Treatments

Ovulation of induction in Divya Fertility Centre is performed on the women who mostly do not ovulate on their own or the rate of ovulation and periods is less and irregular in them. E.g. PCOS (polycystic ovarian syndrome). And now wish to get pregnant.

These women present with complaints of irregular ovulation and periods, increased body hair, and cysts on their ovaries. Theses females often complain of infertility.

1. Taking Medications:

Depending on the causes of irregular ovulation after periods, different medications may be prescribed. Fertility treatment with medication normally begins with a drug like clomiphene citrate, which is taken orally. For women who don't respond to this line of treatment, it is supplemented with an ovulation injection of Follicle Stimulating Hormone (FSH), which leads to the healthy development of the egg.

Treatment with these drugs results in pregnancy only if the woman has good quality eggs reserve in her ovaries. If a women has pre mature ovarian failure, donated eggs from a healthy egg donor is the only viable option for her.

2. Ultrasounds and Blood Samples:

After giving the oral or injectable hormonal medications, the response of the ovaries is assessed with the help of serial ultra-sonographies. That is sonograms done on consecutive days under the meticulous observation of the Infertility Specialist. The growth and the development of the follicles (fluid filled sacs in which egg develops) is monitored in these USGs. Blood tests are also performed to assess the hormonal levels.

3. Triggering Ovulation Under Observation OfBest Gynaecologist - Divya Fertility Centre

At the time of ovulation, there is LH (luteinizing hormone) surge in the body. In ovulation induction, this LH surge is mimicked with the help of an hcg hormone injection for ovulation. Ovulation occurs approximately 36 to 38 hours after the injection.

4. Timed Intercourse To Conceive:

The couple is advised to have intercourse approximately 36 hours after the injection of HCG. In short, the intercourse is expected to happen at the time of ovulation. So the sperms are available to fertilize the egg when the ovulation takes place.

For example, if the HCG injection for ovulation is given at a particular time in the morning, the couple is expected to have intercourse following day around the same time in the night.

Success rates depend on various factors like the age of the female, the medications given, presence of other infertility factors in the couple.

Divya Fertility Centre, the best infertility clinics which is well accessible to the nearby locations like kukatpally, Gachibowli, Hitech City, Kondapur, has a very experienced and skilled team of infertility specialist to provide such services. Read our article for more information. Contact us at 040-4260 7310 for details on infertility treatment cost.

In IUI procedure, the sperm still needs to reach and fertilize the egg. The treatment yields effective results for patients with low sperm count or decreased sperm mobility. In addition to this, IUI treatment is preferred for patients with the following conditions:

• Unexplained infertility
• Cervical problems, including cervical mucus problems
• Sperms inability to penetrate into the uterus
• Ejaculation dysfunction

However, IUI is not preferred for patients with:

• Fallopian tubes problems
• Pelvic infections
• Moderate to severe endometriosis

Step 1: The IUI procedure starts with giving ovulation-stimulating medications, which can help monitor your egg health. In Diya Fertility, which is well known for proficient iui treatment, the procedure is done at the time of Ovulation, probably within 24-36 hours after the surge in LH hormone that indicates the ovulation process.

Step 2: Semen will be washed to separate it from the seminal fluid. The sperm will be inserted directly into the uterus with the help of catheter. This process can increase the number of sperm cells placed in the uterus, so that the possibility of conception is increased.

Step 3: 2 weeks after the ovulation process, the Gynaecologist in Diya Fertility will examine your uterine lining and check S.Beta HCG levels to determine whether the IUI treatment is effective.

The success rate of IUI infertility treatment in Diya Fertility depends on various factors such as female age, reasons for infertility and many more. However, if IUI procedure is performed every month, success rates may increase as 20% per cycle.

IUI treatment for pregnancy can be performed within a few minutes and the associated risks are very few. The process is a minimal invasive and less expensive treatment.

Success rates depend on various factors like the age of the female, the medications given, presence of other infertility factors in the couple.

Divya Fertility Centre -Stimulation

Fertility treatments and medications at our IVF Center will be given to stimulate the process of egg production. Multiple eggs are preferred because some eggs will not develop or fertilize. Transvaginal ultrasound is used to check the ovaries and few blood test samples are taken to evaluate hormone levels.

Egg Retrieval Process at IVF Hospital

A minor surgical procedure is performed to retrieve the eggs. The ultrasound imaging is used to guide a hollow needle through the pelvic cavity for egg retrieval. Medication will be given to reduce the pain and discomfort.

Insemination & Fertilization under the supervision of IVF Specialist from Fertility Centre

A sample sperm is taken and prepared for the fertilization process. In insemination process, the sperm and eggs are mixed together and stored in an environmentally controlled chamber. Usually, the sperm enters an egg a few hours after insemination. In few cases where the chances of fertilization are low, intracytoplasmic sperm injection (ICSI) can be carried out. In ICSI treatment, a sperm is injected into the egg to achieve fertilization. Your Infertility Specialist will examine the eggs to confirm that fertilization had taken place.

