This certifies that Ashish Kale has been the peer reviewer for the Journal of South Asian Federation of Obstetrics and Gynaecology
Let’s talk about egg freezing and whether it’s a good idea to do so:
What is the procedure for freezing eggs?
The brain usually signals every month to release one egg during a typical menstrual cycle (whereas fertility doctors trigger to release multiple eggs). To activate numerous eggs within the ovaries, fertility medicines must be administered. The procedure for extracting eggs is the same as for In Vitro Fertilization (IVF). The eggs are then extracted from the ovaries and stored in the freezer for later use.
The following are the steps involved in egg freezing:
- Hormone injections stimulate ovaries to generate a large number of eggs.
- The doctor will check the eggs and hormone levels.
- Obtaining eggs and freezing them for future use.
Is it possible to conceive after freezing your eggs?
There are no guarantees. However, it is undoubtedly a viable choice, as there are numerous aspects to consider while planning a successful pregnancy. When it comes to egg freezing, the chances of getting pregnant with the technique improve immensely if the eggs are younger and larger in number.
Is Freezing Eggs the Best Option?
If you want to have children but are not quite ready to be a parent, you may want to try egg freezing. Cancer patients who are undergoing chemotherapy have difficulty conceiving. As a result, for such patients with life-threatening conditions, egg freezing offers a ray of hope for becoming a parent by saving eggs before treatments like chemotherapy for future use. Egg freezing should ideally be planned before turning 35, as the egg supply begins to decline after that age.
If you believe you are mentally ready to have a child at the age of 40, you can simply concentrate on having a child with frozen eggs, which have no expiration date. Simply ensure that you are physically fit and healthy, as this will have a significant impact on your fertility.
The decision to freeze your eggs is ultimately yours to make, and it should be made thoughtfully. Contact the fertility experts for egg freezing in Pune at Ashakiran Hospital if you want to learn more about egg freezing or intend to freeze your eggs in the future!
Even when you know that many others have been in similar shoes before, parenting can feel lonely at times. There are additional resources that might help women feel less alone along the road, aside from their own friends and family (who may be the harshest critics).
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Couples frequently use frozen embryos to increase their chances of becoming pregnant after a single IVF or ICSI round. When using frozen embryos, the embryos must first be thawed before being transferred to the uterus. A uterus can be prepared in three ways for the transfer of a thawed frozen embryo.
- Menstrual cycle in its natural state
The embryo can be transferred naturally if you ovulate frequently. We must monitor the growth of your eggs, the thickness of your endometrial lining (uterine lining), and your hormone levels to determine when the embryo should be transferred.
We can track the growth of your eggs and assess the thickness of your endometrial lining with a vaginal ultrasound. A blood test is required to determine hormone levels. Your embryo can be transferred if the follicle size, endometrial thickness, and hormone levels are all normal.
After the right amount of days, your embryo is placed in the uterus (six days later if a blastocyst is to be transferred or four days later if a day 3 embryo is to be transferred). There is a chance of natural pregnancy if you have intercourse during the cycle, in addition to the likelihood of embryo transfer success.
- Ovulation induction with FSH
FSH ovulation induction is a good option if you’re not ovulating regularly and have enough eggs in your ovary to ovulate.
FSH is a hormone injection that promotes the development of many eggs. Because of the danger of multiple pregnancies, you may be asked to refrain from sexual activity if two or more eggs mature in the ovary. If natural conception is possible, there is a possibility of twinning, just as there is with natural cycle FET. Injections of human chorionic gonadotropin (HCG) can trigger ovulation.
- The replacement of the hormones cycle.
If you’re not ovulating regularly, have a low quantity of good eggs, or are experiencing endometrial thickening, a hormone replacement cycle may be the best option for you.
To prevent egg formation from the ovary interfering with hormone levels, which impact the endometrial lining, a GnRH agonist (General) is often administered. Every three days, a table or patch is put to the skin to help thicken the endometrial lining. A second hormone, progesterone, is given vaginally once the endometrial lining has reached the desired thickness (Utrogestan, Endometrin or Crinone).
After the progesterone is started, the embryo is transferred to the uterus at the right moment. Pregnancy screenings are required via blood tests, and if the test is positive, hormones must be continued until the foetus is about eight or nine weeks old, at which point the placenta generates enough hormones to keep the pregnancy in place. After 10 weeks of pregnancy, the hormone dosages are gradually discontinued.
