26 years exp. Gynecologist Doctor in Delhi - Dr. Ruby Sehra

Gynaecology is a study that deals with the health of the feminine reproductive organs. This is immensely delicate and important part of the human body. This is the only organ that requires immense amount of knowledge and study. There are various elements that are looked into by gynecologist like cancer, urine problems, menstruation problems, IVF issues etc. This is a vast field which can only be performed by professionals. Let's take a view at a few things you should take a glance at when choosing your gynecologist.

Do you need a Gynecologist who is a practising Obstetrician or who is a specialist in this field as well?

Well now need to worry we got you covered here. Well there are many renowned gynecologist in this world but only a few have time for their patients. Well Dr. Ruby is one of the best Gynecologist present in Delhi right now. She has splendid success rate in the procedures performed by her team.

I can surely tell you a few thing a professional gynecologist like her has .

Firstly, Do check that the gynecologist you are visiting has  a valid experience and qualification. They should have a good success rate since you don't want to waste your money and emotions.

Secondly, check the facilities provided during the procedures. The sanitation facilities should be best as most of the accidents happen by carelessness.

Finally, you should check the team of the Gynecologist you are choosing. As most of the famous specialist are busy to provide time to the patient so most of the time you are spending is with the team of doctors. So you should also check that those valuable members of the clinic are qualified and experienced enough to take care of you.

Most women face difficulties like they say your doctor is unavailable for any reason then there are other doctors to oversee your case. For example, lets Say your gynecologist is on vacation and your labour starts it could be an serious issue. So Now you know what things you should check while choosing a specialized Gynecologist.

Now you can easily find a Gem Gynecologist Specialist in Delhi.

Polycystic ovarian disease- Dilemma of modern women

        Introduction and background epidemiology

PCOS is a common disorder often complicated by chronic an ovulatory infertility and hyperandrogenism with the clinical manifestations of oligomenorrhoea, hirsutism and acne. Many women with this condition are obese and have a higher prevalence of impaired glucose tolerance, type ll diabetes and sleep apnoea than is observed in the general population . They exhibit an adverse cardiovascular risk profile, characteristic of the cardiometabolic syndrome as suggested by a higher reported incidence of hypertension, dyslipidemia, visceral obesity, insulin resistance and hyperinsulinaemia. PCOS is frequently diagnosed by gynecologists and it is therefore important that there is good understanding of the long-term implication of the diagnosis on order to offer a holistic approach to the disorder.

PCOS is one of the most common endocrine disorder on women of reproductive age. Because of differences in the diagnostic criteria employed, prevalence estimates vary widely, ranging from 2.2% to as high as 26% . The prevalence of PCOS when diagnosed by the Rotterdam criteria was over twice that found when the National institute of Health (NIH) criteria were used to diagnose PCOS.

The prevalence of PCOS may be different according to ethnic background . for example, compared to Caucasians, a higher prevalence is noted among women of south Asian origin, where it presents at a younger age and has more severe symptoms . 

   Q.1 How is PCOS diagnosed ? 

  PCOS should be diagnosed according to the Rotterdam  Consensus criteria.  With two or three of the following criteria being diagnostic Of    the    condition.

• Polycystic ovaries ( either 12 or more follicles or increased ovarian volume [ >10 cm ] )
• Oligo-ovulation  or anovulation
• Clinical and / or biochemical signs of hyperandrogenism .

The recommended baseline test for hyperandrogenism os free androgen index (total testosterone divided by sex hormone binding globulin {SHBG x 100 } ). If there are signs of virilisation (e.g. deep voice , reduced breast size , increased muscle bulk , clitoral hypertrophy ), rapidly progressing hirsutism ( less than 1 year between hirsutism  being noticed and seeking medical advice) or high total testosterone levels (greater then 5 nmol/1 or more than twice the upper limit of normal reference range), androgen – secreting tumour and late onset/nonclassical congenital adrenal hyperplasia (CAH) should be excluded. 17 hydroxyprogesterone should be measured in the follicular phase and will be raised in CAH . as Ashkenazi jews or those with a family history of CAH, since the management of CAH is different than that of PCOS. If 17-hydroxyprogesterone is borderline , it will be have confirmed by an ACTH stimulation test to diagnose CAH .