Embryo Transfer by IVF Specialist

Fertilized eggs, also known as embryos are transferred into the woman's uterus after three-five days of the retrieval. A catheter is inserted into the uterus to transfer the embryos. The ICSI procedure done at Divya Fertility Centre is painless and some may experience mild cramping. If the procedure is successful, then implantation occurs after six to ten days of the egg retrieval.

Can IVF pose any Side Effects?

Most women can resume normal activities following the treatment but some can experience few symptoms such as mild bloating, cramping, breast tenderness and constipation problems. In rare cases, patients will experience heavy vaginal bleeding, pelvic pain, and blood in urine. In this case, it is better to consult the IVF Specialist.

The success rate of IVF pregnancy depends on various factors such as reproductive history, maternal age, infertility causes, and lifestyle factors. If you want to know your chances, you should consult our infertility specialist from the Best IVF Center, Divya Fertility Centre, has years of experience in performing IVF procedures with an affordable IVF Cost. Our infertility specialist will examine your condition and suggests the best possible treatment option for infertility. Talk to our experts now!

1. This procedure may be advised by the treating doctor if you have cancer and are unable to take the fertility medications.
2. It is also suggested to the patients who are sensitive to the use of fertility medicines.
3. Most patients suffering from PCOS (polycystic ovarian syndrome) are at risk of developing OHSS if ovary-stimulating drugs are given.
4. It is suggested to women with high levels of FSH.
5. Women who produce poor embryos with stimulated IVF procedure.

In a period of a monthly cycle, only one single egg is produced. The growth of this egg is monitored with the help of regular sonographies. Blood tests are done to check the levels of the hormones. Around the time of LH surge (luteinising hormone), the egg is retrieved by the same procedure as in conventional IVF. The egg is now fertilized in the laboratory with the partner's sperm. The resulting embryo is grown in Diya Fertiliy's laboratory from 2-3 days for normal embryo transfer or up to day 5 for blastocyst transfer. No fertility medications are given to the female.

1. Fewer medications: As no ovary-stimulating hormonal medicines are given, the number of medications that a female has to take is reduced.
2. Less stress: The additional stress of taking hormonal medications is reduced. The risk of OHSS is avoided.
3. Cost-effective: the fertility medicines are costly. By avoiding them, the total cost of the procedure is decreased.
4. Less rest: as the ovaries are not stimulated, the patient doesn't have to rest as much as she is advised to do after a conventional IVF.
5. No multiple pregnancies: the risk of multiple pregnancies is avoided which is very common in conventional IVF.

The birth rate is lower as compared to the conventional IVF treatment. As only one single egg is released in one normal monthly cycle, it is a possibility that the infertility specialist may not be able to collect the egg when required, or it fails to form an embryo.

The risks associated with this IVF procedure in Diya Fertiliy are definitely less as the process of ovulation is allowed to happen naturally without any medical intervention.

The natural cycle IVF is the solution to your hesitations Conventional IVF. Call us to discuss your chances!The natural cycle IVF is the solution to your hesitations regarding Conventional IVF treatment. Call us to discuss your chances and the cost of IVF treatment!!

1. Failure in producing a large number of eggs in spite of giving high levels of fertility medications.
2. Females with advanced age.
3. Females who do not produce good quality eggs necessary for fertilization.
4. Women who want to have only one child can opt for this procedure.
5. Women who are prone to developing ovarian hyperstimulation syndrome.
6. Women with low ovarian reserve.

The process of minimal stimulation IVF, in most IVF centers, is mostly similar to the routine IVF. Medicines like clomiphene citrate and gonadotropins are given but in a very smaller dose and for a shorter duration. The growth of the egg is monitored with serial ultra sonographies and blood test. The egg is extracted when it matures by using the same techniques as Conventional IVF treatment.

1. Cost-effective: the minimal stimulation IVF is cheaper than conventional IVF.

2. Time-saving: duration of the treatment is less as compared to conventional IVF.

3. Fewer side effects: as a natural cycle is not altered, the side effects like mood swings, irritability, and headache are less.

4. Decreased time period between 2 cycles: after one IVF cycle, the patient is advised to rest for few months as the ovaries cannot be re hyper-stimulated in such a short time. This factor is overcome in this procedure as minimal stimulation is done and the next cycle can be done in the following month.

5. Patient's comfort: patient is far more comfortable while undergoing this procedure as compared to conventional IVF.

The risks are less as compared to conventional IVF as hyperstimulation is avoided. The chances of ovarian hyperstimulation are almost negligible. But, the pregnancy rates are low as compared to the conventional IVF as lesser eggs are collected.

Minimal stimulation is an excellent alternative to the conventional IVF, and Diya Fertiliy offers the most affordable IVF cost. If you have any queries, kindly contact Diya Fertiliy.