Frozen embryo transfer (FET) is a lifesaver for couples who are unable to proceed with a fresh embryo transfer due to medical reasons or who want to try again in the future.
According to research, frozen embryo transfers account for roughly half of all embryo transfers performed in assisted reproductive institutions.
What are Frozen Embryo Transfer and How Does It Work?
Embryos that were generated during previous IVF cycles and were kept for later use are known as frozen embryos.
How are embryos frozen?
The resulting embryo is allowed to develop for a few days after the egg and sperm are fertilized in the laboratory.
Because not every embryo can tolerate the freezing process, an embryologist picks the embryos that are suitable for freezing. After that, the embryo is placed in a solution that protects it from freezing damage. The embryo is frozen using a cutting-edge process that involves rapidly cooling it to sub-zero temperatures.
Until the couple agrees to use the embryo, it is preserved in liquid nitrogen.
When is it advisable to use frozen embryo transfer?
If you’re having trouble conceiving, your doctor may consider freezing embryos for later use.
- Have a fibroid or polyp in the uterine cavity that may interfere with implantation are sick at the time of egg retrieval
- Are at risk of having ovarian hyperstimulation syndrome because they have not yet built a strong uterine lining for fresh transfer (OHSS)
- Fresh transfers have resulted in failure cycles
- Are employing surrogates or donated embryos, or have extra good quality embryos to use in future attempts
What is the procedure for transferring frozen embryos?
Following the retrieval of your eggs and collection of your sperm, the best quality sperm will be chosen and fertilized with the egg under controlled settings in an IVF laboratory.
As Dr Ashish Kale explains the frozen embryo transfer step by step, “the resulting embryos are allowed to grow for 3-5 days.” The embryo will then be frozen until you are ready to use it.
Delaying the transfer gives the woman’s body time to recover from the drugs or injections she received during IVF. This helps to establish a stress-free environment that is more favourable to implantation.
What is the success rate of frozen embryo transfer?
Pregnancy success rates for deferred embryo transfer have been shown to be comparable to those for natural conception.
Any method of obtaining sperm for fertility purposes is referred to as sperm retrieval.
There are numerous methods for obtaining sperm. The procedure employed is determined by the reason for the lack of sperm, the patient’s wishes, and the surgeon’s ability.
The information provided here should aid you and your partner in your discussions with your doctor.
What Happens When Things Are Normal?
Sperm and testosterone (male hormone) are produced in the scrotum’s two testicles, which are located at the base of the penis. Sperm leave the testicles through the epididymis, a coiled tube. They remain in this location until they are ready to be used. A tube called the vas deferens connects each epididymis to the prostate. This tube extends from the scrotum through the groyne, pelvis, and behind the bladder. The ejaculatory duct is formed when each vas deferens unites with a seminal vesicle. Sperm travels via the ejaculatory ducts to combine with fluid from the seminal vesicles, prostate, and other glands to form semen during ejaculation. The sperm passes via the urethra and exits the penis at the other end.
A semen analysis is one approach to looking for sperm. Under a microscope, your doctor will examine your sperm. A lack of sperm (“azoospermia”) may necessitate sperm retrieval.
Obstructive azoospermia and non-obstructive azoospermia are the two main kinds of azoospermia.
The testicles produce sperm in this disease, but they are unable to enter semen due to a blockage in the male reproductive canal. (A vasectomy is performed in this manner.) It is a surgical procedure that prevents sperm from entering the sperm.)
Because of a congenital condition, there may be no vas deferens. If you have the cystic fibrosis gene, this could happen. Blockages in the epididymis and ejaculatory duct are also possible. A hernia repair or other operation may have damaged the vas deferens. Surgical correction of obstructive azoospermia may be possible.
Azoospermia that isn’t obstructive
Your body may not produce any sperm if you have this problem. Or the sperm production may be so poor that there aren’t enough to show up in the ejaculate. Studies for hormones in the blood and genetic tests can assist in determining the cause.
Some men experience orgasms, yet no sperm emerges from the penis. An orgasm is a bodily sensation that occurs as a result of sexual stimulation. When you approach orgasm, you may have ejaculation (the release of sperm). Muscle contractions, an elevated heart rate, breathing rate, blood pressure, and perspiration are all possible symptoms. Anejaculation (lack of ejaculation) or retrograde ejaculation can cause a lack of visible semen with sexual arousal.
What happens if there aren’t any sperm?
In situations of obstructive azoospermia, finding no sperm is unusual.
