Sunday 31 July 2016

ICSI Treatment In Mohali | Chandigarh | Panchkula

Intracytoplasmic Sperm Injection (ICSI)

Dr. Rimmy Singla

IVY Hospital Mohali Test Tube Baby Center

Obstetrician and Gynecologist, MBBS , DGO(Obs &Gynae), FICOG , Diplomat of Reproductive Medicines(Germany), Consultant Laproscopic,Infertility and IVF Specialist.

Intracytoplasmic sperm infusion (ICSI) is an infusing sperm into an egg . ICSI is a helped conceptive innovation (ART) utilized when no sperm or low sperm in male accomplice cause an issue of barrenness. ICSI is a viable approach to treat ladies egg . Treatment of egg period of In-vitro preparation (IVF) process by infusing a solitary sperm into a sound egg then ICSI system is utilized. After this procedure of treatment , the prepared egg is then put once again into a lady's uterus through the utrasound strategy. The In-vitro treatment (IVF) strategy contains infusing hormones (FSH , LH), observing, and strategies for considering . This procedure requires general blood tests, every day hormones shots, and continuous checking by your gynecologist.
This technique is mainly used due to male infertility problem.

Semen contains less than 15-20 million per milliliter Sperm
Sperm motility is less than 35%
Very poor sperm morphology.

Pregnancy success rates for In-vitro fertilization(IVF) procedures with ICSI to be higher than for IVF without ICSI.

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Sperm Collection Technique :
In male accomplice if through masturbation process, if sperm can't be created or turns out, then they are surgically taken from a testis of male accomplice through a little cut. This strategy is utilized when there might be a blockage that keeps sperm from being discharged or there might be an issue with sperm creation.

Egg retrieval process and Ovulation process
With a specific end goal to begin process utilizing your own particular eggs, you will be observed by the gynecologist for 2 weeks before the eggs are gathered. Concerned specialist infuses you with gonadotropin(GnRh Hormones) or follicle-empowering hormone (FSH Hormones) to animate female eggs in ovary to deliver solid follicles. This is called superovulation. As the initial 7 days finished then your specialist checks your blood estrogen levels furthermore checks the eggs are developing in the follicles through ultra sound machines. On the off chance that follicles completely create 18-20 mm size of solid follicles , then you are given a human chorionic gonadotropin (hCG infusion) which is known as trigger shot to animate the follicles to develop and gather the egg from follicles. The experienced eggs are gathered 34 to 36 hours after the fact after hCG infusion. This is happened by utilizing laparoscopy strategy or needle guided by ultrasound through the midsection to the ovaries of the ladies.
Sperm injection and transfer

Three hours before the lady's eggs are gathered. The sperm are washed to get the sperm from semen that are the essential part ,which ought to be of best quality. On the off chance that the male accomplice is not ready to deliver semen which contains sperm, then intracytoplasmic sperm injection(ICSI method) is utilized. In this procedure a little glass like tube fragile and empty needle is utilized to put sperm on the egg which is taken from male accomplice into the egg , which is taken from female accomplice. After this procedure these eggs are checked by researcher in lab, eggs are observed to check whether they've been prepared. After brooding, the eggs that have been effectively prepared by this procedure should be checked 3 to 5 days to promote create. Those treated eggs are put in the uterus of ladies utilizing a dainty adaptable tube (catheter) that put through the cervix. The other treated incipient organisms will be solidified for future use.

Need Of ICSI

ICSI technique is implemented in order to treat male infertility, as when male partner have no sperm or less sperm are ejaculated. If there is no semen ejeculeted then sperm are collected from the testicles of male partner usually. ICSI can be used in IVF treatment if in case IVF treatment is failed or has not worked due to male infertility. ICSI uses only one sperm for each egg.

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How Well It Works

Utilized with As a part of vitro fertilization(IVF) and eggs taken of good quality, ICSI strategy is effective for men who have less sperm or no sperm . ICSI (utilizing sperm gathered from the testicles of male accomplice) creates an expected 30% to 35% birth rate.

Ovulation process with hormone can be a reason for serious ovarian hyperstimulation disorder. Your gynecologist can minimize the danger of this sort of issue continuesly checking your ovaries and hormone levels amid IVF process.

