Tag Archive for: Fertility Clinic Srinagar

Choosing the Right IVF Clinic: Factors to Consider in Your Decision-Making

Choosing the Right IVF Clinic – It is wonderful to be able to give birth to any couple, but not everyone can conceive naturally. Those trying for a baby who is unable to conceive should approach an infertility specialist and evaluate fertility treatments, too.

It makes it difficult to select a suitable fertility clinic for IVF procedures. As more and more clinics appear all over the city, giving nearly identical promises, choosing the right clinic is challenging. Extensive research should be conducted to choose the ideal fertility clinic. To help you through this process, we have provided a list of some key qualities to find.

The Importance of Choosing the Right IVF Centre

In recent years, in vitro fertilization (IVF) has become increasingly popular as a fertility treatment option. With declining fertility rates among women, many couples in India are turning to IVF procedures to fulfil their dreams of starting a family when natural conception isn’t possible.

However, selecting the right IVF centre can be a big decision for couples hoping for success. Infertility is a significant global health concern, affecting around 8%–10% of couples worldwide. Everyone must have a good understanding of IVF specialists.

When choosing the best IVF centre, it’s essential to consider several key factors. That’s why we’ve put together a list of essential things to remember while selecting an ethical and suitable IVF centre for yourself.

Things to Consider While Choosing the Right IVF Centre

1. Doctor’s Qualifications and Experience

When choosing an IVF fertilization clinic, you’ll want to consider the qualifications and experience of the doctors. Are they highly trained in infertility and reproduction?

IVF treatment might seem straightforward but often requires subtle adjustments for the best results. A good fertilization clinic will create a personalized treatment plan for each patient because everyone responds differently to medications. To avoid complications, closely monitoring each patient’s stimulation and egg retrieval process is crucial.

Booking an appointment and meeting the doctor with the best fertility centre can help determine if it’s the right clinic. A skilled infertility clinician will become apparent quickly.

2. Check Out the Success Rates of the Centre

The next thing to check when considering the best fertility centre is the success rate of their IVF procedure. Ask about the clinic’s track record with various cases, like unsuccessful previous IVF treatments, older couples, or those with existing medical conditions.

IVF success is influenced by factors such as age, the health of persons involved, response to treatment and lifestyle. At the same time, the rate with which a fertilization clinic has successfully handled situations informs you about their performance in helping different kinds of people attain good outcomes. Moreover, consider the clinic’s technology and equipment that will be equipped with their facilities — even in operating rooms and embryology labs. How staff members perform through the process can also affect IVF success rate.

3. Explore the Different Fertility Treatments Available

Fertility issues are different for everyone. So, when checking out reviews for a trustworthy fertilization clinic, ensure they provide a broad range of treatments to cater to diverse needs. Here are some types of fertility treatments:

  • Intrauterine Insemination: The IUI treatment process involves bypassing the cervix and putting sperm directly into the uterus.
  • In Vitro Fertilization: IVF is a complex procedure comprising fertilization of eggs and sperm outside the body while embryos are transferred to a uterus.
  • Intracytoplasmic Sperm Injection: ICSI treatment is an advanced version of IVF in which a single sperm is injected directly into an egg.
  • Egg Freezing: Preserving a woman’s egg cells for use in the future.
  • Donor Options: A good option for couples experiencing great infertility. An institution providing various therapies demonstrates that they are always patient-centred.
  • Pre-implantation genetic screening: The most modern treatment method will evaluate embryos for genetic disorders before implanting them in the uterus.

4. Technologies and Equipment 

Success in IVF depends greatly on the quality of a clinic’s equipment and technology. It’s not just about having the latest fancy gadgets – what matters is if they’re effective and suitable for your needs. While many of the best fertility centres boast about their state-of-the-art tech, it’s just as important to focus on their essential functions and the expertise of their staff.

The best IVF clinic should have Andrology, Genetics, and Embryology labs, all meeting international quality standards. They should also use top-of-the-line equipment like the Geri-Time-Lapse Incubator, which allows detailed monitoring of embryo development without disturbing them.

Technology plays a crucial role in IVF, especially in embryo culture. Embryos need to reach a certain stage before they can be transferred, and the right equipment helps ensure they get there safely.

5. Choose the Right Location

When it comes to picking the best fertility centre, location is key. Since you’ll need to visit the specialist’s IVF clinic multiple times – this isn’t a one-day thing – it’s best to choose one close to you.

Picking a nearby IVF specialist means less travelling for appointments, which is a big plus. Plus, it might not be easy or practical to travel once pregnant. So, go for the IVF procedures with a professional closest to your home.

6. Transparency in IVF Clinic Costs

A good fertility clinic should be upfront about their procedures’ medical and financial aspects. Ensure they know the IVF treatment cost and whether counselling is part of the package before and after treatment. The price they quote at the beginning should be what you pay. 

It helps you budget and arrange funds if needed. They should also explain the procedures thoroughly so you can mentally and physically prepare. If there are any risks, they need to tell you about them, too. Confidentiality is crucial for patients, so ensure the clinic respects your privacy, whether you’re a donor or a patient.

7. Read the Reviews

Reading reviews from other patients helps you understand what it is like to get IVF procedures from that clinic. In some cases, if there are no referrals or testimonials in the clinic, you will normally find them on social media if you want to know people’s responses to their posts or how they comment about the treatments and services rendered on that clinic’s Facebook page. The best fertility centre would also narrate good case stories to the patients under them. You should make an effort to do some research.

Be aware that reviews are objective; hence, consider every factor. It is smart to view, feel, and judge the doctors and clinic through phone calls or personal encounters.

Conclusion

There you have it! Now, take your life’s most important decision with ease. Remember, when listing out the best IVF clinics, ensure you get all your queries answered by them, and only then move forward if satisfied.

Oocyte (egg) Retrieval Step-by-Step Process

What is Egg retrieval?

Egg retrieval is a crucial procedure in assisted reproductive technology (ART), just like in IVF and intracytoplasmic sperm injection (ICSI). It involves the extraction of mature eggs (oocytes) from a woman’s ovaries for fertilization in a laboratory setting. Here is a step-by-step guide to the oocyte retrieval process:

Oocyte retrieval is a critical step in the process of IVF and other assisted reproductive technologies.

Here’s a detailed information of the process:

1. Ovarian Stimulation:

The woman undergoes ovarian stimulation using hormonal medications before retrieval. It increases the chances of successful fertilization and embryo development.

2. Monitoring:

The woman’s response to the medications is monitored closely using ultrasound scans and hormone level measurements throughout the ovarian stimulation process. This monitoring helps healthcare providers adjust the dosage of medications as needed to optimize the number and maturity of the eggs.

3. Timing:

Once the ovarian follicles containing the eggs have reached a sufficient size, a shot of hCG is administered. This hormone triggers the final maturation of the eggs and prepares them for retrieval. The retrieval procedure is typically scheduled about 36 hours after the trigger shot to coincide with the optimal timing for egg retrieval.

4. Preparation:

On the day of the retrieval procedure, the woman is ordered to fast it. She may also be given medications to help relax or sedate her, as the procedure can cause discomfort.

5. Procedure:

The retrieval procedure is performed in a specialized fertility clinic or hospital setting. It is usually done transvaginally, meaning the eggs are retrieved through the vaginal wall using a thin needle. Ultrasound guidance is used to visualize the ovaries and guide the placement of the retrieval needle.

6. Egg Aspiration:

Once the ovaries are visualized, a needle is inserted through the vaginal wall and into each ovarian follicle containing an egg. The follicular fluid containing the eggs is aspirated into a test tube attached to the suction device. This process is repeated for each mature follicle identified on ultrasound.

7. Egg Identification:

Embryologists immediately examine the follicular fluid collected during the retrieval procedure under a microscope to identify and retrieve the eggs. The eggs are placed in a special medium and incubated in the laboratory until they are ready for fertilization.

8. Post-Procedure Care:

The woman is generally monitored after retrieval to ensure no immediate complications. She may experience cramping, bloating, or spotting after the procedure, which is resolved within a few days.

Details Process of Oocyte Retrieval

Oocyte retrieval, also known as egg retrieval, is a procedure that involves several steps. Here’s a detailed information:

1. Preparation and Ovarian Stimulation:

  • Before starting the IVF cycle, the woman undergoes a detailed evaluation, including various tests to assess ovarian reserve and reproductive health.
  • Once deemed suitable for IVF, the woman begins ovarian stimulation using hormonal medications. Ovarian stimulation is monitored closely through ultrasound scans and blood tests to track follicle growth and hormone levels. The dosage of medications may be adjusted based on the individual’s response to ensure optimal follicular development.

2. Trigger Shot Administration:

  • When the follicles containing the eggs reach an appropriate specification, a hCG trigger shot is administered. This hormone triggers the final maturation of the eggs, preparing them for retrieval.
  • The timing is crucial, as it determines when the eggs will be ready for retrieval. The retrieval procedure is typically scheduled approximately 36 hours after the administration.

3. Pre-Retrieval Preparations:

  • On the day of the retrieval procedure, the woman is advised to fast for a certain period before the procedure to minimize the risk of complications associated with anaesthesia.
  • She may also be given medications to help relax or sedate her, as the procedure can cause discomfort. An anesthesiologist may administer intravenous sedation or general anaesthesia based on the woman’s preference and medical history.