Q.2   What is the risk of developing gestational diabetes in women with PCOS ?

        Clinicians may consider offering screening for gestational diabetes to women who have been diagnosed as having PCOS before pregnancy . This should be performed at 24-28 weeks of gestation , with referral to a specialist obstetric service if abnormalities are detected . the prevalence of gestational diabetes mellitus is twice as high among with PCOS compared to control women . Clinicians may consider offering a 2-hour post 75 g oral glucose tolerance test to all pregnant women with PCOS , similar as for screening in women with any other risk factors for gestational diabetes . 

Q.3 How should women with PCOS be screened for type ll diabetes.

      Women presenting with PCOS who are overweight ( body mass index [BMI] > 25KG/M) and women with PCOS who are not overweight (BMI <25KG/M ), BUT who have additional risk factors  such as advanced age (>40 years), personal history of gestational diabetes or family history of type ll diabetes , should have a 2-hour post 75 g oral glucose tolerance test performed . 

      In women with impaired fasting glucose ( fasting plasma level from 6.1 mmol/l) or ompaired glucose tolerance (plasma glucose of 7.8 mmol/l or m ore but less then 11.1 mmol/l after a 2-hour oral glucose tolerance test) an oral glucose tolerance test should be performed annually. Women of non Caucasian ethnicity ( particularly south Asian women) should have an oral glucose tolerance test regardless of their BMI, in view of their propensity towards higher insulin resistance . Fasting blood glucose level alone has been shown to be inaccurate and results in underdiagnosis of type ll diabetes in PCOS. Hence an oral glucose tolerance test is considered to be appropriate for screening women with PCOS for diabetes . 

Q.4 What is the risk of developing sleep apnoea in women with PCOS?

       Women diagnosed with PCOS should be asked (or their partners asked ) about snoring and daytime fatigue / somnolence, informed of the possible risk of sleep apnoea and offered investigation and treatment when necessary .

Q.5 What is the risk of developing cardiovascular disease (CVD) in women with PCOS ?

       Clinicians need to be aware that conventional cardiovascular risk calculator have not been validated in women with PCOS. 

       All women with PCOS should be assessed for CVD risk by assessing individual CVD risk factors (obesity, lack of physical activity, cigarette smoking, family history of type ll diabetes, dyslipidaemia, hypertension, impaired glucose tolerance, type ll diabetes) at the time of initial diagnosis.

       In clinical practice, hypertension should be treated; however, lipid-lowering treatment is not recommended routinely and should only be prescribed by a specialist. 

       The conventional cardiovascular risk calculators have not been validated in this group of women. 

       At the time of initial diagnosis women with the PCOS should be assessed for obesity with BMI and waist circumference.

      Blood pressure should be checked at the time of initial diagnosis and during oral contraceptive therapy . 

      However lipid-lowering treatment is not recommended for treating hyperandrogenaemia and should only be prescribed by a specialist. 

Q.6 What is the risk of having reduced health-related quality of life in women with PCOS ?

         They should refer the person to an appropriate professional.if    this professional is not the person’s general practitioner (GP), inform the GP of the referral. 

Q.7 What are the risk of cancer in women with PCOS and how should these women be screened ?

      It is good practice to recommend treatment with gestogens to induce withdrawal bleed at least every 3to4 months. In PCOS an endometrial thickeness of less than 7 mm is unlikely to be hyperplasia. A thickened endometrium or an endometrial polyp should prompt consideration of endometrial biopsy and/ or hysteroscopy. These does not appear to be an association with breast or ovarian cancer and no additional surveillance is required . 

     Regular  induction of a withdrawal bleed with cyclical gestogens – gestogens foe at last 12 days, oral contraceptive pills or endometrial protection gained by exposure to gestogens by device such as the Mirena^R (Bayer plc,Newbury, Break, UK) intrauterine system would be advisable in oligomenorrhoeic women with PCOS as part of good clinical practice but the most effective regimen is unclear due to a lack of randomised clinical trials.

