Infertility Evaluation and Treatment in Delhi

Couples and individuals who want to have children never imagine that it could be difficult to get pregnant. If the pregnancy has not occurred after trying for 1 year, the best gynecologist in Delhi will diagnose infertility.

Road to greater well-being

Infertility is evaluated in several ways. It will probably include a pelvic exam, lab tests, imaging tests, a review of your medical and menstrual history, and certain procedures. For women, the first test is a pelvic exam. During a pelvic exam, your gynecologist in Delhi will check the size and shape of your uterus and ovaries.

Laboratory tests include checking the basal body temperature. This evaluates its resting temperature (which will be a little higher when it is ovulating). Additional laboratory tests include a urine test, a progesterone (hormone) test, thyroid function tests, prolactin (hormone) level tests, and an ovarian reserve test (checking your ovum supply).

Imaging tests may include an ultrasound (moving a device over the upper part of the stomach to create images of your uterus, ovaries, and fallopian tubes) and hysterosalpingography (an x-ray test that examines the uterus, ovaries, and tubes).

Infertility procedures include a hysteroscopy (insertion of a thin tube connected to a camera to examine the uterus) and a laparoscopy (a small surgical procedure in which the doctor inserts a small thin tube through the stomach to see your uterus, ovaries, and fallopian tubes). You may not have to perform all these tests and procedures. Some are performed based on the results of previous tests and procedures. Some are done in the doctor's office. Some are done in the laboratory or in the hospital.

When performing these evaluations, the infertility doctor in Delhi is looking for the cause of your infertility. These may include:

• Endometriosis This is the growth of endometrial tissue outside your uterus.
• Ovulatory Dysfunction This means that it is not producing enough ovules. This also happens with a medical condition known as polycystic ovary syndrome.
• Tubal obstruction. An obstruction in the fallopian tubes prevents an egg from reaching the sperm.
• Pelvic inflammatory disease (PID)This is an infection that can lead to infertility.
• Sexually transmitted disease or infection (STD or STI). Certain sexually transmitted diseases increase the risk of infertility.
• The more adult a woman is, the harder it is to get pregnant.
• Low sperm count. If a man has a low sperm count, it means there is less sperm trying to reach the egg.
• Cancer treatments. Some treatments may postpone trying to get pregnant (for men and women). Other cancer medications can actually stop your menstrual cycle for a period of years. This makes it almost impossible to get pregnant.
• Sometimes doctors cannot determine the cause of your infertility. In some cases, all tests are normal.

Infertility treatment in Delhi depends on the reason you cannot get pregnant. Common treatments include:

• Ovulation medications. Your gynecologist in East of Kailash may prescribe a medication to stimulate the ovaries. This causes the ovaries to produce more eggs than normal. With more eggs, they have a better chance of getting pregnant. However, the risk of multiple births increases. There are also medications to treat polycystic ovary syndrome.
• Laparoscopic surgery can help unlock the fallopian tubes and eliminate the growth of endometrial tissue outside your uterus (endometriosis).
• Hormones Certain hormones can stimulate those hormones that are low in your body. Another type of hormone can put your body in a state of false menopause. This causes the body to stop having menstrual periods. This is particularly useful for the treatment of endometriosis. Endometrial tissue growth increases every time you have your period. When you stop having your period, it gives your body time to eliminate excess growth.
• This treatment takes the male sperm and prepares it to insert it into the woman's vagina, cervix or uterus while she is ovulating. There are two types. Intrauterine insemination (IUI) is the least expensive form. It can be done in the doctor's office. The doctors have you asked to use an ovulation kit to determine when you are ovulating. Once it is, the uterus is inseminated with the sperm of its male partner (collected in the office that day or with sperm from a sperm bank). It does not generate much discomfort. Artificial insemination inserts sperm into a woman's vagina or cervix.
• In vitro fertilization. This is a much more complex and expensive treatment. It involves combining the ovum with the sperm in a laboratory and then transferring it to the woman's uterus. Many months of preparation are needed to prepare the woman's body with hormones.

Aspects to consider

The evaluation and treatment of infertility can have physical, economic and emotional repercussions on you.

Physically, pelvic exams and laboratory tests do not cause much discomfort. Laboratory tests involve providing a urine sample or having a simple blood test. There is a slight discomfort associated with the procedures. For example, during a laparoscopy, the doctor will inject a small amount of gas into your abdomen. This is to help separate your organs so he or she can get a better view of your uterus and ovaries. After the test, the gas makes her feel swollen. It also causes a slight amount of shoulder discomfort, explains gynecologist in Chittaranjan Park.

For most people, infertility testing and treatment can have a great emotional cost. Testing and treatment can take months, even a year. That's because infertility specialist in Delhi has to coordinate it with their ovulation and menstrual cycle. This only happens once a month. You often have to take time off from work for tests and treatments. And there is a certain cost. Many people feel emotionally exhausted from the experience. This makes it even more difficult when friends, family, and co-workers get pregnant easily. Therefore, it is important to talk with your spouse or partner to address these issues and know how they will get over it when things get tough.