4. Retrieval Procedure:

  • The retrieval procedure is usually performed in a specialized fertility clinic or hospital setting. It is typically done transvaginally under ultrasound guidance.
  • The woman lies in stirrups, similar to a pelvic exam. A speculum is inserted into the vagina to visualize the cervix.
  • A thin, hollow needle attached to a suction device is then guided through the vaginal wall and into each ovarian follicle containing an egg. Ultrasound imaging helps guide the needle placement to avoid injury to surrounding structures.
  • The follicular fluid containing the eggs is gently aspirated into test tubes attached to the suction device. This process is repeated for each mature follicle identified on ultrasound.

5. Egg Identification and Processing:

  • The test tubes containing the follicular fluid are immediately taken to the laboratory, where embryologists examine them under a microscope to identify and retrieve the eggs.
  • The eggs are kept in a special culture medium, where they are incubated until they are ready for fertilization.

6. Post-Retrieval Care:

  • The woman is usually monitored for a short period to check her. She may experience mild cramping, bloating, or spotting, which is normal.
  • Pain medications and instructions for post-retrieval care are provided to help manage any discomfort or side effects.

Overall, oocyte retrieval is a critical step in the IVF process, allowing IVF specialists to collect the woman’s eggs for fertilization in the laboratory. It requires careful planning, skilled execution, and close monitoring to optimize the chances of success.

Thin Endometrium Symptoms, Causes and Treatment

Thin endometrium refers to a condition where the inner lining of the uterus, called the endometrium, is thinner than normal. If the lining is too thin, it may make it a little hard to maintain a full pregnancy. Thin endometrium can be caused by various factors, including age, menopause, endometrial biopsy, radiation therapy, polycystic ovary syndrome (PCOS), and smoking. Treatment options for thin endometrium depend on the underlying cause and may include estrogen therapy, gonadotropins, assisted reproductive technology (ART) procedures, lifestyle changes, and surgery.

Understanding the Thin Endometrium

The endometrium, a crucial layer of tissue lining the uterus, plays an essential thing in the reproductive system of women. Sometimes, this lining may become thinner than optimal, a condition known as thin endometrium. While it may not always manifest noticeable symptoms, there are specific signs that could indicate potential issues. The endometrium is an inner lining that thickens during the menstrual cycle. It consists of different layers, including the basal layer, which contains stem cells that can regenerate the lining, and the functional layer, which thickens and sheds during the menstrual cycle.

Symptoms of Thin Endometrium:

Understanding these symptoms is crucial for women seeking to comprehend their reproductive health.

Difficulty in Conception:

One of the primary symptoms associated with a thin endometrium is difficulty in conceiving. The endometrial lining serves as a crucial environment for the implantation of a fertilized egg. If this lining is too thin, it may pose challenges for successful implantation, leading to infertility issues.

Abnormal Menstrual Bleeding:

Women with a thin endometrium may experience irregular and abnormal menstrual bleeding. This can manifest as lighter periods, shorter menstrual cycles, or spotting between periods. These irregularities could be indicative of an insufficiently developed endometrial lining.

Recurrent Miscarriages:

Thin endometrium has been linked to an increased risk of recurrent miscarriages. The inadequate thickness of the endometrial lining may compromise its ability to support a developing embryo, resulting in recurrent pregnancy losses.

Hormonal Imbalances:

Hormonal imbalances, particularly disruptions in estrogen levels, can contribute to thin endometrium. Women experiencing hormonal irregularities may notice changes in their menstrual cycles, and these imbalances can negatively impact the development of the endometrial lining.

Pelvic Pain or Discomfort:

In a few cases, women with a thin endometrium may experience pelvic pain or discomfort. This may be associated with hormonal fluctuations, compromised blood flow to the uterus, or other factors affecting the health of the endometrial tissue.

Thin Endometrium Causes

The endometrium, a vital layer of tissue lining the uterus, undergoes dynamic changes throughout a woman’s menstrual cycle. However, in some cases, this lining may become thinner than optimal, a condition known as thin endometrium. Understanding the potential causes of thin endometrium is crucial for those facing fertility challenges or recurrent pregnancy loss.

Hormonal Imbalances:

Hormonal fluctuations, particularly imbalances in estrogen and progesterone levels, can contribute to thin endometrium. Estrogen plays a crucial role in promoting the growth and thickening of the endometrial lining. Disruptions in hormonal balance can impede this process, leading to a thinner lining.

Age-related Changes:

Advancing age is a significant factor in the development of thin endometrium. As women approach menopause, hormonal shifts occur, and the ovaries produce fewer hormones. This process can result in a decrease in endometrial thickness and quality.

Uterine Adhesions or Scarring:

Prior uterine surgeries, such as dilation and curettage (D&C) or other procedures, may lead to adhesions or scarring in the uterine lining. This scarring can interfere with the normal growth and development of the endometrium, resulting in thinning.

Chronic Medical Conditions:

Certain medical conditions, such as autoimmune disorders, thyroid disorders, or diabetes, can impact endometrial health. These conditions may affect blood flow to the uterus or disrupt hormonal balance, contributing to thin endometrium.

Infections or Inflammation:

Infections or chronic inflammation of the uterus can hinder the normal regeneration of the endometrial tissue. Conditions like chronic endometritis, an inflammation of the endometrium, may lead to thinning of the lining over time.

Lifestyle Factors:

Smoking, excessive alcohol consumption, or extreme stress, can negatively impact reproductive health. These factors can contribute to hormonal imbalances and reduce blood flow to the uterus, affecting endometrial development.

Poor Blood Flow to the Uterus:

Insufficient blood flow to the uterus can impede the nourishment and growth of the endometrial tissue. Conditions such as vascular abnormalities or uterine artery embolization may compromise the blood supply, resulting in a thin endometrium.

Thin endometrium is a complex condition with various potential causes. Recognizing these factors is crucial for individuals facing fertility challenges or recurrent pregnancy loss. Consultation with a healthcare professional is essential for a comprehensive assessment, diagnosis, and development of a personalized treatment plan to address the specific causes and improve endometrial health. Early detection and targeted interventions can significantly enhance the successful conception and a healthy pregnancy.

Treatment for Thin Endometrium

Thin endometrium, characterized by a suboptimal thickness of the uterine lining, can present challenges for women trying to conceive. However, advancements in reproductive medicine have led to various treatment approaches aimed at improving endometrial health. This article explores the key strategies employed in the treatment of thin endometrium, offering hope to those seeking to enhance their fertility.

Hormonal Therapies:

Hormonal interventions are often employed to address thin endometrium. Estrogen, a hormone crucial for endometrial growth, may be administered in different forms, such as oral medications, patches, or injections. Additionally, progesterone supplementation may be prescribed to support the second phase of the menstrual cycle and facilitate a healthy endometrial response.

Lifestyle Modifications:

Adopting a healthy lifestyle can positively impact endometrial health. This includes a balanced diet, regular exercise, managing stress, and avoiding harmful habits like smoking and excessive alcohol consumption. These lifestyle changes contribute to overall reproductive well-being and may promote the development of a thicker endometrial lining.

Uterine Surgeries and Interventions:

In cases where structural abnormalities or scarring contribute to thin endometrium, surgical interventions may be considered. Procedures such as hysteroscopy can be used to remove adhesions or address underlying issues affecting the uterine lining. These interventions aim to create a more favourable environment for endometrial growth.

Platelet-Rich Plasma (PRP) Therapy:

Emerging as a promising option, PRP therapy involves injecting platelet-rich plasma, derived from the patient’s blood, into the uterine lining. Rich in growth factors, PRP stimulates tissue regeneration and improves blood flow, potentially enhancing endometrial thickness.

In Vitro Fertilization (IVF) with Embryo Glue:

For couples undergoing assisted reproductive technologies like IVF, the use of a specialized embryo transfer medium known as “embryo glue” has been explored. This medium contains substances that may aid in better embryo attachment to the thin endometrial lining, potentially improving implantation rates.

Acupuncture and Traditional Chinese Medicine:

Some individuals turn to acupuncture and traditional Chinese medicine as complementary approaches to enhance endometrial thickness. Acupuncture is believed to improve blood flow to the uterus and regulate hormonal balance, potentially creating a more supportive environment for endometrial growth.

Growth Factor Therapy:

Research is ongoing in using growth factors, such as granulocyte colony-stimulating factor (G-CSF), to promote endometrial regeneration. Preliminary studies suggest that these factors may stimulate tissue repair and improve endometrial thickness.

The treatment landscape for thin endometrium is diverse, reflecting the complexity of the condition. Individualized care plans, tailored to address specific causes and patient needs, are essential. Consulting with a fertility specialist is crucial for a comprehensive evaluation and the development of a personalized treatment strategy. With advancing medical interventions and a holistic approach, there is optimism for individuals facing the challenge of thin endometrium to realize their dreams of conception.

Conclusion to Thin Endometrium

Thin endometrium can be a challenging condition for women who are trying to conceive. However, with proper diagnosis and treatment, it is possible to improve endometrial health and increase the chances of a successful pregnancy. If you are having difficulty conceiving, it is important to talk with your IVF experts and develop an appropriate treatment plan. If you are looking for any treatment like this then you can consult any of the best organisations like Imprimis. They will help you to get fully recovered at reasonable prices.