        Found that compared with 7 mm a higher cut- off 9 mm in patient with PCOS had comparable sensitivity (100%) negative predictive value (100%) and positive predictive value (50%) but superior specificity (56%) ; for every 1 mm increase in endometrial thickness the odds ratio of hyperplasia increased by 1.48 (95% CI  I.04-2.10).

Q.8 How should women with PCOS be advised on lifestyle issues ?

        It is recommended that lifestyle changes, including diet, exercise and weight loss, are initialled as the first line of treatment for women with PCOS for improvement of long – term outcomes and should precede and/ or accompany pharmacological treatment. 

         Women who have failed to lose weight with lifestyle strategies and who have a BMI of 40 kg/m² or more or who have a BMI of 35 kg/m² or more together with a high risk obesity – related condition ( such as hypertension or type ll diabetes) should be considered for bariatric surgery .

Q.9 Is drug therapy appropriate for long-term management of women with PCOS !

        Insulin- sensitising agent have not been licensed in the UK for use in patient without diabetes. 

        Metformin has been shown to have beneficial short-term effect on insulin resistance and other cardiovascular risk markers in women with PCOS without type ll diabetes . There is evidence that metformin may modestly reduce androgen levels by around 11% in women with PCOS compared to placebo and modest reduction in body weight have been reported by some but not all studies . women with a BMI of more than 37 kg/m may not reported well to the standard dose of metformin therapy. It must be emphasised that both metformin and the thiazolidinediones are unlicensed for use in PCOS and women should be counselled before initiating therapy so that they can make an informed choice . 

        Incretin hormone-based therapies such as exenatid have been shown to reduce weight and improve insulin resistance in women with PCOS. However the clinical experience with these agents in PCOS ih limited and significant side effect may occur there for routine use of incretin-based therapies in PCOS is not recommended.Biochemical hyperandrogenaemia but without changing glucose insulin homeostasis or lipid pattern . 

Q.9 What is the prognosis following electrocautery ?

       For selected anovulatory patient especially those with a normal BMI as an alternative to ovulation induction. 

      Well as normalisation of serum androgens and SHBG up to 20 year after laparoscopy  ovarian electrocautery in over 60% of subject particularly if they have a normal BMI. Reserved for selected anovulatory patient with a normal BMI or where a laparoscopy  is required for other indication. 

Q.10 What is the prognosis following bariatric surgery ?

          Bariatric surgery may be an option for morbidly obese women with PCOS (BMI if 40 kg/m² or more or 35 kg/ m² or more with a high risk obesity related condition) if standard weight loss strategies have failed .

An update - causes, diagnosis and treatment of Male infertility by IVF Progeny an ivf-icsi center

       1.     Main causes of male factor infertility

Pretesticular

·       Hypothalamic  disease

 – Gonadorotrophin deficiency  (Kallam  syndrome)

·       Pituitary disease

-  Pituitary insufficiency (tumours, radiation, surgery )

-  Hyperprolactinaemia

-  Exogenous hormones ( anabolic steroids, glucocorticoid excess, hyper – or hypothyroidism )

          Testicular   

·       Congenital  

     Genetic  

     - Chromosomal (Kleinfelter syndrome 47 , XXY)

     - Y chromosome microdeletions

     - Noonan syndrome (male Turner syndrome 45 , XO)

          Other

          -   Cryptorchidism

·       Acquired

-         Injury ( orchitis, torsion, trauma )

-          Varicocele

-          Systemic diease ( renal failure, liver failure )

-          Chemotherapy , radiotherapy

-          Testicular tumours

-          Idiopathic

Post – testicular ( obstruction )

·       Congenital

-  Cystic fibrosis, Congenital of the vas deferens ( CAVD )

-  Young’s syndrome

·       Acquired

 - Vasectomy

 -Infection ( Chlamydia, gonorrhoea )

 - Iatrogenic vassal injury

·       Disorders of sperm function or motility

 - Immotile cilia syndrome

 - Maturation defects

 - Immunology infertility

 - Globozoospermia

·       Saxual  dysfunction

 - Timing and frequency

 - Erectile/ ejaculatory dysfunction

-Diabetes mellitus, multiple sclerosis, spinal cord/pelvic injuries

Regulation of spermatogenesis

The entire spermatogenic process, including transit in the ductal testicular system takes approximately 3 month .