1. Cancer patients who cannot tolerate hyperstimulation of ovaries.
2. Women less than 35 years of age
3. women having PCOS (polycystic ovarian syndrome)
4. Young women with regular menstrual periods
5. For saving immature eggs which were removed during IVF procedures.

The immature eggs are collected under the guidance of sonography from an unstimulated or minimally stimulated ovary. Specialized culture media are used to mature the eggs in the laboratories. Small quantities of hormones are added to this medium to facilitate the growth of the eggs.

The immature eggs are matured for 24-48 hours. When the eggs are mature, they are fertilized with the sperm obtained from the partner or sperm donor. The fertilization is done by cost effective intracytoplasmic sperm injection (ICSI) treatment.

The Embryos are then transferred to the uterus on day 2 or day 3 as per the conventional IVF procedure.

As immature eggs are collected, it is possible that the collected number of eggs will be less than in a conventional IVF cycle. Sometimes, not all the eggs will mature enough to be fertilized with the partner's sperm.

The pregnancy rates with IVM procedure in Diya Fertiliy, are similar to those with the conventional IVF. And the children produced are as healthy as after a conventional IVF.

In IVF centers the patient is given medications to stimulate the ovary. This stimulation is associated with a serious side effect. It is known as ovarian hyperstimulation syndrome (OHSS). It is potentially a lethal condition. This risk is eliminated in IVM as IVM doesn't involve ovarian stimulation.

It is also cost effective as the cost of the stimulating medications like gonadotropins is avoided. And there is no need of serial monitoring hence those expenses are also reduced. Its duration is also less as compared to conventional IVF.

Diya Fertility's expertise in In Vitro Maturation (IVM) lays in our capacity to individualize the treatment according to the needs of the patient. If you have any queries as you read this article In Vitro Maturation (IVM), or want to know the infertility treatment cost, please contact us for a consult.

Embryos can be created during fresh IVF cycles, and it is recommended to transfer one embryo at a time to avoid the serious risks associated with multiple pregnancies. So, it is a usual procedure to transfer one embryo and freeze the other. And in a case of pregnancy failure in the first cycle, the frozen ones can be picked for the subsequent cycle. And this cycle is called as frozen embryo transfer cycle.

The success rate of a FET cycle and Fresh IVF cycles in different IVF center in Hyderabad are almost same and they do maintain same indicators of success. It is so because embryos when frozen stop aging. Women who is about 37 years or less than can experience success rate about 50 percent delivery per thaw. The rate of success is hugely dependent on the maternal age, as it increases at the time of the freeze, the success column reduces.

1. Infertility specialist can create embryos and they can be frozen(by vitrification) until Day 2 to Day 5 (Blastocyst). After which, they are put in thin plastic straws, sealed, and patients identity is firmly declared on the straws.
2. These straws are placed in a container and put into liquid nitrogen tanks that maintain a temperature at -196 degree Celsius and is known as cryostorage

1. Less Medication: In this procedure, patients are administered with only estrogen and progesterone that is meant to thicken the lining around uterus in preparation for embryo transfer to make patient ready for implantation. As there is no egg retrieval in the process, the patient doesn't require anesthesia.
2. Less Stress: Patients experience tells that this procedure is less stressful than the Fresh IVF cycles. You can find the difference in fresh cycles of FET cycles. Several factors get eliminated in FET such as stimulation response, egg development, and embryo growth. Patients have the option to select transfer months in advance and this will allow  infertility specialist   determine the cycle initiation date.
3. Lower cost: In this procedure, there is no need to create a new embryo since it is readily available and this result to reduced  infertility treatment cost in Diya Fertility. It is less expensive than the fresh embryo transfer cycle

If one of the partners is undergoing infertility treatment for a serious illness or cancer they might consider freezing embryos for future pregnancy attempts.

If you are interested in taking up the procedure, schedule an appointment with our best Infertility specialist and discuss your options for healthy parenthood and check the IVF cost in India!!!

ICSI is recommended to people with the following conditions:

• Low sperm count
• Poor morphology (abnormal shape) or poor motility (not moving normally) of the sperm
• If IVF is not successful
• Ejaculation problems
• Frozen sperms
• Surgically retrieved sperms

ICSI procedure involves taking fertility drugs to stimulate ovaries so as to produce more eggs. Progress will be monitored through vaginal ultrasound scans and blood tests. The eggs retrieval process is same as IVF and each egg is inserted into a single sperm.

The rest process is similar to  IVF treatment . If more than one embryo is transferred, the chances of giving birth to twins or triplets are more, hence your doctor will recommend transferring a single embryo. Embryologists will examine the sperm under a microscope and determine whether the ICSI process is successful.

A fine syringe is used to collect sperms from the epididymis. This process is known as percutaneous epididymal sperm aspiration' or PESA. Sperms can be retrieved directly from the testicles through testicular sperm aspiration process. Any tiny quantities of testicular tissue from which the sperm can be extracted can be removed through testicular sperm extraction process. In the case of stored sperm, it will be removed from frozen storage and prepared for the treatment.