Breaking Down Myths and Facts About IVF

Myths and Facts About IVF – Reproductive medicine has undergone a revolution thanks to in vitro fertilization (IVF), which has given hope to millions of infertile couples. IVF has been incredibly successful, but it has also given rise to many myths and misunderstandings. For those considering or undergoing IVF therapy, these beliefs can cause misconceptions and unwarranted anxiety. To empower people to make informed decisions about their reproductive journey, it is imperative that these beliefs are dispelled and that accurate information is provided.

Myths and Facts about IVF

Here are some of the following: 

1. Children receiving IVF are not typical. Either they have inherited genetic defects or are predisposed to certain diseases.

IVF is a procedure that helps the conception process happen faster and increases the chance of it happening. The development and growth of the fetus and newborn are identical to that of a naturally created child. The baby born through IVF does not have any genetic defects or health problems. If an IVF child is born with an illness or problem, it is not because of the IVF process; rather, he could have inherited it from one or both parents.

In fact, before implanting the embryo into the uterus during an IVF pregnancy, your fertility doctor may recommend pre-implantation genetic testing. This helps them understand if the baby is likely to suffer from future illnesses or problems caused by a genetic defect. To produce healthy embryos, the embryologist also selects the healthiest sperm and eggs from the batch.

2. The IVF Process is Painful.

There are no additional discomforts or difficulties related to the IVF procedure itself. You will not feel any severe pain after extraction and implantation, although you may feel slight discomfort. Each person has a different pain threshold. As a result, you may experience discomfort during treatment that is noticeably different from another person. These injections are usually given after the transfer. You should prepare for an equivalent level of discomfort with infertility if receiving regular injections in your arms causes you anxiety or discomfort. However, unpleasant injections are no longer necessary thanks to modern notions such as the natural cycle.

3. IVF is Effective for Women of All Ages.

IVF is a viable option for women who have passed their peak fertility age and want to give conception one last chance, but it is not a guarantee. Compared to older women, women under 35 are significantly more likely to successfully conceive through IVF. Women’s egg reserves and quality begin to decline as they age. Women who have chosen to use in vitro fertilization (IVF) for their first or previous pregnancy can occasionally freeze their viable embryos for use in subsequent pregnancies. This way, people can still try IVF for successful conception even if their egg reserves decrease over time. However, given her current ovarian reserve and the quality of her eggs, the woman would be much less likely to conceive if she had not kept her embryos. Although women over 35 are less likely to conceive through IVF, those under 35 also do not have a 100% success rate. Attempts to conceive can also fail after IVF cycles, just as during natural conception. However, after consulting your IVF specialist, you will be able to determine the number of embryos to transplant.

4. IVF Results in Multiple Pregnancies.

Although many IVF treatments result in multiple pregnancies, this is not always the case. The concept is that when you turn to an IVF professional to help you get pregnant, the best eggs and sperm are selected to create embryos. Suppose you are lucky enough to have more than one viable embryo. In that case, you have two options: freeze the remaining embryos or attempt multiple pregnancies by implanting several embryos into your uterus. Multiple pregnancies occur when all the embryos implanted in the uterus successfully implant in the wall of the uterus.

5. The Only Treatment for Infertility is IVF.

No, IVF is only an option for same-sex couples who have tried another treatment. Otherwise, there are a variety of therapies that can improve your fertility health. After receiving treatment, you can try to conceive naturally and, in all honesty, you can even get pregnant naturally without the help of IVF. Many other options include in vitro fertilization. But it does the best job of informing us about the causes and treatments of infertility.

6. The Success Rate of IVF is 100%. IVF can Solve Any Problem related to Infertility.

If you’ve read the introductory paragraph on our homepage, you already know that IVF’s 100% success rate is a terrible deception. At best, a typical success rate is between 20% and 50%. Not all fertility problems can be solved by IVF. IVF is just one of many treatments used to help infertile couples get pregnant, including sperm mapping, ICSI (intracytoplasmic sperm injection), IUI (intrauterine insemination), ovulation induction, etc. Indeed, many problems and reasons can cause infertility in men.

In Summary

Myths and Facts About IVF – Finally, to ensure people have access to the correct information when considering fertility treatments, it is important to dispel myths and misconceptions associated with IVF. We can eliminate unnecessary worry and give people a clear idea of what to expect from the IVF process by dispelling these myths. Making informed decisions about fertility treatments requires speaking with fertility doctors and obtaining information from trusted sources. Ultimately, we can help people in their quest to start a family through assisted reproductive technologies like IVF, by separating fact from myth. Imprimis IVF is always there to help you at affordable prices if you need any help regarding this. 

Asherman Syndrome: Causes, Symptoms, and Treatment

Asherman Syndrome – An acquired illness known as Asherman’s syndrome causes adhesions, or scar tissue, to develop inside your uterus. There may be less room for expansion inside your uterus as a result of the accumulation of scar tissue. This illness may develop as a side effect of cancer therapy or medical procedures. Asherman’s syndrome can cause infertility, pelvic pain, or light or nonexistent periods in women.

What is Asherman’s Syndrome?

Scar tissue, sometimes known as adhesions or intrauterine adhesions, accumulates inside your uterus in a rare illness known as Asherman’s syndrome. Less space is created inside your uterus by this additional tissue.

Imagine a room where the walls grew thicker and thicker, thus reducing the amount of space in the middle. This illness may result in irregular uterine bleeding, pelvic pain, and problems conceiving. Treatment for Asherman’s syndrome frequently results in symptom relief.

IUDs and Asherman’s Syndrome: is it possible?

A kind of long-term birth control called an intrauterine device (IUD) is inserted into your uterus and left there for a certain amount of time, usually several years. There is always a chance of infection and scar tissue formation when this device is inserted into your body. IUDs and Asherman’s syndrome are not frequently associated with one another, while this is not the condition’s known aetiology.

How to identify Asherman Syndrome?

Asherman’s syndrome is usually diagnosed based on symptoms such as pelvic pain, irregular uterine flow, amenorrhea (absence of menstruation), or difficulty becoming and maintaining pregnancy. Asherman’s syndrome may potentially be diagnosed based on your medical history. You might be evaluated for Asherman’s syndrome if you have undergone radiation treatment, a c-section, a dilatation and curettage (D&C) procedure, or a pelvic infection. Asherman’s syndrome can be brought on by any of these treatments or ailments.

 Your IVF experts will review your medical history when you book an appointment. Make sure to let your provider know if you have ever had any pelvic surgery that isn’t listed in your medical history. That data may be crucial for the diagnosis of Asherman’s syndrome. After that, your doctor will examine you physically, but first, they will do a sonohysterogram to look for scar tissue inside your uterus. Using a tiny catheter, your doctor will inject a small amount of saline solution into your uterus during a sonohysterogram. After that, transvaginal ultrasonography is used to check for tissue blockages in the cervix or cavity.

Which tests are appropriate for the diagnosis of Asherman Syndrome?

Your IVF specialist can view your interior organs thanks to imaging tests. Different tests offer varying levels of specificity. These tests can be simple procedures performed on top of your skin with little to no preparation, or they can be more involved.

The following imaging tests can be used to identify Asherman’s syndrome:

 1. Ultrasound

This kind of imaging exam makes an image of your interior organs by using sound waves. You can have an internal transvaginal ultrasound or an external ultrasound performed on your skin. This variation of the test involves inserting a thin wand into the vagina.

 2. Hysteroscopy

This procedure involves your doctor seeing inside your uterus with a thin tool that has a camera on the end. This is placed in your vagina and advanced into your uterus via your cervix. With a hysteroscopy, your doctor may look into your uterus in great detail. It can be applied to the management of Asherman’s syndrome.

 3. Saline Infusion Sonography

To get a clear image of the inside of your uterus, this imaging procedure combines ultrasound technology with a saline solution, which is a solution of salt and water. Your uterus expands as a result of the fluid, allowing your healthcare professional to observe the specifics of the structure and flaws in your uterus.

What Is The Impact of Asherman Syndrome on Fertility?

It could be difficult for you to become pregnant if you have Asherman syndrome. The likelihood of miscarriage is considerable if you do. Although there is no room for fetal growth due to adhesions in the uterine walls, it is possible to become pregnant despite suffering from the condition.

 This increases the likelihood of miscarriage or stillbirth compared to women without the disease. Pregnancy with Asherman syndrome also increases the chance of certain disorders, such as:

1. Placenta Accreta

The placenta adheres to the uterine wall too firmly. Pregnancy at high-risk results from this. The placenta stays connected after birth in whole or in part, which results in excessive bleeding.

 2. Previa Placenta

The cervix’s opening is blocked by the placenta, which can result in heavy bleeding during pregnancy and childbirth. Premature birth is another risk that is increased by it.

