is to treat couples with infertility problems. The result of the IVF treatment is not the same for all, every result is different. Let us look into the factors that will help ascertain the success rate. The first factor is Age. Age plays an important role in influencing the IVF success rate. Younger women between the ages 24 to 34 can conceive because the fertility level is at its peak, hence, more the chances. The IVF success rates under 35 is much higher, well as, the IVF success rates over 40, begins to drop and continues to reduce quickly. At 45, the success rate is at its lowest. Age also affects the quality and quantity of the eggs. This explains the IVF success rate by age and number of embryos. Types of fertility Either one spouse or both can have fertility problems. Women suffering with endometriosis or tube b...