Ectopic Pregnancy: Diagnosis and Treatment

Ectopic pregnancies are diagnosed by your doctor, who performed a pelvic exam to locate tenderness, pain or a mass in the abdomen. Your doctor will recommend an ultrasound examination to determine developing fetus in the uterus or elsewhere. The ultrasound can be performed using a wand-like device in your vagina early in pregnancy.It uses sound waves to create images of your fallopian tubes and uterus ovaries. A transvaginal ultrasound images allows your doctor to identify the exact location of your pregnancy. Abdominal ultrasound may also be used to confirm your problems with your pregnancy or evaluate for internal bleeding. The measurement of HCG (human chorionic gonadotropin) levels also plays an important role. The lower level of an hCG than expected is one of the primary reasons to suspect an Ectopic pregnancy. If your doctor confirms that you have an Ectopic pregnancy, she will recommend you about the best available treatment based on future plans for pregnancy and your present medical condition. Low levels of progesterone in your body could be a sign of an Ectopic pregnancy, so your doctor may also test your progesterone levels for diagnosing an Ectopic pregnancy. Apart from progesterone levels tests, your doctor may perform a culdocentesis, which is a process in which a needle is inserted into a space at the top of the vagina, in front of the rectum and behind the uterus. The sign of blood in this area may suggest bleeding from a ruptured fallopian tube.

Treatment of an Ectopic pregnancy depends on the physical health conditions of the woman and the size and location of the Ectopic pregnancy. The injection of methotrexate could be a treatment against early Ectopic pregnancy case as it stops the growth of the embryo.If the pregnancy is farther along, the fertilization of egg can’t able to develop and survive outside of the uterus. In such conditions the patient immediately needs a surgery to remove the abnormal pregnancy so the tissue has to be removed successfully to safe the patient having serious complications. Few years ago, this complication requires a major operation and requiring a large incision across the pelvic area. But this can still be necessary in cases of extensive internal injury or emergency. Your doctor can apply an injection of methotrexate (Trexall) if your pregnancy hasn’t progressed very far and fallopian tube hasn’t ruptured. It stops the cells from further growth and your body can be able to absorb them. Early detection of Ectopic pregnancies can be treated with methotrexate.If the condition worst and severe a surgery is required. The most common surgery is laparoscopy. In this surgery a very small incisions in your lower abdomen has been done and a thin, flexible instrument (laparoscope) has been inserted to remove the Ectopic pregnancy. If the condition of the fallopian tube is bad, the doctor recommends removing it as well. You might need an immediate emergency surgery with a larger incision, if you’re bleeding to a great extent or your doctor suspects your fallopian tube is ruptured. This condition is called laparotomy.

Infertility Counseling: Helping to Deal with Infertility

Infertility can be either in male, female, or in both. Dealing with the fact that either of the partner is struggling with infertility, is a difficult task to do. Infertility counselling helps those couples to feel comfortable, accept the fact, and move on with new hope. It help intended parents to understand infertility reasons, further methods to tackle this situation, and finally to become parents.

Infertility counselling is done by professional counsellors who are experienced with people in infertility situation and know how to address the emotional difficulties a patient going through.

Types of Infertility Counselling

Depending on the stage of infertility process, where a patient currently is, there are following types of counselling.

  • Initial Counselling: In this counselling, an infertility counsellor, usually an infertility doctor, observes the couples’ state of mind and their attitude towards their infertility problem. Sometimes, partner blames each other for this condition and their opinion for treatment options are different. It is the responsibility of fertility counsellor to make them understand that this can be happen with any one, regardless the gender. Once couple got a clear picture about infertility problem, a counsellor further helps them to choose a best option for treatment and its details.
  • Counseling for Confidence Building:If a couple has understood the infertility problem but not sure about the suggested option for infertility treatment, they require confidence building sessions. In this, a counsellor tries to find out the reasons that makes couples unsure about treatment. Usually reason behind this lack of confidence is unknown fear, social aspects, and lack of family support. Counsellor makes couple to understand that this decision is totally of the intendent parents and tries to build their confidence on the doctor who is going to treat them.
  • Psychological Counseling: This counselling is used in some intense situation, where a couple show case an extreme sign of depression. Depression may occur due to marital issues between partners, bad experience of earlier treatments, or any other psychological issues.

