Health Risks of Primary Ovarian Insufficiency (POI)

Health Risks of Primary Ovarian Insufficiency (POI)

As women with POI have lower levels of certain hormones, several health problems are more common than in women without POI, including:

  • Infertility: Women suffering from POI, generally unable to get pregnant naturally. They may carry a pregnancy but, in most cases, adonor eggsare required.
  • Heart disease: Low estrogen level early in life can affect the muscles lining the arteries and can increase the formation of cholesterol in the arteries. These factors can increase the risk of atherosclerosis (hardening of the arteries) which increases the risk of heart attacks further.
  • Anxiety and depression: Hormonal changes caused by POI can result to anxiety or lead to depression. Many women with POI may feel sadness about their unexpected loss of ovarian function. Women with POI should discusses their feelings with their family members, medical provider and may need to discuss with a qualified therapist.
  • Dry eye syndrome and eye surface disease: Some women with POI can have one of these eye diseases. Both diseases can cause discomfort and may lead to blurred vision. These conditions can cause permanent eye damage, if not treated seriously.
  • Osteoporosis: The hormone estrogen required to keep bones strong. Women with POI often develop osteoporosis without enough estrogen. It is a bone disease that increase the risk of weak bone, brittle bones or bone loss and fractures.
  • Low thyroid function: This health problem also is known as hypothyroidism. The thyroid is a gland that produces hormones that control body’s metabolism and energy level. Low levels thyroid hormones can affect your metabolism and can result in very low energy, mental flatness and other similar symptoms.

How is POI diagnosed?

if you are younger than 40 and have irregular periods or stopped having irregular ones, immediately consult with your doctor to find the root causes of the ongoing problem. To diagnose POI, your health care provider may perform:

  • A medical history: Your health care provider may ask whether you have relatives with POI or other health conditions such as an autoimmune disease, endocrine problems or a neurological condition.
  • A pregnancy test: A test can be done to make sure that you are not pregnant.
  • A physical examination: To look for signs of other disorders which could be causing your symptoms.
  • A pelvic ultrasound: An ultrasound may be used to check whether or not the ovaries are enlarged or have multiple follicles.
  • Blood tests: A blood test has been done to check for certain hormone levels. With this test your health care provider (HCP) can find out if your ovaries are working properly or not and to check the level of FSH (Follicle Stimulating Hormone) in your blood. This blood test can be repeated before the diagnosis can be made.High levels of FSH usually indicate presence of POI. Other hormones including an “AMH” (Anti-Mullerian Hormone) can be evaluated and genetic tests may be done to check if there is a medical reason for the Primary Ovarian Insufficiency (POI). Other blood test can be done to do a chromosome analysis. A chromosome is the part of a cell that contains genetic information.

Some specific tests should also be performed to check for autoimmune conditions or possible genetic that might be related to the ovarian insufficiency.

How is infertility diagnosed in Male?

Traditionally infertility has been considered as a woman’s problem, but it is found that one out of every three cases of infertility is associated with man. A diagnosis of male infertility can be one of the toughest situations a man can have.Not being able to father a child can make a man feel like he is the culprit of his partner to not able to bear a child.

A man’s fertility generally associated with the quantity and quality of his sperm.If the number of sperms a man ejaculates is of a poor quality or low, it will very be difficult and sometimes impossible for him to become a dad. A male infertility diagnosis includes a medical history, physical, general hormone tests, more semen analyses and some other more laboratory tests.

How is infertility diagnosed in Male

Medical History

Questions related to Medical History may include:

  • A discussion of related to your past medical history, any chronic health problems, any inherited conditions and injuries or surgeries that could affect fertility. Your doctor might also discuss things related to your sexual development during puberty and your sexual habits.
  • Your doctor may ask questions about your family history of infertility or birth defects.
  • A discussion that may involve information regarding social history and occupational hazards to find out any potential exposure to dangerous substances that could have a bad impact on your fertility.

Physical Examination

Questions related to physical examinationmay include:

  • This includes physical examining your genitals and the evaluation of the pelvic organs like, testes, penis, scrotum and prostate.

