Wednesday, 27 February 2013

Infertility Clinics in Punjab


 infertility information in Chandigarh
We welcome you to Reviva Clinic. Our goal is to provide our patients with State of the art Infertility care in a comfortable environment. We at Reviva Clinic work hand-in-hand with you to make the whole process of Infertility treatment as predictable and comfortable as possible.We understand how important it is for you to get pregnant and have a baby. Every patient in this clinic is analyzed and offered the most appropriate treatment so as to maximize the chances for achieving that goal. An honest appraisal of the available treatment options allow a couple to choose the level of treatment that is most appropriate for them Dr. Sandeep Cheema Sohi is the Medical Director and infertility specialist of Reviva clinic. She holds a M.D degree in Obstetrics and Gynaecology. She did her Post residency from PGIMER, Chandigarh. She has vast experience in all kind of infertility cases and high risk pregnancies. A Reviva clinic Infertility treatment success rate matches the international standard Our mission is to provide maximum benefit of advanced technology to all infertile couples at affordable cost. No hidden cost is involved. In case of cycle cancellation, because of unsatisfactory stimulation, cost of injections used, consultation fee, ultrasound charges or any other procedure performed charges are taken and rest of the money is given back or deducted from the package (which is usually half the amount)

                                                                   Abnormalities in male are the sole cause of infertility in approximately 20% of infertile couples and are an important contributing factor in another 20-40% of couples with Reproductive failure. If the sperm count or motility is extremely low, we usually assume this is the cause of fertility issue. But it may only be a contributing factor if the count or the motility is slightly low. In mild to moderately low sperm count and or motility we do Ovulation Induction and Insemination (IUI) for about 3-6 months. If the patient doesn’t get pregnant after 3-6 months than IVF /ICSI is to be considered. In cases of severely low counts and or motility the treatment of choice is IVF / ICSI.The basic and the most important test to evaluate Male Infertility is Semen Analysis. It may have to be repeated two or even 3 times to get an accurate reflection of the parameters. Semen parameters can vary widely over time, even among fertile men. Semen sample should be provided after 2-3 days of abstinenceVaricocele is an abnormal tortuosity and dilatation of veins of the pampiniform plexus within the spermatic cord. The prevalence of varicocele is approximately 15% in the normal male population and about 40% in infertile men. Treatment options for men with abnormal Semen quality associated with a palpable varicocele include surgical repair, IUI, and IVF with or without ICSI. The best choice among these options depends on the age of the female partner and presence of other Infertility factors. The results achieved with varicocele repair have varied widely and convincing evidence for improved fertility is still lackingIt is an effective treatment for male factor Infertility. Donor Semen Samples are taken from the semen banks where all donors are screened for infectious diseases. The Semen is frozen and kept for a period of 6 months, so that donor can be again tested for HIV. We don’t do Donor Inseminations with fresh semen samples as this can be hazardous to patient’s health. With the new options for treating male infertility like ICSI, the need for Donor Insemination has decreased. But still it is a viable option for couples who cannot afford ICSI.

                                                                  The most common cause of ovulatory dysfunction is PCOD (Polycystic ovarian disease) In a patient who has abnormal or absent menstrual function but otherwise is normal, causes of An ovulation can fall in one ofIt involves any anatomic abnormalities in the Tubes that prevent union of sperm and ovum. These include cases of completely blocked fallopian tubes, cases with either one blocked tube or tubal scarring or other damage. The Tubal and peritoneal pathology is among the most common causes of Infertility and is present in approximately 30-35% of Infertile CouplesThe major cause of Tubal factor infertility is PID (Pelvic Inflammatory disease) and the Pelvic Infections Tuberculosis is still an important cause of Tubal damage in India. Other causes are Inflammation due to endometriosis, inflammatory bowel disease or surgical Trauma Initial investigation to detect Tubal damage is HSG (hysterosalpingography). In this procedure contrast material (dye) is injected through the cervix to the uterine cavity and if the fallopian tubes are open the dye flows in the abdominal cavity through the tubes. This is documented with x-ray pictures during the procedure. Other method of detecting Tubal damage and peritoneal adhesions is Spectroscopy The treatment options for patient with Tubal factor Infertility is Tubal surgery or IVF.Tubal surgery is a good option for women seeking pregnancy after a previous tubal sterilization, for those with mild distal Tubal disease and women with apparent proximal tubal occlusion It is a disorder in which detrimental tissue or lining of the uterus grows outside the uterus such as the ovaries or elsewhere in the abdominal cavity Progressively increasing dyspepsia may be a symptom of endomorphisms. Others are dyspepsia or pain during intercourse and pelvic congestion Diagnosis can be made on the basis of symptoms. In a symptomatic patient it is often diagnosed on Ultrasound scanning which can pick up the chocolate cysts in ovaries. To confirm the diagnosis Spectroscopy is the gold standard. Treatment of Endomorphisms when related to Infertility depends on the severity of disease and its location in the pelvis, presence of symptoms, the age of the women and the length of Infertility.For patients with mild to moderate endomorphisms associated with Infertility, ovulation Induction and IUI is done. If pregnancy is not achieved even after 6 cycles of treatment then IVF is the treatment of choice Medical treatment (GnRH – agonist) and surgical treatment can be undertaken but the pregnancy rates vary. In cases of severe Endomorphisms where pelvic anatomy is distorted, patient will often require IVF