Polycystic ovary syndrome (PCOS)

 A hormonal disorder causing enlarged ovaries with small cysts on the outer edges.

The cause of polycystic ovary syndrome isn’t well understood, but may involve a combination of genetic and environmental factors. Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs.

Way to examine polycystic ovary syndrome :-

A pelvic exam. The doctor may visually and manually inspects your reproductive organs for masses, growths or other abnormalities.

Blood tests. Your blood may be analysed to measure hormone levels. This testing can exclude possible causes of menstrual abnormalities or androgen excess that mimics PCOS. You might have additional blood testing to measure glucose tolerance and fasting cholesterol and triglyceride levels.

An ultrasound. Your doctor checks the appearance of your ovaries and the thickness of the lining of your uterus. A wandlike device transducer is placed in your vagina (transvaginal ultrasound). The transducer emits sound waves that are translated into images on a computer screen.

The 3 main features of PCOS are Or symptoms for PCOS:-

• Irregular periods – which means your ovaries do not regularly release eggs (ovulation)
• Excess androgen – high levels of “male” hormones in your body, which may cause physical signs such as excess facial or body hair
• Polycystic ovaries – your ovaries become enlarged and contain many fluid-filled sacs (follicles) that surround the eggs (but despite the name, you do not actually have cysts if you have PCOS)

If you have at least 2 of these features, you may be diagnosed with PCOS.

Common signs and symptoms of PCOS include the following:

• Menstrual disorders: PCOS mostly produces oligomenorrhea (fewer than nine menstrual periods in a year) or amenorrhea (no menstrual periods for three or more consecutive months), but other types of menstrual disorders may also occur.
• Infertility: This generally results directly from chronic anovulation (lack of ovulation).
• High levels of masculinizing hormones: Known as hyperandrogenism, the most common signs are acne and hirsutism (male pattern of hair growth, such as on the chin or chest), but it may produce hypermenorrhea (heavy and prolonged menstrual periods), androgenic alopecia (increased hair thinning or diffuse hair loss), or other symptoms. Approximately three-quarters of women with PCOS have evidence of hyperandrogenemia.
• Metabolic syndrome: This appears as a tendency towards central obesity and other symptoms associated with insulin resistance. Serum insulin, insulin resistance, and homocysteine levels are higher in women with PCOS.
• PCOS can be a genetic problem that means if your ancestors are dealing with PCOS you may can deal with it.

If are you looking the Best infertility hospital for Infertility treatment in Indore, Mohak Infertility Center is one of the Best fertility hospitals in India and provides world class IVF, IUI, ICSI, Test tube baby and Infertility treatment at very low cost. We  have a highly experienced IVF specialists team at this hospital for infertility treatment. Book an appointment  today call now us 7898047572 / 8085277666 for more information.

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In vitro fertilization

In vitro fertilisation is a process of fertilisation where an egg is combined with sperm outside the body, in vitro. The process involves monitoring and stimulating a woman’s ovulatory process, removing an ovum or ova from the woman’s ovaries and letting sperm fertilise them in a liquid in a laboratory.

The first step in IVF is taking fertility medications for several months to help your ovaries produce several eggs that are mature and ready for fertilization. This is called ovulation induction. You may get regular ultrasounds or blood tests to measure your hormone levels and keep track of your egg production.

Once your ovaries have produced enough mature eggs, your doctor removes the eggs from your body (this is called egg retrieval). Egg retrieval is a minor surgical procedure that’s done at your doctor’s office or at a fertility clinic.

Why IVF ?

Sometimes, IVF is offered as a primary treatment for infertility in women over age 40. IVF can also be done if you have certain health conditions. For example, IVF may be an option if you or your partner has:

Reason to choose IVF

• Fallopian tube damage or blockage. Fallopian tube damage or blockage makes it difficult for an egg to be fertilized or for an embryo to travel to the uterus.

• Ovulation disorders. If ovulation is infrequent or absent, fewer eggs are available for fertilization.

• Endometriosis. Endometriosis occurs when the uterine tissue implants and grows outside of the uterus — often affecting the function of the ovaries, uterus and fallopian tubes.

• Uterine fibroids. Fibroids are benign tumors in the wall of the uterus and are common in women in their 30s and 40s. Fibroids can interfere with implantation of the fertilized egg.

• Previous tubal sterilization or removal. a type of sterilization in which your fallopian tubes are cut or blocked to permanently prevent pregnancy and want to conceive, IVF may be an alternative to tubal ligation reversal.