Laboratory Tests

Laboratory Tests may include:

  • Semen Evaluation: A doctor may ask for the sample of semen for further evaluation. Semen samples can be collected in different way.You can be asked to provide the sample by masturbating and ejaculating into a special container at the clinic itself. But due to some cultural or religious beliefs, some prefer other alternative method way for the sample. In this case the semen can be collected in to a special condom during intercourse. The semen is then sent to a laboratory for the evaluation of sperm motility or movement, maturity and shape of the sperm, the volume of the ejaculate and the actual sperm count and the liquidity of the ejaculate. The lab will also perform the tests for the signs of problems such as infections related to your semen. If your sperm analysis found to be normal, your doctor will likely go for the testing of your female partner before conducting any further male infertility tests.
  • Hormone testing: Hormones produced by the pituitary gland, hypothalamus and testicles may be evaluated to check levels of testosterone and FSH (follicle-stimulating hormone) to determine the overall balance of the hormonal system and specific state of sperm production in your body. Abnormalities in other hormonal or organ systems also might increase the chance of infertility. Serum LH and prolactin are other hormonal tests that may be evaluated if initial testing indicates the need for them.
  • Hormone testing: There could be a genetic cause, if concentration of your sperm is extremely low. A blood test can check whether there are significant changes in the Y chromosome(signs of a genetic abnormality). Genetic testing might be considered to diagnose various inherited, congenital syndromes or chromosome abnormalities, that may cause the lack of sperm or lead to developmental problems of infertility.
  • Anti-Sperm Antibodies: Some male can produce abnormal antibodies that obstruct the sperm on the way to the egg, which prevent your partner from getting pregnant. For such male, making sperm isn’t the real issue. It is getting the sperm where they need to go. Male with these problems have normal sperm in their testicles, but the sperm in semen are either abnormal, missing or in low numbers.There are several other reasons exist the male might have low sperm in their semen even if his body makes enough of it. A medical examination can also be performed to check these problems and to identify the presence of antibodies that may contribute to infertility.
  • Scrotal ultrasound: An ultrasound of the man’s scrotum performed to detect varicoceles (varicose veins) or duct obstructions in the prostate, seminal vesicles, scrotum and ejaculatory ducts. A transrectal ultrasound also closely looks at the vesicles and ejaculatory ducts that transfer semen.
  • Post ejaculatory urinalysis: This test performed to check for the presence of sperm in a man’s urine indicating retrograde ejaculation.
  • Hypo-osmotic swelling: This a laboratory test that uses a special sugar and salt solution to evaluate the ability of the sperm to penetrate the egg and the sperm’s tail. The tails of healthy sperm supposed to swell in the solution as compared with dead or abnormal sperm where the tails do not swell.
  • Acrosome reaction: A laboratory test that helps to find out if sperm heads are able to go through the chemical changes which is very important to dissolve an egg’s tough outer shell.
  • Sperm agglutination: A laboratory test involving the examination of sperm under a microscope to evaluate if the sperm are bundling together. Bundling prevents sperm from swimming through the cervical mucus.
  • Sperm penetration assay: A laboratory test uses hamster eggs to evaluate a sperm’s capability of penetrating the egg. Although this test is rarely used.
  • Acrosome reaction: A laboratory performed to check and determine if sperm heads are able to go through the chemical changes requisite to dissolve an egg’s tough outer shell.
  • Vasography: This is an x-ray exam which is used to determine if there is blockage or leakage of sperm in the vas deferens.
  • Hemizona assay: It is a laboratory test in which a non-usable human egg is cut in half. The main purpose of this test is to check if the sperm are able to penetrate the outermost protective layer of the egg.
  • Kruger and World Health Organization (WHO) Morphology: This is performed to evaluate sperm shape and features more closely.
  • Seminal Fructose Test: This test is performed to identify if fructose is being added properly to the semen by the seminal vesicles. Infertility diagnosed in Female

Erectile Dysfunction

Erectile dysfunction or ED is the most common sex problem affect men sexual heath. It affects approximately 30 million men worldwide. ED is defined as trouble getting or keeping the inability to achieve or sustain an erection suitable for sexual intercourse. It can be caused mainly due to chronic illnesses, poor blood flow to the penis (or blood flow in the penis is limited with harmed nerves), medications, drinking too much alcohol, stress or emotional reasons or being too tired. Although, it’s not rare for a man to have some types of erections problems from time to time. It can cause stress, contribute to relationship problems and affect your self-confidence.

ED that is occurring routinely with sex or progressive is not normal and it should be treated. It can also be a risk factor for heart disease and a sign of an underlying health condition that require treatments. Men who have a problem with their sexual health may be reluctant to discuss with their doctor, seeing it can be an embarrassing issue. Consult your doctor without wasting your time, even if you’re embarrassed. Sometimes, treating ED on time is enough to reverse its bad effects. In other cases, your doctor may prescribe medications or other direct treatments.

