Fertility Preservation

fertility preservation
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Fertility preservation is a greatest option for those people who are diagnosed with cancer or other health issues. Family planning has fundamentally changed as compared to generation ago.

Progressively, women are postponing childbearing for non-medical reasons. For example, pursuing a career, unstable relationship, and financial deliberations. As a result, over the past 40 years, the age of a woman’s first pregnancy has been gradually rising.

When a woman should freeze her eggs?

If woman who is not ready to have a child now but wants to conceive later by her preserved eggs, should keep in her mind about right time of freezing her eggs. The best time for a woman to freeze her eggs is under the age of 30. The number of mature eggs frozen allows for the best prediction of ultimate pregnancy. For example, with ten frozen eggs the chances of a live-birth is twice as high for women under age 35 and under than for those over the age of 35.

When a man should freeze his sperms?

Various studies have now revealed that a man’s sperm production and quality declines with age and male fertility appears to wane after the age of 40 – 45. Due to their ability of continuously producing sperms throughout their lives, there are less apparent guidelines for men on non-cancer/non-medical fertility preservation, but under the age of 40 is a reasonable time.

How to Make a Decision of Preserving Fertility?

This is an extremely difficult question and one that requires consultation with an infertility specialist as well as a reproductive health counselor such as Dr Shivani Sachdev Gour. The pursuit of fertility is a physical, emotional, and financial investment with all three of these factors carrying equal weight and importance. People should decide very carefully before the preservation. Dr. Shivani discusses some issues that people must keep in mind before fertility preservation:

  • Financial Constraint: Fertility Preservation is an expensive process as it requires some medical tests and sperm/egg preserving labs. People have to pay for the time duration they need to keep their sperms preserved in these labs. Thus, they must be sure about preservation of fertility and make decision according to their financial condition.
  • Health Issue: Some people who want to become parents but they are cancer patients or surviving from any other disease where they cannot conceive, must think and decide very carefully about preservation of fertility. Anxiety is common in risky condition of health therefore a great patience is necessary during decision making by the suffering people.
  • Emotional Issue: People keep them emotionally strong for preservation of fertility.Because some of the people worry a lot about success rate of procedure. They keep thinking about future that whether they able to conceive using preserved egg/sperm in future or not. This is also an issue which can affect their decision of fertility preservation.
  • Unstable Relationship: Some couples have not stable relationship. It is very big issue for them to decide whether preserve their fertility or not. They should be ready for the future preservation about fertility after a deep discussion between both of the partners.

While advances in technology today allow for immediate and effective fertility preservation for men and women, in spite of that it is necessary never to pursue a pregnancy until peoples are physically, emotionally, financially prepared, and in a stable relationship, if applicable.

Intrauterine Insemination (IUI) Treatment and Procedure

Many couples are unable to gain their own child due to infertility, which can be in men or women. To conceive their own baby, they can opt different techniques such as IUI, IVF, Surrogacy, and so on. These techniques are performed under supervision of specialists in various hospitals.

Intra-uterine insemination is the name given to a procedure where sperms are placed into the female reproductive system by a means other than intercourse. IUI is the most common form of artificial insemination, used and involves placing sperm into the female’s uterus through an assisted medical process. As it is a relatively low-tech solution to infertility problems, IUI is usually one of the first techniques used to assist a couple who is having difficulty becoming pregnant.

Limitations of IUI

There are following limitations when IUI is not effective:

  • A blocked or damaged fallopian tube.
  • Ovarian failure (menopause)
  • Severe male factor infertility such as no sperm, very low sperm count, poor sperm motility (movement) and sperm defects. In all these cases donor sperm may be an option.
  • Severe endometriosis
  • A female partner over the age of 40.

Procedure

First, warmed and ‘washed’ (treated) sperms are introduced into the woman’s uterus through a tube. Sperm can be provided by the woman’s husband/partner (artificial insemination by husband – AIH) or sperm provided by a known or anonymous sperm donor (artificial insemination by donor – AID or DI). The procedure is done around the time of ovulation to give the best chance of conception. Hormonal (fertility) medications might be used in conjunction with the treatment to enhance conditions for a pregnancy.

Reasons of Selecting IUI

IUI is mainly used when timed intercourse or hormonal medications alone have not worked. It is also used if ‘mild’ sperm abnormalities such as poor motility are found. It is also used in conjunction with donor sperm by same sex female couples or by women who don’t have a partner. In addition, IUI can be used to overcome fertility due to the following conditions:

  • Open Fallopian Tube: Open fallopian tube is a factor for opting IUI as infertility treatment.
  • Minor Endometriosis: This condition occurs when the tissue that normally lines inside of the uterus grows in other places where it doesn’t belong, such as on the ovaries and fallopian tubes.
  • Ovulation Complications: Including irregular or absent ovulation often caused by a deficiency in one of the controlling hormones.
  • Low Sperm Count: If sperm count is only a little low, it can still be used because of the way it will be treated in the laboratory.
  • Retrograde Ejaculation: This condition occurs when semen goes backward into the bladder instead of coming out of the penis.
  • Unexplained Infertility: Defined as not being able to conceive after one year, even though the cycle is normal, semen is normal, internal examinations are normal and there is normal sperm-mucus penetration. In about 10-15% of couples, a cause for infertility may not be found even after thorough investigation of both partners.
  • Physical Problems with Sexual Intercourse: Vaginismus is an involuntary clamping of the vaginal muscles, which may prevent some women from having frequent intercourse.
  • Mucus Hostility: May arise as a result of a vaginal infection or the presence of anti-sperm antibodies in the mucus.
  • Ejaculation Problems: Due to psychological problems such as impotence or anatomic problems of the penis, such as paraplegia.