The Symptoms of Asherman Syndrome 

A rare disorder called Asherman Syndrome affects women’s reproductive systems and results in the development of scar tissue inside the uterus. Many symptoms, such as the following, may result from this scar tissue:

  •  Amenorrhea, or irregular menstruation
  • Consistently losing babies
  • Infertility
  • Light or absent menstruation
  • Pain in the pelvis
  • Trouble getting pregnant or repeated losses

 Women with Asherman Syndrome sometimes don’t show any symptoms at all, and their menstruation stays regular. On the other hand, the illness may cause problems that arise during pregnancy, including low birth weight, retained placenta, and placenta accreta. Asherman syndrome is typically diagnosed with imaging techniques such as saline sonography, hysteroscopy, or hysterosalpingography.

 These techniques can assist in determining whether and how much scar tissue is present inside the uterus. In more severe cases, a hysteroscopy or MRI may be required to assess the disease’s extent. Asherman Syndrome can be treated surgically by dilation and curettage (D&C), hysteroscopy, or in certain situations, a total hysterectomy, to remove the scar tissue. To ascertain the best course of action for their unique circumstances, people must speak with their healthcare providers.

Asherman Syndrome Causes

Asherman Syndrome is a rare condition where scar tissue grows inside the uterus and/or cervix. It’s also called intrauterine adhesions or synechiae. The primary causes of Asherman Syndrome include:

1. Dilation and Curettage (D&C) Procedures

It most often happens after a D&C procedure done for voluntarily ending a pregnancy, late or not fully completed miscarriage, or to treat a placenta left over after having the baby.

2. Severe Pelvic Infection

A bad pelvic infection not connected to an operation could also cause Asherman Syndrome.

3. Other Factors

Stickiness in the uterus can also happen after getting sick with tuberculosis or schistosomiasis.

 This condition can cause problems like having light or no periods, pain in the lower body area and trouble getting pregnant. It may also lead to repeat losses of pregnancies and issues during childbirth. It can also mess with making babies, increasing the chances of a miscarriage or a baby not being born alive.

How is Asherman Syndrome treated?

Asherman’s syndrome can be treated in several ways. It’s a good idea to talk about your goals for future fertility as well as how this illness makes you feel, including any discomfort you may encounter, with your healthcare professional. Sometimes the best course of action for a woman who is symptom-free is to do nothing.

 On the other hand, there are therapy alternatives that can eliminate the scar tissue if your plan calls for more pregnancies. In addition, treatment may be beneficial if you have pelvic pain or cramps. Removing the scar tissue and getting your uterus back to its normal size and shape is the major objective of treatment. Help for Asherman’s syndrome treatment can include:

  •  Ease discomfort.
  • Return your menstrual cycle (periods) to normal.
  • If you are not yet menopausal, permit yourself to become pregnant.

Hysteroscopy

may be used by your doctor to remove the adhesions inside your uterus. During a hysteroscopy, your doctor looks inside your uterus using a thin instrument called a hysteroscope. Scar tissue can also be eliminated with this instrument. The hysteroscope is passed via your cervix, into your uterus, and your vagina. During this process, scar tissue is removed with extreme caution. While the scar tissue is being removed, there is a chance that the surgery will damage good tissue inside your uterus.

Hormonal Therapy

For a few days following the hysteroscopy, a tiny intrauterine catheter may be left inside your uterus in addition to hormonal therapy (estrogen). This will lessen the possibility that scar tissue will regrow following the surgery. Estrogen encourages the healing of your endometrium, which is the inner lining of your cavity, and the catheter creates a physical barrier between your anterior and posterior uterine walls to prevent adhesions in the days that follow the scar tissue removal surgery. Antibiotics will be administered to you to avoid infection during the insertion of an intrauterine catheter.

In Summary

Scar tissue forms inside the uterus in Asherman Syndrome, a rare and acquired disorder that can cause light or nonexistent periods, pelvic pain, infertility, recurrent miscarriages, and irregular menstruation, among other symptoms. The illness is frequently contracted as a consequence of cancer therapies, infections, or surgical operations. It might be difficult to identify Asherman Syndrome because some people may not show any symptoms at all.

Surgery to remove adhesions or scar tissue is the main treatment for Asherman Syndrome; this is usually done using hysteroscopy. Estrogen therapy is frequently used in conjunction with this operation to aid in the uterine lining’s healing and regeneration. Preventive and restorative procedures, like implanting devices to stop scar formation, may be taken into consideration in more severe situations. Many hospitals like Imprimis IVF are suitable for these treatments. It is one of the best hospitals for this. If you need any help, Imprimis IVF can help you.

Ectopic Pregnancy: Causes, Symptoms & Treatments

Ectopic Pregnancy – The uterus, or the womb, is the place where the baby grows for 9 months. The ovaries release an egg, which waits in the fallopian tube for the sperm. When the sperm fertilizes the egg, a zygote is formed. This zygote moves through the fallopian tube, reaches the womb (uterus), and gets implanted in the uterine lining. It is what happens in a normal pregnancy.

This entire process highlights the specific function of all the reproductive parts, namely the fallopian tubes, the ovaries, and the uterus. If the location of fertilization (fallopian tube) or implantation (uterus) changes due to some complications, then the pregnancy cannot be carried to term.

What is Ectopic Pregnancy? 

When the fertilized egg then the pregnancy is known as ectopic pregnancy. When this happens, the fertilized egg develops outside the uterus.

More than 90% of ectopic pregnancies are witnessed in the fallopian tube. In other cases, it is found in the cervix, ovary, or somewhere in the abdomen.

An ectopic pregnancy can never result in a healthy baby. If not treated timely, it can pose a threat to the life of the pregnant woman. Only when the growing embryo gets implanted in the uterus results in a viable and healthy pregnancy.

So, it becomes important to know why it happens in the first place. Then, we need to understand the associated symptoms, diagnosis, and treatment.

Symptoms of Ectopic Pregnancy

The symptoms , like a missed period, nausea or upset stomach, and breast soreness, are similar to those of uterine pregnancies.

However, various symptoms are typically associated with it that warrants medical intervention. These include:

  • Heavy vaginal bleeding or spotting
  • Dizziness
  • Weakness
  • Severe pain in the abdomen, shoulder, neck, or pelvic region
  • Sudden and sharp pain on one side of the abdominal region
  • Tenderness in the cervix
  • High level of human Chorionic Gonadotropin (hCG)
  • Rectal pressure

Causes of Ectopic Pregnancy

1. Getting stuck in the fallopian tube-:

As already mentioned, the majority of ectopic pregnancy occurs in the fallopian tubes. It happens because, due to some conditions, the movement of the fertilized egg through the blocked fallopian tube or is slowed down.

Now, because the fertilized egg cannot reach the uterus, it starts to grow in the fallopian tube.

The fallopian tube is not meant to support a growing embryo, so urgent medical attention is required. If not treated timely, it may rupture the fallopian tube.

But why does the growing embryo slow down or get stuck in the tube? 

There are various reasons for this like:

  • A previous pelvic surgery or infection that resulted in scar tissues, adhesions, or inflammations in the fallopian tube.
  • Fallopian tubes are damaged because of sexually transmitted infections (STI) like chlamydia or gonorrhea.
  • Fallopian tubes are irregularly shaped since birth which makes it difficult for the fertilised egg to move forward.
  • A growth or fibroid is blocking the fallopian tube.

2. Excessive smoking-

Fine hair-like structures known as cilia are present inside the fallopian tube. Excessive smoking damages the cilia, which can hinder the smooth movement of the fertilized egg through the fallopian tube and result in an ectopic pregnancy. 

3. Age factor-:

Women lying in the age group of 35 to 44 years are at a higher risk of ectopic pregnancy. 

4. A previous ectopic pregnancy-

If you have had an ectopic pregnancy earlier, then there is a possibility of future pregnancies also resulting in an ectopic pregnancy.  

5. Endometriosis

It is a medical condition in which the uterus lining grows outside it, like in the pelvic region. It can also be a reason for an ectopic pregnancy. 

6. Intrauterine device (IUD)

IUD is a small device that is placed in the uterus to prevent pregnancy. But sometimes, the pregnancy can occur with IUD or tubal ligation in place. Such a pregnancy is often an ectopic pregnancy. In rare cases, IVF treatment can also result in an ectopic pregnancy. 

7. Emergency oral contraception

Sometimes oral contraception fails to prevent pregnancy. In this situation, there is a possibility that the woman can conceive in the same cycle. It may result in an extrauterine pregnancy. 

8. If a woman has pelvic endometrial or genital tuberculosis and she gets pregnant, then chances are that it is an ectopic pregnancy. 

9. Certain medical conditions can affect the shape and functioning of the fallopian tubes and other reproductive organs, which can result in an ectopic pregnancy. 

10 Abdominal surgery

If you have had an abdominal surgery like appendectomy or cesarean section. 

The best thing to do if you have abnormal vaginal bleeding, unexplained severe pain, or notice any unusual symptom is to visit a gynecologist without any further delay.

Diagnosis of an Ectopic Pregnancy

The first thing your doctor does is perform a transvaginal ultrasound to trace the location of the developing embryo. An ultrasound cannot help show the pregnancy until the fetus is more than 5 or 6 weeks because, at this time, it is too small to be located.

So a special band-like instrument makes its way into the vagina to provide images of the gestational sac in the womb.

Along with this, the doctor can perform a blood test to determine hCG and progesterone levels in your body. If the level of these two hormones has decreased or is constant over a few days and a gestational sac is absent in the ultrasound, the pregnancy is likely to be ectopic.