Symptoms

Erectile dysfunction symptoms might include, trouble getting and keeping an erection that is firm enough for sex and relatively reduced sexual desire. Your doctor or an Urologist can help, if ED becomes a routine and bothersome problem for you. It also can be a primary warning sign of cardiovascular disease indicating the presence of blockages in a man’s vascular system. Some studies have shown that men suffering from ED are at significant risk of getting a stroke, heart attack or circulatory problems in the legs. It also can cause low self-esteem and depression.

Causes

Male sexual stimulation is a complex process that involves the brain, emotions, hormones, nerves, blood vessels and muscles. Problem with any of these can results an erectile dysfunction. Moreover, mental health concerns and stress can also cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues can results in erectile dysfunction. For example, a minor physical condition that slows your sexual behaviour might cause anxiety about maintaining an erection. The resulting anxiety can sometimes lead to or worsen erectile dysfunction.

High blood pressure, Parkinson’s disease, treatments for prostate disease, injuries in the pelvic area or spinal cord, hormonal disorders including thyroid conditions and testosterone deficiency and surgical complications can also be the other caused of ED.

Prevention

The best way to avoid erectile dysfunction is to manage any existing health conditions and adopt healthy lifestyle choices. For its prevention:

  • Manage your any existing diseases like heart disease, diabetes or other chronic health conditions.
  • Limit or avoid your alcohol consumption, stop smoking and never use illegal drugs.
  • Visit your health specialist for regular checkups and medical screening tests.
  • Work toward reducing stress.
  • Include exercise in your daily routine.
  • See your health specialist for depression, anxiety or other mental health concerns.

Advantages of the EmbryoScope – Overview

Advantages of the EmbryoScope – Overview

EmbyroScope is an innovative time-lapse technology used to maintain the essential physiological conditions required by a living embryo while they are in the IVF laboratory.It has an integrated time lapse system that has a camera that continuously monitor and analyze the development of embryos and captures images and records them as a video for further use.The specially designed Embryoscope combines an incubator, high resolution camera, built-in microscope and computer software to automatically take several images of the embryos up to every 7 minutes.The time-lapse videos of individual embryos are recorded while at the same time the other embryos keep undisturbed in their stable culture environment.Advanced software allows the embryologist to select the best available single embryo in their stable culture environment with the highest chance of leading to a pregnancy and baby.

Advantages of the EmbryoScope

Advantages of the EmbryoScope

  • Embryoscope supports incredible stable conditions for embryo development by providing an undisturbed culture environment same like those in the human body.
  • It improves embryo selection and de-selection criteria by providing accurate and in-depth information to the embryologists together with the stable and undisturbed culture environment, in order to select embryos with the highest chance of success.
  • It allows an Embryologists to analyze at embryos without taking them out of the incubator which significantly decrease potential stress that may encountered by the embryos.
  • The Embryoscope can be helpful for the improvement IVF success rates. The single selected embryo with highest development potential allows high pregnancy rates including lowering the risks associated with multiple pregnancy.
  • It provides detailed information about the embryo development steps which is not available using a conventional microscope.
  • The selection of embryos with the help of Embryoscope image information has the potential to significantly reduce the miscarriage rates compared with standard methods.
  • With the help of an Embryoscope, an Embryologists can study and analyze more than 7200 minutes of an embryo’s development compared with the standard methods with 6-10 minutes.
  • It provides the parents information about the embryo development and a film record of the medical development of their future child.

Results of Embryoscope

Embryoscope eliminate the need for removing the embryo from the incubator, which ultimately increases the probability of pregnancy chances as there is no need to handle the embryo.It has been found that embryos which follow specific division times and certain appropriate morphological changes have a much better chance of implantation.The chances of implantation are higher in cases in which the selection of embryo done by using Embryoscope technology.

The Embryoscope can be very helpful for the patient undergoing an assisted reproduction treatment. It is a remarkable fact that, the chances of desirable results are higher for patients who have selected more than one embryo, where the best one or two embryos are selected further for the assisted reproduction treatment. However, the stable culture conditions offered by the Embryoscope are likely to be a positive point to all type of patients.

You may contact Dr. Shivani Sachdev Gour for your any EmbryoScope related questions. She is recognized as one of the best gynecologists and infertility specialist based in Delhi.