Finally, a single sperm is injected into each egg. If fertilization takes place, the embryos will be stored in a laboratory for up to 3 to 5 days and the quality embryos will be transferred to the womb.

Want to undergo ICSI procedure in  Diya Fertility  Consult the  best   Infertility Specialist  to know your possibilities of success. We have the highly specialized Embryologists in place who can determine your chances and provide the best fertility treatment. Get in touch with us today to know more details on ICSI treatment cost.

Sperm DNA fragmentation is an important factor in the aetiology of male infertility that has been in the limelight in the past few years. Elevated DNA sperm fragmentation is associated with infertility, low results in fertility techniques and also with recurrent pregnancy loss Oxidative stress is the main cause of DNA fragmentation, but many endogenous and exogenous causes can contribute in the process. The desire to combat the effects of high DNA fragmentation is linked with increased apoptosis of sperms. One of the earliest changes shown by apoptotic spermatozoa is an externalization of phosphatidylserine. Magnetic activated cell sorting (MACS) is novel sperm preparation technique that separates apoptotic and non-apoptotic spermatozoa based on the expression of phosphatidylserine. This has led to the incorporation of MACS as sperm preparation technique.

The IMSI method is developed by Mr. Benjamin Bartoov, who used a microscope to select sperms with a good shape and size which indicated better genetic quality. The pregnancy rate in patients successfully increased from 30% to 60%.

The new microscope helps magnifies the image of the sperm 7,200 times. Its magnification capacity is 16 times higher than the ICSI (intracytoplasmic sperm injection) machine.

• Severe male infertility
• Low sperm count
• Low motility of the sperms
• Abnormality in shape of the sperms
• Increased levels of DNA fragmentation
• History of recurrent miscarriages in the partner
• Failure of multiple ICSI procedures
• Poor quality of embryos
• Unexplained infertility

It may not be suitable for patients with very low numbers of sperms. as it is a selection process, there should be enough sperms to start with.

The patient is requested to produce a fresh sample of semen. It is then washed. The sperms are examined under the microscope. The sperms are magnified 7200 time their normal size. With this microscope, many sperm defects can be identified which was not possible with the conventional ICSI machine microscope. Now the infertility specialists in Dilsukhnagar can examine the head of the sperm in a lot more detail, and the sperm with a better morphology(shape and size) and motility can be selected. Hence, the best quality sperm can be selected with the help of this new technique.

After selecting the sperm, the standard procedure of ICSI treatment in Diya Fertiliy, is followed and the sperm head is injected into the egg cytoplasm for fertilization to occur.

Because of superior sperms, IMSI leads to better egg fertilization rates which causes better quality embryos to form, better rate of Blastocyst formation and therefore better chances of maintaining the pregnancy. Want to know more about IMSI?? Contact us for knowing the details on IMSI treatment and infertility treatment cost.

• Absent vas deferens (the tubes which carries the sperms)
• Block in the tract of the vas deferens (mostly because of vasectomy)
• Erectile dysfunction

(Pesa) Percutaneous Epididymal Sperm Aspiration Treatment

In this Infertility treatment procedure the patient is mostly given sedatives and pain killers to make him sleep.sometimes general anesthesia can also be given.The sperms are directly removed from the epididymis. The infertility specialist passes a needle through the skin of the testicular sac. It is then placed in the epididymis. Small amount of fluid is removed and tested for the presence of the sperms.

(Tesa) Testicular Sperm Aspiration procedure

This procedure is also known as testicular fine needle aspiration (TFNA).A needle is passed directly into the testis. A piece of the tissue is removed. It is then tested in the laboratory under a microscope for the examination of the sperms.

(Mesa)Microsurgical Epididymal Sperm Aspiration Procedure

As the name suggests, procedure is a microsurgery. It is done with the help of an operating microscope. The microscope is used to precisely locate the tubules of the epididymis. Then a needle is inserted in the tubule. With this microsurgery procedure in Diya Fertiliy, a large number of sperms can be removed.

(Perc Biopsy) Percutaneous Biopsy of the Testis

This procedure is similar to TESA in Diya Fertiliy. The only difference is a larger needle is used in this procedure. With the help of this needle a biopsy (piece of the testicular tissue) is taken. It leads to extraction of large number of sperms.

(Tese ) Testicular Sperm Extraction

In this procedure, the scrotum is opened. A large volume of testicular tissue is removed from multiple areas in the testis. A microscope is then used to identify sperms and extract them.

Micro Dissection Tese

Again in this procedure a microscope is used. Micro dissection is done to locate areas from the tissue can be removed. Because of this procedure, there is less damage to the inside of the testicles. There is less damage to the veins carrying blood supply. A large number of sperms can be removed.

The obtained sperms are then are used for the purpose of ICSI treatment in Diya Fertiliy, renowned infertility hospitals. They can also be frozen and stored in the sperm bank. Whenever the couple wants to use them, they are thawed and used for fertilization of the eggs.

