IVF Centre Near me in Srinagar at the Best Price

IVF vs IUI Which is Better

IVF vs IUI

Assisted Reproductive Technology (ART) offers several treatment options for infertile couples to achieve pregnancy. However, it might be overwhelming for a couple to choose the best one for them. In most cases, couples are stuck between In-vitro fertilization and Intrauterine insemination. The answer to this tussle between IVF vs IUI is based on several medical and financial parameters. In this article, Imprimis IVF, the best IVF centre in Srinagar, will help you find your answer.

Whether a couple should opt for IVF vs IUI depends on a range of essential factors like age, genetic condition, medical condition of the couple, previous ART treatment failures, etc. The fertility expert can only decide which is better after running various tests and examining your situation thoroughly.

Female fertility revolves around the well-being of the uterus, fallopian tubes, and ovaries. If these reproductive parts’ natural functioning is compromised for any reason, it may lead to infertility.

Sperm Morphology-:

Sperm Morphology considers the shape and size of the sperm ejaculated by the male partner. Semen analysis is conducted. Sperm ejaculated by the man is examined based on three parameters:

Sperm Motility-:

The sperm should be able to swim through the female reproductive system to fertilize the egg in the fallopian tube. Typically, the motility of the sperm should be 40% to reach the egg for fertilization.

Sperm Count-:

Ideally, the male partner should ejaculate more than 15 million sperm per ml of the semen sample.

Nature and Cost of IUI and IVF Treatment

Intrauterine insemination is the most basic ART procedure. It is because IUI is a more natural process, as the egg fertilizes inside the female uterus, just like in natural conception. At the same time, In-vitro fertilization is a complicated procedure that involves five steps. In IVF, the egg fertilizes on a petri dish in a state-of-the-art laboratory, i.e., outside the uterus of the woman. The embryo so formed is implanted in the uterus, where it grows into a baby.

In addition, IUI is an easy, cost-effective, and less time-consuming fertility treatment. In IUI, a couple has fewer appointments with the reproductive specialist than in IVF.

IUI treatment costs in India vary with geographical location and medical history. But on average, the cost lies somewhere between 8,000 to 25,000 INR. The cost of IUI treatment in Srinagar is between 15,000 to 35,000 INR.

The cost of IVF treatment in India greatly varies with the location of the fertility clinic, the medical condition of the couple, medical expertise, and infrastructure. Considering all these factors, the cost is estimated to be around 1,00,000 to 3,50,000 INR. The average IVF treatment cost in Srinagar is between 1,00,000 to 2,75,000 INR. If you are looking for the best IVF centre in Srinagar that is also affordable, there’s no better option than Imprimis IVF.

Conditions that Point Toward IUI Treatment

IUI is generally performed when the female partner is fertile and has no other medical conditions that may cause any issue in achieving pregnancy. But the sperm ejaculated by the male partner cannot fertilize the egg. IUI is also recommended for a male with retrograde ejaculation and unexplained infertility.

The sperm sample of the male partner is prepared. This process is termed sperm preparation. The semen sample is washed or processed to remove all the impurities. Good quality and motile sperm are separated. Then with the help of a catheter, the selected sperm is injected directly into the uterus of the female partner. The entire IUI process of injecting sperm takes 5-10 minutes and is generally performed without anaesthesia.

Conditions that Point Toward IVF Treatment

IVF starts with stimulating the ovaries, followed by egg retrieval. Side by side, sperm are also retrieved from the male partner. The 4th step is fertilizing the egg, which gets implanted in the uterus. The entire IVF process ideally takes 6-8 weeks to complete.

IVF treatment is majorly recommended for women with the following medical conditions.

If the IUI procedure fails three consecutive times, it is advised to go for IVF treatment.
Genetic disorders.
The woman’s age is above 35 years.
Blocked fallopian tubes
Polycystic Ovary Syndrome (PCOS).
Recurrent abortions.
In case a woman has a poor ovarian reserve.
A woman with endometriosis(the proper implantation of the embryo in the uterine wall) can rely on IVF.
A couple has been trying to conceive for more than a decade without success.

Medical Conditions in Men

Apart from women-related fertility issues, some severe medical conditions in men might be the root cause of infertility. IVF is found to be the most suitable fertility treatment for the following medical conditions in men-:

If the male partner has severe oligospermia, the sperm concentration is as low as 1-5 million sperm per millilitre of the semen sample.
A man may have azoospermia which is a severe reproductive shortcoming. In azoospermia, zero or no sperms are ejaculated during intercourse.
IVF is one of the best treatments for males with genetic conditions like Klinefelter Syndrome.

IVF also unlocks the opportunity for couples to choose donor embryos, donor eggs, and donor sperm to get pregnant. Same-sex couples can also welcome their little ones with IVF. Another boon of IVF treatment is that a couple with medical ailments may seek a surrogate mother.

In the modern era, people prefer not to marry in their twenties. But because pregnancy is an age-dependent parameter, infertility is rising due to modern choices and lifestyle. However, at the same time, the youth is gaining more awareness about infertility and its treatment options.

Nowadays, a plethora of young people is taking the help of IVF to freeze their eggs and sperm to stay on the safer side. If natural conception doesn’t bring fruitful results, they can use their frozen eggs and sperm reserve timely and embark on their journey of parenthood.

Which is more Painful, IVF vs IUI?

IUI is a painless procedure generally carried out without giving anaesthesia to the woman. You may feel a sense of discomfort when the needle carrying the washed and processed sperm makes its way through the vagina to reach the egg. If a patient is sensitive to a needle, then the patient is given some painkillers before the treatment.

Moving further to IVF, it is also a painless treatment. However, a woman sensitive to injections can feel a little pain as 15-30 injections are administered to stimulate the ovaries. Apart from this, the entire procedure of IVF doesn’t involve any surgery that may cause pain.

Success Rates of Intrauterine Insemination and In-vitro Fertilization

The success rates of IUI lie between 12-15% per attempt. In contrast, the success rates of IVF lie between 30-40% per cycle. The success rates of IVF vary significantly with the age of a woman. If a woman is under 35 years of age, then she has a better success rate of getting pregnant with IVF. But if a woman is over 35, success rates fall between 25% and 30% per cycle.

Once a woman crosses 40, IVF success rates decline to 16% per cycle. And as she reaches 45, the chances of success stand at 7% per cycle.

Some people have this misconception that IVF will result in pregnancy. But in reality, IVF has its fair share of limitations. Some couples have been through several cycles of IVF but are still struggling to get pregnant.

It is a fact that IVF offers a higher chance of conceiving a baby. However, it must be remembered that IVF doesn’t provide a 100% guarantee of achieving pregnancy. Medical studies and research are in progress to develop methods that increase the success rate, especially in older women.

A couple needs to undergo IVF treatment in a laboratory equipped with modern incubators, microscopes, lasers, fertilization media, coda air filters, micromanipulators, workstations, filters, etc. If you are looking for one such laboratory armed with medical expertise for your IVF treatment in Srinagar, we welcome you with open arms at Imprimis IVF.

Final Words for IVF vs IUI

Articles, videos, and other material help you know and understand medical treatments like IVF vs IUI. However, these sources alone can’t be used to decide the best treatment option. Every couple has specific medical conditions that can not be generalized. Only a reproductive expert can help you choose the best for you and increase your chances of success. Imprimis IVF, the best IVF centre in Srinagar, cordially requests you to visit an experienced fertility expert for consultation.

The success rate of ART also depends on your lifestyle, stress levels, and mindset. So, try to maintain a healthy lifestyle and a positive attitude so that you will be a parent very soon!

What is Recurrent Abortion – Causes, Symptoms, and Treatment

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Recurrent Abortion: A miscarriage is a common mishappening. Around 15 to 20% of couples have had a miscarriage in their journey to parenthood. However, if you have a miscarriage every time you try to carry your pregnancy to term, you may need to seek timely medical guidance from an obstetrician.

Miscarriage is an age-dependent event. The risk of miscarriage in women below 30 is lower than in women over 35.

What is Recurrent Abortion?

Suppose a woman has two or more consecutive miscarriages before 20 weeks of pregnancy or the first trimester due to some complications. In that case, it is termed recurrent abortion or recurrent pregnancy loss.

Around 2-5% of couples around the globe are affected by recurrent pregnancy loss.

Recurrent Abortion Causes

The root cause of recurrent abortion is complications in the embryo, the uterus, or the environment. Some of the recurrent abortion causes are stated below:

Genetic Abnormalities-:

The most common cause of recurrent abortion or recurrent miscarriage is genetic dysfunction. Twenty-three pairs of chromosomes are found in both men and women. 22 of the chromosomes are the same, but the last one decides the gender of the embryo.

The embryo takes half of the chromosomes from both parents. But sometimes, the chromosomes inherited by the embryo are abnormal. Due to these abnormal chromosomes, the woman has a recurrent abortion. The inheritance of abnormal chromosomes takes place naturally. However, this problem must be addressed by a fertility expert.

Uterine Anomalies-:

The uterus, or the womb, is the home of the growing fetus for nine months. Any problem associated with the shape of the uterus is bound to affect the embryo’s growth and may lead to recurrent miscarriage.

Uterine anomalies that lead to recurrent abortion are witnessed to affect 10-15% of women worldwide.

An abnormally shaped uterus in which only one side is fully developed, uterine fibroids, polyps, uterine septum, and double uterus in which the uterus is divided from the centre are some of the most common uterine anomalies.

Uterine anomalies are detected by running the following tests to determine the root cause and proceed with further diagnosis.

Ultrasound
Hysterosalpingography
Sonohysterography
Hysteroscopy
Magnetic Resonance
Laparoscopy

Antiphospholipid Syndrome-:

Antiphospholipid syndrome is a medical condition in which a person’s body starts producing antiphospholipid antibodies that attack the body’s internal system, resulting in the formation of clots and affecting pregnancy. The most common complications due to antiphospholipid syndrome that affect 3-15% of women include recurrent early abortion, late miscarriages, early preeclampsia, and stillbirths.