Treatment of Ovulation Disorders – Stimulation and Cycle Monitoring

Treatment of Ovulation Disorders - Stimulation and Cycle Monitoring

Timely release of an egg known as ovulation is an important part of successful fertility in women. Unsuccessful release of an egg by women is one of the major common causes of infertility. Although, there are many cause for ovulation disorders. The efficient development and release of an egg by ovary in a timely systematic way to become pregnant, ovulation induction therapy frequently requires different medications. Dr Shivani Sachdev Gour at SCI Healthcare and SCI IVF Hospital and Multispecialty Center is experts at ovulation induction therapy. With appropriate medications that matched to your specific cause of ovulation disorder, there is pretty high chance that ovulation induction therapy will play a major role in your life to become success in having a child and building your family.

The monitoring and stimulation of the ovulation cycle is an important part of ovulation induction therapy. This is basically done by regular monitoring with ultrasound blood tests. To monitor the effect of the applied medications and to help the doctor to predict when ovulation is most likely to happen, the size of the ovarian follicles and blood hormone levels are utilized. Ovulation induction therapy is generally achieved with an oral medication such as Femara, Clomid or with injectable gonadotropins. In order to ensure that the uterus will be properly prepared for implantation of a fertilized egg, the doctor may recommend progesterone supplemental medications in the second half of ovulation induction cycle.

Tracking of Ovulation induction

Tracking of Ovulation by ultrasound: Ultrasound testing is relatively effective and safe way of tracking ovulation induction. For the accurate measurement and count of follicles and the quantity of eggs which developing in the ovaries, a vaginal ultrasound is performed at specific stages of an ovulation induction cycle. To ensure the highest rate of success, this provide exact time frame for natural intercourse, egg retrieval used for the IVF procedure and for artificial insemination. The ultrasound process is very secure and results in nearly no discomfort and heath related issues. During ultrasound testing, doctor inserts a small transducer into the vagina. To confirm that the ovulation induction successfully occurred, both endocrine test and ultrasound perform a major role.

Measurement of Hormone Blood Levels: Luteinizing hormone (LH) and follicle stimulating hormone (FSH) are produced by the brain that directs the ovaries to function normally. Progesterone (P4) and estradiol (E2) are the hormones produced by the ovary that suggest the function of the ovary. Anti-mullerian hormone (AMH) is a special type of hormone that can evaluate the long term egg quantity. The test of these hormones assists the doctor in Ovulation Induction therapy. They help your doctor to decide how much and which type of fertility medication may results in best ovary response and outcome.

Please make an appointment with Dr. Shivani Sachdev Gour (gynecologist and fertility expert physicians) to learn more about your fertility problems and ovulation induction therapy and start building your happy and complete family using the best fertility treatment options available at SCI Healthcare and SCI IVF Hospital and Multispecialty Center.

Types of Ovulation Disorders

Ovulatory disorder is the most common infertility factor for women. Ovulatory disorders can be classified as below:

Class I Ovulation Disorders – Significantly low FSH and LH which obstruct the ovary to ovulate

Class I ovulatory disorders involve women with very low levels of the crucial fertility hormones known as follicle stimulating hormone (FSH) and luteinizing hormone (LH) which released by the pituitary gland that are responsible for the grow a follicle which ultimately release an egg. These types of patient can be treated effectively with the application of injectable fertility medications that contain FSH hormone. The required FSH hormone helps the normal ovary to release an egg.  The prospect for successfully pregnancy is very high.

Class II Ovulation Disorders – Polycystic Ovary Syndrome

This type of Ovulation Disorders also can be found in women with polycystic ovary syndrome (PCOS). PCOS is type of metabolism disorder and it is genetically based. It is particularly of sugar metabolism that spoils egg development and egg follicle as well as ovulation. In such conditions diet with high protein, low carbohydrate is recommended. Ovulation induction and metformin can be helpful in having children. These patients are generally treated with ovulation induction therapy with oral medications such as clomiphene citrate (Clomid), Letrozole (Femara) and generally in combination with gonadotropins containing FSH such as Bravelle, Follistim, Gonal-F and Menopur. Lupron or HCG (Ovidrel) can be used to either trigger the LH surge (Lupron) or mimic the LH surge (hCG).

IVF treatment may be applied to the patient if the patient still unable to conceive after having three ovulatory cycles, do not ovulate with the application of above listed medications or exhibit over-response with excessive number of lead follicles as it is a usual danger with PCOS.