Want to undergo sperm retrieval procedure, contact our Infertility specialist in Diya Fertiliy to know which procedure is suitable for you and the icsi treatment cost . Book an appointment Now!

There are various causes of recurrent miscarriages as follows:

1. Genetic abnormalities
2. Advanced maternal age
3. Abnormal shape of the uterus
4. Infections
5. Hormonal problems
6. Blood clotting abnormalities in the mother

1. Detailed history: The infertility specialist takes a detailed medical and family history.
2. Physical exam: A complete physical examination is performed by the Infertility Specialist .
3. Ultrasonography: The ultrasound is performed to determine the shape and any abnormalities of the uterus. E.g. Polyps, fibroids, or scarring etc.
4. Hysterosalpingography: A hystero-salpingogram is performed. It is nothing but an X-ray of the uterus and tubes. It helps the infertility specialist to examine the inside of the uterus and the patency of the tubes.(if they are opened or closed)
5. Hysteroscopy: In hysteroscopy, the inside of the uterus can be seen with the help of a camera attached to the scope.
6. Blood Tests: blood is tested for disorders like thrombophilia, thyroid and diabetes.
7. Genetic Testing: Parental chromosome testing (karyogram) can be done if there is more than 2 or 3 loss of pregnancy to determine the genetic cause.

1. Uterine abnormality: If any uterine abnormality is detected it is corrected with surgery if correctable. (Septal Resection, Polypectomy, Myomectomy etc.)
2. Abnormalities in a mother's blood clotting: certain medications are prescribed to thin out the blood.
3. Thyroid or Diabetes: appropriate medications are prescribed.
4. Genetic counseling: Genetic counseling is suggested to the patients who have a genetic disorder & if necessary couple can opt for  IVF with PGS to select a normal  embryo for transfer .
5. Donor gametes: Donor Gametes may be an option if genetic condition is not correctable.
6. Surrogacy: Best option in case of intrauterine problems which cannot be corrected.

Your infertility specialist from Diya Fertility will examine your medical history to determine any other conditions. You need to undergo a physical and pelvic examination to look out for signs and symptoms of PCOS. You should undergo blood tests to measure hormone levels, glucose tests to determine blood sugar levels, and lipid tests to determine the cholesterol levels in your blood.

PCOS treatment may depend on a number of factors and vary from person to person. The following are a few treatment options:

• Ovulation induction for infertility

Medications that hamper the production of androgen include:

• Anti-hair-growth medications
• Insulin-sensitizing medications
• Acne treatments

Women with PCOS are at greater risk of miscarriage, gestational diabetes, and premature delivery. If you are suspecting PCOS, consult our Best Gynecologist to diagnose and get proper PCOS treatment and PCOD treatment at earliest to lower your risk of infertility and avoid future complications.

AbEndometriosis which is caused due to the displaced endometrial tissue continues to act normal, over time, the tissue thickens, breaks down and eventually bleeds during the menstrual cycle. As this tissue finds no way out to exit body, it gets trapped within and leads to the formation of patches of endometriosis. When ovaries get affected with endometriosis, chocolate cysts may be formed.c

The abnormal tissue around the affected organs can cause irritation to the surrounding tissues and may eventually lead to scar tissue and adhesions.

It is always suggestive to approach Infertility Specialist when patients complain of pain during periods, intercourse, urination, bowel movements and infertility.

Medical science has not yet found the exact cause of endometriosis some of the possible explanations are explained below.

1. Back Flow of Menstrual Blood: When the menstrual blood that contains endometrial cells flow into the pelvic cavity through the fallopian tubes.
2. Surgical scar implantation: On the surgical incision site, if endometrial cells get attached can create scar implants after surgery.
3. Immune System Disorder: There can be immune system disorder that cannot make body destroy endometrial tissue that is grown outside the uterus.

Endometriosis can cause impaired fertility due to scar tissue (adhesions) like a cobweb. And in an instance where the ovary is wrapped in adhesion, the egg may not be able to reach the tube. So, scars and adhesions can become the main cause of obstruction in the fallopian tube and prevent egg and sperm unification.

1. Pelvic Examination: Doctor examines patients manually by touching pelvic areas to investigate the presence of cyst (a cavity filled with fluid), reproductive organs, and also scars behind the uterus.
2. Ultrasonography: This examination is conducted to identify the presence of cyst formation due to endometriosis (endometriomas).
3. Laparoscopy: It is conducted to check for the presence of endometrial tissue outside the uterus. In this examination, Infertility Specialist will be able to precisely get information about the location, extend, and endometrial implants. The Patient does undergo the entire procedure under general anesthesia.

Infertility specialists do begin with conservative treatment and if the patient's problem is severe then surgery becomes essential. Some of the conservative treatments are pain medications, hormone therapy, and conservative surgery, and if they are proven futile then doctors resort to Assisted productive technologies, ART, such as in vitro fertilization (IVF). ART is much preferred to become pregnant in this condition.