In case you are experiencing severe pain or heavy bleeding, all these steps might not be necessary. In extreme cases, the fallopian tube can rupture if not treated timely, which can cause severe internal bleeding. In this situation, the doctor will have to perform an emergency surgery to save the woman’s life.

Treatment of an Ectopic Pregnancy

Once it is confirmed, a treatment to remove the embryo without delay is necessary for the mother’s health and life. The line of treatment will depend on the size and location of the ectopic pregnancy.

Medications 

In the early stages, it can be treated with an injection of methotrexate. This drug helps stop the growth of the developing embryo, and after that, the body absorbs this tissue. Surgery is usually performed when the pregnancy is further along.

To check how well this treatment is working and if you need more doses, another hCG test is performed.

Laparoscopic Surgery

When the laparoscopic surgery, a small cut is made in or near the navel. Then a thin tube connected with a camera lens and light makes its way through this incision to examine the tubal area.

Two laparoscopic surgeries to treat an ectopic pregnancy are salpingostomy and salpingectomy.

The main difference between these two treatments is that in salpingostomy, the ectopic pregnancy is removed, and the fallopian tube is left to heal on its own. But in salpingectomy, the ectopic pregnancy, as well as the tube, is removed.

Abdominal Surgery

In case you are having heavy bleeding due to this, emergency surgery has to be performed. The doctor can go for laparoscopy or laparotomy (abdominal incision). If the fallopian tube is not damaged, then it can be saved, but if the tube is ruptured, it must be removed.

Future Pregnancy

It is possible to have a normal pregnancy after an ectopic pregnancy. However, the risk of developing an ectopic pregnancy after a previous one is higher. So, it is best to consult with a gynecologist before planning a pregnancy.

How Imprimis IVF Srinagar can help? 

The diagnosis and treatment of an ectopic pregnancy needs meticulous examination and experience. We at Imprimis IVF can help you remove ectopic pregnancy and plan your future pregnancy.

Bottom line 

Pregnancy is a magical and extremely delicate process. All the reproductive organs involved in pregnancy should be in perfect condition. It is not a very common phenomenon, but it can happen if you have a history of previous ectopic pregnancy, STI, or pelvic surgery. If you face any serious symptoms, you must consult a gynecologist.

Remember, every second matters. If diagnosed timely, your fallopian tube can be saved from rupturing, and the ectopic pregnancy can be removed using medications only. Do not panic if your symptoms are severe; book an appointment with a trusted IVF specialist as soon as possible.

Uterine Fibroids: Causes, Symptoms & Treatment

A uterine fibroid is an abnormal non-cancerous tumour that grows in or along the outline of the uterine cavity. Another common name for uterine fibroids is myoma.

The Uterine Fibroid also known as:

  • Fibromas
  • Leiomyomas
  • Uterine myomas

Fibroids start to grow from the muscle tissue of the womb (uterus). They are also found to grow in the cervix, fallopian tubes, or tissues surrounding the uterus.

The reason behind uterine fibroids is unknown. Uterine fibroids can be as tiny as a seed or as large as a melon. A woman may have one or many fibroids.

As already mentioned, fibroids are non-cancerous. Also, a majority of women with uterine fibroids do not witness visible symptoms. So, a woman may never know if she has fibroids.

Fibroids are more prevalent in obese women and women who are more than 35 years of age with no children.

In this article, we are going to look at the different types, associated symptoms, causes, diagnosis, and treatment of uterine fibroids.

Types of uterine fibroids

Uterine fibroids are classified based on their location as discussed below:

  • Intramural Fibroids

    The most common kind of uterine fibroids are intramural fibroids. These fibroids grow in the muscular wall of the womb. These are diagnosed between 30 to 40 years of age.

  • Subserosal Fibroids

    These uterine fibroids are mostly non-cancerous and grow on the outer surface of the uterus, known as serosa. Subserosal fibroids tend to grow quite large, which makes the uterus appear larger on one side. In rare cases, these fibroids can interfere with the functioning of the uterus.

  • Submucosal Fibroids

    These fibroids grow under the surface of the endometrium lining. These fibroids are the least common but cause serious problems like anaemia. 

  • Pedunculated Fibroids

    These fibroids get their name from the word peduncle, which means a stalk-like growth. When fibroids are attached to the womb by a peduncle, these are termed pedunculated fibroids. If these fibroids grow inside the uterus then these are known as pedunculated submucosal fibroids. If these grow outside the womb then we call them pedunculated subserosal fibroids.

  • Cervical Fibroids

    These very rare fibroids grow on the cervix and are hence termed cervical fibroids. 

Uterine Fibroid Symptoms

Typically, no visible symptoms are associated with uterine fibroids. Visible symptoms are generally noticed in the following three situations:

  • When the size of the fibroids is quite large
  • The number of the fibroids
  • location of the fibroids

Some of the most common symptoms associated with fibroids include the following:

  • Heavy Menstruation
  • Prolonged Periods
  • Extreme Pain during Periods
  • Menstrual Clots
  • Feeling Pain or Pressure in the Pelvic Region or lower back
  • Abdomen Enlargement or Swelling
  • Constipation
  • Anaemia
  • Backache
  • Frequent Urge to Urinate
  • Pain during Intercourse

Fibroid Growth during Menopause 

Fibroid growth is quite common after Menopause. When a woman undergoes Menopause, the oestrogen and progesterone levels witness a drop. Both these hormones are known to stimulate the growth of uterine fibroids. There is also a possibility that these fibroids may shrink during or after Menopause. You may not come across any symptoms of fibroid growth.

Complications associated with the presence of uterine fibroids are rare. Some of these rare complications are:
  • If the size of the fibroids is large then it may hamper fertility by blocking the fallopian tubes and preventing the egg from getting implanted.
  • Pregnant women might face some difficulties during labour due to fibroids.
  • In some cases, fibroids may lead to miscarriage or premature birth.

Uterine Fibroid Causes

The cause of fibroid is still a mystery. However, medical experts believe genetic and hormonal factors govern the growth of fibroids in women.

The pregnancy hormone oestrogen, which is active during a woman’s reproductive age, is known to play a role in the development of fibroids.

When a woman is on her period, the uterine lining gets regenerated because of the pregnancy hormones estrogen and progesterone. This regeneration stimulates the growth of uterine fibroids. These fibroids may shrink during Menopause.  

Family History

Also influences the growth of fibroids. If your grandmother, mother, or sister had fibroids, then you may also notice fibroid development.

Age also has a role to play in fibroid growth. Women who are 30 years old or older are at a higher risk of developing uterine fibroids.

High body weight also influences the development of uterine fibroids.

Fibroids may also grow during pregnancy. During this time, the production of estrogen and progesterone increases. However, the chances of pregnant women developing fibroids are far lesser than non-pregnant women.

When to See a Doctor? 

Fibroids generally do not lead to any complications. So they do not need medical attention. But in case of menstrual irregularities or disorders like frequent or heavy bleeding, you should visit a IVF treatment Centre near you.

Diagnosis of Uterine Fibroids 

It is not possible to confirm the presence of fibroids without visiting a IVF expert who will run some diagnostic tests and develop a further treatment plan if needed.

Here are some tests to examine the presence of fibroids:

  • Pelvic examination-: In a pelvic examination, the gynaecologist will check the condition of the vagina, the uterus, and both ovaries. 
  • X-ray-As the name suggests, this test uses X-rays to produce clear pictures of the uterus. 
  • Pelvic Magnetic Resonance Imaging- This in-depth imaging test helps produce images of ovaries, uterus, and other pelvic organs by using magnets and radio waves. 
  • Ultrasound-This test is performed on the abdomen with high-frequency sound waves used to produce images of the internal structure of the uterus and fibroids, if any. 
  • Computed tomography scan- Popularly known as CT scan, makes use of X-rays to examine the presence of fibroids in or on the uterus from different angles. 
  • Laparoscopy-: In laparoscopy, thin cuts are made near the navel, and a thin, long scope finds its way into the uterus through these cuts to check for the presence of fibroids. 
  • Hysterosalpingogram (HSG): The HSG test uses a contrast dye that is injected into the womb, and simultaneously X-ray pictures are produced to detect fibroids. 
  • Sonohysterogram: This test is carried out by injecting water into the uterus, which helps in the production of images using ultrasound.
  • Hysteroscopy: Hysteroscopy is performed with the help of a long and thin scope with a light attached to its end. It is then directed through the vagina and cervix into the uterus to detect fibroids. 

Natural ways to treat or prevent further growth of uterine fibroids

Be it any complication in the body, food, and lifestyle choices can make or break the deal. If you do away with poor dietary and lifestyle choices and opt for the below-mentioned options, then you can witness some positive changes.

Make sure you keep your body healthy and keep your body weight in control by:
  • Practicing yoga
  • Acupuncture
  • Massage
  • Exercising regularly
The food you eat also plays a huge role, so include the following in your diet:
  • Green leafy vegetables
  • Green tea
  • Tuna and Salmon

Another important point is to avoid red meat, ham, and high-calorie processed food.

Treatment of Uterine Fibroids

When talking about the treatment of fibroids, people think that surgery is the only available option. But in the majority of cases, there is no need for surgical intervention. The treatment option depends on the location, number, and severity of fibroids.

