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...

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...

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...

An IVF stands for "in vitro fertilization" , in this process the egg is fertilized outside the body or the womb, and then the embryo is re- implanted in the uterus, once the fertilization happens or takes place. Let’s understand the need for IVF? Fallopian tube damage Infertility in Men Infertility in men could be because of various reasons, like, illness, injury to reproductive anatomy, hormone disorders, obstruction, etc. These reasons can affect the sperm count and also prevent conception, either temporarily or permanently. Endometriosis This is a severe disease, women who can’t conceive because of endometriosis, can have a child through IVF. Endometriosis can be treated with the help of medical therapy and surgery. Don’t worry; women suffering with endometriosis, can accomplish their dream, of becoming a mother and experiencing motherhood Infertility related to age If you look at the reproduction life of a woman, the functioning of ov...

It is matter of great debate whether a laparoscopic intervention is really required before starting an IVF treatment. Some clinicians have made it a protocol to conduct laparoscopy in each and every patient which seeks IVF treatment . Following is my honest opinion on surgery before IVF treatment: 1) According to me, Ovarian drilling 'kills fertility'. So it an honest request that please do not proceed with it unless that is the last resort. 2) Fibroids less than 4 cm in size doesn't require surgery before IVF treatment 3) Less than 4 cm endometrioma(chocolate cyst) doesn't require surgery. Only in cases of extreme pain, surgery should be considered. 4) Pre-IVF Hysteroscopy for all it is totally commercialization from some doctors 5) Adeno myomectomy is also unindicated surgery. Only due to some commercial clinicians, surgery has become a norm for infertility treatment. It is absolutely not mandatory unless doctors are unable to analyse the cause for infert...

Indian medical fraternity lacks guidelines for IVF regarding the type & standard of lab and instrumentation required. Also, no specific education and qualifications are fixed for an embryologist and the biggest menace is free lancing of embryology which directly impacts the results negatively and thereby increases IVF failures in the society. Main issue in the recurrent failure cases is female egg quantity and quality as multiple attempts depletes the ovarian reserve thereby leading to more failures and thereby needing third party donation. So a structured method adopted from day one of IVF treatment can guarantee a lesser need for third party donation. To improve the IVF results and reduce recurrent failures couples should keep a track of the below: (1) Visit only experienced IVF specialist which cannot be a routine Gynecologist. (2) Need to choose state of the art and advanced IVF lab with high tech instruments with proper QA/QC in the lab (3) In house experienced embryo...

Actually IUI is indicated now a days only during following conditions:  Less than 35 years of the age and AMH is more than 2. Polycystic ovary with precise hormone therapy, meaning no over response or no under response for maximum up to 3 to 4 cycles. Donor IUI in 0 count where IVF is not possible or not affordable. Erectile dysfunction Unexplained infertility where duration of infertility is more than 2y and less than 5 with age less than 35 and AMH is more than 2 Male sub-fertility when count is more than 10 mill. And motility more than 10 % and morphology is more than 4% and DNA fragmentation index is less than 50 percent Carry home message here is check your age, AMH, and semen report in detail and stop IUI at 3 to 4. Very surprisingly, sometimes doctors suggest doing more than 6 IUI. It is illogical when doctors give false commitment of more than 12 to 18% results in IUI which is next to impossible. Best IVF Clinic in Ahmedabad ,  Treatment for Infertility i...