Hormonal and Metabolic Diseases-:

Metabolic and hormonal diseases like uncontrolled diabetes, PCOS, obesity, insulin resistance or insulin sensitivity, and untreated thyroid problems can be the causes of recurrent abortion. Also, if the female hormone responsible for a healthy pregnancy, progesterone, is not produced timely and in healthy amounts, this may lead to recurrent abortion.

Uterine Infections-:

Uterine and other bacterial infections like rubella, listeria, toxoplasmosis, and certain genital infections may contribute to miscarriages.

Apart from these, there are other less common causes of recurrent abortion, including stress, immunological causes that may treat the fetus as a foreign body and attack it, and cervical insufficiency.

Studies and research are still going on to identify the root cause of recurrent abortion and diagnose it accordingly.

Recurrent Abortion Symptoms

Recurrent abortion may or may not be accompanied by any symptoms. However, if you are doubtful about your pregnancy, there are specific recurrent abortion symptoms that you can watch out for, like-as:

Bleeding or spotting
Frequent and excruciating contractions
Pain in the belly or back (mild to severe)
Discharge of pinkish-white mucus from the vagina
A clot-like tissue coming out from the vagina
Visible and sudden vanishing of signs of pregnancy
A constant feeling of grief

Preventive Measures to Avoid

If you want to increase your chances of delivering a baby by decreasing the risk of another miscarriage, there are certain precautions you can adopt for a positive outcome.

Experts state that the expecting couple can undertake the below-mentioned measures.

Plan Your Pregnancy at the Right Age-:

The risk of miscarriage increases with age. The rate of miscarriages witnesses a sharp increase once a woman crosses 30 years of age. This sharp increase is due to the increase in chromosomal abnormalities in the eggs produced by the ovaries. The most fertile age for women to become a mother is between 24 to 30. So, to reduce your risk of recurrent abortion, planning pregnancy at the right age is vital.

Maintain a healthy Body Mass Index-:

Medical experts believe a healthy body weight is essential for a healthy pregnancy. If the BMI is too low or too high, it may lead to complications in conceiving and sometimes may result in a miscarriage.

Proper and Timely Correction of Uterine Anomalies-:

Suppose the home of the growing embryo is not of the appropriate shape or has any other complication. In that case, it must be corrected timely under an experienced expert with the help of state-of-the-art technology available at fertility clinics like Imprimis IVF, Srinagar.

Check for any Antiphospholipid Syndrome Symptoms-:

Antiphospholipid syndrome must be checked for and diagnosed properly to end recurrent abortion.

Removal of Uterine Polyps and Uterine Fibroids-:

Uterine polyps and uterine fibroids should be removed if detected as the reason behind recurrent abortion.

Diabetes, Thyroid, and Kidney Problems must be addressed-:

Before thinking about conceiving, it is for the best that issues related to thyroid, kidney, and insulin production must be addressed to reduce the chances of recurrent abortion.

Addressing Hypertension Before Pregnancy-:

There is not much data to support the link between hypertension and pregnancy. However, experts believe that high blood pressure before conceiving may result in a miscarriage. So, it would help if you tried to bring your blood pressure under control to ensure a healthy and stress-free pregnancy.

Monitor Your Caffeine intake-:

It might be astonishing, but excessive caffeine consumption directly hampers your chances of carrying your pregnancy to term. Overconsumption of caffeine increases your heart rate as well as blood pressure. So, it is advised to cap your caffeine consumption to 150-200 milligrams per day to increase your chances of success in welcoming a healthy newborn.

Lifestyle Plays a Key Role-:

Following a healthy lifestyle can significantly help with a healthy pregnancy. The woman should avoid alcohol and tobacco during pregnancy to avoid any chances of miscarriage.

Recurrent Abortion Treatment

Recurrent abortion treatment is carried out after thoroughly examining the couple to identify the root cause. Based on the root cause, various treatment options are available to help prevent further miscarriages in women.

Some of the most trusted treatment options for recurrent abortion are stated below-:

In-vitro fertilization (IVF)-:

IVF treatment is a reliable option for couples with recurrent abortions. During this process, fertilization that naturally takes place in a woman’s vagina is carried out on a petri dish in a laboratory. Then after the successful fertilization of the egg, it is implanted in the woman’s uterus, where it grows for nine months.

Surgeries to fix Uterine Anomalies-:

After detecting the uterine anomaly, proper surgeries are undertaken by the reproductive specialist.

Treating other Medical Ailments-:

Diabetes, thyroid, and kidney problems are treated to increase the chances of a healthy nine months of pregnancy.

Medications to Prevent Blood Thinning and Clot Formation-:

Medications like Aspirin and Heparin are administered to the woman to avoid blood thinning and clotting.

The first step to diagnosing the problem of recurrent abortion is to consult an expert and avoid indulging in self-medication, as it may do more harm than good. Always remember stress-free lifestyle and a positive mindset are necessary for a healthy pregnancy.

Conclusion

We at Imprimis IVF understand that recurrent abortion can shatter hopes and bring sadness into your life. But the good news is recurrent abortion can be reversed with the proper treatment. The problem should be handled under the supervision and guidance of a good and experienced obstetrician. If you cannot carry a pregnancy to term, it is your calling to pay a visit to an obstetrician.

PCOS – Causes, Symptoms and Treatment

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What is Polycystic Ovarian Syndrome (PCOS)

Polycystic Ovarian Syndrome (PCOS) is a heterogeneous, multisystem endocrinopathy in women of reproductive age. PCOS symptoms may begin shortly after puberty but can also develop during teen years and early adulthood. It is defined and diagnosed by a combination of signs and symptoms of androgen excess, ovarian dysfunction and polycystic ovarian morphology or ultrasound. The symptoms involve chronic anovulation or ovulatory dysfunction resulting in infertility. In clinical practice, 75% of women with PCOS have anovulatory infertility and 50% experience recurrent pregnancy loss. A diagnosis of PCOS incurs a higher risk of infertility, cardiovascular disease, type 2 diabetes and gynaecological malignancies. There is a multitude of treatments for each sequel of Pcos, ranging from lifestyle modification to In-Vitro fertilization (IVF).

Pathogenesis involves environmental, dietary and hereditary factors. Efficient management of Pcos provides a window of opportunity towards the risk of associated complications. Treatment is broadly aimed at managing the effects of hypoandrogenism, irregular menstruation and infertility. In India, its prevalence is between 8.2% to 22.5%.

Causes of Polycystic Ovarian Syndrome PCOS:-

Family History:- Research suggests that certain genes might be linked to PCOS. Having a family history may play a role in developing this condition.
Excess androgen:- With PCOS, ovaries may produce high – levels of androgen. Having too much androgen interferes with ovulation. It means that eggs do not develop regularly and aren’t released from the follicles where they develop. Excess androgen also can result in hirsutism and acne.
Insulin Resistance:- An increase in Insulin levels causes ovaries to make and release male hormones (Androgen), which suppresses ovulation and contributes to other symptoms of PCOS.
Weight and lifestyle:- Pcos can occur in both slender and overweight women. However, women with PCOS are at a greater risk of being overweight or obese. Being above a healthy weight woman worsens insulin resistance, which is thought to be a key part of the development of PCOS. The good news is that a healthy lifestyle of nutritious food and physical activity can help to treat PCOS and improve symptoms.
Environmental:- Environmental factors, including stress, play an important role in the pathogenesis of PCOS.

Symptoms of Polycystic Ovarian Syndrome PCOS:-

Irregular Periods: Pcos results in irregular cycles as a result of ovulation. It may include Amenorrhea (abnormal absence of periods), oligomenorrhea (decreased flow of periods) or menorrhagia (excessive periods).
Excess Androgen: It causes symptoms like hair growth on the face, acne, weight gain, darkening of the skin, and thinning of hair on the head.
Infertility: Difficulty in conceiving due to ovulation. PCOS is a leading cause of female infertility. However, not every woman with PCOS is the same. Although some may need assistance with fertility treatment, others can conceive naturally.

Treatment for Polycystic Ovarian Syndrome PCOS:-

Most symptoms of PCOS are a result of hormonal imbalances. The treatment of PCOS includes a multidisciplinary approach:-

Health and Nutrition:-

It is the first line of treatment. We must meet a nutrition counsellor who will work with you to ensure that your diet and lifestyle are healthy and balanced. Weight loss can lower insulin and androgen levels, resolve ovulation, and reverse the symptoms of PCOS. The carbohydrates are to be limited. Choose complex carbohydrates, which raise your blood sugar levels slowly. Complex carbohydrates are found in fruits, vegetables, whole grains and cooked dry beans and peas.

Exercise plays an important role. Increasing daily activity and regular exercise may treat or even prevent insulin resistance.

Medications:-

To regulate your periods:

Oral Contraceptive Pills: Pills that contain estrogen and progesterone decrease (combined) androgen production and regulate estrogen. Regulating hormones can lower the risk of endometrial carcinoma.

To help ovulation so that you can become pregnant:

Clomiphene: This oral anti-estrogen medication is taken during 1st part of the menstrual cycle.
Letrozole: It helps to stimulate ovaries and help in ovulation induction.
Metformin: It helps to improve insulin resistance and lower insulin levels. It also plays an important role in ovulation.

IVF Treatment:-

If you have PCOS and medication does not help you to get pregnant, you may be offered In – Vitro fertilization (IVF). It involves eggs being collected from the ovaries and fertilized outside the womb. The fertilized eggs are then placed in the womb. IVF treatment increases the chances of having twins or triplets if you have PCOS.

Surgical:-

A minor surgical procedure called laparoscopic ovarian (LOD) may be a treatment option for fertility problems associated with PCOS who do not respond to medications.