When a couple starts infertility counselling, the process may be a combination of different stages.

How an Expert Helps Couple in Infertility Counselling?

Infertility counsellor is not only one who supports an infertile couple in phycological issues but also on medical issues. When a couple decide to use an infertility treatment to become parents, they may not have any experience regarding treatment and may not be fully prepared. Thus, infertility counseling is necessary to make sure that the couple get awareness about requirements of each step of treatment and be prepared for further journey.

An expert can help couples to eliminate their fears and build a trust on treatment procedures. The following are key responsibilities of counselor.

  • Understanding view point of couples, and making both partners to understand each other’s expectations and ambitions throughout the treatment journey.
  • Providing assistance to couples to tackle emotional situations that may occurs in any stage of treatment.
  • Making partners believe in medical treatment, doctors handling the case, and on each other.
  • Counsellor should make couples so much comfortable that they can trust on counsellor and express each difficulty.

How to Choose Your Infertility Care Centre and Expert? http://drshivanisachdevgour.co.in/blog/how-to-choose-your-infertility-care-centre-and-expert/

Is IVF Painful?

is ivf Painful

IVF (In Vitro Fertilization) is a process that involves some steps to treat fertility or genetic problems and leads to conceive a child. During IVF, mature eggs are collected from ovaries and fertilized by sperm in a lab. Then the fertilized egg or eggs are implanted in uterus of female.

As this process consists of many medical examinations, techniques through surgical instruments; it may be considered a painful treatment. But experience of each women going through this process is different. On one hand, some women may feel cramps and stomachache during the process; while some do not face such issues.

For more details on IVF, contact to fertility specialists ‘Dr. Shivani Sachdev Gour’ in SCI International Hospital, Greater Kailash Part 1, Kailash Colony, Noida Sector 63, Delhi.

Generally, anaesthesia is given during operation, so pain in avoided. But one can feel some discomfort during the following process. 

Injecting Medications

Before starting the IVF treatment, IVF specialist recommends various fertility medications. Some medicines are taken through injection near the area of stomach. But this process only involves nominal and bearable pain. Some IVF medicines may also cause some adverse effects such as stomach ache, tiredness, or various skin problems that various person to person.

Egg Retrieval

This is a difficult process for infertility expert as well as for patients. Patients are worried about this process because of eggs are extracted from woman’s ovary that requires to induce some surgical instruments in body. These instruments contain needle and inserted from vagina to stimulate egg follicles. Because of the intensity of procedure, doctors keep patients in half-conscious state to make process less uneasiness. A very less amount of anaesthesia is given in this process. But some women may feel stomach ache and awkwardness after the affect of anaesthesia is over.

Transferof Embryo

In this process a developed embryo is inserted into the uterus. This process has less intensity as compare to the Egg Retrieval process. Doctors use the transfer catheter and ultrasound screen to insert the embryo. This process involves minor pain, but doctor advice to take some sedative pills before the transfer process. These sedative pills allow the woman’s body to be calm and sooth.

How to Tackle Uneasiness during the IVF Process?

IVF process contains various steps, instruments, medications, and restricted time routines that may cause an uneasiness in body. To tackle this situation, generally anesthesia and sedative pills are given by doctors. But patients also can take some measures before and after each step of procedure. Dr Shivani Sachdev Gour suggested some points to avoid discomfort and nervousness during this process.

  • Follow healthy diet as suggested by doctors. Healthy diet provides you energy during the whole process and escape from side-effects.
  • Try to get relax before and after any step of IVF procedure.
  • The best way to relax yourself is to perform some light yoga or breathing exercise.
  • Don’t get nervous by seeing any instruments; these are only to help you, not to scare.
  • Little uneasiness is normal; follow doctors’ instructions to tackle this uneasiness.

 

When Couples Should Think About IVF Treatment?

IVF (In-Vitro Fertilization) is a process that provides couples an opportunity to have a baby when other treatments have failed or are not appropriate. But the major question is, what are the conditions and factors to opt for IVF treatment?