Surrogacy Types and Comparison

Surrogacy is a promising treatment for infertility. It can potentially solve many intolerable difficulties that the infertile couples and their families face. A Surrogate or Surrogate Mother is a woman who bears a child on behalf of another woman, either from her own egg fertilized by the other woman’s partner or from the implantation of a fertilized egg from the other woman in her uterus.

A couple, who want to have baby through surrogacy, has to take a decision on the type of surrogacy they want to pursue.Surrogacy is categorized into two types:

Traditional Surrogacy

In traditional surrogacy, the surrogate is biologically linked with child she carries thus this surrogacy is also known as partial or genetic surrogacy. The genetic relationship between child and surrogate makes traditional surrogacy emotionally complicated. Traditional surrogacy is mostly used by single men, same-sex male couples and women who cannot produce healthy eggs because they need a donor’s eggs. When the intended surrogate is inseminated with the semen of the husband of the couple, the procedure is known as straight surrogacy or traditional surrogacy.

Gestational Surrogacy

Gestational surrogacy, also called partial surrogacy or host surrogacy, is the most common type of surrogacy today. In gestational surrogacy, the surrogate mother is not genetically related and will be free from all responsibilities after delivery of the child.

  • When a sperm or an ovum is donated by a third party, fertilized by IVF, and transferred to a surrogate, it is called Gestational Partial Surrogacy.
  • If both the sperm and ovum are donated by a third party, fertilized by IVF, and the resulting embryo is transferred to a surrogate, it is known as Gestational Full Surrogacy.

Traditional Surrogacy Vs Gestational Surrogacy

The major difference between gestational and traditional surrogacy is the surrogate’s biological connection to the child. Before opting surrogacy as an option, intended parents need to consider all of the following factors to decide between traditional vs. gestational surrogacy:

  • Medical Process: Traditional surrogacy uses IUI, whereas gestational surrogacy uses IVF as medical procedure.
  • Legal Process: Traditional surrogacy laws tend to be more complicated than gestational surrogacy laws. In traditional surrogacy, surrogate mother also has parental rights and need to be terminated after the baby is born.These additional legal procedures are not required in the gestational surrogacy process.
  • Costs: The cost of gestational surrogacy is considered to be higher than that of traditional surrogacy. This cost difference is due to the different medical process it involves. IUI is less expensive than IVF and tends to involve fewer medical procedures and fertility treatments.
  • Risks: Traditional surrogacy contains a greater emotional and legal risk than gestational surrogacy. In traditional surrogacy, being the biological mother of child, surrogate mother may possess emotional feelings for the baby. In that case, she can theoretically challenge the surrogacy arrangement in court, which could result in a lengthy and expensive legal battle for everyone involved.
  • Acceptance: Traditional surrogacy is banned in many countries including India due to its legal and emotional complications; whereas this is not the case with gestational surrogacy.

Finding Best Gynecologist to Meet Your Female Health Needs

Finding Best Gynecologist to Meet Your Female Health Needs

Going through any problems related to the reproductive system can be extremely irritating and painful. Most of the women ignore many little signs and problems and does not consult any gynecologist, which at the later point of time may result in far more greater and life-threatening issues. This is important for your health to find a good gynecologist and have a regular checkup every three months or so. So that you can stay healthy and come to know about any threats to your reproductive health at an early stage.

But finding a good gynecologist is not an easy feat. Choosing a gynecologist that has not only good practice but also understands you, requires some work.

Following are some points that you need to consider before selecting any gynecologist:

  • Finding a gynecologist who is also an obstetrician – If you are pregnant or are planning to get pregnant, it will be good for you if you select a gynecologist who is also an obstetrician. This way you don’t have to search for another good obstetrician to deliver your baby.
  • Years of practice – Though more years of practice does not make someone a great doctor, it surely makes a doctor more experienced and skilled. And if the doctor is really good with years of practice then he/she should be your best choice.
  • You feel comfortable with them – It is of utmost importance that you feel really comfortable around your gynecologist. If you are not comfortable enough to share all your problems and symptoms with the gynecologist, then he/she is not the right one for you. In India, one of the most important factors is the gender of the gynecologist. Most of the women in the country feel comfortable with a woman as her gynecologist and is comfortable in sharing her symptoms and concerns with a female instead of a male doctor.
  • They are affiliated to a hospital or have a clinic with all the facilities – It is really important that you select a gynecologist that is either affiliated to any hospital or have a clinic with all the facilities of her own. This will make your life much easier as you will not have to worry about rushing to different pathologies to get your tests done. Also, you don’t have to worry about finding a hospital in case of an emergency. Everything will be taken care of if your gynecologist has an up to state clinic or is affiliated to any hospital.
  • Easy Availability and Location – When going through pregnancy or any other reproductive system related treatment, you might often need to visit your gynecologist or need to call him/her to clear your doubts or concerns. So it is important that the gynecologist’s clinic is nearby your house and also that he/she is available to clear your doubts whenever you have any such doubts and problems. It is important for you that your gynecologist is available whenever you need him/her.
  • Friendly and Caring – If your gynecologist is not friendly or easy to go with, then you might not be comfortable enough for you to share all your doubts and problems with him/her. It is important that your gynecologist is polite and friendly and you can share all your concerns and problems with him/her without feeling hesitant.

These were the few points you can consider when searching for a gynecologist. Hope we were able to help you in your search for a good gynecologist.

Contact to best gynecologist Dr Shivani Sachdev Gour in Delhi

Dear Dr. Shivani, Dr. Vishal & SCI Team

Whenever we used to see such…. Thank you…cards on walls of SCI Hospital or other IVF Clinics from where we undertook earlier IVF cycles (and they failed EVERYTIME), we used to wonder that when would that Day come when I would be writing my own such card……. and now when this day has come, I find myself SPEECHLESS to how to express my happiness.

Only because of you…. Dr. Shivani, we have got success in our IVF cycle and I tell you that for US, you are only next to God!!

What touched me most is your personalized and humane approach.

You always patiently heard our concerns & fears and gave us your honest advice…which is a rare commodity these days.

Your staff too is very gentle…an exception in this brutally commercialized world.

Best of all…was ‘follow up process’ of SCI Hospital staff where they reminded us about Medicines, Injections, and Visit to Hospital etc.

Please be this way forever….

Kalpana & Anand

Diwali Wishes from Canadian Family !!

Hi SCI family,

We want to wish you all a very happy and successful year ahead. May the Diwali festivities bring a lot of light, joy and cheer to your clinic for the whole new year and always.

Attached is a picture of Gabi and Leo. We celebrate Diwali every year as part of our family tradition.

Always thinking of you and our lovely surrogate mother.

Forever thankful,
Marina, Jesse, Gabi and Leo

 Happy Diwali wishes Canadian Family to SCI IVF Clinic

Effect of pollution on pregnant woman and the child and what can you do to avoid complications by Dr Shivani Sachdev Gour

Aapki Khabar Aapka Fayda, know how pollution is choking people to death. Watch the video to know more.

Conversation between Dr Shivani Sachdev Gour and ZeeBiz Anchor Anuiya Yadav

Causes of Male Infertility?

Natural pregnancy comes to very few couples and then there are those for whom it is critical to conceive. It can be due to either male infertility or female infertility. That is why both need to be diagnosed properly to see what went wrong and how to combat the same. In this article we will talk about the male infertility, how it is caused and what is the treatment for the same.

Male infertility is directly related to their sperm count. If the males are facing low sperm count problem, this means that the sperms will not fuse with the eggs and result in pregnancy. This is a difficult time as couples keep trying hard and at the end nothing comes their way. So if you have been into unprotected sex for a year or more it is high time you seek the guidance of any specialist. The infertility specialists like Dr Shivani Sachdev Gour can guide on the same and help you with the possible treatments open before you. 

Causes of male infertility

If there are issues related to sperm production or transport, then there chances that one is facing male infertility. Illness, health issues, any kind of disorder etc can be some of the reasons as why one is facing the infertility. But all these reasons are classified into 3 broad categories.

Sperm abnormalities – As the name indicates, if the sperms are not of good quality and low in count, it is sure to affect the pregnancy. This can be due to genetics as well or some long illness, high medications etc.

Reasons for a low sperm count – Low sperm count can be another reason as why the pregnancy is not successful. The reasons behind it can be unhealthy lifestyle, stress, genetic issues etc. It is important to consult the doctor and they will help you with the treatment.

Ejaculation problems – This is yet another reason of male infertility and needs to be diagnosed and treated at the right time.

How is male infertility diagnosed?

There are few tests which are done for male infertility and semen analysis is one of them. With its help proper diagnosis is possible and one can find out the root cause. Though there are others tests too like scrotal ultrasound, hormone testing, urine analysis, sperm function test etc which are done but semen analysis is crucial of all. 

Treatment

ART or assisted reproductive technology is one of the best treatments for male infertility. Together with this, the doctor can prescribe you a few medicines as well for hormonal balance and overcome any kind of infection. If requirement surgery is also a possible choice but it will depend on the diagnosis done by the expert. In case the couple is going for IVF then the sperms can be extracted directly and then used for the fusion. So everything will depend on the test reports and accordingly the treatment will be suggested by them.

So get in touch with a qualified and experienced doctor only who can help you in the right treatment.