The danger of various pregnancy is because of the quantity of incipient organisms exchanged to a lady's uterus this builds her danger of numerous pregnancy. Different pregnancies are high-hazard for both a mother and her embryos since it is hard to handle. As the dangers to the infants of numerous pregnancy, specialists prescribe that you restrict the quantity of developing lives exchanged. Your specialist will suggest a specific number of developing lives taking into account your age and different components. Ladies beyond 40 a years old a high rate of fetus misfortune when they utilize their own eggs. Giver eggs may work better these ladies.

IVY Hospital Mohali Test Tube Baby Center

Dear friends,one more ray of hope at our ivf centre , baby delivered today after 20 years of marriage conceived by ivf Icsi at our centre . Very happy to keep baby in lap of mother .thanks to my team and almighty God .parents want first my lap for baby but insisted not to put their photos on media .

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	Address: IVY Hospital Sector 71, Near PCL Chowk, Mohali, Punjab 160071 Address: House no 2747 ,Ground Floor, Sector 70, Mohali
	Contact Person: DR Rimmy Singla(Consultant Laparoscopic Gynae), DR Raman Singla(Consultant Laproscopic Surgeon)
	Phone 08146333347 , 07307311329

Dr. Rimmy Singla is practicing in IVY Hospital in Mohali as a Senior Consultant - Gynecology & Laproscopic Surgery. Her professional qualifications are MBBS, DGO and specialized in Gynecology & Laproscopic Surgery. Did fellowship in Diplomat of reproductive medicine and embryology from International School of Medicine Germany, Member of IMA, COGS, POGSI, IFS, ISAR and Excutive Member of IFSC Punjab.
Got precious FICOG from Indian college of obstetrics.
Secretary to Mohali Obst. & Gynae Society.
Worked as consultant Gynecologist at some of the private hospitals in Ludhiana
Vast experience in IVF , ICSI , TESA , PESA , Infertility, Laproscopic.
Pioneer to start with stem cell role in infertility, poor ovarian reserve, azoospermia and other infertility problems.

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Saturday 23 July 2016

5 Best Fruits During Pregnancy Phase

5 Best Fruits During Pregnancy Phase

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During pregnancy phase women required a special diet. Nutritious fruits are necessary at the time of pregnancy. Nutrition plays an important role during pregnancy phase. Fruits and vegetables are the main source of nutrition. Even though there are variety of fruits available in the market, women must eat only selected fruits which will be good and beneficial for both the mother and her newborn baby. At the time of pregnancy, you should have consult with your nutritionist doctor on what nutrition fruits and vegetables should be taken. Which type of vitamins your fruits have. It really helps the growth and development of the muscle and tissues and cells in the newborn baby. The important folic acid, of the fruits, prevents the defects to be taken place in the foetus. There are 5 fruits that you should include in your pregnancy diet.

Cherries:

Cherries are well known for vitamin C. Vitamin C helps to fight against such as common cold and allergies types of problems. It helps in the supply of blood to the baby. Its consumption also help a good sleep for pregnant women.
For those who are suffering from arthritis problem , cherries in the diet can greatly reduce the pain. Excess uric acid in the blood increases the pain that causes swelling, tenderness and inflammation. So cherries help to reduce pain at that time.
Cherries are good source of potassium, which helps to keep blood pressure low by getting rid sodium through our body. Eating cherries maintain sodium and potassium in balance, and can be helpful in preventing hypertension from occurring. Cherries help keep you trim

Apricot:

Apricot is full of vitamins A, C and E and beta-carotene, silicon, calcium, phosphorous, potassium and iron. It is full of all the important nutrients that are necessary for the growth of the healthy and strong baby. Fresh, ripe apricots have a sweet in flavor . Dry organic apricots fruits are nutritiously denser than fresh ones, although they have less in vitamin-C content .It also helps in preventing the problem of anaemia too.