There are some medical conditions in which couples should think about an IVF treatment.

Infertility

(IVF) has become an established treatment for many forms of infertility. Infertility can be in women or men both. Usually, infertility means not being able to get pregnant even after one year of unprotected sex (or six months if a woman is 35 or older). Following are some reasons in which IVF is helpful to conceive a baby.

  • Fallopian tube damage or blockage.
  • Ovulation disorders.
  • Premature ovarian failure.
  • Endometriosis
  • Uterine fibroids.
  • Previous tubal sterilization or removal.
  • Impaired sperm production or function.
  • Unexplained infertility.

Genetic Disorder

A couple can opt for IVF treatment if either of the partner has a genetic disorder that they do not want to pass on to their baby. In this case, healthy egg or sperm is taken from donor and fertilized in lab using IVF.

Genetic Disorder
                                                  Source: redorbit.com

Fertility Preservation for Future Use

IVF treatment is helpful in fertility preservation to freeze eggs or sperm for future use. If either of the partners is suffering from cancer and about to start a treatment, they can arrange to freeze their healthy eggs or sperm, as chemotherapy and radiotherapy can harm fertility. These eggs or sperm can be thawed later and used in IVF once the cancer treatment is over.

fertility-preservation
                                                 Source: obgyn.mcw.edu
Apart from medical conditions, there are some factors that lead couples to opt for IVF treatment.
  • The couple should be financially strong or must have a financial source for treatment; as IVF treatment is an expensive process.
  • The couple should be determined and patient enough to conceive a baby by this method; because IVF treatment may not be successful in one cycle and may require two or three cycles for result.

Female Infertility – Simple Tips to Increase It

Female infertility is quite a common problem nowadays and around 15% of them are affected by it. Infertility can be due to a number of reasons but working on the same at the right time can make a big difference. That is why it becomes all the more necessary to ensure a healthy lifestyle and keep a check on your ovulation too. If natural means are adopted to cure infertility, the results are really good. The chances to conceive or get pregnant improve by 70% and this is certainly a good number.

If you too are facing female infertility problems and wish to cure it naturally, then here is all the information you are looking for. So let us get started. 

Maintain your weight – For infertile women, weight is definitely a big problem. It is essential to maintain the weight and for this they need to cut down the carbs and see a difference in their menstrual cycle. It will become more regular and this can help you to conceive faster. Even women suffering from PCOS should keep a check on their weight and follow a healthy and rich diet. Having foods rich in antioxidants too can be really useful for such women. 

Starts your day with a good breakfast – Most of the women tend to skip the first meal of their day that is their breakfast. This is a wrong approach as it will only lead to more weight gain. Despite leaving your breakfast, try to have a bigger portion of the breakfast and it should contain healthy things. Have your milk or tea; include at least one fruit with anything that you like. Whole grains are a decent choice. A good portion will not only give you the required energy for the day but boost your chances of conceiving too. 

Multivitamins are useful – Women who regularly take multivitamins are less likely to face such issues. It is because of the simple reason that multivitamins have folate which not only regulates your menstrual cycle but result in proper ovulation too. Thus the chances of becoming pregnant get increased by leaps and bounds as compared to other women. If you continue with multivitamins for around 3 months, the chances increase by 26%. 

Stay active – Being lazy is yet another disadvantage so make sure you do proper exercise or workout. There is no need to try the rigorous workouts but a few simple ones are enough. Excessive workout can have adverse impact so keep away from the same and have a balance of the different exercises. You can get in touch with a professional for the same. 

Avoid alcohol and caffeine – These two are highly dangerous and bring down the fertility level in the females. So cut down the same and experience the difference yourself.

With the help of the above helpful tips you can easily combat your female infertility and improve the chances of conceiving. Follow the tips seriously and you will certainly get pregnant and welcome a new member into your family. So start following them today.