Various treatment options available in the form of medications to treat fibroids are as follows:

  • Hormone medications: Your health provider can prescribe some hormone medications to help shrink the fibroids.
  • Medications for period pain: Medications like ibuprofen and acetaminophen can help alleviate period pain.
  • Hormone-releasing device: It is placed in the womb, which helps keep heavy menstruation in control.
  • Supplements: Take Vitamin D or Iron supplements to manage heavy menstrual bleeding.
If the complications are more severe and medications don’t seem to help, then the following surgical options can help:
  • Radiofrequency ablation: Radiofrequency ablation surgery makes use of heat to destroy and shrink fibroid tumours without affecting the tissues surrounding them.
  • Myomectomy: This surgical operation removes fibroid tissues without causing any harm to surrounding healthy tissue present in the womb.
  • Endometrial ablation: For this, the surgeon destroys the uterine lining with the help of a laser, wire loops, boiling water, electric current, microwaves, or freezing. Endometrial ablation greatly helps to reduce heavy menstrual bleeding. Medical experts advise you to opt for this surgery only if you have no plans of conceiving a baby in the future. 
  • Myolysis: This surgical operation is used to destroy fibroid tissues using electrical current or freezing with the help of a needle.
  • Uterine fibroid embolization (UFE) or Uterine artery embolization (UAE): This surgery is undertaken to shrink fibroids. A thin tube is placed in the blood vessels of the fibroid tissue. Then, gel particles are injected into these vessels to block the supply of blood to the fibroid.
  • Hysterectomy: In this medical procedure, the entire womb (uterus) is taken out. This surgery is performed when the size of the fibroids is quite large or when uncontrolled menstrual bleeding. Just like endometrial ablation, hysterectomy should only be considered as an option when you have no plans to become pregnant in the future

Bottom line

Uterine fibroids have become common these days. These are largely non-cancerous, so they do not warrant urgent medical attention or treatment. Medications or treatment options should only be taken into consideration if there are severe complications due to the presence of fibroids; otherwise, there is no harm in living with fibroids.

But it is very important to see a doctor if you feel the need to do so. Also, take care of your reproductive health by adopting healthy eating habits, staying active, and keeping stress levels under control.

Sperm Cramps – Causes, Symptoms, Diagnosis & Treatment

Introduction

In the realm of fertility, understanding the nuances of male reproductive health is crucial. One commonly overlooked aspect is the occurrence of sperm cramps. Despite being less discussed, sperm cramps can have significant implications for male fertility. In this blog, we will get into the causes, symptoms, diagnosis, and treatment of sperm cramps, shedding light on a topic that deserves more attention.

What Are Sperm Cramps?

Before we get into the details, let’s understand what sperm cramps mean. Sperm cramps, also known as testicular pain, are when you feel discomfort or pain in your testicles or scrotum. This could be a sign of problems with your male reproductive health.

Causes of Sperm Cramps

Understanding the root causes of sperm cramps is essential for effective management. Drawing insights from leading fertility experts and research, here are some common causes to be aware of:

Varicocele – Swollen Veins Impacting Sperm Flow:

  • Varicocele specifically involves the enlargement of veins in the scrotum, creating a network of swollen blood vessels.
  • This vascular anomaly can impede normal blood flow, causing discomfort and cramping in the affected area.
  • Over time, compromised blood circulation may negatively impact sperm quality and fertility potential.

Infections – STIs and Reproductive System Infections:

  • Sexually transmitted infections (STIs) chlamydia or gonorrhea can infiltrate the reproductive system, leading to localized infections.
  • Infections in the reproductive organs can trigger inflammation and pain, influencing the overall health of sperm.
  • Timely detection and treatment of these infections are crucial for preventing long-term complications and addressing sperm cramps.

 Testicular Torsion – Urgent Twisting of the Testicle:

  • Testicular torsion is a critical condition involving the sudden twisting of the testicle, compromising blood flow.
  • This emergency is marked by a sudden and intense onset of pain, requiring immediate medical attention to prevent harm to the tissues.
  • Testicular torsion is a time-sensitive issue, and swift intervention is vital for preserving both fertility and overall reproductive health.

 Epididymitis – Inflammation of the Sperm Transport Tube:  

  • Epididymitis specifically refers to the inflammation of the epididymis, a coiled tube responsible for storing and transporting sperm.
  • Inflammation in this crucial reproductive structure can lead to persistent pain and discomfort in the scrotum.
  • Addressing the underlying cause of epididymitis is essential for alleviating symptoms and preserving sperm health.

Hernia – Impact on Reproductive Organ Function:

  • A hernia, though primarily associated with the protrusion of abdominal contents, can contribute to testicular pain.
  • In cases where a hernia affects the inguinal region, it may exert pressure on the surrounding structures, including the reproductive organs.
  • Understanding and addressing the impact of a hernia on the normal functioning of the reproductive system is key to managing associated discomfort.

Symptoms of Sperm Cramps

Recognizing the symptoms associated with sperm cramps is vital for early intervention. Here’s a breakdown of common indicators:

Pain or Discomfort – Location and Intensity:

  • The pain associated with sperm cramps is often localized to the testicles or scrotum.
  • It may manifest as a dull ache, throbbing sensation, or intermittent sharp pain.
  • The intensity of the discomfort can vary, ranging from mild irritation to more severe, persistent pain.

Swelling or Tenderness – Observable Changes:  

  • Swelling in the scrotal area may result from the underlying causes of sperm cramps, such as varicocele or infections.
  • Tenderness can be assessed by touch, and individuals may notice increased sensitivity or discomfort when the affected area is palpated.
  • Observing any noticeable changes in the size or texture of the scrotum is crucial for identifying potential issues related to sperm cramps.

Changes in Sperm Quality – Impact on Fertility:  

  • Sperm cramps can influence the quality of sperm, potentially affecting fertility.
  • Changes in sperm quality may include alterations in sperm motility, sperm morphology, or concentration.
  • Monitoring fertility indicators, such as changes in ejaculate consistency or colour, can provide insights into potential disruptions in sperm quality associated with sperm cramps.

Diagnosis of Sperm Cramps

Proper diagnosis is crucial for effective treatment. Fertility specialists employ various diagnostic measures, including:

Physical Examination – Targeted Assessment of Reproductive Structures:

  • A comprehensive physical examination focuses on the scrotum and surrounding areas, aiming to identify specific abnormalities related to sperm cramps.
  • Fertility specialists will assess for the presence of swelling, tenderness, or irregularities in the testicles, scrotum, and epididymis.
  • Special attention may be given to palpation techniques to gauge the severity and location of pain, aiding in the identification of potential causes.

Ultrasound Imaging – Precision in Reproductive Organ Assessment:   

  • Ultrasound imaging is a non-invasive technique used to visualize the internal structures of the scrotum and reproductive organs.
  • High-frequency sound waves provide detailed images, allowing specialists to assess the size, shape, and blood flow in the testicles.
  • Specific ultrasound protocols may be employed to target areas affected by conditions like varicocele or testicular torsion, aiding in accurate diagnosis.

Blood Tests – Hormonal and Infectious Markers:

  • Blood tests are crucial for evaluating hormonal imbalances that may contribute to sperm cramps.
  • We check hormone levels like testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) to find any irregularities that might affect reproductive function.
  • Additionally, blood tests can detect markers of infection, helping to diagnose and treat any underlying infections contributing to sperm cramps.

By enhancing the specificity of each diagnostic measure, individuals can better understand the purpose and significance of these assessments in the context of sperm cramps. This clarity is essential for fostering informed discussions with healthcare providers and ensuring a thorough and accurate diagnosis.

Treatment Options for Sperm Cramps

Addressing sperm cramps often involves a tailored approach based on the underlying cause. Referencing insights from leading fertility treatment centres, here are some common treatment options:

Varicocele Repair – Precision in Vein Correction:       

  • Varicocele repair involves a surgical procedure to precisely address the enlargement of veins within the scrotum.
  • Microsurgical techniques may be employed to ligate or redirect the affected veins, restoring normal blood flow to the testicles.
  • This targeted intervention aims not only to alleviate sperm cramps but also to enhance sperm quality by improving the overall reproductive environment.

Antibiotic Therapy – Targeted Eradication of Infections:   

  • Antibiotic therapy is prescribed when infections are identified as the cause of sperm cramps.
  • The choice of antibiotics is specific to the type of infection diagnosed through laboratory tests.
  • It’s important to finish the entire antibiotic treatment to make sure the infection is eliminated. This helps address the root cause of discomfort and supports optimal reproductive health.

Pain Management – Customized Relief Strategies:

  • Pain management for sperm cramps may involve over-the-counter medications such as non-steroidal anti-inflammatory drugs (NSAIDs).
  • Specific pain relief measures are tailored to the individual’s needs, taking into account factors such as the severity of pain and any underlying conditions.
  • Non-pharmacological approaches, such as applying cold or warm compresses, may also be recommended for targeted relief.

Surgical Intervention – Timely Addressing of Critical Conditions:   

  • Surgical intervention becomes necessary in severe cases, such as testicular torsion or hernias.
  • Timely surgical procedures are essential for preventing irreversible damage and preserving fertility.
  • Surgical techniques may vary based on the specific condition, ranging from detorsion in testicular torsion cases to hernia repair to alleviate pressure on reproductive structures.