Implantation failure, what is it and why does it occur?

Implantation failure is reproductive failure after embryo transfer. Although there is always a probability after in vitro fertilization that the embryo does not implant in the mother's womb, there is a type of infertility that bears his name and is the failure or failure of embryonic implantation, explains gynecologist in Lajpat Nagar. The patient with this diagnosis is the one who, after the transfer of 6 embryos, cannot get pregnant. If the implantation failure occurs in the first treatment, after an in vitro fertilization , it is an acceptable failure, taking into account that with own eggs the  IVF success rate It is 47% and with donated eggs 65%. The problem is when this failure is repeated and the patient cannot manage, after having received several embryonic transfers.

Embryo transfer and implantation

Embryo transfer It is a personalized procedure that will depend on the development of embryos. Depending on the evolution of these, the transfer will be made one day or another. “While it is true that the range of days in which the embryo transfer is carried out is between day 2 and day 6 after the egg has been fertilized, provided that the conditions allow it we transfer embryos in the stages of the most advanced development possible, since this allows us to evaluate them better and therefore select those that are most likely to implant, ”explains infertility specialist in Delhi. Embryonic selection is key to avoid implantation failure and achieve gestation, so we increasingly transfer more embryos in a blastocyst state.

Implantation bleeding 

The implantation bleeding is slight bleeding may well be confused with menstrual bleeding. It occurs because the uterus is very irrigated and this can make it bleed easily. It is not a red bleeding but more brownish, however, sometimes it is difficult to differentiate it. The most indicated in these cases is to consult with the infertility doctor in Delhi at the beginning of this bleeding. She will give the most timely indication, depending on the day on which it occurs after the embryo transfer.  

What tests to deal with repeated implantation failure

As we said at the beginning of this post, one or two implementation failures during infertility treatment in Delhi are not a sign of repetition. The patient must have transferred at least 6 embryos of good quality and not have achieved implantation to consider a study and proceed to:

• Discard the presence of a uterine, myoma and uterine malformation with low receptivity.
• Examine the karyotype of both parents to see if there is a structural alteration in one of the chromosomes that predisposes to abortion or the failure of IVF treatments.
• Evaluate thyroid hormones.
• Discard thrombophilias and autoimmune diseases.
• Study of the alloimmune cause.

These tests may show some problem that indicates the cause of repeated implantation failure. If so, an appropriate treatment can solve the problem to achieve implantation, says gynecologist in Delhi.

Can you be a mother with Polycystic Ovarian Syndrome?

The quick answer is yes, you can be a mother with polycystic ovarian syndrome, but you have to take into account the nuances that we explain in this post. Although pregnancy is possible, it is necessary to diagnose polycystic ovarian syndrome (also known by its acronym SOP or as Stein-Leventhal syndrome) and make adequate treatment from best gynecologist in Delhi for each woman to get pregnant.

What is polycystic ovarian syndrome and how is it diagnosed?

The polycystic ovarian syndrome is an endocrine disorder that affects female fertility because of the irregularity of the rule and anovulation (failure to release any eggs in the menstrual cycle). Since there is an alteration in ovulation, it is more likely to encounter difficulties at the time of seeking pregnancy.

This syndrome is behind 30% of cases of infertility of female origin and it is estimated that 1 in 10 women suffer from it. In short, this reproductive pathology is the most common in women of childbearing age.

Polycystic ovarian syndrome and pregnancy

Women who suffer from this pathology have a greater difficulty in becoming pregnant, so it is advisable to go to an infertility specialist in Delhi to receive advice to receive the necessary guidelines to achieve pregnancy. In addition, it should be borne in mind that the process can be lengthy, so it is convenient to go to the infertility doctor in Delhi as early as possible to assess the particular case.

Although in some cases it is possible to restore fertility by modifying the patient's lifestyle and / or with some drugs that regulate hormonal alterations, in cases where fertility cannot be restored, it will be necessary to resort to assisted reproduction techniques as in vitro fertilization or artificial insemination to achieve pregnancy, suggests gynecologist in Delhi.

What are the symptoms of polycystic ovarian syndrome?

The most common symptoms that manifest in women suffering from PCOS are:

• Irregular menstruation (less than 9 annual rules) or absence of menstruation.
• Hirsutism: excess hair
• Alopecia or hair loss
• Acne
• Hormonal alterations
• Insulin resistance
• Obesity

How to treat polycystic ovarian syndrome?

Although the origin of this pathology is unknown, it is important to diagnose and treat it correctly. For this, the gynecologist in Lajpat Nagar must perform tests such as anamnesis, transvaginal ultrasound, hormonal analysis.

Once PCOS is diagnosed, it is important to have adequate infertility treatment in Delhi to prevent associated diseases, and it is essential to follow a healthy lifestyle with a balanced diet and regular physical activity.

The success rates with the correct advice and assisted reproduction treatments are very high, the best gynecologist in Lajpat Nagar has extensive experience in cases of this type.

If you have polycystic ovarian syndrome or suspect it and are planning to become a mother, go to a specialized gynecologist in Delhi to answer your questions and have the appropriate guidance for your case.