Sperm may not be retrieved in 20% of the cases of obstructive Azoospermia and 50 to 60% of the cases of non-obstructive Azoospermia depending on the aetiology or the cause of Azoospermia and to determine whether you will find any sperm on surgical retrieval a good clinical history and a blood test is very important at the right kind of a centre who understands the causes of azoospermia.
You should consult the correct male infertility specialist so that you know your chances of sperm retrieval. The main intention behind going for surgical sperm retrieval is to have your biological child. In a very low percentage of cases, it may happen that you may not get sperm even after surgical retrieval and in those rare cases may use donor sperm after discussing with your concerned doctor.
While stress is not a cause of infertility, research has shown that high levels of long-term stress can have a major impact on infertility treatment success. The good news is that reducing stress can help couples achieve increased reproductive potential as well as a healthier and happier lifestyle.
Many couples are unaware of how stress affects their health and fertility. The good thing is that stress is one of the most quickly changing elements in the body, and implementing preventive measures like yoga, psychotherapy, meditation, and possibly acupuncture can be both therapeutic and fun.
Stress-Related Infertility Facts:
Infertility is not caused by stress
Infertility something can be stressful. According to a study, 30% of women seeking infertility treatment suffer from melancholy and anxiety.
Excessive stress might treble the chances of infertility.
Women with the highest levels of the stress-related enzyme alpha-amylase had a more than doubled chance of infertility.
Stress has an impact on both male and female reproductive capacity.
Stress can increase the time it takes to get pregnant, lower the quality of sperm, reduce the success of fertility treatments, and create sadness and anxiety.
Stress reduction is beneficial to both the body and the mind.
Using mindfulness-based exercises to relieve stress has been demonstrated to lower blood pressure, reduce anxiety, lessen depression, improve a positive mentality, relax the mind, improve sleep, and improve general wellbeing.
Yoga might help you relax and feel better during your pregnancy.
Yoga has been demonstrated to be useful in treating depression and reducing the inflammatory response to stressful circumstances.
Psychological therapy can help to alleviate emotional symptoms and reduce stress.
Receiving help from Psychological therapy has been found to be beneficial and successful in stress management at the time of Infertility Treatment.
During fertility treatment, treatment can enhance mood, reduce anxiety and depression, and increase conception rates. Mindfulness training programmes also provide useful methods for relaxation and enhanced peace of mind, which can assist to reduce the stress of fertility therapy while also proving to be a useful life skill.
10% of women of reproductive age suffer from Endometriosis.
Endometriosis is nothing but the presence of active endometrium outside the uterine cavity it may lead to painful periods, decrease egg reserve and problems in getting pregnant.
Endometriosis can cause severe pain, particularly during menstrual periods. Fertility issues may also arise. Effective treatments are, fortunately, available.
But when diagnosed at the right time and treated correctly, you can bear a child.There’s a misconception that it can lead to cancer- no it cannot it’s treatable.It’s time women talk about it and get the correct treatment. So please visit the IVF Specialist in Pune at Ashakiran Hospital.
Endometriosis has no known cure.
Surgery or medication are generally used as treatments. You may need to try a variety of treatments to figure out what works best for you.
Pain relievers – Over-the-counter pain treatment may be recommended by IVF Specialist.
Many patients benefit from non-steroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen (Advil, Motrin) or naproxen (Aleve). If these don’t help, talk to your specialist about additional possibilities.
For many couples, the parenting journey can be difficult. Inability to conceive a child can lead to feelings of frustration, stress, and other negative emotions. According to some studies, one out of every six couples struggles with infertility. Male infertility is a factor in the emergence of various infertility issues.
Infertility affects about one in every 20 men. Infertility is characterized as a man’s inability to conceive a child with his female partner. Low sperm count or poor sperm quality might cause these difficulties Male infertility can be caused by a variety of factors, including:
- Sperm production is low.
- Abnormal sperm function
- In the area of your testicles, you may experience pain, swelling, or a lump.
- Swelling of the scrotum or small testicles
The above-mentioned factors can have a significant impact on the quality and quantity of your sperm. To discover the fundamental reason for your infertility, you must first determine the health of your sperm.
Male fertility can be boosted by adopting a healthy lifestyle and making dietary modifications. You can improve your sperm count and fertility by following the measures listed below.
Taking fertility supplements for males– If you are thinking of taking male fertility pills, you can take them with the instructions of your fertility specialists.