Guava:

Guava is one of the fruits women intense desire for during pregnancy. It is rich in vitamins C and E, and antioxidants and helps the immune system. This fruit helps in an digestion process, boost immune system and blood pressure during pregnancy phase. Guavas contain full of vitamin-A, which is helpful for good vision. It can help to fight against cataracts, macular degeneration, and eye vision. One of the most important benifit of guava to your diet plan is its ability to fight against the growth of cancerous cells. Guava helps to fight against prostate cancer, breast cancer, and oral cancers.
Thyroid Health: Guavas are a good source for copper, which is an helps in regulating thyroid metabolism by helping to control hormone production and absorption. Hormones plays important role during pregnancy phase. The thyroid gland is one of the most important glands in the body of women for regulating hormones.

Grapes:

Grapes consumption plays an important role during pregnancy phase. Grapes are a full source of nutrients like copper, iron, manganese, and folic acid, all of which are necessary in the formation and strength of the bones. Grapes increase the nitric oxide levels in the blood, which helps in preventing blood clots, which reduce the chance of heart attacks. Grapes also rich in other important nutrients that plays an important role in the development and growth of the foetus.
The antioxidants in grapes are helpful in fighting against all types of cancer, but there are some studies which shows grape juice as an effective helps to prevent breast cancer.

Kiwi:

Kiwi contains full of nutrients such as vitamins C and E, potassium, phosphorus, folic acid, fibers and magnesium. Kiwi helps the respiratory system. It also facilitates an easy absorption of iron into the placenta. Kiwis has a great amount of fiber that helps to fight against constipation and other intestinal problems.
a)Kiwi helps the Digestion because it contains Enzymes
b)Kiwi Helps to Manage the Blood Pressure of women during pregnancy.
c)Kiwi Protects from the DNA Damage
d)Kiwi Boosts the Immunity of pregnant woman.
e)Kiwi helps to move toxins from your intestinal.

DR Rimmi Singla

Obstetrician and Gynecologist, MBBS , DGO(Obs &Gynae), FICOG , Diplomat of Reproductive Medicines(Germany), Consultant Laproscopic,Infertility and IVF Specialist.

Tuesday 19 July 2016

Common Drugs Used in IVF Process

Common Drugs Used in IVF Process

Thinking about in-vitro fertilization? Following are the most common IVF drugs used during the IVF procedure .

The common treatment process for women with infertility disorders problems is IVF (In vitro fertilisation) involves 5 IVF drugs. This type treatment suggested when the natural method of conceiving or pregnancy have failed. This process basically have a procedure of stimulating the woman’s ovaries, in order to produce more and healthy eggs. The main focus is to enable her to have a viable, healthy egg.

GnRH Agonists - Lupron, comes in the inject-able form taken as an injection just below the skin and Synarel, allow the body to produce a greater number of good quality eggs during the IVF treatment cycle .GnRH means Gonadotrophin Releasing Hormone and an agonist is a drug that acts the same way like as the body's own hormone. In women small gland pituitary gland in the brain creates GnRH hormone that stimulates the ovary of the women to develop follicles or eggs and produce estrogen, leading to the normal menstrual cycle.

Antagonists - These medications are given by injection and the process of the treatment is usually takes three or four days normally. The use of (GnRH) gonadotropin-releasing hormone antagonists in ovarian stimulation for IVF process. The multiple dose of GnRH antagonist during the late-follicular phase effectively checks a premature rise in serum luteinizing hormone (LH) surge levels in most of the women.
hCG injection - hCGs are taken as an intramuscular injection also known as trigger shot (one time injection for ovulation). When women have a mature 18 to 20 mm of follicle in your ovary, an hCG injection is used to release that egg . hCG injection causes ovulation to be taken place within 36 hours of receiving the injection. These days this process is helpful in fertility treatments. Sometimes the hCG injections are given on their own. It is also used in another form of fertility treatment like IUI also.
Doxycycline - Doxycycline, It can be taken by both male or female partner,It is an antibiotic medicine in a capsule form, and is given to the male partner during the wife's stimulation process to reduce the levels of bacteria that may be found in the semen and increase the performance of the sperm during an IVF process. It is also given to the female partner to reduce the risk of infection to the follicles during of egg retrieval.
Progesterone - Natural Progesterone hormone may be taken as a daily injection dose at the beginning two days after egg retrieval and until the placenta is creating adequate good amounts of the Progesterone hormone Progesterone is necessary for the uterus to hold the pregnancy.