• Pain Medication: To control menstrual cramps, Doctors do prescribe pain relievers such as ibuprofen, naproxen.
• Hormone Therapy: Pain of Endometriosis can be eliminated or put under control by including supplement hormones.
• Conservative surgery: Doctors try to remove endometriosis to preserve uterus and ovaries and increase the chances of pregnancy.

The exact cause of fibroids is unknown. Fibroids will develop when oestrogen levels are highest and they reduce in size when oestrogen levels are low, which happens after menopause.

Fibroids can grow anywhere in the womb and differ in size. The following are a few different types of fibroids:

These are the most common type of fibroids that develop in the muscles of the uterus. Intramural Fibroids will grow larger and stretch your womb.

These develop outside the uterus i.e. serosa. The fibroids makes womb grow in size.

Whensubserosal tumors grow in size, they develop into pedunculated fibroids.

These fibroids develop in the inner lining of uterus. Unlike other fibroids, these may cause heavy menstrual bleeding and results in infertility. In few cases, subserosal or submucosal fibroids are linked to the womb with a narrow stalk of tissue. In this case, these fibroids are known as pedunculated fibroids.

Based on your medical history, age, size of fibroids, the treatments may vary.

Medications

Some medications may be prescribed by your infertility specialist to regulate the hormone levels and shrink fibroids. Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide, will reduce the production of estrogen and progesterone. This will stop menstruation and shrink fibroids.

Surgery- by Infertility Specialist

If you have large or multiple fibroids, then myomectomy can be performed. The procedure involves making a large incision in the abdomen to see the uterus and remove fibroids. The surgery can also be performed through laparoscopically in Diya Fertility, which involves making small incisions, followed by inserting a camera into the abdomen. In the case if the condition worsens, then uterus will be removed.

Minimally Invasive Procedure

Forced ultrasound surgery (FUS) is a non-invasive surgical procedure, in which you will lie down in MRI machine that allows doctors to visualize your uterus. In this procedure, high-energy & frequency sound waves will be directed at the fibroids to completely destroy them.

Myolysis shrinks fibroids using laser and cryomyolysis freezes the fibroids. Endometrial ablation inserts a special instrument into uterus and destroys the uterine lining with the help of current and microwaves.

If you have fibroids and wish to become pregnant, consult our Infertility specialist in Hyderabad to find out the best infertility treatment and IUI, IVF, ICSI cost.

Genital tuberculosis is mostly a silent disease. It can be present for up to 20 years without producing any symptoms - the woman remains in apparent good health. It is mostly diagnosed when females get evaluated for infertility.

Almost 40% of women suffering from infertility give history of pelvic tuberculosis at some point in their past. Almost 10 % of infertile women are found to have active tuberculosis.

1. Irregular menstrual periods
2. Pain in the pelvic area
3. Vaginal discharge which is heavy, continuous and stained with blood
4. Bleeding from vagina after sex
5. Severe Pain while having sex
6. Not able to conceive (infertility)

Sometimes, there can be no symptoms so it is difficult to diagnose genital tuberculosis. With the help of some tests the diagnosis can be confirmed.

Fallopian tubes are the most common organs affected if a patient has genital TB associated infertility. The tubes get inflamed. It is known as tuberculous salpingitis. It occurs in almost 75% of the cases. Uterine tuberculosis is responsible for fertility in almost 30% of the cases.

If the TB is detected early, and appropriate treatment is given, the damage occurred to the uterus, ovaries and tubes may heal. But if it is left untreated for a very long time, it may lead to severe inflammation and scarring of these organs.

1. A detailed history: the best Infertility Specialist takes a detailed medical, family, and past history.
2. Chest X ray: based on patient's complaints, a doctor might suspect TB and advise a chest X ray.

Chest X ray may show lesions of Tuberculosis.

1. HSG (hysterosalpingogram):A hysterosalpingogram (HSG) is an X-ray of the genital organs of a female. It is used to see tubal blocks. It also shows the peculiar lead pipe appearance of the fallopian tubes if the patient has tuberculous lesions in the tubes.
2. Endometrial biopsy: a piece of the endometrial tissue is obtained in a laparoscopic procedure. Microscopic examination of the tissue might reveal tubercular bacteria.
3. Culture of menstrual blood: A menstrual blood can be cultured to find out the presence of tubercular bacteria in the uterus.

1. Other organ affected by TB. A course of antibiotics that lasts about 9 months to 1 year is prescribed. It is essential to complete the entire course in order to get rid of the TB completely. Although, the chances of recovering from infertility depend on the extent of the damage to the reproductive organs like tubes and uterus.
2. IVF: If the tuberculous process has not destroyed the endometrium,in vitro fertilization (IVF) can be done  following successful anti-tubercular treatment (ATT). Blocked fallopian tubes is the most common cause of patient opting for IVF (In vitro fertilization)

Genital TB is hence one of the most important cause of infertility in a tropical country like India. And sooner the patient gets treated for the condition, better are the chances of pregnancy.