 Male age

For this reason, the age of semen donors is limited to 40 or 45 years in some countries .

Environmental, occupational and lifestyle fectors

These include heat , X-rays, heavy metal (lead, mercury) . glycol ethers (highly volatile compound used as solvents ) and pesticides ; a well documented example being dibromochloropropane (DBCP) , a nematocide used in certain crops .

Pretesticular

Causes include craniopharyngiomas, surgery for pituitary tumours, kallmann syndromes and (GnRH) secretion (Prader- willi syndrome , Laurence- Moon-Biedl syndrome) . 

Testicular

Hypergonadotrophic hypogonadism result from testicular failure and leads to oligozoospermia and non- obstructive azospermia with elevated LH and FSH levels. Also the finding of normal testosterone and LH levels with an elevated FSH implies isolated spermatogenic failure without Leydig cell damage . Causes of testicular failure include bilateral crytorchidism, genetic disorders, systemic disease, (66%) the cause is unknown .

Post- testicular

Cause include surgical trauma and vasectomy , infection (Chlamydia gonorrhoea, tuberculosis), congenital bilateral absence of vas deferens (CBAVD).

2  Components of infertility history of the male

·       Medical history

Recent pyrexia/ illness

Systemic illness – diabetes mellitus, cancer, infection

 Genetic illness – cystic fibrosis, Klinefelter syndrome

·       Surgical history

 Undescended testes, orchidopexy

 Hernia repail

 Testicular trauma, torsion

 Pelvic, bladder or retroperitoneal surgery

·       Fertility history

 Previous pregnancies – with current and previous partners Duration of infertility

 Previous infertility of treatments

·       Sexual history

 Erection ejaculation problems

 Frequency of intercourse

·       Medication

Nitrofurantoin, cimetidine, sulfasalazine, sprionolactone, x-blockers, methotrexaryte, colchicines , antidepressant, phenothiazines, chemotherapy

·       Social history

  Alcohol, smoking, anabolic steroids, recreational drugs      Exposure to ionising radiation

 Chronic heat exposure

 Aniline dyes Pesticides

 Lead exposure

Physical examination

 Varicoceles are usually found on the left side and may associated with atrophy of the testis

Semen analysis

The entire ejaculate should be collected and the sample should be analysed  within an hour of collection because sperm motility decreases after ejaculation .

Fresh semen is coagulated  and liquifies 15-30 minutes after ejaculation . Low ejaculation volumes of <1.5 ml may not buffer against.

Endocrine tests

 FSH, LH, testostetrone nad prolactin should be measured in men with sperm counts of <5 x 10 ml -1  FSH reflected sperm production . Low testosterone levels with high FSH and LH indicate primary testicular failure whereas low testosterone levels in combination with low LH and FSH levels in defect with secondary hypogonadism .

Genetic evaluation

Klinefelter syndrome (47, XXY) is the most frequently detected sex chromosomal abnormality . as many as 10-15% of men with azoospermia and 5-10% of men with severe aligospermia have underlying micro – deletion in one or more gene regions implicated in spermatogenesis , on the long arm of the Y chromosome (Yq). AZFc micro- deletion have a good  prognosis for surgical sperm recovery whereas the prognostic value for sperm recovery in AZFa and AZFb micro – deletion .

Imaging

 Ultrasound can also be use full in the clinical diagnosis of varicocele, a renal ultrasound scan is recommended, as up to 30% of such men have a renal abnormality .

Testicular biopsy

 Biopsy can be done by an open or percutaneous needle approach and is used to obtain a small piece of testicular tissue for histological  examination .

·       Normal ( appropriate number of cella with complete spermatogenesis ).

·       Hypospermatogenesis ( all cell types present and in correct ratio but at reduse cell number )

·       Maruration arrest ( failure of spermatogenesis beyond a certain stege can be early or late )

·       Sertoli cell- only ( del Castillo) syndrome ( no germ cells ).