IVF Procedure

IVF PROCESS: 4 STEPS TO GETTING PREGNANT

Step 1: Ovulation induction
Step 2: Egg retrieval procedure
Step 3: Fertilization
Step 4: Embryo transfer and Implantation

Best IVF and IUI Doctor In Mohali and Chandigarh

DR Rimmi Singla

Obstetrician and Gynecologist, MBBS , DGO(Obs &Gynae), FICOG , Diplomat of Reproductive Medicines(Germany), Consultant Laproscopic,Infertility and IVF Specialist.

	Address: IVY Hospital Sector 71, Near PCL Chowk, Mohali, Punjab 160071 Address: House no 2747 ,Ground Floor, Sector 70, Mohali
	Contact Person: DR Rimmy Singla(Consultant Laparoscopic Gynae), DR Raman Singla(Consultant Laproscopic Surgeon)
	Email: rsinghladr@gmail.com
	Phone 08146333347 , 07307311329

Sunday 17 July 2016

Best IVF and IUI Doctor In Mohali and Chandigarh

Dr Rimmy Singla

Obstetrician and Gynecologist, MBBS , DGO(Obs &Gynae), FICOG , Diplomat of Reproductive Medicines(Germany), Consultant Laproscopic,Infertility and IVF Specialist.

Intra-Uterine Insemination (IUI)

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The IUI Process + When It's Used + Success Rates

Intra-uterine insemination (IUI) treatment is a fertility treatment that involves placing sperm in a woman’s uterus to facilitate fertilization. The goal of IUI treatment is to increase the number of sperm that reach the Fallopian tubes and increase the chance of fertilization (Pregnancy).

Sometimes nature needs help to start a pregnancy - and the IUI specialist doctor can do this by inserting the sperm a piggy back ride through a small tube into the body of the women. This type of process is known as intra-uterine insemination (IUI) or artificial insemination . The IUI specialist doctor is giving nature a helping hand by increasing the chances of the egg(ovam) and sperm meeting and the way to get pregnant.

IUI (Intra-uterine insemination) technique provides the sperm an advantage by giving it a head start, but it still it needs a sperm to reach and fertilize the ovam (egg ) on its own. It is a less expensive option as compared to in vitro fertilization (IVF). If IUI is unsuccessful you may want to talk to your concerned doctor about other procedures and process such as IVF.

CONTACT DETAILS:

	Address: IVY Hospital Sector 71, Near PCL Chowk, Mohali, Punjab 160071 Address: House no 2747 ,Ground Floor, Sector 70, Mohali
	Contact Person: DR Rimmy Singla(Consultant Laparoscopic Gynae), DR Raman Singla(Consultant Laproscopic Surgeon)
	Email: rsinghladr@gmail.com
	Phone 08146333347 , 07307311329

"Dr. Rimmi Singla has dedicated her life to infertile patients and has published over hundred books on medical science. She is one of the best gynecologist known here in mohali ,chandigarh and panchkula. With more than 13 years of experience, offers unmatched patient care with main focus on privacy, confidentiality and need for counseling. She is practicing in IVY Hospital Test Tube Baby Center in Mohali as a Senior Consultant - Gynecology & Laproscopic Surgery She believes that each and every patient is different and special and hence provide best to best services for each case."

Vision

Our aim is to concentrate on infertile couples focusing on needs of privacy, confidentiality and counseling.
To provide the best individualized treatment to patients, tailor-made to suit their needs.
To make the entire process a memorable experience with our holistic approach and quality patient care.

When IUI used?

The most commonly reasons for the IUI process are a less number of sperm count and decreased sperm mobility (speed).