1. (PESA) Percutaneous Epididymal Sperm Aspiration:

The Infertility Specialist passes a needle through the skin of the testicular sac. It is then placed in the epididymis. Small amount of fluid is removed and tested for the presence of the sperms.

2. (TESA) Testicular Sperm Aspiration:

A needle is passed directly into the testis. A piece of the tissue is removed. It is then tested in the laboratory under a microscope for the presence of the sperms.

3. (MESA)Microsurgical Epididymal sperm aspiration:

The microscope is used to precisely locate the tubules of the epididymis. Then a needle is inserted in the tubule. With this procedure a large number of sperms can be removed.

4. (TESE) Testicular Sperm Extraction:

In this procedure, the scrotum is opened. A large volume of testicular tissue is removed from multiple areas in the testis. A microscope is then used to identify sperms and extract them.

5. Micro dissection TESE:

Micro dissection is done with the help of a microscope to locate areas from wheresperm tissue can be removed.  Because of this procedure, there is less damage to the inside of the testicles.A large number of sperms can be obtained.

6. Vasectomy reversal:

Vasectomy reversal, done in Diya Fertility, is a process used for reconnecting the male reproductive tract after a vasectomy. Vasectomy reversal reconnects the tubes so the sperms are able to get into the semen. By this procedure, male infertility can be cured

In Tubectomy reversal, the remaining length of the tubes is an important factor. The remaining length should be of enough size to attach both the ends and maintain the chances of being fertile again. The patient has to undergo various tests like USG and HSG to check the length and function of the tubes. This procedure is done under general anaesthesia. If the tubes are occluded with rings or clips, they are removed with the help of a laparoscope. If the ends are cut then the Gynaecologist takes micro stitches at both the ends to reconnect them. Some painkillers are advised to help with the pain relief. Although after this procedure there is an increased risk of ectopic pregnancy (a life-threatening condition in which the pregnancy occurs in the fallopian tube).

Younger is the patient better is chances of conceiving again. Pregnancy usually occurs within the first year. Pregnancy rates are from 35% to 85%.

vasectomy procedure reversal reconnects the tubes so the sperms are able to get into the semen. The patient is made comfortable and relaxed. Then the patient is put under anesthesia. In vasectomy reversal, a small cut is made on the both sides of the scrotum. The vas deferentia are identified. These tubes are then magnified 10 to 40 times with the help of the microscope. Their cut ends are located. If they are irregular, they are smoothened out. The ends are reattached by taking micro sutures. Healing is pretty quick after this procedure. Pain killers are prescribed to help with the pain relief. Intercourse is advised to be avoided for the next 2-3 weeks. Sperm analysis is done every 2-3 months. Mostly sperm appear in the semen within 2-3 months.

Microsurgery in Diya Fertility is successful in almost 80% of the patients. It results in pregnancy in almost 55% of the partners. Lesser is the time between vasectomy and its reversal, more are the chances of the partner getting pregnant.

In the process of conception, ovary releases an egg that travels from ovaries to the uterus through the passageways called fallopian tubes. In order to fertilize the egg, sperm travels into the fallopian tubes and this results in to an embryo, which is nourished and transported to uterus to the continual of pregnancy.

Blockage of the fallopian tubes is due to the debris deposits in the fallopian tubes, and even a serious infection can cause of blockage.

About 90 percent of the cases, when the fallopian tubes are blocked, at least one blocked fallopian tube is opened and by which normal functions can be restored.  And, this can be of help to about a quarter of couples to conceive mostly within a cycle or two.

With the advanced surgical procedure put to use, it has become less expensive and the chances of conceiving is risen to considerable levels.  So you should never neglect when there is a sign of blockage. Get it immediately checked by the best Infertility Specialist.

Imaging tests can help doctors conclude whether there are any blockages in one or both fallopian tubes. If test is proven positive, cannulation procedure can be successful when blockage is at the tube closest to the womb (uterus) called a proximal tubal obstruction. And, the same procedure can be conducted for the mid tubal blockage.

In this procedure, doctor prescribes antibiotics and pain medication when it is necessary.

Procedure

1. Patients may find it discomfort with FTR in such cases an intravenous line is placed before the procedure begins.
2. Patient is made to relax and to get relieved from pain; Infertility Specialist administer short-acting medications.
3. Speculum is placed into the Vagina, and small plastic tube is inserted into the uterus through the cervix.
4. During this process, Catheter allows a liquid contrast agent seldom called as dye into the Vagina.
5. By making use of X-ray camera, the entire uterine cavity is thoroughly examined.
6. Doctors will get a complete picture of uterus-and-fallopian - tube in the hystero-salpingogram, HSG.
7. From this picture, doctor can determine the presence of blockage on one or both fallopian tubes.
8. If there are any blockages, a smaller catheter is laced to first catheter and then let-in to fallopian tube to clear blockage.