Other sperm function tests

These include the postcoital test the sperm penetration assay (SPA) and the hemizona assay (HZA) .

Sperm DNA fragmentation has been shown to be a robust sperm DNA tests such as the sperm chromatin structure assay (SCSA) the comet and the TUNEL .

Surgical sperm retrieval

 Testicular sperm aspiration  ( TESA) , testicular sperm extraction (TESE) and microsurgical TESE (micro-TESE). Sperm from the epididymis can be retrieved by microsurgical  (MESA) or percutaneous (PESA) epididymal sperm aspiration under local  anaesthetic .

Assisted reproduction

Indication include mild male factor infertility immunologic  infertility and mechanical problems of sperm delivery such as erectile dysfunction or hypospadias. NICE of oligozoospermia, however, specific semen criteria for its use have not been standardise . it has been  reported that IUI conception rates of  8-16% .
invitro fertilisation (ivf)& intracytoplasmic sperm injection Moreover  it has revolutionised the treatment of male factor infertility including oligospermia,asthenospermia,or following fertilisation failure.ICSI involves the micromanipulation and injection of a single sperm into the cytoplasm of the oocyte. it requires ovarian stimulation,oocyte retreival& sperm prepration as for ivf. average pregnancy rates of 33.0% per embryo transfer.

The cost of IVF

                                     The cost of IVF

The days are gone when a couple used to get disheartened & shattered on finding  that the natural conception is difficult  for them due to azospermia , asthenopermia  or diminished motile sperms count in the male or bilaterally blocked tubes , anovulation  due to pcos , aeging ,premature ovarian failure , endometriosis or thin endometrium as now they know that many new techniques like IVF&ICSI are available to solve their problem & bring happines & get their parenthood back in their life . But when the cost come to know about the cost of ivf &icsi procedure they enthusiasm goes down.

 The cost of IVF and an ICSI remedy are twofold.it can be devided into two parts

1) laboratory cost

2) medicinal cost

Lets understand the procedure of ivf & icsi in short. In case of IVF, the most excellent egg cell and the best sperm cell will be chosen, and afterward assembled for fertilization. In case of ICSI, supplementary steps in the laboratory are required. ICSI is a special technique, which indicates that a particular sperm cell will be implemented into an egg cell. After a few days the accomplishment of fertilization will be tested. The best looking embryo will then be instilled into the uterus.

1)The laboratory expenses consist of the basic ivf laboratory, the expansive micromanipulator used in icsi procedure, the disposable dishes ,micropipeptes, ovum pickup needles ,sperm holding & sperm injecting needles , the media &embryo transferring catheter. Follicular monitoring by ultrasound by radiologist  , operation theatre & anaesthesia charges are also to be considered.

2)the medication cost consists of Gnrh agonists like lupride,decapeptydyl & buserlin  or gnrh antagonists like cetorelix and gonadotropins like gonal F, highly purified menogon or puregon necessary for the follicular development, sifasi, profesi , ovunal for egg maturation & follicular rupture.

 The cost of medication  varies  from patient to patient depending upon the age ,cause of infertility& moreover it is unpredictable   how the body is going to respond.

In India the cost varies from  3000$ to 3500$ ( 2..1lakhs to 2.5 lakh RUPEES) .the supplementary procedures like ICSI will cost 25000 rupees  extra. & egg donation will cost you further 60,000 rs.

In EUROPE the total expenses for the above mentioned, with an excellent health insurance, will be in the region of 2300 to 2600 euro. In the USA the costs are completely different. The average IVF cost in the USA is $12,000, but it can get to as much as $15,000. It may well be as low as $10,000, although it's hardly ever lower than that. These costs are for one cycle of IVF and do not incorporate the ICSI treatment. In case a clinic suggests a lower rate than $10,000, they are most likely leaving something out from their price they quote.