The ovaries will be surgically treated using heat or laser to destroy the tissue-producing androgens. Laparoscopic ovarian drilling has been found to lower levels of testosterone and LH and increase FSH. It corrects the hormone imbalance and restores the normal function of the ovaries.

Options for infertility treatment in PCOS:-

Non – Pharmacological Intervention:-
Diet (low-calorie diet)
Exercise (150 min/week of moderate-intensity or 75 min/week of severe intensity)
Pharmacological Intervention:-

Oral ovulation induction agents like letrozole or clomiphene.
Injectable Gonadotrophin.

Assisted reproduction technologies:-

IUI (Intrauterine insemination)
IVF (IN Vitro-Fertilization)

Complications of PCOS:

Infertility: Epidemiologic evidence suggests that PCOS is the most common cause of ovulatory disorder, and oligo anovulation is related to increased risk for fertility.
Gestational Diabetes Mellitus:- If women with Pcos conceived, they are at a higher risk of developing diabetes during pregnancy (almost three folds) because of increased insulin resistance.
Miscarriage and premature birth.
Metabolic Syndrome:- This includes raised blood pressure, unhealthy cholesterol or triglycerides that significantly increases the risk of cardiovascular disease.
Type II Diabetes Mellitus.
Sleep apnea
Depression, anxiety and eating disorders.
Endometrial Carcinoma.

Diagnostic criteria for PCOS:-

Two of the three features must be present for the diagnosis of PCOS:

Clinical: Acne, hirsutism or acanthosis nigricans.
Biochemical:

Total testosterone > 70ng/dl

Androestenedine > 248 ng/dl

DHEA – S > 248 ug/dl

Polycystic ovaries on ultrasound ( > 12 follicles (2-9mm diameter) in each ovary or ovarian volume > 10cc).

Role of IVF in PCOS:-

IVF is an excellent option when PCOS fertility medications fail. With IVF, there are higher chances of getting pregnant with lower risk. The main cause of infertility due to PCOS is that these women do not ovulate regularly, which can be regulated to conceive using IVF and have up to a 70% chance of becoming pregnant.

Ovarian Cyst – Symptoms, Causes & Treatment

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What is Ovarian Cyst

Ovarian cysts are fluid-filled sacs on the ovaries, a female reproductive system’s part. An ovarian cyst is a common issue in women, and it’s assumed that most women will get it once. Although most ovarian cysts are typically harmless and often resolve without any medical intervention, some can cause discomfort and pain, and in rare cases, they can become cancerous.

This blog post aims to provide a comprehensive overview of ovarian cysts, covering their symptoms, causes, types, diagnosis, and treatment options. It will also cover some potential complications of ovarian cysts and ways to prevent them. By reading this post, you will gain valuable information about ovarian cysts and how they can be effectively managed to improve your overall health and well-being.

Ovarian Cyst Symptoms

All ovarian cysts’ symptoms can differ depending on the size, type, and location. Some women may not experience symptoms, while others may have one or more of the following symptoms. It’s essential to note that these symptoms may also be related to other health issues, and only a healthcare provider can accurately diagnose an ovarian cyst. Women who face these symptoms need medical help to determine the leading cause.

Pain and discomfort: One of the most common symptoms of an ovarian cyst is pain, which can range from dull to sharp. The pain is typically felt in the pelvis. It’s important to note that while pain is a common symptom of an ovarian cyst, it can also be associated with various other conditions.
Changes in the menstrual cycle: Some women can experience changes in their periods.
Bloating and fullness: Ovarian cysts can cause pressure in the lower abdomen and bloating.
Other possible symptoms: Other symptoms that may be associated with ovarian cysts include:

Difficulty urinating or frequent urination
Pain during bowel movements
Breast tenderness
Nausea or vomiting
Weight gain
Fatigue

It’s essential to note that while the symptoms mentioned in this post are common indicators of ovarian cysts, they can also be caused by other health conditions. As a result, it’s essential to seek medical attention from an IVF expert if you’re experiencing any of these symptoms.

What are the Causes of Ovarian Cysts?

There are several potential causes of ovarian cysts, including:

Hormonal imbalances: Ovarian cysts can develop due to hormonal imbalances, such as excess estrogen or androgen hormones.
Polycystic ovary syndrome is a medical condition in which the ovaries produce high androgen hormones, which can lead to the formation of multiple small cysts on the ovaries.
Endometriosis is a medical condition where the lining tissue of the uterus grows outside, which can cause ovarian cysts when it grows on ovaries.
Pregnancy: Ovarian cysts can sometimes form during pregnancy, typically in the first trimester, due to changes in hormone levels.
Other possible causes: Ovarian cysts can also be caused by many medical conditions or fertility drugs.

Ovarian cysts can develop without any known cause. It’s important to note that having an ovarian cyst does not necessarily mean a person has cancer. Still, having any ovarian cysts evaluated by IVF experts to rule out any underlying severe conditions is essential.

What are the Types of Ovarian Cysts

There are different types of ovarian cysts, which are:

Functional cyst: Follicular and corpus luteum cysts are various functional cysts that perform like normal ovaries.
Dermoid cysts: These cysts are the form of cells that produce human eggs and contain various tissues.
Cystadenomas: These are formed from cells on the upper layer of the ovary and are filled with watery or mucous-like fluid.
Endometriomas: These are cysts that form due to endometriosis.

It’s important to know that some ovarian cysts may need treatment while others must resolve themselves. It is essential to look for a healthcare provider if you are facing these symptoms, as they need immediate treatment.

Diagnosis of Ovarian Cysts

The diagnosis of ovarian cysts typically involves a combination of different methods, including:

1: Physical examination: A healthcare provider may conduct a pelvic exam to check for any signs of tenderness or swelling in the ovaries.

2: Ultrasound: This technique uses sound waves to make images, which can help recognize a cyst and provide information about it.

3: Blood tests: Blood tests may be performed to measure hormone levels or detect tumour markers and substances produced by specific cancer cells.

4: Other diagnostic tests: Depending on the type and characteristics of the cyst, additional tests may be recommended, such as a CT scan, MRI, or biopsy. These tests can help provide more detailed information about the cyst and determine if it is cancerous or noncancerous.

It’s important to note that not all ovarian cysts require treatment. Still, a healthcare provider will typically recommend follow-up testing and monitoring to ensure that the cyst is not causing any complications or growing in size.

What can be the Preferred Ovarian Cysts Treatment?

Treatment of ovarian cysts can vary depending on many factors, like type and the size of the cyst, the presence of any symptoms, and the patient’s health and age. Treatment options may include:

Watchful waiting: Small, noncancerous ovarian cysts may not require treatment and may resolve independently over time. In these cases, a healthcare provider may recommend watchful waiting and regular monitoring to ensure the cyst does not grow or cause complications.
Medications: Hormonal birth control pills or other hormone therapies may be used to regulate hormonal imbalances that can contribute to developing ovarian cysts. Pain relievers can also be recommended in pain.
Surgery: Surgery may be necessary if a cyst is significant and causing pain. The type of surgery will depend on the characteristics of the cyst, but options may include laparoscopy or laparotomy to remove the cyst or the affected ovary.
Ovarian cystectomy is a surgical process that includes removing the cyst while preserving the ovary. It is typically performed in cases where the cyst is small and noncancerous, and the individual wishes to maintain their fertility.
Oophorectomy: This surgical procedure involves removing the affected ovary and may be recommended in cases where the cyst is large, cancerous, or causing significant pain or discomfort.

What are Preventions for Ovarian Cysts?

It is not always possible to prevent the development of ovarian cysts, as they can occur naturally and for various reasons. However, some steps can reduce developing ovarian cysts, including:

Hormonal birth control: Taking hormonal birth control, such as the pill or the patch, may help regulate the menstrual cycle and reduce the risk of developing functional cysts.
Regular gynaecological check-ups: Regular visits to a gynaecologist help detect the presence of ovarian cysts early on before they become problematic.
Keeping a healthy weight: Being obese can grow the risk of developing ovarian cysts. Having a healthy weight through a healthy diet and exercise can help decrease the risk.
Managing underlying medical conditions: Certain medical conditions, such as endometriosis and PCOS, can increase the risk of developing ovarian cysts.
Avoiding exposure to toxins: Certain toxins, such as cigarette smoke and certain chemicals, may increase the risk of developing ovarian cysts. Avoiding these toxins can help decrease the risk.

These steps can help reduce developing ovarian cysts, but they do not guarantee that cysts will not grow. It is essential to be aware of the signs and symptoms of ovarian cysts and seek medical attention if any symptoms arise.

What Size of Ovarian Cyst is Dangerous?

Any ovarian cyst that causes symptoms such as pain, bloating, or changes in the menstrual cycle, regardless of its size, should be evaluated. Additionally, ovarian cysts that are larger than 5 centimetres in length or that continue to grow should be closely monitored and may require further evaluation or treatment.

Conclusion

Ovarian cysts are an ordinary condition that affects every woman. While many cysts are minor and do not cause symptoms, some can grow larger and cause pain or discomfort. It’s essential to seek medical attention if you experience any symptoms of ovarian cysts, as early detection and treatment can help prevent complications and improve outcomes.

At Imprimis IVF, we understand ovarian cysts’ impact on a woman’s fertility and overall health. Our experienced team works closely with every patient and develops a personalized treatment plan accordingly.

What are the Five Stages of IVF?

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Five Stages of IVF – Life becomes even more blissful and fulfilling with the appearance of two pink lines on the pregnancy testing kit. These two lines bring a wave of emotions you have never experienced. But due to numerous physical, physiological, and environmental reasons, some couples can not conceive naturally. Medical advancements over the years have helped overcome this hurdle with Assisted Reproductive Technology (ART).

