GLOBAL GYNECOLOGICAL CARE INSTITUTE
Infertility Clinic
At Pushpanjali Crosslay Hospital, the Advanced Infertility Clinic meets the demand for modern facilities in infertility management. With a dedicated setup under one roof, we hope to achieve a pregnancy success of rate over 50%. The In vitro fertilization (IVF) centre will start in November 2010. This brochure aims at answering all your questions about infertility management and seeks to provide you with comprehensive information about how childless couples can attain the joys of parenthood. We believe that every couple has the biological right to have children, However, infertility is a highly sensitive issue and a general ignorance about it has resulted in many myths surrounding it.
How does pregnancy occur? The female reproductive system involves the uterus, ovaries fallopian tubes, cervix and vagina. The female hormones - estrogen and progesterone produced by the ovaries, rise and fall during the month and cause the menstrual cycle. In the first half of the menstrual cycle after the menstrual period, the estrogen produced by the ovaries repairs the lining of the uterus. At the same time, an egg (ovum) in one of the ovaries matures, at about day 14 of a typical 28- day cycle, the egg leave the ovary. This is called ovulation. In the second half of the menstrual cycle the egg beings to travel through the fallopian tube toward the uterus. The progesterone level rises and thickens the uterine lining to prepare for pregnancy. If a woman has had sexual intercourse at around the time the egg is released, the sperm travels from the vagina to the fallopian tube where it fertilizes the egg; this is called fertilization. The male and female gametes (sperm and egg respectively) fuse, multiply and after approximately 6 days of fertilization, form a cluster of cells which is attached to the uterus – this is when the women is said to be pregnant. There is a continuous release of progesterone, which helps maintain pregnancy, thus giving a temporary break to the monthly period.
What is Infertility? A couple is said to be infertile if they have not conceived after 12 months of contraceptive-free intercourse. It is classified as Primary vs Secondary: Primary infertility is said to occur in those who have never been able to conceive. Secondary infertility is said to occur when a couple has difficulty conceiving after having conceived and delivered earlier.
How many couples suffer from infertility related problems in India? In India, it is estimated that approximately 15-20% of all couples of fertile age suffer from infertility. This figure is on the increase because of increased urbanization, pollution, stress, a competitive work environment and a hectic and fast-paced lifestyle.
What are the main causes of infertility? The main causes of infertility are due to: - Female factors - Male Factors - Combined factors - Undetermined causes.
In females, the causes could be: - Irregular ovulation or egg production, hormonal imbalance - 30% - Tubal block - 30% - Problems in uterus like fibroids, adhesions, synechiae congenital anomalies, chocolate cyst of ovaries - 30% - Unexplained - 10%
Males contribute almost 40% to 50% to infertility in couples. The common causes are: - Low motility of sperm with normal or low count - Varicocele, congenital absence of Vas deferens, testicular dysfunction and hormonal imbalance. - Azoospermia - obstructive and non obstructive.
Combined Factors: Genetic/Immunological factors: In some cases, the causes are suspected to be immunological or genetic. It may be that each individual is fertile, but together they cannot conceive without assistance. Endocrine medical factors: Diabetes mellitus, thyroid disorders, adrenal diseases. Hypothalamic-pituitary factors: Kallmann syndrome, hyperprolactinemia, or hypopituitarism can affect any of the partners.
What diagnostic tests need to be carried out? Basic blood tests are done for both husband and wife:
Minimum preliminary tests includes - Hemogram, Blood group - HIV-I and II antibody - Hepatitis B surface antigen - VDRL tests - Semen analysis with Sperm function test - Day-2 Hormone Assays for wife (if required) - R/O Genital Koch's and ensure tubal patency
Vaginal sonography is a baseline scan. An ultrasound scan is carried out to check the ovaries and the endometrial lining. In addition, fibroids in the uterus and cyst in the ovaries can be diagnosed. Laparoscopy is performed to inspect the uterus, tubes and ovaries, to investigate other pelvic problems like hydrosalpinx, pelvic TB, endometriosis, and fibroids. Hysteroscopy is used to view the inside of the womb through a telescope.
Hysterosalpingogram (HSG) is a radiology procedure that determines if the fallopian tubes are open or blocked and whether a blockage is located at the junction of the tube and uterus, or whether it is at the other end of the fallopian tube. Sonosalpingography is another ultrasound procedure that may also be used to check whether or not the Fallopian tubes are blocked. This involves the injection of a special dye through the cervix and into the uterus. The Mucus Hostility test checks the receptivity of the cervical mucus to sperms at the time of ovulation. The Postcoital test checks a woman's cervical mucus after sex to see whether sperm are present and moving normally. A Testicular Biopsy examines the germ cells and spermatogenesis inside the testes to determine if sperm is present in the semen. Not all the tests are required by an infertile couple. Even after tests, infertility can remain unexplained in up to 15% of couples, but that does not mean that it cannot be successfully treated. Different causes of infertility may require different treatments. It is very important for you to be confident that the treatment you are being offered is appropriate to you.
What is the first stage of the treatment? The first stage of treatment is the first consultation. It is completed with both partners available together and consists of 30 minutes of “inperson appointment”. During this time, the medical information provided on the past Medical History will be reviewed to determine the most appropriate clinical procedure and preliminary testing for care. During this consultation, couples can avail of the opportunity to ask and receive answers to the many questions they may have on their minds. During the consultations after investigation, cycle management to determine how the specific needs of individual couples can be met is discussed. The treatment recommended varies from one couple to another.
Realities of Infertility: One of life’s greatest gifts to a married woman is to be able to conceive a child. Infertility can be a frustrating and frightening experience to some. It can also be an emotional, psychological and physical crisis. Understanding the medical aspects as well as personal issues and learning about the many facets of infertility can help couples cope better with the many options available. Finding a solution includes the decision to have or continue treatment for infertility, consider IVF, Intra Cytoplasmic Sperm Injection (ICSI), surrogacy, or to adopt a child.
Our Team: We have a talented team of doctors with rich experience and success in treating infertility cases. We serve all infertility requirements under one roof. Our clinic and doctors provide you with the most up-to-date procedures with the latest equipment. Treatment is based on the latest medical techniques and all procedures are the latest in the field of infertility. We are committed to treat every couple who come to our clinic to the specification of their individual concerns and needs.
Infertility Clinic Tuesday & Friday 5:00 pm – 7:00 pm
Location Map
Pushpanjali Crosslay Hospital W 3, Sector-1, Vaishali, Ghaziabad-201012, UP, India 24X7 Emergency Services: 0120-4188188 24X7 PCH Helpline 0120-4173000, 4188000, 3133000 Email: info@pch.co.in Website: ww.pch.co.in