For an IVF care in the USA  are some extra costs of IVF that have to be bear in mind. The basic cost of IVF is around $12,000. But supplementary remedies will increase your costs nevertheless. For instance, the ICSI cure we brought up in the first part of this article. In the USA this could be an additional $1,000 to $1,500. In Europe the costs of an ICSI treatment is already in the price.

In annxure ,the cost of ivf – icsi procedure in india is the lowest comparatively with the best expertise. That’s how india  is becoming the hub of assisted reproductive techniques.(ART)

 The process of freezing eggs ,sperms or embryos freezing, and storage, may cost an extra few to several hundred dollars.

 We can therefore conclude that although the ivf icsi procedure requires a significant  amount of money but the result of becoming a parent is awesome & worth putting efforts which saves you from depressions & mental turmoil.

Fir any further inquiries  you may contact Dr. Ruby Sehra  

Mobile or whats app +919810023254

Mail at sehra.ruby@gmail.com or ivfprogeny.ruby@gmail.com or

Visit us at www. Ivfprogeny.com

INTRACYTOPLASMIC SPERM INJECTION- THE BEST IVF TREATMENT FOR MALE INFERTILITY FOR HIGH IVF SUCCESS RATE

                      

What is ICSI?

ICSI is an IVF procedure only but is commonly used to help the men with low sperm count say less than10 million /ml ,with more of the dead sperm count is less no. of motile sperms less than 40% or azospermia  meaning no sperms in semen analysis but mature sperms can be found on testicular biopsy.

When all the other natural alternative methods like nutritional education  ,herbal medication to boost their strength,  saying no to alcohol ,avoiding smoking ,avoiding tight garment & exposure to heat   have failed to increase the sperm count or enhance the motility  IVF-ICSI treatment method is adapted .Some clinics use icsi procedure for all ivf cases it gives a high fertilization rate whereas others use it for previous failed ivf treatments for severe male factor infertility, poor quality embryos  or less no. of retrieved  eggs. The procedure requires a highly skilled embryologist.

PROCEDURE OF IVF ICSI

IVF with ICSI involves the a use of specialized equipment like micromanipulator and inverted microscope which enables the embryologist to high magnification to visualize & choose the best morphologically looking sperm ,to pick up in the sperm holding pipette  ,immobilising the tail & then slowly piercing the shell of the egg gently, entering through the cell membrane into the cytoplasm of the egg ,injecting the  sperm nuclear  material into the egg.

SUCCESS RATE OF IVF ICSI

ICSI has a v. high  fertilization success  rate .Approximately 80% of  the eggs are successfully  fertilized by ICSI procedure but  from here, the fertilized embryo has to start its journey of successful implantation in  the mother`s womb.  Only 45% of women that undergo ICSI treatment go right through to the end and give birth to healthy babies.

Why are the ICSI rates not that important?
ICSI rates are not really that important because the ICSI treatment method involves the use of the ivf technique. Because the ICSI rates are already quite high, there is only a 20% chance of not successfully conceiving  and  therefore the majority of cases are left up to success rates of ivf.

WHAT IS THE COST OF ICSI

The IVF-ICSI  procedure is v. economical  In INDIA . whereas the cost of IVF treatment is 12,000$ +1500$ for ICSI treatment in U.S& 3000pounds+500  pounds for ICSI in U.K; in INDIA  its just 3800$ &200 $ extra for ICSI treatment. It includes ivf_icsi consultations, ultrasound, ovum pickup, embryo transfers day care stay, ivf drugs pre ivf medical  tests , professional  fees.

For more information on ICSI success rates and other alternatives to ICSI treatment, visit www.ivfprogeny.com or use any search engine and type in.ivf progeny an ivf-icsi center delhi , India

10 important tips before you go for ivf treatment

Hi Friends, I am Dr. ruby Sehra back once again with a new topic. I am researching on IVF treatment for past 26 years and I Hope this post of mine will help you gaining knowledge of IVF and improving success rate of your  IVF in case you are undergoing IVF treatment. Inquire & follow few tips.

1) have you got all the investigations  like hormonal profile, blood group,HIV ,VDRL,Hepatitis B, Hb Electrophoresis for thalessemia minor, hysterosalpingography ,semen analysis & culture,follicular study,Hysterscopy, endometrial biopsy for histopathology& pcr tuberculosis with AFB clture done .