In-vitro fertilization, or IVF treatment, is the most trusted medical procedure that helps infertile couples trying hard for a baby but cannot do so.

However, before going for IVF treatment in Srinagar, it’s essential to prepare yourself by becoming familiar with the five stages of IVF Treatment.

Five Stages of IVF

IVF is a highly complex medical procedure that involves the following five stages of IVF-:

Pre-cycle Testing:

Before IVF treatment, the male and the female must undergo various tests like pelvic examination and transvaginal ultrasounds.

The fallopian tubes and uterus are carefully examined for any issues requiring a diagnosis. It is also known as ovarian reserve testing or fertility testing, which includes detecting sexually transmitted diseases, blood tests for hormonal imbalance, semen analysis, thyroid function, and ovarian reserve.

Stage 1: Ovarian Stimulation and Ovulation Triggering

A woman’s ovaries are home to thousands of ovarian follicles. Each follicle contains an oocyte which is an immature egg cell. Stimulation of the ovaries is the process that prepares the ovaries to produce these eggs. The more eggs, the more favourable the outcome and success rate!

To increase the shares of success, the woman is on hormone medication for 8-14 days. These medications are given as pills, patches, and injections that act on the ovaries to produce or overproduce eggs for fertilization. Also, these medications prepare the uterine lining for pregnancy. On average, 15-30 hormonal medicines in the form of injections are administered to the female.

These IVF injections happen to be quite expensive. The cost of IVF injections and medications for ovarian stimulation is around 60,000-80,000 INR.

Stage 2: Egg Pick Up (EPU) or Egg retrieval

The egg retrieval process consists of using a needle, which is performed under general anaesthesia. As is clear from the name, this stage involves the collection of eggs from both ovaries. It is performed 34-36 hours after the last medication dose or trigger shot. The vagina is adequately cleaned, and the fertility expert correctly examines the ovaries through ultrasound before this stage.

EPU is achieved with the help of transvaginal ultrasounds in which a needle is connected to a suction device. Through the vagina, this needle makes its way into each ovary. The egg (oocyte) is collected from each follicle as the needle enters the ovaries. It takes about 15-30 minutes to retrieve an egg. These retrieved eggs are stored to fuse with sperm harvested from the male.

Stage 3: Sperm Retrieval

The sperm from the male are harvested two-three days before fertilization or on the day of retrieval of eggs.

The various methods available to retrieve sperm from the male are stated below:

Testicular Sperm Aspiration (TESA)
Testicular Sperm Extraction (TESE)
Microdissection TESE (microTESE)
Percutaneous Epididymal Sperm Aspiration (PESA)
Micro Epididymal Sperm Aspiration (MESA)

Stage 4: Fertilization

IVF treatment typically involves the manual fertilization of eggs with sperm ejaculated by the male partner. The necessary condition for fertilization is that the eggs must be mature. The retrieved eggs are examined for mature eggs.

In this stage, the sperm is injected into the eggs collected during stage 2 with the help of Intracytoplasmic Sperm Injection (ICSI) or through conventional fertilization, where the sperm and eggs are placed on a small dish where the sperm is allowed to fuse with the egg on its own. Fertilization is carried out 3-5 days after the retrieval of eggs at a clinic or doctor’s office. The ICSI IVF cost may vary from one fertility centre to another.

Stage 5: Transferring the Embryo into the Uterus

3-5 days after the successful completion of EPU, embryo transfer is carried out. During this stage, a long, thin, and flexible tube is allowed into the vagina, which enters the uterus. The tube is coined as a catheter. The catheter carries a syringe consisting of one or more embryos. One of the embryos is finally placed in the uterus. If the embryo gets successfully implanted in the uterine lining, it will result in a pregnancy.

Embryo transfer takes up to 5 minutes and is performed without anaesthesia as it’s a painless procedure.

After this stage, a pregnancy test is undertaken by the woman after ten days. The pregnancy test is repeated after 7-8 days. The IVF treatment is successful if two pink lines appear on the pregnancy test kit.

Conclusively, IVF treatment takes about 6-8 weeks (45-60 days).

Should you return home and continue your daily activities after IVF treatment?

A common question may strike a couple’s mind after IVF treatment is completed. The answer is plain and simple, yes. There’s no need for strict bed rest after IVF.

It’s for the best that you carry on with your daily activities to keep your mind occupied. Staying positive is the key to turning your IVF cycle successful.

The Success Rate and Cost of IVF Treatment in 2023

The success rate of IVF treatment depends on an array of factors. The success rate of IVF treatment lies between 30-40% for women below 35. For women above 35, the success rate decreases and is witnessed to be around 20-30%.

The average IVF treatment cost, including medical tests, drugs, and the entire process, lies between 1,50,000 to 2,50,000 INR.

The cost of IVF treatment will vary according to the type of IVF treatment, number of cycles, medical tests during IVF, geographical location, and success rate of the fertility centre.

Potential Risks and Complications of IVF Treatment

Even though IVF treatment has one of the highest success rates among all other reproductive treatments, it also has potential risks and complications that a couple must be aware of.

Some of the most common risks and complications of IVF treatment are stated as follows:

Multiple Pregnancies-: Sometimes, the IVF cycle can result in multiple pregnancies, which can lead to low birth weight and early labour and, in some cases, pose a threat to the life of both the mother and the babies.
Ovarian Hyperstimulation Syndrome (OHSS)-: The medications given during the first stage of IVF to stimulate the ovaries to produce more eggs can sometimes result in overstimulation. This overstimulation of ovaries due to medications like human chorionic gonadotropins (HCG) may result in bloating, vomiting, diarrhoea, swelling of the abdominal region, and nausea. This condition is known as Ovarian Hyperstimulation Syndrome (OHSS).
Premature Births-: The IVF procedure can also increase the risk of early labour and premature births.
Ectopic Pregnancy or Extrauterine Pregnancy-: In an ectopic pregnancy, the fertilized egg, instead of getting implanted along the uterine lining, will get implanted somewhere else, like the fallopian tube. Data shows that around 2-5% of women are seen to have ectopic pregnancy after undergoing IVF treatment. If ectopic pregnancy occurs, the couple can not carry the pregnancy to term.
Emotional fatigue-: IVF treatment is more of an emotional ride for a couple, especially a woman. Since the success rate of IVF is around 30-40% only, fear of failure always lingers in a woman’s mind.

A plethora of times, a couple has to undergo more than one IVF cycle. As mentioned, each IVF cycle can take up to 45-60 days. It can build up negative thoughts about conceiving and take a toll on a couple’s mental health.

Bottom line

Five Stages of IVF – IVF treatment is advised for infertile couples who have tried other ART techniques or have had multiple failures. Couples considering IVF treatment must consult the best fertility centre, like Imprimis IVF, Srinagar, for the best consultation. Since IVF is a complicated process, fertility centres like Imprimis IVF also help ensure a maximum success rate.

Female Infertility: Symptoms, Cause, Diagnosis & Treatment

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Female Infertility: Infertility is a medical condition in which a couple cannot get pregnant after having regular sexual intercourse without contraception for 12 months or more. For women above 35, infertility means being unable to conceive after having traditional intercourse for six months.

It can also be defined as the condition where a woman can conceive but either has repeated miscarriages or stillbirths. If infertility is due to the female partner, it is termed female infertility.

Scientifically, during unprotected intercourse, the sperm ejaculated by the fertile male partner swims through the uterus and reaches the egg for fertilization. But the sperm cannot do so because of some ovulatory dysfunction in the female. Or even if the sperm can fertilize the egg, the embryo so formed cannot get implanted in the uterus, which leads to a miscarriage.

Types of Infertility in Females

Female infertility has become a household term affecting 1 in every six women. Infertility in females, or infertility, in general, can be classified into two types:

Primary infertility-: If a couple has never been able to conceive, or even if they have, they could not carry the pregnancy to term.
Secondary infertility-: If a couple has at least one child but cannot conceive for a second time.

Female Infertility Causes

The female reproductive system is quite delicate. Even the slightest dysfunction in any part, namely the uterus, ovaries, or fallopian tube, can lead to issues in conceiving.

The root cause behind female infertility may or may not be detected accurately. The reports may appear normal, but you may still be unable to conceive. However, numerous factors have been witnessed to be the primary causes of female infertility causes which are stated below:

PCOS

PCOS is found to be one of the most common causes of female infertility as it disrupts menstruation and can lead to the formation of cysts which are around 8mm in size. These cysts produce eggs but cannot release them, so ovulation can not occur.

The ovaries regulate the production of estrogen and progesterone. However, sometimes the ovaries produce an excess of male hormone androgens. Polycystic Ovarian Syndrome or PCOS refers to a medical condition that leads to disruption of the menstrual cycle and shedding of the endometrium as a result of hormonal imbalance due to the production of the male hormone androgens.

Uterine Fibroids

Uterine fibroids are found in the form of growths or lumps and are caused due to the imbalance of reproductive hormones, namely estrogen and progesterone. The uterine fibroids can block or damage the fallopian tube, which may further lead to complications in conceiving. Around 20% of childbearing women have uterine fibroids.

Endometriosis

Endometriosis is a medical condition when the uterine lining starts to grow outside the uterine cavity, like the abdomen, pelvis, behind the uterus, or in the ovaries.

This condition can lead to infertility as it doesn’t allow the smooth transfer of eggs from the ovaries to the fallopian tube because of the growth of scars between the ovaries, fallopian tubes, and uterus.

Endometriosis may also lead to endometrial cysts and may prevent the fertilized egg from getting implanted in the uterine wall.

Blocked or Damaged Fallopian Tubes-:

Fallopian tubes are home to eggs. The sperm swims through the uterus and enters the fallopian tube. A blocked or damaged fallopian tube prevents the sperm from reaching the eggs and makes natural conception almost impossible.