Dietary supplements come in a variety of forms, including pills, capsules, tablets, and liquids. However, the number of active components in the supplements may vary. Zinc, selenium, and folic acid are found in the majority of them. These supplements can aid in sperm production and quality preservation. Fertility supplements can help men generate sperm that are robust, healthy, and mobile.
Supplementing with vitamin C can boost sperm count and motility while lowering the number of malformed sperm cells.
Vitamin C pills are highly useful. A study has discovered that taking Vitamin C supplements for three months can preserve sperm cells from DNA damage caused by reactive oxygen species (ROS).
Foods that increase sperm count:
Certain foods can have an impact on a person’s reproductive health. These items are beneficial to include in your diet because they can boost testosterone production, resulting in increased sperm count and mobility. Certain meals that can help improve male fertility may be recommended by our experts. The following are a few of them:
Eggs: Because eggs are high in protein, they can aid in sperm production.
Bananas: Vitamins A, B1, and C found in bananas aid in the production of high-quality sperm.
Maca Roots: Maca Roots have been demonstrated in studies to improve sperm count in men.
Dark Chocolate: Dark chocolate contains amino acids that can help you have more sperm.
Consuming folic acid-rich foods
Men who consume less folic acid in their diet are more likely to have faulty chromosomes in their sperm
Regular exercise can help men increase their testosterone levels and improve the quality of their sperm. Excessive exercise, on the other hand, might cause testosterone levels to drop.
Quitting smoking can help you have more sperm
Smoking can decrease sperm motility as well as induce reduced sperm count. Fertility issues are more likely in males who smoke, and conception takes longer than in women. Cigarette smoke contains a toxin that can harm sperm. Furthermore, sperm maturation takes around three months. This is why, to improve sperm health, you should quit smoking at least three months before trying for a kid.
Ashakiran Hospital is known for providing couples with a comprehensive spectrum of Infertility treatment in Pune. You can receive the best effective treatment that is tailored to your specific needs.
We recognize that couples and people who wish to have a healthy pregnancy but are unable to do so face several issues that must be addressed.
Begin your happy adventure as a parent. Make an appointment with one of the best IVF specialists.
Being a mother is supposed to be the pinnacle of womanhood, at least according to popular belief. Motherhood offers a lot of happiness and fulfilment. However, those who have difficulty conceiving or are unable to conceive face additional challenges as a result of society’s ideas on parenting and femininity. We’d be focusing more on the joys and anxieties that pregnancy provides, as well as the challenges that infertility can bring.
It has been correctly stated,” You’ll always question whether you’re doing things incorrectly,” but that’s what it means to be a mother, to care so much about someone else that you just want to be as perfect as possible.”
Pregnancy brings a lot of changes to your life. Some of these feelings and emotions are pleasant, while others are disturbing and terrifying. You might possibly have troubles or other concerns that keep you awake at night.
When some women see a decrease in symptoms while pregnant, their anxiety may worsen. After all, you have no control over things that causes you anxiety. Hormonal changes during pregnancy may impact the chemicals in your brain. You may become worried as a result of this.
It’s natural to be concerned during pregnancy. After all, you may be unfamiliar with the procedure. You may have had experiences in the past, such as miscarriage, that made you nervous. However, if your worries begin to interfere with your daily life, you may be suffering from anxiety.
Among the signs and symptoms are:
- Having an uncontrolled feeling of anxiety
- Worrying excessively about things, particularly your health or the health of your child
- An inability to focus
- Feeling angry or irritable
- Muscles that are tense
- Sleeping in a bad way
Mild instances of anxiety normally don’t necessitate therapy; however, it’s a good idea to tell your doctor about your concerns. After assessing the benefits and hazards, your doctor may prescribe medication in severe circumstances.
It’s difficult to cope with infertility. However, we can make things more difficult for ourselves at times. Of course, not on purpose or purposefully. It’s possible we don’t realize it can be any other way. Or we’re simply unaware that we’re sabotaging ourselves.
It always seems impossible until its done. Infertility is just like any other medical condition that requires management by trained experts. Ashakiran Hospital tries to help you fill these shoes.
Though you may feel alone, and it may appear that you and your partner are the only infertile pair among your acquaintances, you are not alone in this vast universe. Fertility difficulties affect one out of every eight people at some point in their lives.
There’s a strong chance that someone you know has struggled with infertility and, like you, is keeping it hidden. Break the quiet by being brave. You can visit IVF Specialist in Pune at Ashakiran Hospital who can help you through the difficult emotions of infertility. They provide the best Infertility Treatment in Pune. So Don’t Hesitate and take the experience of Motherhood.