• Impaired sperm production . Below-average sperm concentration, weak movement of sperm (poor mobility), or abnormalities in sperm size and shape can make it difficult for sperm to fertilize an egg. If semen abnormalities are found, your partner might need to see a specialist to determine if there are correctable problems or underlying health concerns.

• Unexplained infertility. Unexplained infertility means no cause of infertility has been found despite evaluation for common causes.

• A genetic disorder. If you or your partner is at risk of passing on a genetic disorder to your child, you may be candidates for preimplantation genetic testing — a procedure that involves IVF. After the eggs are harvested and fertilized, they’re screened for certain genetic problems, although not all genetic problems can be found. Embryos that don’t contain identified problems can be transferred to the uterus.

• Fertility preservation for cancer or other health conditions. If you’re about to start cancer treatment — such as radiation or chemotherapy — that could harm your fertility, IVF for fertility preservation may be an option. Women can have eggs harvested from their ovaries and frozen in an unfertilized state for later use. Or the eggs can be fertilized and frozen as embryos for future use.

• Women who don’t have a functional uterus or for whom pregnancy poses a serious health risk might choose IVF using another person to carry the pregnancy (gestational carrier). In this case, the woman’s eggs are fertilized with sperm, but the resulting embryos are placed in the gestational carrier’s uterus.

If are you want a best IVF specialist in Indore for ivf treatment with low cost, come to the Mohak Infertility Center. We provide  IVF, IUI, Infertlity, Test tube baby and ICSI treatment in Indore at very affordable price. Book an appointment today call now  us 7898047572 / 8085277666 for more information.

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Intracytoplasmic sperm injection

 What Is ICSI?

ICSI is an assisted reproductive technology that involves the injection of a single live sperm into an egg. The technique is generally recommended for cases of male factor infertility, or for couples who have had recurrent failed in vitro fertilisation (IVF) cycles. The technology is used to overcome several fertility issues.

Intracytoplasmic Sperm Injection (ICSI) is a specialised form of In Vitro Fertilisation (IVF) that is used primarily for the treatment of severe cases of male-factor infertility. ICSI involves the injection of a single sperm directly into a mature egg.

Before a man’s sperm can fertilize a woman’s egg, the head of the sperm must attach to the outside of the egg. Once attached, the sperm pushes through the outer layer to the inside of the egg (cytoplasm), where fertilization takes place.

Sometimes the sperm cannot penetrate the outer layer, for a variety of reasons. The egg’s outer layer may be thick or hard to penetrate or the sperm may be unable to swim. In these cases, a procedure called Intracytoplasmic sperm injection (ICSI) can be done along with in vitro fertilization (IVF) to help fertilize the egg. During ICSI, a single sperm is injected directly into the cytoplasm the egg.

Why would I need ICSI?

ICSI helps to overcome fertility problems, such as:

• The male partner produces too few sperm to do artificial insemination (intrauterine insemination [IUI]) or IVF.
• The sperm may not move in a normal fashion.
• The sperm may have trouble attaching to the egg.
• A blockage in the male reproductive tract may keep sperm from getting out.
• Eggs have not fertilized by traditional IVF, regardless of the condition of the sperm.
• In vitro matured eggs are being used.
• Previously frozen eggs are being used.

Mohak Infertility Center is a one of the Best infertility hospitals in Indore, that has all facilities all under one roof, dedicated exclusively to the treatment of childlessness and Infertility. Mohak Infertility Center is known for the success rate and implementation of innovative treatment procedures. Dr. Shilpa Bhandari is very experienced IVF specialist at Mohak Infertility Center. We provide IVF, IUI, Test tube baby treatment, Infertility treatment and ICSI treatment in Indore at very affordable price. If are you suffering from infertility and looking the Best centre for IVF in Indore with low cost, you should come to the Mohak Infertility Center. Book an appointment today call now us 7898047572 /  8085277666 for more information.

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Infertility treatment :-

 Not getting pregnant, despite having carefully timed, unprotected sex for one year.

The cause of infertility may be difficult to determine but may include inadequate levels of certain hormones in both men and women, and trouble with ovulation in women.

Many treatments significantly improve the chances of getting pregnant. They include hormone treatments, fertility drugs and surgery. In addition, assisted reproduction uses various medical techniques to fertilise an egg.

Men, fertility is treated with:

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  Surgery, if the cause is a varicocele (widening of the veins in the scrotum) or a blockage in the vasa deferens, tubes that carry sperm.
• Antibiotics to treat infections in the reproductive organs.
• Medications and exercise to treat problems with erections .
• Hormone treatments if the problem is a low or high level of certain hormones.