Sexually transmitted infections, pelvic inflammatory disorders, pelvic surgery, and pelvic tuberculosis are some of the reasons that block or damage the fallopian tubes.

Around 20% of infertility issues stem from damaged or blocked fallopian tubes.

Hyperprolactinemia

Production of Prolactin hormone in large amounts is referred to as hyperprolactinemia which can result in infertility issues.

Ovarian Cysts

If ovarian cysts (a fluid-filled sac in or on the ovaries) are formed due to medical conditions like PCOS or endometriosis, it may pose problems in conceiving.

Premature Ovarian Failure

Premature ovarian failure refers to the early onset of menopause around or before the age of 40 or 45. It is bound to cause problems in conceiving naturally.

Hypothalamic Dysfunction

Hypothalamic dysfunction occurs when the hypothalamus cannot function optimally. When this happens, the hypothalamus cannot coordinate with the pituitary gland that regulates the timely release of healthy eggs for fertilization. The process of ovulation comes to a stop due to hypothalamic dysfunction.

Ectopic Pregnancy

During a normal pregnancy, the egg, after fertilization, is implanted in the endometrial lining. Ectopic pregnancy, also known as extra-uterine pregnancy, occurs when the embryo gets implanted somewhere else in the uterus. This medical condition may lead to miscarriages. Bleeding is often witnessed during an ectopic pregnancy.

Sexually Transmitted Infections-:

Sexually transmitted diseases can potentially prevent natural conception.

These infections can cause pelvic inflammatory disease (PID) and can also cause damage to the fallopian tubes. Both these conditions are directly linked to infertility in females.

Uterine Abnormalities-: Uterine abnormalities can be the reason behind female infertility. Uterine abnormalities may result from the growth of scar tissues, fibroids, polyps, miscarriage, multiple abortions, infections, and the growth of benign tissues.
Cancer-: Uterus cancer is the primary reason behind the development of tumours of varying sizes. These tumours are found to be one of the causes of female infertility.
Other Hormonal Imbalances-: LH, FSH, and estrogen are the hormones responsible for the timely release of healthy eggs. However, the ovulation process gets disrupted if the eggs are released in the wrong amount and at the wrong time due to hormonal fluctuations.
Unexplained infertility-: When the cause behind infertility can’t be ruled out during the infertility tests in females, this type of infertility is categorized under unexplained infertility.

Data shows that in as many as 10-30% of cases, the root cause behind female infertility can not be identified.

Risk Factors of Infertility in Females

Gynaecologists have drawn up a list of risk factors associated with infertility in females. The risk factors of female infertility include:

Age (above 35)
Drugs and steroids
Excessive alcohol consumption
Smoking
Poor diet
Heavy exercises
Medications
Chemotherapy and radiation treatment
Eating disorders like anorexia, binge eating, bulimia
Unhealthy lifestyle
Stressful regime
Poor Body Mass Index (being underweight or overweight)

Female Infertility Symptoms

Numerous symptoms back infertility in females you can keep an eye on before arriving at any conclusion. Female infertility symptoms include:

Irregular and Abnormal Menstrual Cycle-: If you have irregular periods or your menstrual cycle lasts for more than seven days, it can be a symptom of infertility. A healthy menstrual cycle is of around 21 to 35 days. Reproductive issues may arise If it is less than 21 days or more than 35 days. The irregular menstruation cycle accounts for around 30-40% of cases of female infertility.
Prolonged and Heavy Bleeding during Periods-: If you have heavy bleeding during periods that last for more than the normal range of 2-7 days, it can lead to fertility issues.
Excruciating Pain during Periods-: Bearable pain for a day or two is common, but if your periods are accompanied by severe pain and cramps, it can be due to a reproductive health problem like endometriosis.
Unexplained Weight Gain or Loss-: If you have lost or put on weight unexpectedly, you should get a medical checkup.
Pain during Sexual Intercourse-: If you feel Intolerable pain constantly during sexual intercourse with your partner, it can point towards infertility.
Hair Growth on Unwanted Areas-: If you witness hair growth on unwanted areas like the chest, jawline, and at your back, it may indicate PCOS or other medical problems linked to infertility.
Hormonal Imbalances-: If the hormonal balance in the body is disrupted, it may affect fertility in females and can cause acne, reduced sex drive, and thinning of hair.
No Periods-: Complete absence during childbearing age indicates something is wrong with your reproductive system.

If you observe such symptoms, you should visit a gynaecologist or IVF expert.

Infertility Tests for Females

Before treatment comes the identification of the root cause behind the reproductive ailment. We’ve already learned that female infertility can be caused by many factors that need to be identified. The fertility specialist carries out an array of infertility tests for females to determine the cause, which includes:

Physical examination
Urine test
Pap smear
Blood test
Genetic testing
Ultrasound scan
Laparoscopy
X-ray Hysterosalpingography (HSG)
Hysteroscopy
Saline sonohysterogram

Female Infertility Treatment

After the root cause behind infertility is identified, fertility specialists take other parameters like the woman’s age, personal preferences, and overall health status into account for choosing the right fertility treatment.

Fertility drugs and medications-: Fertility drugs are prescribed to women to stimulate ovulation and regulate irregular ovulation cycle.
Tubal surgeries-: Tubal abnormalities are corrected with tubal surgeries like laparoscopy. Laparoscopy helps treat blocked or damaged fallopian tubes by creating a new opening for the sperm to enter. This surgery also helps treat fibroids and abnormal uterine shapes and remove endometrial cysts.
Assisted Reproductive Technology-: Assisted reproductive Technology like IVF, IUI, and ICSI have helped infertile women conceive and welcome a healthy baby.

Conclusion

Pregnancy is an age and time-dependent process. In today’s world, couples do not prefer having children at an early age which is why infertility is a common problem. So, planning a pregnancy can help you enormously if you want to increase your stakes of natural conception. If you notice any symptom that you think can be problematic, visit a gynaecologist. Also, ensure you maintain a healthy lifestyle to welcome a healthy baby.

And if you want to know more about ART treatment in Srinagar, we welcome you to the best fertility centre, Imprimis IVF.

Male Infertility: Symptoms, Cause, Diagnosis & Treatment

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Male infertility is more prevalent than one might think. We are used to seeing women as the ones with issues, but the contribution of men toward infertility is almost equal.

Fertility in men revolves around three primary parameters, namely sperm count, sperm motility, and sperm morphology. When for some reason, any of the parameters mentioned above is altered, it results in male infertility.

What is Male Infertility?

Male infertility is when a man cannot help his female partner conceive after having sexual intercourse without contraception for 12 months or more.

Statistical Data for Male Infertility

Scientists have stated that infertility in men has witnessed a drastic increase during the past few decades owing to numerous factors.

According to the data put forward by the Indian Society of Assisted Reproduction (ISAR), around 10-14% of Indian couples are affected by infertility issues.

Data shows that one-third of cases of infertility are due to females, one-third to males, and one-third to both males and females.

Infertility is more prevalent in metropolitan cities where people are more exposed to risk factors that pace the way to problems in conceiving.

Understanding the causes and risk factors of infertility in men is essential.

Causes of Male Infertility

Infertility in men is caused due to altered semen parameters, including sperm count, sperm motility, and sperm morphology.

Sperm Count-:

A normal or healthy sperm count means the sperm concentration is more than 15 million sperm/ml of the semen sample. If your sperm count is less than 15 million/ml, it may cause problems in conceiving.

Sperm Motility-:

In simple terms, we can say sperm motility is the ability of the sperm to swim toward the egg for fertilization. Normal sperm motility is considered to be around 40%.

The number 40% signifies that out of the total sperms produced, 40% are efficient enough to swim through the uterus and reach the egg.

Sperm Morphology-:

Sperm morphology is defined as the shape and size of a sperm cell. If there is a problem with the shape or size of the head, midpiece, or tail of the sperm, it may lead to infertility.

Male infertility is associated with many hormonal, physical, psychological, and behavioural problems and risk factors. The causes of male infertility are stated below:

Hormonal imbalance-:

Hormonal balance is vital for the healthy upkeep of the body. However, if the balance is disturbed, this may affect the normal functioning of the thyroid, hypothalamus, adrenal, and pituitary glands. This imbalance can lead to complications in conceiving.

Genetic dysfunction-

Kallmann’s disorder, Kartegener’s disorder, Klinefelter disorder, and cystic fibrosis are commonly witnessed genetic conditions that can lead to infertility in men. Genetic dysfunction accounts for 10-15% of cases of low sperm count.

Varicocele-:

The production of sperm by the testicles is a temperature-dependent process. If the temperature becomes high, sperm production reduces.

The scrotum is that part of the male reproductive system responsible for maintaining the ideal temperature in the testicles. But when the vein in the scrotum gets enlarged, blood flow to the testicles increases, and sperm production decreases. This medical condition is termed scrotum varicose veins or varicocele.

Infections-:

Sexually transmitted diseases and inflammatory bacterial infections can lead to scars that may negatively impact sperm production.

Previous Surgeries-:

Surgeries of the male reproductive system, like the bladder, testicles, scrotum, or the organs surrounding it like the stomach, hernia, abdominal region, prostate, and rectum, can hamper sperm production and fertility.

Excessive Drinking and Smoking-:

Alcohol and tobacco affect sperm motility. Excessive consumption of alcohol and smoking results in defective sperm, poor sexual performance, and deteriorated testosterone levels. However, controlled intake of alcohol and tobacco doesn’t contribute to infertility in men.

Spinal Cord Injury-:

Any injury in or around the spinal cord can lead to infertility issues in men.

Retrograde Ejaculation-:

Normal ejaculation occurs when the semen darts through the penis. But in some cases, the semen enters the bladder instead of flowing out through the penis. This medical abnormality is known as retrograde ejaculation and significantly affects fertility in men.

Testicular Cancer-:

Testicular cancers and even non-malignant tumours adversely affect male fertility.