Tips on Make Pregnancy Successful after Getting Failed- http://www.123articleonline.com/articles/1089418/tips-on-make-pregnancy-successful-after-getting-failed

A Heart Touching Thankyou Card for Dr Shivani Gour & SCI IVF Centre

Can you read the handwriting on the card. This is a thank you card from an almost 4 year old for her baby brother born after IVF at Our Clinic SCI IVF Centre. One of our most adorable cards! To read more reviews, visit- http://drshivanisachdevgourdelhi.blogspot.in/

dr shivani with little baby

thankyou card for sci team

 

sci ivf team celebrating successful treatment

Dr Denis Mukwege Invited to Dr Shivani Sachdev Gour at His Infertility Clinic in Africa

Congratulations for the Nobel Prize to Dr Denis Mukwege. It was a great honor to be invited by him for the Infertility clinic in his hospital in DR Congo. Hillary Clinton Foundation was supporting the endeavor of his hospital for Gynaecological treatment of women who were war survivors in Africa.

DR shivani with dr Denis

DR shivani with dr Denis team

DR shivani with dr Denis staff

DR shivani with dr Denis teams

IVF Process – Step by Step

There are many couples who face fertility issues that prevent them from becoming parents. There are many medical procedures through which they can become parents and IVF is one of them.

In vitro fertilization treatment is the process in which an egg from a woman’s body is taken out and kept into a container where then the man’s sperm is inseminated into it. It is left there for a few days and then the embryo is surgically placed back inside the woman’s body. This process has allowed many people struggling with infertility to have a child.

Let’s have a closer look at what are different procedures or steps in a single IVF cycle:

  1. OVULATION ANALYSIS: The first step of the IVF cycle is that your fertility specialist will do a thorough analysis of your ovulation cycle. When do you ovulate the most and what is the difference between each cycle. Your ovaries will be monitored so that the doctor can evaluate the timing of your egg release. Different tests will ensure that whether your hormone level is normal or not or if your ovaries are properly releasing eggs.
  1. OVARIES STIMULATION: After the analysis is done, your doctor will then give you medicines to stimulate your ovaries to produce more eggs, hence increasing your chances at pregnancy.
  1. RETRIEVAL OF THE EGG: You will be either given painkillers or mild anesthesia for this process as this involves surgical removal of your eggs. Needles are used to remove the fluid in the follicles inside your ovaries. This fluid contains the eggs which cannot be seen from naked eyes. Hence the liquid is collected first and then the egg is extracted from the fluid. This egg is then placed in a container and kept into the incubator.
  1. FERTILIZATION: The next step is to inseminate the egg with the sperm. The most active sperm from the sample of your partner or a donor is injected into the egg in a special container. In most cases though, the sperm is placed within the same container with the egg, so that they both can find each other naturally, just like it happens in the body.
  1. DEVELOPMENT OF THE EMBRYO: After the sperm found the egg, the embryo starts to get developed. The developing embryo is then placed in a special kind of incubator where the growth of the embryo is monitored closely. The embryo is left alone for a few days so that it can grow healthy and its growth can be monitored.
  1. EMBRYO TRANSFER: Once it is decided that the embryo is growing and healthy, it is ready to be placed back into the uterus. You will not need any painkiller or anesthesia this time as this is a very small process. The embryo is placed in the cervix which is the lower most part of the uterus, using a small tube. This process needs to be done with great care so as no harm is caused to the embryo while transferring from the incubator to the uterus. This is a five-minute process and does not require lots of time.

After all these steps, the women may take a pregnancy test to be sure; however, a blood test is done by the doctor after the embryo is placed in the woman’s body. So these are the basic steps of an IVF cycle. Please feel free to mail us if you have any other questions or doubts regarding IVF.

IVF Expert Dr Shivani Sachdev Gour Reviews and Services

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

Thank you Card from Indian Parents!!

Thank you so much SCI for making our dream come true.

We had heard such horror stories about IVF & have been so surprised and thrilled with our experience & success in FIRST ATTEMPT. We have been blessed with a healthy baby boy on 12th Feb 2017. We will never forget what you did for us. Specially, Dr. Shivani Mam, Dr. Smita Mam & Dr. Sujata Mam your Support & co-ordination are unforgettable during the treatment.

Thank you once again to the entire SCI Team.

 

With Regards,

Moushmi & Sudhir