Women, infertility is treated with:

• Fertility drugs and hormones to help the woman ovulate or restore levels of hormones
• Surgery to remove tissue that is blocking fertility (such as endometriosis) or to open blocked fallopian tubes

Other more treatment for infertility in men and women both :-

Infertility in men and woman can also be treated with Assisted Reproductive Technology, or ART. There are several types of ART:

IUI (intrauterine insemination): Sperm is collected and the placed directly inside the woman’s uterus while she is ovulating.

IVF (in vitro fertilization): The sperm and egg are collected and brought together in a lab. The fertilized egg grows for 3 to 5 days . Then the embryo is placed in the woman’s uterus.

GIFT (gamete intrafallopian transfer) and ZIFT (zygote intrafallopian transfer): The sperm and egg are collected and quickly placed in a fallopian tube. With GIFT, the both sperm and eggs are placed into the fallopian tube. With ZIFT, the sperm and eggs are brought together in a lab and then a fertilized egg is placed into the tube at 24 hours.

Gonadotropin injection :-

Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Just before those eggs would otherwise be ovulated, they are retrieved under mild anaesthesia in an operating room. This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall. This sterile needle is attached to sterile suction tubing and a collecting vial. Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI).

We are one of the Best infertility hospitals in Indore. We provide infertility treatment under one roof at Mohak Infertility Center with great care. We have the experienced IVF Specialist Dr. Shilpa Bhandari from Indore who provides IVF, IUI, ICSI, Test tube baby treatment, Infertility treatment at very low cost. Book an appointment today call now us 7898047572 / 8085277666 for more  information.

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To More Post :- Leading A Life Dealing With PCOS

What is polycystic ovary syndrome?

What is PCOS?

Most women with PCOS grow a number of small cysts, or fluid-filled sacs, on their ovaries. The cysts are not harmful, but they can lead to an imbalance in hormone levels.

Women with PCOS may also experience menstrual cycle abnormalities, increased androgen (sex hormone) levels, excess hair growth, acne, and obesity.

In addition to the many health conditions associated with PCOS, which will be discussed in this article, PCOS is the most common cause of infertility in women – because it can prevent ovulation.

Women who can conceive with PCOS have a higher incidence of miscarriage, gestational diabetes, pregnancy-induced high blood pressure, preeclampsia, and premature delivery.

Causes

Currently, there is no known cause of PCOS. However, there are associations with excess insulin, low-grade inflammation, and genetics.

Symptoms

Apart from cysts on the ovaries, symptoms of PCOS include:

• irregular menses
• excess androgen levels
• sleep apnea
• high stress levels
• high blood pressure
• skin tags
• infertility
• acne, oily skin, and dandruff
• high cholesterol and triglycerides
• acanthosis nigricans, or dark patches of skin
• fatigue
• female pattern balding
• insulin resistance
• type 2 diabetes
• pelvic pain
• depression and anxiety
• weight management difficulties including weight gain or difficulty losing weight
• excessive facial and body hair growth, known as hirsutism
• decreased libido

Tests and diagnosis

No single test can determine the presence of PCOS, but a doctor can diagnose the condition through medical history, a physical exam that includes a pelvic exam, and blood tests to measure hormone, cholesterol, and glucose levels.

An ultrasound may be used to look at the uterus and ovaries.

Treatment

There is no cure for PCOS, but treatment aims to manage the symptoms that affect an individual.

This will depend on whether the individual wants to become pregnant and aims to reduce the risk of secondary medical conditions, such as heart disease and diabetes.

There are several recommended treatment options, including:

Birth control pills: These can help regulate hormones and menstruation.

Diabetes medications: These help manage diabetes, if necessary.

Fertility medications: If pregnancy is desired, these include the use of clomiphene (Clomid), a combination of clomiphene and metformin, or injectable gonadotropins, such as follicle-stimulating hormone (FSH) and luteinizing hormone (LH) medications. In certain situations, letrozole (Femara) may be recommended.

Fertility treatments: These include in-vitro fertilization (IVF) or inseminations.

Excessive hair growth may be reduced with the drug spironolactone (Aldactone) or eflornithine (Vaniqa). Finasteride (Propecia) may also be recommended, but it should not be handled by women who may become pregnant.

Anyone using spironolactone should use birth control, due to the risk of birth defects if taken while pregnant. Breast-feeding on this medication is not recommended.

Other possible options to manage hair growth is laser hair removal, electrolysis, hormonal treatments, or vitamin and mineral use.

Surgical options include:

Ovarian drilling: Tiny holes made in the ovaries can reduce the levels of androgens being produced.