Other fertility problems treatable with IUI (Intra-uterine insemination) which includes:

Unexplained infertility
Cervical scarring or cervical mucus abnormalities
Severe pain during inter-course (sex)
Problems with ejaculation or developing an erection
Sexually transmitted disease (STD), such as HIV or hepatitis (in either partner)
Semen allergy
A hostile cervical condition, including cervical mucus problems
Ejaculation dysfunction

IUI not recommended for the following types of patients:

Women who have severe disease of the Fallopian tube
Women with a history of pelvic infections.
Women with moderate to severe endometriosis
Infertility due to ovulation problems
Infertility caused by mild endometriosis

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How does IUI work?

Before intra-uterine insemination (IUI), ovulation stimulating medications are used, in which case careful monitoring will be required to determine when the eggs are mature. The IUI process will then be taken place around the time of ovulation, typically about 24-36 hours after the surge in LH hormone that indicates ovulation will be occurred soon.

A semen sample will be washed by the lab to separate the semen from the seminal fluid. A catheter will then be used to insert the sperm directly into the uterus through the cervix. This process maximizes the number of sperm cells that are placed in the uterus, thus increasing the possibility of conception and increases the chance to get pregnant.

The IUI procedure takes only a few minutes of time and involves minimal pain. The next phase is to watch for signs and symptoms of pregnancy.

What's the treatment for IUI?

IUI (intra-uterine insemination ) requires ovulation, at least one open fallopian tube, and a semen sample with healthy and good quality of sperm. Each IUI treatment process is known as a "cycle" – the time from the first day of your period(cycle) to the ovulation and insemination and then a pregnancy test two weeks later.

The IUI treatment procedure usually goes something like this:

* Production of Egg: The ovaries produce eggs (ovams) for fertilization. Your concerned doctor may recommend an "unstimulated," or natural, IUI cycle, meaning no fertility medicines are used. Or a doctor may give you a fertility medicine (FSH or HMG types of hormones) at the beginning of your period to stimulate the ovaries to produce many mature and healthy eggs. (Lady normally release only one egg a month.)

* Tracking the eggs : An ovulation detection kit can help you pinpoint ovulation, which is necessary for the insemination. When an egg bursts or comes out from its follicle, the kit shows a telltale surge in luteinizing hormone (LH Hormone), and insemination usually takes place in the next day. Your concerned doctor can also monitor when ovulation occurs by doing an ultrasound process.

* Washing of the sperm : Once you get ovulate, now it's a time for your male partner to produce a sperm sample, which is then "washed." to get the sperm from the semen. This process concentrates the hardiest sperm into a small amount of fluid.

* Insemination of sperm : Your concerned doctor uses a thin, long tube (a catheter) to put the concentrated sperm which was taken out from semen , directly into the uterus through the cervix. The procedure is basically painless, but some women feel little bit of pain.

* Test of the pregnancy : The next phase is to check the pregnancy . A pregnancy test is done about two weeks after insemination of sperm process.

After the IUI procedure, you may be prescribed progesterone. This is basically taken via a vaginal suppository.
A week after the IUI process, your concerned doctor will check your progesterone levels, estrogen, and (maybe) HCG levels.
Ten to 15 days post IUI process, your doctor may order a pregnancy blood test to check the pregnancy symptoms.

What are the risks of IUI?

The chances of becoming pregnant with multiples is increased if you take fertility medication when having IUI. There is also a small risk of infection after IUI.

Success rates depend on a couple's fertility problem and age bar. Studies have found that for couples with unexplained infertility, the pregnancy rate for each natural IUI cycle is about 4 to 5 percent(%), and when fertility medicines or hormones are used, the pregnancy rate increased about 10 to 16 percent(%).

Success Rates of IUI process?

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The success of IUI depends on several factors. If a couple has the IUI procedure performed each month, success rates may reach as high as 40% per cycle depending on variables such as female age, the reason for infertility, and whether fertility drugs were used, among other variables.

While IUI is a less invasive and less expensive option, whereas pregnancy rates from IUI are lower than those from IVF. If you think you may be interested in IUI, talk with your concerned IVF/IUI specialist doctor to discuss the procedure.

If you are planning to get pregnant and looking for information to get support your efforts, we invite you to check out the fertility product and resource guide IVF/IUI specialist doctor(gynecologist).

However, if you are looking for testing or options to increase the fertility chances of pregnancy, you can consult a nearest fertility specialist doctor or gynecologist.

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