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