Oophorectomy: Surgery removes one or both ovaries.

Hysterectomy: This involves removal of all or part of the uterus.

Cyst aspiration: Fluid is removed from the cyst.

Pregnancy and menopause

Women who are affected by PCOS may experience the effects throughout their lifetime.

There may be an increased risk of miscarriage, gestational diabetes, preeclampsia, and preterm births.

After delivery, there is an increased risk of the newborn being placed in the neonatal intensive care unit or death before, during, or soon after birth. These complications are more common in multiple births, for example, twins or triplets.

Symptoms such as excessive hair growth and male pattern baldness can last beyond menopause and may become worse.

With aging also comes the risk of the secondary health complications related to PCOS, including heart disease.

Mohak Infertility Center is the Best centre for IVF in Indore and provides all infertility treatment at very affordable price. If you  are suffering from infertility and searching the best IVF center in Indore, come to the Mohak Infertility Center, because  Mohak Infertility Center is one of the best IVF centers in MP. Book an appointment today call now us 78980- 47572 / 80852-77666 for more information.

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Miscarriage

The spontaneous loss of a woman's pregnancy before the 20th week that can be both physically and emotionally painful.

Miscarriage is the most common type of pregnancy loss and often occurs because the foetus isn't developing normally. Miscarriage can also be genetically.

Symptoms of miscarriage include:-

Miscarriage are both physically and mentally painful. In some cases female can’t have next pregnancy. Some of the symptoms include:

• cramps
• Abdominal pain
• Bleeding which turn from low to high level
• Weakness which some time cause faint
• Back pain
• Fever
• Abdominal infection
• Urinal problems

Can I get pregnant after miscarriage :

Yes. At least 85% of women who have miscarriages have subsequent normal pregnancies and births. Having a miscarriage does not necessarily mean you have a fertility problem. If you've had two miscarriages in a row, you should stop trying to conceive, use a form of birth control , and ask your health care .

Can a Miscarriage Be Prevented?

Usually a miscarriage cannot be prevented and often occurs because the pregnancy is not normal. If a specific problem is identified with testing, then treatment options may be available. Sometimes,

treatment of a mother’s illness can improve the chances for a successful pregnancy. Basically to prevent miscarriage a female should take some basic medicine that helps in building up the baby Or foetus. sure to take at least 400 mg of folic acid every day, beginning at least one to two months before conception, if possible.

• Exercise regularly.
• Eat healthy, well-balanced meals.
• Manage stress.
• Keep your weight within normal limits.
• Don’t smoke and stay away from smoke.
• Don’t drink alcohol
• Avoid illicit drugs.
• Take proper rest
• Make sure you are up to date on immunizations.

If are you searching the Best infertility hospital for Infertility treatment in Indore, come in to the Mohak Infertility Center,  Indore, because we are the Best IVF center in MP. We have an experienced team of IVF specialist doctors, who provide  treatments like IVF, IUI, ICSI, test and tube baby at very low cost. Book an appointment today call now us 78980- 47572 /  80852-77666 for more information.

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Types of embryo transfer

In order to extract and fertilize the eggs during IVF, doctors generally follow the same process every

time. Once fertilization has occurred, there are a few different options available for embryo transfer:

Fresh embryo transfer: Once eggs have been fertilized, they are cultured for 1-2 days. The best embryos are chosen to transfer directly to the woman’s uterus.

Frozen embryo transfer: Any healthy embryos that were not used in the first transfer can be frozen and stored for future use. These can be thawed and transferred to the uterus.

Blastocyst embryo transfer: If many healthy embryos develop after the fertilization, it is common to wait to see if the embryos develop into blastocysts. According to a study in the Indian Journal of Clinical Practice, blastocyst embryo transfer has a higher success rate than the standard embryo transfer on day 3. However, another recent study suggests that it may pose risks later in pregnancy and should not always be recommended.

Assisted hatching (AH): A study in the Reproductive Biomedicine Online found that the process of assisted hatching – weakening the outer layer of the embryo before it is transferred to the uterus – does not improve pregnancy and implantation rates in women who are having fresh embryos transferred. The researchers noted, however, that women having frozen embryos implanted do benefit from having their embryos treated in this way.

Mohak Infertility Center is the Best infertility hospital in Indore. We provide IVF treatment, test tube baby treatment and ICSI treatment in Indore at very low cost, If are you want IVF treatment with best IVF center in Indore, visit at the Mohak Infertility Center. Book an appointment Today call us 7898047572 and  ivf related for more information.

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