Releasing one follicle is considered far better than no egg. Your doctors will always suggest and help you to avoid any chance multiple gestations as it is considered not a good situation to become pregnant with two or more babies and expected to deliver at same time.

Class III Ovulatory Disorders – Diminished Ovarian Reserve

Female who have abnormally high levels of the essential fertility hormones such as luteinizing hormone (LH) and follicle stimulating hormone (FSH) released from the pituitary gland exhibit this type of ovulatory disorders. To adjust women’s fertility potential and declining function of ovaries and the eggs within them FSH and LH releasing rate is generally high. The Class III disorders includes women having premature ovarian failure with age less than 40 years, older women in perimenopause and women with advanced stages of endometriosis and  past surgery involving at least one ovary. There is a very less chance to have a healthy baby with this type of patient even with use of their own eggs. The doctor may suggest other more aggressive ovulation induction treatment with IVF therapy. The donor egg may be considered for IVF therapy which may results in rather higher pregnancy rates. These types of disorders seen in women with low thyroid hormone levels (hypothyroidism) and high levels of prolactin (the milk secretion hormone). The pituitary gland in the brain release relatively low FSH hormone.

You may contact Dr Shivani Sachdev Gour for your all questions related to Delayed Frozen Embryo Transfer. She is recognized as one of the best gynecologists and infertility specialist based in Delhi.

Methods of Assisted Hatching (AH)

Assisted Hatching is an assisted reproductive technology that can be sometimes done along with in vitro fertilization (IVF) treatment. It is usually recommended to the women who are facing unexplained IVF failure or for women with a poor prognosis. But Assisted Hatching is not recommended by the American Society of Reproductive Medicine (ASRM) as it hasn’t been shown to improve live birth rates and there are also additional costs and risks associated with this technology. There are many different methods available for Assisted Hatching that works differently. Each method involves their own pros and cons and the skill of the technician always matters a lot.

Mechanical hatching:

This method is also known as Partial Zona dissection.With the help of a pipette, the embryologist keeps the embryo steady. A micro-need is used to puncture through the zona pellucida to reach the shell for a bit and then come out the other end. After that, the space between the two punctures is softly rubbed until a small tear take place. But with this method, the control the size of the opening is bit difficult.

Chemical hatching:

This technique involves using mouth controlled acid which is Tyrode on the external surface. Very small amounts of acid are applied to the zona pellucida until the shell is broken. Then the embryo is quickly washed to avoid the harmful effects of acid exposure.

Laser Hatching:

Laser-assisted hatching offers more control on the size of the hole created than mechanical hatching with a needle. In this method, the Zona is pierced by using non-contact mode controlled by a computer. The special designed computer software enables more focus and measurement of embryos and find out a suitable position of embryos. For better performance three different laser intensities – low, medium and high are used.

Drilling:

This technique uses another technology something known as Piezo technology. It this technique vibratory movements are used to create a conical opening.

Assisted hatching by Pronase thinning of Zona pellucid:

In this technique, diluted solution of Pronase is used. The process is starts by transferring of embryos to Pronase diluted solution in the G2 medium. The main goal of this technique is to make thin ZP without removing it completely.

Of all the hatching methods, laser-assisted hatching may be considered as the safest and most effective. A Laser-assisted Hatching is more superior to chemical and manual hatching as it is a safe and gentle way to thin and weaken a small section of the zona pellucida which allow the embryo to hatch.It also offers many advantages including least handling of the embryo and giving fast and exact control over the entrance procedure. But chemical hatching is more commonly used hatching methods. The skill and experience level of the embryologist is an important factor responsible for the success of any methods.

You may Contact Dr Shivani Sachdev Gour for your all Assisted Hatching related questions. She is recognized as one of the best gynecologists and infertility specialist based in Delhi.

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.

Pregnancy after Miscarriage

Pregnancy after miscarriage can be very confusing and stressful and it is rather very common to feel nervous about getting pregnant after the incident. Some woman want to take a break who gone through the nightmare of miscarriage to overcome their emotional stagnation and then try to get pregnant again. Nevertheless, some wish to get pregnant immediately after a miscarriage. The feelings and desires are different for different woman, but it is important to know what will right steps for you. So that you can take the right path for considering pregnancy after miscarriage. However, it is highly recommended to wait to attempt again until you are emotionally as well as physically ready. Understanding pregnancy after miscarriage is important to avoid such incident in future again. Below steps will help you to promote a healthy pregnancy after miscarriage.