Trauma-:

An injury, surgery, or bacterial infection can cause testicular trauma. An immune response is triggered in the testes that results in sperm damage.

Hemochromatosis-:

Haemochromatosis is a medical abnormality in which iron gets deposited in the testes.

Drugs and Steroids-:

Drug intake and supplementation have been linked directly to decreased sperm count.

Obesity-:

Being overweight also contributes to male infertility.

Excessive Exercise-:

Exercise helps boost your reproductive health, but excessive exercise is seen to decrease testosterone levels.

Stressful Regime-:

A stressful regime increases your body’s production of stress hormones. This overproduction of stress hormones adversely affects the production of testosterone and other hormones responsible for sperm production.

Symptoms of Male Infertility

Well, a majority of times, male infertility may go asymptomatic. However, there are cases where men witness evident male infertility symptoms that may warrant a medical checkup, including:

Inability to ejaculate
Decrease in volume of seminal fluid
Infected semen (coloured semen)
Pain or swelling around the genital area
Poor sex drive or reduced sexual desire
Erectile dysfunction
Abnormal increase in breast size
Evident reduction in facial and body hair

Diagnosis of Male Infertility

The diagnosis begins with male fertility tests from an advanced laboratory. The second step is to repeat the test from a different laboratory. If both the times the results highlight a problem, seek medical guidance.

Infertility Tests for Males

Conducted to identify the root cause of infertility are:

Semen analysis
Hormone testing
Ultrasound – TRUS
Scrotal Doppler
Genetic testing
Testicular biopsy

You can successfully treat male infertility based on the cause and duration of infertility. There’s no need to worry endlessly about infertility test reports. You can use various surgical procedures to help you welcome a healthy baby.

Surgical Treatment for Male Infertility

Depending on the test reports and cause, male infertility treatment takes into account various reconstructive procedures to restore fertility in men-:

Varicocele surgery
Vasovasostomy
Vasoepididymostomy
Trans-urethral resection of ejaculatory duct

In some infertility cases, surgeries are not required. Medications and lifestyle changes can help bring positive results that boost male fertility.

Surgical Procedure to Help Conceive-:

● IVF-: In vitro fertilization treatment may help conception as fertilization occurs in a laboratory under controlled conditions. Good quality sperm are detected and stored and then fused with the egg. This fertilized egg gets impacted into the uterus or your female partner.

● ICSI-: Another ART is ICSI treatment which stands for intracytoplasmic sperm injection. The best part about ICSI is that only one sperm is required to carry out the treatment. This single sperm is injected directly into the uterus, fusing with the egg and leading to pregnancy.

● Donor Sperm Insemination-: If nothing improves sperm health, you may opt for donor sperm insemination. During donor sperm insemination, a male with good sperm count, motility, and morphology is reached. His sperm is collected and stored. Then this sperm is fused with the egg using ART, resulting in pregnancy.

Sperm Harvesting Procedures

For IVF and ICSI, sperm for fertilization with the eggs are harvested side by side from the male using the below-mentioned sperm harvesting procedures:

Testicular Sperm Aspiration (TESA)
Percutaneous Epididymal Sperm Aspiration (PESA)
Testicular Sperm Extraction (TESE)
Micro Epididymal Sperm Aspiration (MESA)
Microdissection TESE (microTESE)

Conclusion

Male infertility has become as common as female infertility. Data cement that fertility issues due to men are equal to those due to women. But the good news is like female infertility issues; male infertility is also treatable. You need to consult an experienced urologist who can diagnose and guide you. Also, ensure you undergo treatment from a highly trusted fertility centre like Imprimis IVF, Srinagar.

Sperm Morphology

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Your semen analysis reports indicate sperm morphology normal range– of 2%. Chances are you have no clue about what this 2% stands for. And sperm morphology treatment might be a ghost term for you. You are eager to know if this means you are infertile or if there are other concerning issues. Is it possible to figure out what the term ‘sperm morphology’ implies so that you don’t have to go and see a doctor?

Imprimis IVF, Srinagar, will help you navigate sperm morphology treatment and the associated problems, if any.

What is Sperm Morphology

Morphology is a biological term that studies the form and structure of a living organism or any of its body parts. So, when we are using this term with sperm in simple words, we can say that sperm morphology is the study of the form and structure of sperm, i.e. its shape and size.

Every part of your body has a specific shape to perform particular functions. For instance, your blood vessels are designed to have a tube-like shape. And their primary function is to carry or supply oxygen and nutrients to various organs of your body. For some reason, if the condition of your blood vessels gets deformed or there is a blockage in any of the blood vessels, it will lead to severe problems. It will disrupt the whole process of blood circulation.

The same is true for your sperm. Your sperm must be of a specific shape and size. If there is any deformity, it is bound to create difficulties in getting pregnant.

Sperm Morphology Normal Range

The sperm cell is produced in your testes. A sperm has three parts: head, midpiece, and tail.

If all the parts of a sperm cell are of standard shape and size, then it is known as normal sperm morphology. A typically shaped sperm cell has the following dimensions and functions:

Head-: The head of the sperm cell has a smooth oval shape with a pointed front end. The nucleus that carries the DNA of the sperm cell is present in the head.

A normal-shaped sperm is 5-6 micrometres long and 2.5-3.5 micrometres wide.

Acrosome cap-: Acrosome cap makes up nearly 40-70% of the sperm’s head.

A protective membrane surrounds the egg produced by the ovaries. The sperm cell has to penetrate through this membrane to reach the egg for fertilization. The well-pointed acrosome cap is used for this purpose.

Midpiece-: The midpiece of the sperm cell is thinner than its head and provides it with energy to swim.
Tail-: Ideally, the tail is around 45-50 micrometres long. It’s thinner than the other two parts of the sperm cell.

The sperm has to swim through the uterus to fuse with the egg to fertilize it. The tail of the sperm helps it to swim through the uterus.

Apart from this, the head of a customarily shaped sperm should not contain large fluid-filled drops or vacuoles.

Which factors determine Normal Sperm Morphology?

The male hormone, testosterone, is responsible for regulating the production of sperm. It might surprise you, but the male reproductive system also produces the hormone estrogen.

For sperm to have a normal sperm morphology, there must be a proper balance between the production of these two hormones. If this balance is disturbed for any reason, it will hinder the process of sperm formation.

This process of sperm formation occurs at its own natural pace. It takes about 65-90 days for a sperm to be formed. It starts with a single round-shaped cell that slowly grows into the sperm we see in the diagram.

Optimum testosterone levels ensure that as the sperm cell grows, each part, i.e. the head, midsection, and tail, have the proper shape and size. It is due to poor levels of testosterone that result in abnormal shape and size of the sperm cell. Abnormal sperm morphology or teratozoospermia refers to abnormalities or defects in the form and dimensions of the head, midsection, or tail.

Abnormal sperm morphology is characterized either by head defects, midsection defects, tail defects, or in some cases; the sperm is acrosomeless.

It has the following defective characteristics:

Two heads or two tails
An elongated and deformed head
A rough head
The bent, asymmetrical, or irregular midpiece
Bent, short or coiled tail
Vacuolated head

These are some of the abnormalities that occur in a sperm cell.

You must be wondering, is abnormal sperm morphology a matter of concern? Data shows that typically 30-40% of a man’s sperm have abnormal morphology. The problem in conceiving starts when most sperm are abnormally shaped.

You have a normal sperm morphology if your semen sample has 4-14% usually shaped sperm. This range is defined under Kruger’s criteria. However, if it falls to less than 4%, you have a low sperm morphology.

You must note that abnormal sperm morphology is not a parameter that indicates infertility. It simply represents the concentration of typically shaped sperm in your semen sample.

Factors leading to Abnormal Sperm Morphology

Age-:. Sperm morphology deteriorates with your age. The testosterone levels decrease, leading to a decrease in sperm morphology.
Obesity-: As we know, testosterone is responsible for the production of sperm. For sperm to have a normal sperm morphology, the testes must produce an optimum testosterone level.

If you are obese, then your body produces estrogen in high amounts. It leads to the underproduction of testosterone. And it further affects your sperm morphology.

Stressful regime-: If you have a stressful regime, then the amount of stress hormones in your body increases and adversely affects testosterone production. It further reduces your sperm morphology.
Smoking and drinking alcohol-: Excessive consumption of alcohol and tobacco can negatively impact the shape and size of your sperm.
Drugs and steroids-: Drugs like cocaine, marijuana, etc., affect your sperm morphology adversely.
Diabetes-: If you have diabetes, you are at a higher risk of abnormal sperm morphology.

Sperm abnormalities like double heads and round and elongated spermatids are more prevalent.

Genetics-: Heredity plays a role in deciding sperm morphology in a male. The family history of teratozoospermia is likely to be inherited genetically.
Exposure to chemicals-: If you come in close contact with herbicides, pesticides, paints, organic compounds like benzene, and heavy metals like lead, you may have a large number of abnormal sperms.

Abnormal Sperm Morphology Treatment

Sperm morphology treatment starts with a semen analysis. Before concluding anything, it’s advised to go for multiple semen analysis tests from top-notch laboratories to ensure maximum accuracy.

Lifestyle changes that can help boost morphology sperm count

Surgery is not the only option to improve sperm morphology. You can enhance sperm morphology treatment by making small and simple changes in your day-to-day life.

Lose the extra weight-: If you are obese, you must manage your weight to improve your sperm morphology. Maintaining a healthy Body Mass Index will ensure good levels of testosterone.
Bid goodbye to recreational drugs-: Any drugs should be avoided to improve sperm morphology.
Go for loose clothing-: Testes function at a proper temperature. A tight dress can hamper sperm production by increasing the temperature of the testes. I prefer wearing comfortable and breathable cotton underwear for healthy and normal sperm production.
Keep your alcohol and tobacco intake under control-: Yes, you need to limit your alcohol and tobacco consumption if you desire to improve sperm morphology.
Consult a trusted fertility specialist-: People often skip consulting a specialist and start taking medicines blindly without knowing the root cause that needs diagnosis. Reaching out to a good clinic like Imprimis IVF, the best Infertility treatment centre in Srinagar proves beneficial.