Offering detailed information on each treatment option empowers individuals to grasp a deeper understanding of the available interventions for addressing sperm cramps tailored to their unique circumstances. This knowledge is essential for making well-informed decisions through discussions with healthcare professionals.

Conclusion:

In conclusion, the journey through the intricacies of sperm cramps and male infertility reveals the nuanced nature of reproductive health. Key takeaways underscore the importance of understanding sperm cramps, acknowledging the significance of male fertility, and recognizing the role it plays in the broader context of family-building.

Sperm cramps are not just challenges; they are opportunities for informed decision-making. Understanding the intricacies of male fertility empowers individuals to navigate this journey with clarity and purpose. At Imprimis IVF, we stand as partners in your pursuit of parenthood.

Schedule a Consultation at Imprimis IVF

As you embark on your fertility journey, Imprimis IVF extends an invitation to schedule a consultation for personalized fertility assessments. This call to action is an opportunity to take the next step toward understanding and addressing your unique fertility landscape.

Your journey to parenthood begins with a conversation. Schedule a consultation at Imprimis IVF, where our dedicated team is ready to provide personalized fertility assessments, answer your questions, and guide you toward the most effective and individualized fertility plan.

IUI Failure: Symptoms, Reasons & Causes

Intrauterine Insemination is a promising procedure to fulfill your dreams of pregnancy. But like any other fertility treatment, IUI also can fail. Let’s try to understand the symptoms, reasons, and causes of IUI failure in the simplest way possible.

What is IUI?

Intrauterine means inside the uterus or the womb. Insemination means injecting seminal fluid or semen which contains sperm cells in the uterus. The semen sample contains sperm cells as well as impurities. So the sample is processed and these impurities are removed. In this way, we are left with good quality, healthy, and motile sperm. Then with the help of a catheter, these sperm cells are injected into the uterine cavity. IUI is a painless procedure and it hardly takes around 5-10 minutes to place the sperm cells in the uterus. The success rates lie between 12 to 15% per cycle.

IUI is the Most Suitable option if

  • Both the fallopian tubes are open and are functioning normally.
  • Both the quality and the quantity of the eggs in the ovaries are normal. For this, the AMH should be more than 1.5.
  • The man has mild oligospermia with good sperm motility.

Also, it is a helpful treatment option in cases of unexplained infertility and for single mothers who wish to have a baby of their own.

What happens when you have unprotected sexual intercourse?

The sperm are ejaculated in the vagina. Then they swim forward to enter the uterus through the cervix also known as the mouth of the uterus. Around 90% of the sperm get destroyed naturally during this phase. The remaining 10%, somewhere around 3 million sperm reach the uterus. For natural pregnancy, it is an important parameter that at least 1.5 to 2 million sperm reach the uterus.

But in some men, the sperm count is around 12 to 15 million per semen sample. So in this situation, only 0.5 to 0.7 million sperm can make their way into the vagina. This makes natural conception a difficult dream. IUI procedure helps couples stuck in this situation.

In IUI the motile sperm cells are directly injected into the uterus. In this way, the distance that the sperm needs to cover to reach the fallopian tube is decreased. This helps increase the chances of conception if all the other parameters related to pregnancy go well.

IUI procedure should only be opted for a maximum of 4 to 6 times. Other infertility treatments are available that can help increase your chances of achieving pregnancy.

 Factors Influencing IUI Success Rates

The success rate of IUI is maximum when the following parameters are kept in check:

  • The woman should be of fertile age
  • Good ovarian reserve
  • Healthy and motile sperm
  • Proper drug administration when needed
  • The root cause of infertility is suitably treated
  • Choosing the Right Fertility Clinic

IUI failure symptoms

There are no specific symptoms associated with the failure of the IUI procedure. If pregnancy does not occur, you might witness the following signs:

  • Return of Menstrual Cycle-: If you get your monthly cycle after IUI it is a clear indication of failure of this procedure.
  • Negative Pregnancy Test-: In case your monthly cycle is delayed but the pregnancy test comes out to be negative then the IUI cycle is unsuccessful.
  • Absence of Implantation Bleeding-: If the IUI procedure is successful then after 2 weeks you will have implantation bleeding. You will witness spotting on your underwear. If you don’t it means the IUI cycle failed.

In case you experience severe cramping or have sudden vaginal discharge consult your medical expert without any delay.

 IUI failure reasons

Going back to the IUI procedure we learned that the sperm cells are injected into the uterus so they can reach the eggs lying in the fallopian tubes. However, leaving the sperm in the uterus does not ensure pregnancy. The journey of the sperm got shorter but it has so many hurdles to cross.

 The rest of the things we allow to happen naturally. There can be many things that can go wrong before, during, or after fertilization. There might be some problem with the sperm, egg, or both.

IUI Failure Causes

As already mentioned the success rate of the IUI procedure is 12 to 18%. This means if 100 couples opted for IUI only 12 or 18 of them will end up conceiving. This is a harsh reality of IUI that we have to accept. Experts say the success rate increases with every IUI cycle.

Following is the list of IUI failure causes:

  • Fallopian Tubes are not Working Properly-:

Open fallopian tubes do not guarantee fertilization as these two tubes have multiple roles to play in pregnancy.This includes collecting the egg from the ovaries, providing ground for the fusion of sperm and egg, and carrying the embryo to the uterus for implantation.

If the fallopian tubes fail to perform any of these functions it can result in IUI failure.

  • Poor Egg Quality-:

Imagine wanting a healthy apple tree with poor quality seeds. In the same way, poor-quality eggs will not lead to a successful conception.

Poor egg quality leads to the formation of weak and abnormal embryos, is associated with chromosomal abnormalities, and will lead to problems in implantation or cause frequent miscarriages. This proves how poor egg quality can result in IUI failure.

  • Defective Sperm-:

IUI procedure revolves around sperm motility. IUI can only provide a ladder to reach the eggs. The sperm cells should be healthy and strong enough to reach the eggs waiting in the fallopian tubes.

Also, the sperm can get destroyed in the uterus due to several reasons. These circumstances will lead to IUI failure.

  • Using Frozen Sperm with Impurities-:

Sometimes when using frozen sperm in IUI there is a slight possibility that some impurities are present that can lead to unsuccessful fertilization.

  • Timing of Ovulation-:

For IUI to be successful the sperm should fertilize the egg within the fertile window. But even after injecting the sperm into the uterus with the help of IUI, it may fail to reach the egg. If this happens the egg will disintegrate and will no longer be available for fertilization if the sperm comes later.

Another scenario can be the sperm reaching the fallopian tubes before ovulation. In this situation, pregnancy will not occur. The timing should be perfect for IUI to be successful.

  • Advanced Age of the Woman:

Age plays a vital role in pregnancy. No matter if you are trying naturally or taking the help of a fertility treatment. IUI fails when the woman is of advanced age.

The best age for a woman to have IUI is below 35 years of age. The success rate is witnessed to be maximum in this age group as her reproductive organs are functioning well.

After 35 years of age IUI success rates further fall to 8 to 10% per cycle.

IUI is not the right option for women over 40. The success rate of IUI for this age group is around 2% per cycle. So if a woman decides to choose IUI after 35 the chances of conception are not promising.

  • Ectopic pregnancy-:

The sperm fertilizes the egg and forms an embryo. Now the embryo will take shelter in the fallopian tube for 5 days. Then the fallopian tubes should transfer the egg to the uterus or womb for implantation.

A healthy pregnancy can occur only when the embryo gets implanted in the uterine cavity.

But if the embryo gets stuck in the fallopian tube it will have no source of oxygen and nutrients to grow into a baby. This condition is called ectopic pregnancy. It can be a reason for IUI failure. Also, it can put the woman’s health at risk if not treated timely.

  • Implantation Failure-:

Endometrial lining decides the success or failure of implantation of the embryo. This lining is responsible for supplying oxygen to the embryo, nourishing it with nutrients, and protecting it from any harm in the womb. The thickness of the endometrial lining should be between 8 to 15 mm.

If this lining is not thick enough implantation is not possible. This will result in IUI failure.

  • Deficiency of Pregnancy Hormones-:

The ovaries are responsible for secreting pregnancy hormones namely estrogen and progesterone to support a healthy pregnancy. Various complications can arise if there is a deficiency of these hormones in the body. This can also lead to the failure of the IUI cycle.

Medical Conditions-:

Polycystic Ovarian Symptoms commonly known as PCOS or PCOD, diabetes, endometriosis, and cervical cancer can reduce IUI success rates.

  • Nature-:

Imagine both the egg and the sperm can be healthy. They fused and formed a healthy embryo but still, IUI failed. This can’t be explained with any scientific evidence. All we can say is that nature did not allow the pregnancy to occur.

So what are the alternatives that can bring positive pregnancy results?

  • IVF-:

In-vitro fertilization can be the right option for you if you are over 35 years of age, have poor ovarian reserve, PCOS, fallopian tube failure, endometriosis, or unexplained infertility.

It offers a success rate of 35-40% for women below 35. For women over 35, the success rate lies between 25-30%.

  • ICSI-:

Intracytoplasmic Sperm Injection can be a suitable treatment for you if the male partner has severe infertility issues. These include low sperm count, poor motility, poor morphology, and PGD.

