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
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