As already stated, sperm production takes around 65-90 days. Maintaining a healthy lifestyle for 3-6 months is essential to gather positive results.

Data shows that 90% of the time, You can improve sperm morphology with these simple lifestyle changes. The remaining 10% of cases can rely on treatment options to improve sperm morphology.

Treatments for Poor Sperm Morphology

Certain Assisted Reproductive Technology methods have helped men with abnormal sperm morphology. The most promising and trusted ART treatment methods include:

IUI-: IUI, which stands for Intrauterine Insemination, has helped tackle abnormal sperm count in men with high sperm count and sperm motility.

IUI treatment is cost-effective because a washed or processed sperm is injected directly into the uterus.

ICSI-IVF-: If the sperm count, as well as motility, is low, then in-vitro fertilization with ICSI can help you conceive if you have abnormal sperm morphology.

In ICSI treatment, the egg is fertilized with the help of a single sperm cell. After getting fertilized, this egg is then implanted in the uterine lining.

This method has summoned encouraging results when sperm morphology is as low as 2%.

Final Words

The test results of semen analysis can spark many questions about abnormal sperm morphology treatment. There’s no need to stress about this unknown term sperm morphology. Remember that stress plays a crucial role in the process of sperm production. So it would be best if you keep stress at bay. Consult a reproductive specialist if you cannot stop worrying about the complications of abnormal sperm morphology. Follow a healthy and stress-free lifestyle. It will not only help improve sperm morphology but also help you stay fit in the long run.

Low Sperm Count Treatment

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Are you constantly googling low sperm count treatment in Srinagar? Your answer is right here; backed with state-of-the-art technology and medical expertise, we at Imprimis IVF, Srinagar, the best IVF centre in Srinagar, offer affordable low sperm count IVF treatment to help you welcome a healthy little one.

Don’t panic; you are not the only one with a low sperm count. Low sperm count is on the rise globally. Research after research has cemented this fact.

Pregnancy begins with the magical fusion of an egg and sperm. You might ask, when a single sperm has to fuse with the egg, why does low sperm count lead to complications in conceiving? What do we mean by low sperm count, and how do we calculate it?

Well, the process of fusion is highly complex, and a healthy sperm count is an essential requirement to fertilize the egg successfully.

During sexual intercourse, a man gets an erection and ejaculates sperm cells and seminal plasma during his orgasm. The count of these sperm cells must be healthy to fertilize the egg.

A healthy or normal sperm count is witnessed when the sperm concentration is more than 15 million sperm/ml of semen.

What is Oligospermia?

Oligospermia is the medical term for a low sperm count, which refers to the condition when the sperm concentration during ejaculation is less than 15 million per millilitre of semen.

Sperm count is calculated after running a test known as semen analysis, which highlights parameters like ejaculate volume, sperm concentration, total motility, and progressive motility. Based on the values of these parameters, Oligospermia is broadly classified into the following three types:

Mild Oligospermia – When the sperm concentration is witnessed to be around 10 to 20 million sperm/ml.
Moderate Oligospermia – When the sperm concentration is witnessed to be around 5 to 10 million sperm/ml.
Severe Oligospermia – When the sperm concentration is witnessed to be around 1 to 5 million sperm/ml.

Apart from Oligospermia, other medical conditions like Cryptozoospermia and Azoospermia are also found to be responsible for infertility issues. Let’s get down to what both of these medical conditions refer to.

Cryptozoospermia is when 0 to rare sperm are detected in the semen sample after centrifugation.
Azoospermia is a medical condition when no sperm (0 sperm) are ejaculated. A plethora of reasons, such as hormonal imbalances, ejaculating issues, abnormal testicular function, and blockage of the reproductive tract, can cause azoospermia.

The reproductive specialist will suggest treatment options based on the type of Oligospermia. In the case of severe Oligospermia, treatment options like IVF and ICSI have helped overcome the hurdle of male infertility due to a low sperm count or poor sperm quality.

According to the data put forward by FertiAlly, the minimum sperm count for IVF or ICSI is required to be around 4 million sperm/ml of semen.

Symptoms of Low Sperm Count:-

A proper medical checkup is mandatory to confirm if you have a low sperm count. However, certain evident symptoms can be a sign that indicates Oligospermia, including:

Erectile dysfunction (unable to sustain an erection)
Low sex drive
Visible reduction in facial or body hair
Swelling, lumps, discomfort, and pain in and around your testicle region
Other palpable signs of hormonal abnormalities

Causes of Oligospermia:-

The exact reason behind low sperm count can not be detected. It can only be linked to several medical, environmental, and lifestyle factors that may be the major causes of low sperm count.

Medical reason for Low Sperm Count-

Varicocele-:

The scrotum, an integral part of the male reproductive system, holds the testicles in place and regulates their temperature.

Varicocele, also termed scrotum varicose veins, is a medical condition when the vein within the scrotum gets enlarged. This enlarged vein disturbs blood flow to the testicles and raises the temperature. This abnormal increase severely affects sperm count.

Retrograde ejaculation-:

During ejaculation, the semen should flow through the tip of the penis. But sometimes, instead of flowing through the penis, the semen enters the bladder. This abnormality is known as retrograde ejaculation. It results in lower sperm count and causes problems in conceiving.

Hormonal imbalance-:

The smooth functioning of the body is retained with hormones produced in balanced amounts. However, an imbalance of any hormone that directly affects the functioning of the thyroid, pituitary, adrenal, and hypothalamus glands can lead to male infertility.

Infections-:

Bacterial infections and sexually transmitted infections (STIs) can affect sperm health. Sometimes, these infections can even result in scars that block or damage the male reproductive system.

Tumours-:

Both cancerous and noncancerous tumours can affect male fertility by disrupting the normal functioning of the reproductive organs.

Body weight-:

Obesity comes in tow with several problems, and low sperm count is one of them.

Immune system disorder-:

It is found that immune system disorders like gluten sensitivity, known as Celiac disease, can lower sperm count.

Genetic dysfunction-:

Some genetically inherited disorders like Kartegener’s, Kallmann’s, Klinefelter’s, and cystic fibrosis can affect sperm count. It has been found that 10-15% of low sperm count cases are caused due to genetic dysfunction.

Surgery-:

Surgeries of the bladder, abdominal region, testicles, prostate, hernia, rectum, stomach, scrotum, and vasectomy can reduce sperm count.

Environmental reason for Low Sperm Count-

Overheating of testicles – The scrotum is responsible for regulating the temperature of the testes. Regulating the temperature of the testicles is important because the production of sperm is a temperature-dependent process.

The scrotum has its natural cooling mechanism. But wearing uncomfortable and tight clothes, sitting for a longer duration, and regularly using bathtubs can raise the temperature of the testicles, which the scrotum can not regulate. It directly impacts both the quantity and quality of the sperm.

Industrial chemicals – Reusing organic compounds like benzene, toluene, xylene, paints, herbicides, and pesticides can reduce low sperm concentration during ejaculation.
Harmful radiations-: A study has proven that exposure to X-rays and radio frequency waves can affect a male’s fertility.
Exposure to heavy metals – Heavy metals like lead, cadmium, arsenic, manganese, etc., can affect sperm count.

Lifestyle factors that lead to Low Sperm Count-

Alcohol and tobacco consumption-: A study has confirmed that controlled intake of alcohol doesn’t affect male fertility. However, regular and excessive consumption of alcohol and smoking may lower sperm count.
Steroids and drugs – Abstain from indulging in self-medication. Certain antifungal medications, supplements, and drugs like cocaine and steroids adversely affect your testosterone levels. Lower testosterone levels signify both insufficient quantity and quality of sperm.
Emotional instability – Stress is a major cause of several diseases, and a stressful regime can even lead to a decrease in sperm count.
Lack of exercise-: Lack of exercise leads to weight gain, deteriorates your health, and affects the sperm count.

Can you get Pregnant with a Low Sperm Count?

The good news is Oligospermia is treatable. So, yes, you can get pregnant with a low sperm count. A proper blend of medications and lifestyle changes can help reverse this condition.

Treatment Options for Oligospermia

Treatment for Oligospermia

Lifestyle changes that can help improve the quality, as well as quantity of your sperm include:

A routine of healthy diet and exercise helps maintain a healthy Body Mass Index (BMI)
Refrain from consuming alcohol and smoking.
Say goodbye to drugs if you want to boost your sperm count.
Abstain from taking hot tub baths.
Keep your stress levels in check.
Religiously follow the medications prescribed by your doctor.
Keep track of your sugar level, especially if you have diabetes.

Clinical treatment options backed with proper medications are opted for by doctors to help conceive a baby. The prescribed medications are an assortment of anti-inflammatory, vitamin pills, and testicular and pituitary stimulants that help boost your testosterone levels. Healthy testosterone levels help ensure good quality as well as quantity of sperm.

Men with severe Oligospermia, Azoospermia, and Cryptozoospermia must rely on Assisted Reproductive Technology to help their partner conceive.

The Assisted Reproductive Technology Methods:-

In vitro fertilization (IVF)-:

IVF treatment has summoned highly promising results in men with a low sperm count. It is performed in a controlled environment where your partner’s eggs are collected and fertilized with sperm. The fertilized egg is then implanted into your partner’s uterus. Its successful implantation means you have conceived a baby.

Intracytoplasmic sperm injection (ICSI)-:

ICSI treatment is recommended by your reproductive specialist when you have been trying to conceive for two consecutive years, but pregnancy remains a distant dream. In ICSI, a tiny needle makes its way to your testes to collect a single sperm. This sperm is then used to fertilize the egg and gets implanted into your partner’s uterus.