It offers a success rate of 80 to 85% when performed with zero errors.

The most important step after IUI failure

A good clinic like Imprimis IVF Srinagar ensures the maximum success rate of this ART procedure. Only a good clinic can ensure success with ICSI or IVF. You can look at any success story after multiple failures or ask a medical expert about the importance of the fertility center you choose. It can either turn your dreams into reality or shatter them.

Final Words

Fertility treatments can be mentally, physically, emotionally, and financially draining. Please do not decide on the most suitable infertility treatment option by yourself. Acknowledging the importance of an expert is the right thing to do. If you have had multiple IUI failures do extensive research about the best fertility centers and consult with their expert. Then only take the final decision regarding the treatment.

What Is TESE & Its Success Rate

TESE – Male infertility is common today and can be attributed to various underlying factors. The working of the male reproductive system is highly complex. Any malfunctioning tissue or blood vessel can lead to hurdles in the pregnancy journey. 

Luckily, medical advancements have made it possible to treat the cause of male infertility. One of the most successful procedures is TESE. 

But who is eligible to take help with this procedure? 

In this article, we will talk about TESE and its success rate. We will discuss in detail the procedure of TESE, its side effects, and the complications associated with TESE. 

Semen is not Sperm.

During sexual intercourse or masturbation, when a man has an orgasm, he ejaculates semen. A semen sample contains sperm cells responsible for fertilising the egg. Sperm cells are not visible to the naked eye. There is a possibility that the sperm cells are absent. Another reason can be poor sperm morphology or low sperm count in the semen sample. It is where the TESE procedure comes to your rescue. 

What is TESE?

TESE stands for testicular sperm extraction. It is a medical procedure to collect sperm cells directly from your testicles when, for some reason, they do not come out when you ejaculate. 

Other procedures that fall under the category of sperm retrieval processes are

  • Testicular Sperm Aspiration (TESA)
  • TESA with mapping
  • Percutaneous Epididymal Sperm Aspiration (PESA)
  • Micro Epididymal Sperm Aspiration (MESA)
  • Microdissection TESE (microTESE)

These are also known as sperm harvesting procedures. Each of them helps solve different problems related to infertility

But this article focuses on TESE, so let’s understand the need for this sperm retrieval process. 

What is the Need for TESE? 

TESE is needed to solve the problem of both obstructive and non-obstructive azoospermia (zero sperm in the semen). These two factors are responsible for a large number of male infertility cases.  

Obstructive Azoospermia

It is a condition in which testicles function normally and produce sperm, but they are absent in the semen due to some blockage. 

Obstructive azoospermia can be caused by primary testicular failure, non-reconstructed vasectomy, or the blockage is there by birth. 

Non-obstructive Azoospermia

This is a condition in which no sperm cells are produced due to the abnormal functioning of the testicles. 

So, we can say that testicular sperm extraction proves to be a boon when

  • The testosterone levels are normal, but the testes cannot produce sperm cells. 
  • An obstruction or blockage in the reproductive tract due to injury or infection prevents sperm from entering the penis.
  • Even after treating azoospermia, the sperm count has not improved significantly.

The sperm cells that are retrieved from the TESE procedure will be frozen. Then, whenever the doctor needs them for fertility treatment, they can use the frozen sperm cells to fertilise the egg. The TESE procedure has significantly reduced the need for donor sperm. 

Using Retrieved Sperm for Normal Conception 

The important thing to note here is that these retrieved sperm cells can’t be used for normal conception. 

When the sperm cells are collected directly from the testes, they can’t swim through the vagina. So, when placed inside the uterus, they won’t be able to reach the fallopian tube to fertilise the egg. 

These sperm cells can only be used in fertility treatment where fertilisation occurs on a petri dish in a laboratory. 

Preparation for TESE 

You may want to know what precautions to take before the TESE procedure. Here are a few suggestions from the doctors: 

  • Don’t take blood-thinning medications 5 days before the TESE procedure. These include Aspirin, Advil, Motrin, etc.
  • Nicely shave your genital area to minimise the chances of infection.
  • Shower with an antibacterial soap on the day of the TESE procedure or the night before.

TESE Procedure 

This delicate procedure is carried out under general anaesthesia so that the patient does not have a painful experience. 

With the help of a biopsy, active areas of sperm will be located. Then, one or two incisions (cuts) will be made in the scrotum. After that, a small portion of tissue is removed from the testes. This sample portion will be dissected to separate the sperm from the sample to store it and be used to fertilise the egg. The incision during the TESE procedure is closed with the help of sutures. 

It takes around 20 to 30 minutes to carry out the TESE procedure. 

Post-TESE Care

After TESE, your doctor will ask you to wear a special type of underwear called scrotal support for 2 weeks. You can also use tight-fitting underwear.

  • Bear in mind that a tissue was collected through incision from your testicles. So, rest is mandatory! 

But how much rest do you need post-TESE?

  • Resting for at least 2 to 3 days at home after the procedure is completed is best.
  • Don’t push yourself if you still feel discomfort or pain while doing something.
  • You are advised to shower the next day after the TESE procedure.
  • But be careful; the wound should not come in contact with water. It is because the wound is closed with the help of absorbable sutures and should not be removed. Also, the chances of testicular infection might increase.
  • A healthy, balanced diet will help fast recover the scrotal wound.
  • Lay an extra focus on consuming fluids during the recovery period.
  • Don’t engage in activities like jogging, swimming, or weight lifting for at least 2 weeks after the TESE procedure.
  • Medications will be prescribed to alleviate pain and prevent infection.
  • It is safe to place ice packs on the scrotum every few hours for the first 2 days.
  • Consider joining back at work after 2 weeks post TESE. Contact your IVF experts immediately if you feel discomfort after 14-15 days.

Rigorous activities can be taken up after 10 to 14 days, depending on your recovery rate. 

Post-TESE Complications

You might face the following complications after the TESE procedure: 

  • Normal bleeding
  • Swelling
  • Bruising
  • Slight discolouration of the scrotal skin
  • A thin, clear, and pink-coloured discharge from the incision for the first few days

There is nothing to worry about these post-TESE symptoms. They will gradually fade away as the incision spot heals. 

Risk Factors Associated with TESE 

A highly experienced specialist does this treatment. Even though this procedure is quite safe, you may encounter severe symptoms after the treatment. Some of the risk factors associated with this sperm retrieval process are: 

  • Skin infection
  • Side effects related to anaesthesia
  • Testicle infection following biopsy
  • Damage to testicle
  • No sperm retrieval in the semen
  • Sperm does not react well when stored frozen for the ICSI procedure.

The good news is that risks like testicular damage are rare, but there is always a chance. So, make sure to follow all the post-TESE recovery guidelines religiously. 

Success Rates of TESE

The success rates of the TESE procedure depend on some important factors, namely.

  • Amount of sperm that was retrieved during TESE
  • Whether the retrieved sperm is alive
  • The quality of the sperm in terms of the shape and size of the sperm cell should be optimal.

To fertilise the egg, the shape and size of the head, midpiece, and tail of the sperm should be normal. 

The success rate also depends on the man’s medical history.

Fertility experts claim that the sperm retrieval rate is higher in men with obstructive azoospermia. The retrieval rate is more than 70 to 80%. 

This high success rate means the testes function normally and can produce sperm. There is some obstruction that is preventing the sperm from coming out. 

Once the underlying cause is treated or TESE is carried out, fertilisation can occur successfully. Provided that the sperm is alive and has normal sperm morphology.

However, in men with non-obstructive azoospermia, the retrieval rate is between 20 to 50%. Because the testes are unable to produce sperm or produce less sperm than required, in this situation, the complexities increase, and TESE success rates decrease. 

Another contributing factor is the man’s genetic background. The success rate for men with genetic conditions like Klinefelter syndrome is 10% to 20%. 

The success rate of the sperm retrieved during TESE in helping couples achieve pregnancy with an ICSI procedure is around 55%. 

Other factors that affect Success Rates 

● TESE success rates also consider the surgical specialists’ skills and expertise.

● Many times, the role of lifestyle is neglected when discussing infertility treatment options. 

But the truth is your diet, managing stress levels, and involvement in physical activities also impact the success of the TESE procedure. 

TESE Costs in Srinagar, India 

The cost of the TESE procedure varies based on the location of the clinic, the complexity of the underlying condition, available facilities, and the expertise of the medical specialists. 

The TESE cost in Srinagar, India, is between 50,000 and 60,000 INR

However, some fertility centres like Imprimis IVF and Srinagar offer affordable treatment options. 

Why Choose Imprimis IVF? 

TESE procedure warrants experience and skills. Imprimis IVF Srinagar offers even more than that.

Offering the TESE procedure at an affordable price means we maintain the quality of our services. We at Imprimis IVF are a team of skilled and highly experienced professionals. A round-the-clock support system for our patients in need. Equipped with state-of-the-art infrastructure and machinery, we turn dreams into realities. 

Final Words

Infertility among couples is becoming more and more common these days. Fingers are typically pointed at women for not being able to conceive. But now we know that men, too, can be responsible for infertility. All the information on the internet can only give you an overview of the entire process of TESE. For more information, visit a trusted fertility specialist.