Side effects:

Patients may confront slight discomfort like cramping, mild bleeding, or spotting for next 3 to 5 days after the procedure.

Outcome:

Patients who have suffered from bad infections such as Pelvic Inflammatory Disease, or severe scars from prior surgery may find less success in FTR and this result to marginal chances of pregnancy.

Successful FTR and pregnancy chances are less when severe scarring is present from prior surgery or bad infections, such as PID (Pelvic Inflammatory Disease).

Now a day, laparoscopic surgery for infertility is one of the key parts in the diagnosis as well as treatment of infertility. Using, it is possible for the operating surgeon to see the reproductive organs from their outer surface. A thorough evaluation of the organs can lead to a diagnosis and at the same time, corrective surgeries can also be performed.

The whole procedure can be recorded.

1. Endometriosis : the endometriotic tissue can be seen in laparoscopy if present. And a corrective measure can be done by removing maximum tissue.
2. Fibroids : fibroids can be diagnosed, their extent can be gauged and the surgeon may be able to remove them depending on the size.
3. Ectopic pregnancy: in this condition, the pregnancy occurs in the fallopian tube. This is a life-threatening condition. It can be diagnosed by laparoscopy and can be removed in the same setting leading to a possible conservation of the tube.
4. Removal of ovarian cysts: this procedure is also called as ovarian cystectomy, in which the ovarian cysts (a cavity filled with water) are drained or removed.
5. Adhesion removal: if there are any adhesions or scar tissue formation around the tubes and the ovaries, it can be identified and removed with the help of laparoscopy.
6. Tubal recanalization: the blocked tubes can be opened by either removing the in place clips or rings or by reconnecting the severed ends by micro-suturing.
7. Tubal patency test: with the help of laparoscopy, the patency of the tube can be checked by using a dye.
8. PCOD Treatment : In this condition, the patient will be having irregular cycles because of anovulation. They will have enlarged ovaries with thick central stroma on scan & elevated levels of LH (Leutinizing Hormone). On Laparoscopy this is diagnosed and a procedure called ovarian drilling is done to the PCO. In this, each ovary is punctured with a monopolar needle using electrocautery to burn the ovarian stromal tissue. Approximately 4-8 punctures are made per ovary. This will improve  ovulation and pregnancy
9. Infections: Pelvic inflammatory diseases may be present which mostly affects the tubes.

laparoscopic in Diya Fertility, infertility clinics is a type of minimal invasive procedure. The hospital stay is reduced considerably. The patient does not get an ugly looking scar as only 1 stitch small cuts are made. The post operative pain is less. The chances of post-operative infections are less as not much internal area is exposed. It is actually cost effective if all the previously mentioned things are considered as hospital stay is reduced and post operative chances of infections are decreased.

The hysteroscopy procedure, in Diya Fertility, infertility clinics is mostly done after the menstrual period. As around this time, the uterine lining is comparatively thin. It can be done in local, regional or general anaesthesia. Patient may be sedated additionally. The patient is put in lithotomy position. That is both the knees are bent and kept above the hips. And the perineum is near the edge of the operating table. This position is also most commonly used in vaginal birth. The diameter of the scope is more than the opening of the cervix. Hence the cervix is dilated with the help of dilators or misoprostol. Then the hysteroscope is inserted through vagina into cervix and then to the uterus. Normally the walls of the uterus are approximated. The uterus is then distended using fluids. And then the Best Gynecologist inspects the cavity.

1. Adhesions: if there are any adhesions in the uterus they can be identified and removed by hysteroscopy.
2. Fibroids / polyps: the identification and exacting the location of the polyps and fibroids can be done by this procedure. They can also be removed by myomectomy (for fibroids) or polypectomy (for polyps) in the same sitting.
3. Uterine abnormalities: structural abnormalities of the uterus like a septum can be diagnosed and treated.
4. IUDs: removal of embedded or misplaced IUDs can be done by hysteroscopy.
5. Tubal Patency Tests: the tubal patency can be established by using a dye with hysteroscopy.
6. Abnormal Uterine Bleeding: the cause of AUB can be identified and a process called as endometrial ablation can be done to treat it.
7. Biopsy: a biopsy (small piece of tissue) can be taken from the inner lining of uterus for further evaluation of uterine pathology.
8. Tubal opening: if the openings of the tubes are occluded, the occlusion can be removed.

A patient can have some cramping, minor vaginal bleeding. They can also complain of feeling of bloating. Some pain killers can be prescribed for the post operative pain.

Rarely, it can lead to perforation of the uterus and injury to the other intra abdominal organs. This can be avoided if the operating hysteroscopy surgeon is experienced and has good surgical skills.

This is a one day procedure. Hospital stay is reduced. The patients are not given any prophylactic antibiotics. The patient has minimal pain and stress. Hence, hysteroscopy treatment in ivf centres is also cost effective and hassle free.