To treat low sperm count, ICSI is combined with IVF to summon better results.

Intrauterine Insemination (IUI)-:

In IUI treatment, sperm is processed and injected directly into your partner’s uterus. In case you cannot conceive due to the absence of sperms when you ejaculate or poor quality sperms, doctors recommend donor sperm insemination. With the help of suitable ART treatment, this donor sperm fertilizes the egg and gets implanted into your partner’s uterus.

Conclusion-

Consulting a trusted fertility specialist is the first step! Infertility tests and assistance help detect the root cause and the right treatment to achieve positive results.

You can not control genetic abnormalities, but you can take control of your habits. People don’t pay much attention to lifestyle choices, which are vital to your low sperm count treatment.

Bulky Uterus – Causes, Symptoms and Treatment

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Sometimes vaginal ultrasounds or internal sonography reports bulky uterus. You may be someone who has never come across the term bulky uterus. And it’s completely understandable if this unknown term, the bulky uterus, makes you shiver with panic. Before you arrive at any disastrous conclusions, let Imprimis IVF, The best IVF centre in Srinagar, walk you through the ins and outs of a bulky uterus.

What is a Bulky Uterus?

The uterus or womb is around the size of your clenched fist. You may also compare the size of your uterus with a small apple or pear. On average, the uterus is about 7-8 centimetres long, 4 centimetres broad, and 3 centimetres thick. Slight variations in these measurements do occur from woman to woman.

If your uterus is larger than the average size of 7cm×4cm×3cm (around 3-4 inches by 2-2.5 inches) due to some medical reasons or abnormalities, it is referred to as a bulky uterus.

It is a common misconception that a bulky uterus is always associated with infertility treatment or any other abnormality/disease. However, data shows that uterus-related problems comprise only 3-5% of infertility issues.

To better understand, let’s get down to bulky uterus causes.

Causes of the Bulky Uterus:-

Previous Pregnancy-:

During pregnancy, the uterus naturally gets enlarged as the baby grows. The apple-sized uterus attains the size of a watermelon with the development of the fetus. After the baby’s delivery, the uterus tries to regain its standard size. However, sometimes, it is unable to recover its original size fully. IVF Doctors have witnessed an increase of 1-2 inches in the uterus size after pregnancy.

For instance, if the size of your uterus before pregnancy was 7 centimetres. After delivery, your uterus’s size may be between 8-10 centimetres.

This increase is also reported as a bulky uterus if you undergo internal sonography.

But this increase in the size or bulky uterus in pregnancy is standard and is not a matter of concern.

If your uterus is about 12 centimetres long, it’s completely normal. However, if the uterus size is more than that, it is categorized as a bulky uterus that may warrant a medical checkup.

Apart from a history of childbirth, a woman may have a bulky uterus due to the following reasons-:

Uterine Fibroids-:

A bulky uterus with fibroid is quite prevalent among women in their childbearing age. Fibroids are witnessed in about 20% of childbearing women.

Uterine fibroids are noncancerous tumours in the form of lumps or growths found along the uterine lining and in the uterine cavity.

These noncancerous fibroids vary in size. Small uterine fibroids may be asymptomatic. At the same time, the larger fibroids, which weigh several pounds, may enlarge the uterus.

Uterine fibroids may be hereditary. A woman has two sex or steroid hormones, namely estrogen and Progesterone. The condition of uterine fibroids is majorly caused due to the imbalance of the hormones mentioned above.

Adenomyosis-

The uterus is coated by endometrial tissue. This uterine lining, or the endometrial tissue, is responsible for menstruation. Normally, this endometrial tissue lines the uterus. But due to certain factors, sometimes this tissue may grow into the uterus wall.

Adenomyosis is a noncancerous condition in which the uterine lining attaches itself to the muscular uterine wall. As a result, the tissues thicken, leading to the uterus’s expansion, known as a bulky uterus.

Research shows that 1 in 10 women of reproductive age is affected by Adenomyosis. It can enlarge the uterus up to three times its original size. The root cause of Adenomyosis is still undetected. However, doctors have concluded that the risk of Adenomyosis is higher in women who have had any uterine surgery. Also, Adenomyosis may be hereditary. Ageing also contributes to this noncancerous condition.

These two are the most common causes of a bulky or enlarged uterus. However, other factors also may contribute to a bulky uterus. Let’s dive into these bulky uterus causes.

Polycystic Ovarian Syndrome-:

The ovaries produce estrogen and progesterone. But in some cases, the ovaries produce an excess of male hormones and androgens. Polycystic Ovarian Syndrome, or PCOS, is a medical condition caused by hormonal imbalance due to the production of androgens that results in the shedding of the endometrial lining and disrupts a regular menstrual cycle.

PCOS is a common factor that contributes to infertility in women as it disrupts menstruation and results in the formation of cysts. PCOS may also lead to an enlarged/bulky uterus.

Perimenopause-:

Menopause and Perimenopause are two different terms. Perimenopause is that stage of a woman’s life before menopause strikes.

Perimenopause or menopausal transition occurs with reproductive ageing when the levels of estrogen and other hormones fluctuate. These hormonal fluctuations may result in a bulky uterus.

Reports witness that the uterus gains its original size once a woman hits menopause. But in some cases, it may be unable to do so and warrant a diagnosis.

Ovarian Cysts – The fluid-filled sac in or on the ovaries is termed an ovarian cyst. These are normal during pregnancy and go unnoticed. However, in some instances, ovarian cysts may lead to reproductive complications such as abnormal enlargement of the uterus.
Endometrial Cancer – Uterus cancer leads to the development of tumours. These tumours with varying sizes are witnessed to be one of the factors that lead to uterine enlargement. The most common uterine cancer is endometrial cancer which may also spread to other parts of the vagina.

In addition to endometrial cancer, cancer in other pelvic regions, such as the cervix, can lead to a bulky uterus.

Problems in conceiving are witnessed when a bulky uterus is backed with the right symptoms. Instead of panicking about it, seek medical guidance from a trusted IVF expert.

Infertility can only be confirmed after running a series of medical tests.

Now that you have skimmed through the possible causes of a bulky uterus, it’s essential to know its associated symptoms.

Symptoms of the bulky uterus:-

Many cases of the bulky uterus are asymptomatic. But some symptoms are so evident that it might become an uphill task to not panic about your reproductive health.

Bulky uterus symptoms are stated as follows:

Heavy bleeding with blood clots during the menstrual cycle (Menorrhagia)
Prolonged and irregular bleeding
Severe cramps before, during, or after periods
Intolerable pain during sexual intercourse
Miscarriage
Premature delivery
Bloating during periods
Pain in and around the lower abdomen, legs, lower back, and pelvis
Swelling of the abdominal region
Visible Anaemic symptoms due to heavy bleeding
Breast tenderness
Excessive hair growth, especially around the sexual organs
Acne
Frequent constipation and gas
Frequent urination
Paleness and weakness in the body
Abnormal weight gain
Accumulation of fat around the belly

If you encounter the symptoms mentioned above daily, don’t disregard them. Its symptoms indicate that you must consult a doctor. Early detection of vaginal abnormalities can help avoid serious problems like infertility.

It is advised that a woman of childbearing age undergo yearly vaginal examinations at a trusted clinic like Imprimis IVF, Srinagar, the best IVF centre in Srinagar.

Treatment of Bulky Uterus:-

A bulky uterus may or may not warrant a diagnosis. The treatment revolves around the severity of the condition. Vaginal ultrasounds and imaging tests are conducted and gauged under the supervision of an experienced IVF expert.

Diagnosis of Uterine Fibroids:-

The treatment option is decided based on the fibroids’ number, location, and size. These are detected with the help of a pelvic examination and abdominal ultrasound. It is followed by transvaginal ultrasound (TVS).

Certain medications are given to regulate hormonal levels and alleviate the pain during menstruation.

Intrauterine Device (IUD) is inserted to help regulate heavy bleeding and pain.

Suppose the problem is a bulky uterus with multiple fibroids or a large fibroid, which can lead to further complications. In that case, medical experts opt for the following endoscopic surgeries:

Hysterectomy (surgery to remove the uterus)
Myomectomy (removal of fibroids through surgery)

Diagnosis of Adenomyosis-:

Detection of the root cause and diagnosis of Adenomyosis is difficult to confirm. Proper tests such as MRI, transvaginal ultrasounds, and endometrial biopsy are conducted to verify Adenomyosis.

Surgical treatment is only recommended in severe conditions which may deteriorate the chances of conceiving or are life-threatening. Several therapies that are used to control Adenomyosis are stated below:

Anti-inflammatory medicines
Treatments to stabilize the hormones
Uterine artery embolization
Endometrial ablation
Ultrasound surgery

Diagnosis of Ovarian cysts-:

A series of infertility tests, namely a blood test, pelvic ultrasound, and a pregnancy test, is conducted. Depending on the condition of the woman, birth control pills are prescribed. In cases of extreme complexity, surgical removal of ovarian cysts is performed.

Healthy Diet and Exercise-:

A healthy and balanced IVF diet chart can help cure any medical condition, and a bulky uterus is no exception. A diet loaded with fresh and raw fruits with green leafy vegetables will help manage the symptoms of a bulky uterus. Refrain from eating processed foods that contain excessive sugar and salt.

Proper exercise, such as yoga asanas, can help alleviate the pain during menstruation and improve the quality of life.

Conclusion

The bulky uterus is a household term these days. After finding out that a woman has a bulky uterus, she starts to worry about all sorts of possible medical issues. But in certain situations, such as a mild bulky uterus, it may not warrant immediate medical attention. However, if you are anxious about the complications it would cause in conceiving or any other medical ailment, please visit an IVF expert. No article or video can replace an experienced doctor. Have a nice day!