2)have you enquired about the ivf specialists experience in fertility treatment ,success rate of ivf of the particular centre where you are undergoing ivf treatment.

3)have you discussed  with your infertility specialist about the treatment in details regarding

a)IVF or ICSI,

b)husband^s sperms or donor sperms

c)her own eggs or donors eggs

d)embryo transfer will be done in your uterus or srrogates uterus

e)how many embryos will be transferred

f)will the embryos be frozen if more than 3

4) do you require any treatment for any pelvic inflammatory disease,PCOS OR endometriosis

5) consult your ivf specialist whether you require any supplements like folic acid before you undergo ivf treatment.

6)always consume more of the fresh rainbow coloured fruits strawberries,raspberries ,kiwi.grapes ,citrus fruits which contain plenty of antioxidants,pineapple which contains bromelin & helps for embryo implantation ,vegetables  like beans, red & yellow capsicum , broccoli, green leafy vegetables & dairy products.

7)if you are a PCOS patient ,one must reduce weight according to your height to minimize the chances of hyperstimulation & to optimise sccess rate.

8)one must do relaxation exercise & yoga beore starting the Ivf treatment.

9)good success rate can only be achieved only if you get  a treatment from the best ivf specialist,best ivf centre with good success rate.

10)drink plenty of water or liquids atleast 3 liters in a day before going for an ivf treatment.

Incase you have any further inquiries feel free to contact at 9810023254 or visit www.ivfprogeny.com

AN AFFORDABLE & ECONOMICAL MINI IVF TREATMENT IN DELHI NCR¬ ¬

Mini IVF treament means a short and economic ivf cycle, giving a good success rate to couples who cannot afford the conventional &expansive ivf procedure. Where money & time is the constraint – mini ivf is useful. Surprisingly, new research in Assisted Reproductive Technology (ART) has led to the development of mini IVF, a revolutionary new treatment brings new hope to couples who cannot become pregnant & keep thinking about the finances & results of traditional ivf procedure..

In   Mini IVF, the process that is used is quite similar to the conventional ivf procedure. During treatment,  follicular monitoring is performed throughout  the cycle  after giving weaker or  lower doses of gonadotropins & clomiphene for ovarian stimulation., As in the conventional ivf  retrieval of eggs, the fertilization of the egg is done by ivf or icsi procedure.  Finally the transfer of the embryo is also done in the same way. There is no difference  in the quality of maturing follicles & moreover it prevents the patient going into ovarian hyperstimulation  syndrome(OHSS). It also reduces the no. of injections and a substantial drop in costs

ADVANTAGES OF MINI IVF

There are many benefits to using IVF over conventional IVF

• Mini IVF procedure is cheaper than typical IVF procedure costing around 2500$ compared to 4200$.
•  the chances of suffering from  a morbid condition of IVF ovarian hyper stimulation syndrome i.e (OHSS) are significantly reduced .

DISADVANTAGES OF MINI IVF

While IVF is fast becoming a popular choice for women and couples that are trying to become pregnant, there are some disadvantages:

• Since the no. of harvested eggs is les varying from 4-6 . no eggs are left for freezing & thawing in the next cycle whereas in conventional ivf procedure sometimes harvested eggs & thus frozen embryos are sufficient for next 2 or 3 cycles if unsuccessful .
• In case where we are not successful in one cycle, the patient may have to proceed for further cycles which give a big mental trauma to the patient. 

• Since mini ivf is a new treatment, enough clinical trials are not available to give the actual success rates. Few studies, however, have shown successful pregnancy rates of around 8% -10%. per individual cycle and a successful pregnancy rate of 20% after three mini IVF cycles.

CONCLUSION

While IVF treatment is still relatively new, it's apparent that this option still offers new hope to women and couples who want to become pregnant but who cannot afford traditional in vitro fertilization methods.we at progeny ivf icsi center in punjabi bagh delhi.offer mini ivf at very economical rates .For further information contact log onto www.ivfprogeny.com.