Wednesday, April 8, 2015

IVF


Infertility - Overview

Infertility

  • Infertility primarily refers to the biological inability of a person to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term.
  • A woman under 35 has not conceived after 12 months of contraceptive-free intercourse.
  • A woman over 35 has not conceived after 6 months of contraceptive-free sexual intercourse.

Sub fertility

A couple that has tried unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be sub fertile, meaning less fertile than a typical couple

Primary Infertility Vs Secondary Infertility

Couples with primary infertility have never been able to conceive, while, on the other hand, secondary infertility is difficulty conceiving after already having conceived (and either carried the pregnancy to term or had a miscarriage).

Causes and Risk Factors

A wide range of physical and emotional factors can cause infertility. Infertility may be due to problems in the woman, man, or both.

Female Infertility

Female infertility may occur when:

  • A fertilized egg or embryo does not survive once it sticks to the lining of the womb (uterus)
  • The fertilized egg does not attach to the lining of the uterus
  • The eggs cannot move from the ovaries to the womb
  • The ovaries have problems producing eggs

Female infertility may be caused by:

  • Autoimmune disorders, such as antiphospholipid syndrome (APS)
  • Clotting disorders
  • Diabetes
  • Growths (such as fibroids or polyps) in the uterus and cervix
  • Excessive exercising
  • Eating disorders or poor nutrition
  • Use of certain medications, including chemotherapy drugs
  • Drinking too much alcohol, tobacco usage
  • Obesity
  • Older age
  • Ovarian cysts and polycystic ovary syndrome (PCOS)
  • Pelvic infection or pelvic inflammatory disease (PID)
  • Scarring from sexually transmitted infections or endometriosis
  • Thyroid disease
  • oo little or too much hormones

Male infertility

Male infertility results from:

  • A decrease in sperm count
  • Sperm being blocked from being released
  • Sperm that do not work properly

Male infertility can be caused by:

  • Environmental pollutants
  • Being in high heat for prolonged periods
  • Birth defects
  • Heavy use of alcohol, marijuana, or cocaine
  • Too little or too much hormones
  • Impotence
  • Infection
  • Older age
  • Cancer treatments, including chemotherapy and
  • Scarring from sexually transmitted diseases, injury, or surgery
  • Retrograde ejaculation
  • Smoking
  • Use of certain drugs, such as cimetidine, spironolactone, and nitrofurantoin
In healthy couples under age 30 who have sex regularly, the chance of getting pregnant is about 25 - 30% per month. A woman's peak fertility occurs in her early 20s. After age 35 (and especially 40), the chances that a woman can get pregnant drops considerably.

Male infertility

Male infertility results from:

  • A decrease in sperm count
  • Sperm being blocked from being released
  • Sperm that do not work properly

Male infertility can be caused by:

  • Environmental pollutants
  • Being in high heat for prolonged periods
  • Birth defects
  • Heavy use of alcohol, marijuana, or cocaine
  • Too little or too much hormones
  • Impotence
  • Infection
  • Older age
  • Cancer treatments, including chemotherapy and
  • Scarring from sexually transmitted diseases, injury, or surgery
  • Retrograde ejaculation
  • Smoking
  • Use of certain drugs, such as cimetidine, spironolactone, and nitrofurantoin
In healthy couples under age 30 who have sex regularly, the chance of getting pregnant is about 25 - 30% per month. A woman's peak fertility occurs in her early 20s. After age 35 (and especially 40), the chances that a woman can get pregnant drops considerably.

Managing Infertility

When you should seek professional support for managing infertility depends on your age. It is recommended that women under 30 should generally try to get pregnant on their own for 1 year before exploring treatment options.
Infertility testing involves a complete medical history and physical examination of both partners. Blood and imaging tests are required. In women, this may include:
  • Blood tests to check hormone levels, including progesterone and follicle stimulating hormone
  • Checking body temperature first thing in the morning to check if the ovaries are releasing eggs
  • FSH and clomid challenge test
  • Hysterosalpingography (HSG)
  • Pelvic ultrasound
  • Laparoscopic and hysteroscoic evaluation
  • Luteinizing hormone urine test (ovulation prediction)
  • Thyroid function tests
  • Tests in men may include in addition to above,
  • Sperm testing
  • Testicular biopsy (rarely done

Infertility Treatment

It is important to recognize and discuss the emotional impact that infertility has on you and your partner, and to seek medical advice from your health care provider.
You can increase your chances of becoming pregnant each month by having sex at least every 3 days before and during ovulation. It is especially important to do so 72 hours before ovulation begins. Ovulation occurs about 2 weeks before the next menstrual cycle (period) starts. If a woman gets her period every 28 days, the couple should have sex at least every 3 days between the 10th and 18th day after the period starts. :
Treatment depends on the cause of infertility
  • Education and counseling
  • Fertility treatments such as intrauterine insemination (IUI) and in vitro fertilization (IVF)
  • Medicines to treat infections and clotting disorders
  • Medicines that help the woman grow and release eggs from the ovaries)

Mission

Our Vision & Mission

Our vision is to bring smiles among childless couple by making them proud parents and be recognized amongst the best fertility clinics in India. Our mission is to provide world class and compassionate medical care with our success proven and qualified medical team. We promise to provide the finest medical facilities to achieve a positive outcome.

Adithi Charitable Society

Medical expenses especially Infertility treatment costs have risen considerably. As a result a large section of the poor and needy patients are marginalised and deprived of the facilities modern medicine provide. We at SHRC realise this fact and honour our social commitments through Adithi Charitable Society.

Through the charitable society, we have benefited many a patients needing health care and infertility treatment including IVF. Poor childless couples also should be able to avail the advancements in the field of infertility treatment. This is an area many of the government organisations and other NGO s tend to sideline.

We have a meticulous process in place for selecting the needy. There is no discrimination in the name of political affiliations, faith or cast. Under the banner of Adithi Charitable Society we conduct medical camps focusing on gynecologic problems in remote places,social awareness programmes in association with local governance bodies, adolescents education classes in schools.

Chairman’s message

chairman
Dear all,
It is my privilege to introduce you to SHRC- the most innovative, successful and technologically advanced institution in the field of infertility treatment,IVF and ICSI. Our success is based on its excellence and commitment in the speciality. To grow, prosper and remain sustainable we embrace technology and transformation.
Teamwork, speed and quality are the cornerstones of SHRC.These qualities permeates the hospital’s entire organisational culture. Shared commitment, clear intent and a solid plan of action ensures we remain the best in the field of infertility treatment
I welcome you all to our website to have a detailed experience of our hospital services.
Have a great day
Dr Sabine Sivadasan

Sabine Hospital

aboutus
Sabine Hospital and Research Centre is a progressive, hi-tech hospital offering successful programmes in Infertility, Assisted Reproductive Technology, Obstetrics, Gynaecology, Neonatology, Paediatrics, General Surgery and Genetics. The prime aim of our hospital is to provide utmost world class care to the people
Founded in 2010 by Dr Sabine Sivadasan, we position ourselves as the best infertility centre with the highest success rate in IVF and ICSI. We are committed to provide quality health care round the clock.
On average we attend to 150-200 patients in different departments and each patient is individually taken care of meticulously.We provide a relaxed ambience without any time pressures.