Infertility Management by Dr Bhumika Shukla

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Infertility Management

Infertility management in Delhi requires taking an integrated approach to health, wellness and quality of life – this includes providing women with safe and effective treatments options.

Dr. Archana Kanodia practices at Mother’s Care & IVF Centre, Indiranagar in Lucknow and offers Semen Processing, IVF and Laparoscopy treatments as part of her expertise as a gynecologist.

Ovulation Induction

Ovulation induction is a fertility treatment which uses medications to induce ovulation. This approach may be recommended to women with low egg reserve or hormonal issues such as polycystic ovary syndrome (PCOS). Ovulation induction may also help treat unexplained infertility when no other causes for it have been identified.

Normal menstrual cycles involve one of two ovaries releasing an egg each month, which then matures and can then be fertilized by sperm. Unfortunately, with women suffering from ovulation problems this process doesn’t always happen correctly, due to irregular or infrequent menstrual cycles, anovulatory cycles or abnormal uterine linings.

Ovulation induction involves taking medication to stimulate ovulation and increase your chances of pregnancy. Our fertility doctors will analyze your cycle and suggest the ideal medications. They may either be taken orally or via injection and work by simulating FSH and LH hormones naturally produced by our bodies that promote the formation of ovarian follicles.

Once your follicles have matured, our doctors will closely monitor them with ultrasound and blood tests to make sure that ovulation occurs at its proper time. Once this has occurred, we can recommend an ideal day for sexual interaction in order to increase your chances of pregnancy.

Our specialists may utilize both ovulation induction and intrauterine insemination (IUI, also known as artificial insemination) together to further increase your chances of conception. IUI is a straightforward procedure in which washed, concentrated sperm are placed inside your uterus two days post-ovulation to increase fertilization rates and enhance fertility outcomes.

If you would like more information on ovulation induction or other fertility treatments, make an appointment with our team now. Our experts will be more than happy to answer all of your queries and assist in creating the healthy pregnancy you seek. For your convenience, Practo allows for online scheduling – simply click this link and select Dr. Bhumika Shukla to arrange your consultation session! We look forward to welcoming you into our practice soon!

Laparoscopy

Whenever health care providers cannot identify the source of belly or pelvic pain using imaging tests like ultrasound or CT scan, laparoscopy may be used as a diagnostic technique to look inside your abdomen and pelvis. Laparoscopy utilizes a thin, lightweight device known as a laparoscope which has a video camera attached. Your physician makes small cuts in your belly or pelvis approximately an inch long to insert this tool before inserting other surgical tools and inserting a laparoscope and other tools with other surgical tools inserted. Once connected to this monitor screen so your physician can see organs and tissue images clearly.

Under anesthesia, this process typically occurs while wearing a hospital gown and lying on an operating table. Your surgeon will use a laparoscope to find and treat the source of your discomfort or other symptoms using other tools; shenias or your appendix may be removed as part of this test as well as hernias or appendices may need to be extracted as well. Your doctor will advise if anything must be done prior to this exam, such as not eating or drinking for six hours prior or discontinuing certain medicines such as narcotic pain relievers that could interfere with results of this test.

Gynecologic laparoscopy is used to diagnose and treat issues in the uterus, fallopian tubes and other areas of female reproductive anatomy. For instance, endometriosis treatment using laparoscopy can improve fertility rates; additionally it can identify or treat cysts on ovary’s, certain forms of hysterectomy and other conditions.

At this procedure, a special dye may be injected into your cervix so the doctor can view your fallopian tubes more clearly. A surgeon then makes further cuts so as to insert other instruments. At the conclusion of your exam, all equipment such as gas, laparoscope, and instruments will be taken off, with any cuts closed with bandages; your cuts may require bandaging for some days after being stitched up, though; your health care provider will give instructions about caring for wounds properly, when to return home; otherwise if anesthesia has been administered during this procedure, then someone may drive you home afterwards if applicable – after having had been administered then driving will no longer be an option available to you afterwards if this procedure.

Intrauterine Insemination (IUI)

IUI may help women who do not ovulate regularly or at all to induce ovulation. In this treatment, concentrated sperm is introduced into the uterus around ovulation time for injection into their egg sac – although this procedure can also be combined with inducing ovulation (see separate fact sheet).

IUI (intrauterine insemination) is an artificial insemination technique in which washed sperm is injected directly into a woman’s uterus during ovulation to shorten its journey towards her fallopian tubes and increase chances of conception.

Fertility medication can sometimes cause the ovaries to overreact and develop Ovarian Hyperstimulation Syndrome. Symptoms include fluid buildup in the abdomen, pelvic pain, and enlarged ovaries; in severe cases these symptoms could even lead to organ damage, blood clots or twisting of an ovary that are life-threatening; without appropriate medical assistance a woman could experience life-threatening complications from this condition.

Women experiencing mild to moderate infertility issues may find relief in IUI or ovulation induction therapy. Women who experience cervical mucus problems that prevent sperm from moving freely between vagina and uterus often benefit from IUI; additionally it is useful in cases of low sperm count or impairments of any sort.

IUI can be utilized by same-sex couples with open fallopian tubes that ovulate regularly or those using donor insemination (donor insemination or DI). It is often performed when one partner’s sperm quality is so impaired that using IVF with PGD would not be an option, while single women or those having difficulty conceiving for longer than 6 months might consider IUI instead. Before proceeding with IUI treatment it is essential that couples discuss it with their doctor; it can be more affordable than traditional IVF methods, and procedures can even be completed within just months!

In Vitro Fertilization (IVF)

IVF may be an option for couples unable to conceive through IUI or laparoscopy, if neither have succeeded. This process involves retrieving eggs from your ovaries and fertilizing them with your partner’s sperm in a laboratory setting; then implanting the resultant embryo in your uterus for further development and hopefully implanting itself there. IVF is often utilized by those suffering from severe endometriosis, tubal damage caused by pelvic inflammatory disease (PID), or unexplained infertility.

If you are considering IVF, the first step should be undergoing an infertility evaluation with a specialist. They will perform a physical exam and order blood tests to assess your ovaries’ health; thereafter they may prescribe fertility medication to increase egg production – typically over the course of two weeks with regular blood tests being used as benchmarks to track progress.

As part of IVF treatment, it’s crucial to avoid lifestyle habits that could compromise its success. Smoking reduces egg production while increasing miscarriage risk. Exercise regularly and adhere to a nutritious diet are also key considerations.

Some medical conditions may reduce the effectiveness of IVF, including severe obstructive uropathy or Marfan syndrome. Furthermore, it should not be performed on women with high-risk heart problems such as New York Heart Association class 3 or 4 heart failure, pulmonary hypertension or Eisenmenger syndrome. If this applies to you then your doctor may suggest gestational carrier as an option to carry the embryo during IVF.

Dr Bhumika Shukla has over three decades of experience as a Gynecologist and Obstetrician in Noida, practicing at Niraamaya Clinic in Gomti Nagar as founder and IVF specialist of Shriram Memorial Hospital & IVF Centre Indira Nagar where she also founded an IVF program and provided services like IVF treatment, assisted hatching, Hysteroscopy and Cryopreservation. With both an MBBS degree and MS in Obstetrics & Gynaecology under her belt she conducted thousands of normal births as well as cesarean sections throughout her career.