Reasons for miscarriage: Miscarriage is the sudden loss of a pregnancy before the 20th week. The primary reason for this is the abnormal development of fetus. About 50 percent of early pregnancy loss occurred due to the problems associated with the baby’s chromosomes. These chromosome problems occur by chance as the embryo grows and divides, however it is more common as women age. In many cases, health related problems such as a uterine problem or poorly controlled diabetes might lead to miscarriage. Often, the exact cause of this isn’t known.

Best suitable time for pregnancy after miscarriage: Miscarriage can cause intense feelings of sadness, anxiety or guilt. Some woman might also experience intense feelings of loss due to miscarriage. Don’t let the grieving process to dominate you. To prevent any further infection, typically sexual intercourse isn’t recommended for two weeks after a miscarriage. Your body can able to ovulate and become pregnant as soon as two weeks after a miscarriage. Follow the doctor guidance and advice, whenever you feel physically and emotionally ready for pregnancy after miscarriage. There is no need to wait to conceive after a single miscarriage. Your health care provider may suggest few tests if you gone through two or more such incidence.

How to improve chances of healthy pregnancy after a miscarriage: It is rather hard to avoid miscarriage. If you are suffering from any particular health issues, like ovarian cysts, your doctor will first treat that problem and then advise you to go for planning a baby. In such case, your chances to conceive automatically improve after the treatment. Some women suffering from uterine fibroids must need to go for surgically removal before getting pregnant. If you don’t have any health problems, then all you need to do is change your present lifestyle to improve the chances of a healthy pregnancy after miscarriage. Miscarriage is an unavoidable event and you must try to retain your hope for successful pregnancy even after event of multiple incidents. There are many incidents where a woman faced several miscarriages have delivered healthy babies.

Avoid the risk of future miscarriage: Generally repeated miscarriage is exception, only percent of couples experience two or more miscarriages in a row. Consult your doctor and take appropriate measures to reduce your risk for future miscarriage.

Egg Freezing | Dr Shivani Sachdev Gour

Egg freezing, also known as mature oocyte cryopreservation, is a new technique in Assisted Reproductive Technology (ART) in which the eggs of a woman are frozen and stored for to save women’s ability to get pregnant in the future. Fresh Eggs harvested from your ovaries are frozen further in unfertilized form and stored for later use. A frozen egg can be unfrozen and combined with sperm in a lab and implanted in your uterus for vitro fertilization process. This technique is helping number of women to preserve and control their fertility for various reasons and help them to have children at a later period of time. Some women opt eggs freeze due to their medical condition or their undergoing treatment that affects their fertility. It is very helpful for the women who aren’t ready or able to have children and want to become mother in the future. A woman’s chances of conceiving naturally fall gradually as per their age because the number and quality of her eggs drops significantly.

Egg freezing is an option if you’re not ready to become pregnant now but wish to make sure you can get pregnant later. Egg freezing doesn’t need sperm because the eggs aren’t fertilized before they’re frozen, unlike with fertilized egg freezing known as embryo cryopreservation. Similar to embryo freezing you will require using fertility drugs to make you ovulate so that you will produce multiple eggs for retrieval purpose. You should consider egg freezing for below reasons:

  • If you have some health condition or circumstance that that affect your health of your fertility. These might include autoimmune diseases such as lupus, sickle cell anemia or gender diversity, such as being transgender.
  • You need to go for in vitro fertilization (IVF). Before undergoing in vitro fertilization, some people prefer egg freezing to embryo freezing for many reasons like ethical or religious reasons or you are worried about your fertility and think it is declining but at the same time you are not ready to have a child or you haven’t found the right partner, this is also called ‘elective egg freezing’.
  • You require treatment against some illness or need treatment for cancer that can affect your ability to conceive baby. Few medical treatments like radiation or chemotherapy can harm your fertility power at greater extent. Egg freezing before treatment will possibly increase your chances to have biological children later.
  • You wish to preserve your healthy and younger eggs now for future use. Freezing eggs at a younger age might help you to increase pregnant chances in your later life,or you are at high risk of injury or death (for example, you are employed in the armed forces who is being deployed to a war zone and are at high risk).
  • In increase the chances for become mother in future and reduced emotional risks. Egg freezing can provide hope for a future pregnancy but still there is no guarantee of success.
  • You are a female transitioning to a male and want to conserve your fertility before undergoing any reconstructive surgery.