How common are Fibroids ?

Fibroid treatment
uterine fibroids

Fibroids affect 1 out of every 4 women, atleast once in their lifetime. Usually affecting women in the age group pf 30-50, fibroids can be as small as a pea or as big as a melon.

Fibroids increase or decrease in size and can even go away. Fibroids are sensitive to oestrogen levels and tend to swell when the level of oestrogen is high  for example in heavier women typically  weighing over 70 kgs or more.

On the other hand, fibroids can shrink when the level of oestrogen goes down and hence tend to shrink on weight loss or post menopause.

Fibroids are also called Uterine Myomas, Fibromyomas or Leiomyomas.  Most Fibroids grow within the muscle tissue of the womb.

What are the common problems associated with fibroids ?

Heavy, Painful Periods: Bleeding is often heavier with fibroids and is often accompanied with pain. Besides affecting quality of life, heavy periods may lead to anaemia.

Bloating, Swelling: Large fibroids, may lead to swelling in the lower abdomen and discomfort in the lower abdomen and lower back.

Painful Intercourse: Fibroids growing near the vagina or the cervix may lead to pain during intercourse.

Bladder Problems: If a fibroid presses on the bladder which is in front of the womb, it may cause frequent urination.

Bowel Problems: Though extremely rare, if a fibroid presses on the bowel, which lies behind the womb, it may cause constipation.

Infertility: If the fibroids grow into the cavity of the womb, they can sometimes block fallopian tubes which can hamper conception and cause Infertility. In such cases an IVF often helps, post fibroid treatment.

Miscarriages: Though rare, sometimes fibroids may cause repeat miscarriages.

Early labour and possibility of a C-section: Sometimes fibroids, may result in an early labour and even a C -section instead of a normal delivery.

There are several ways to treat fibroids, which includes medical management and also surgical options.

Surgical options for treatment of fibroids are:

Hysterectomy: is removal of the womb when fibroids are causing symptoms and pain. If fibroid are small in size, the womb can be removed via the vagina and if the fibroids are large, then the womb may need to be removed via an incision in the lower abdomen.

Myomectomy: is surgical removal of fibroids and can be done either laparoscopically or hysteroscopically( through the vagina). In myomectmy, the fibroids are removed but the womb is left.

Uterine Artery Embolisation: can also help with treatment of  fibroids.

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IVF, Infertility FAQ’s

Infertility is defined as inability to conceive or carry a pregnancy to full term.

Infertility affects millions of women worldwide. IVF or assisted In vitro fertilisation is the answer to infertility problems for millions of women, unable to conceive naturally or carry a pregnancy full term.

In vitro fertilization detailed illustrations showing egg retrieval procedure, fertilization in laboratory, fertilized egg development and embryos transfer back to the uterus

We receive several queries on a daily basis on IVF. Here’s an attempt to answer the common questions on IVF treatment.

Q.When do I explore, IVF as an option for conception ?

Ans. If you are not able to conceive for an 1 year after unprotected intercourse is when IVF should be explored.

Q.How long does IVF treatment last ?

Ans. A successful IVF may need one cycle or a couple more cycles. Each IVF cycle takes 4-6 weeks to complete.

Q.What if I am ok but my husband is found sterile or has a very low sperm count?

Ans. In such a case donor sperms may be used. Please write to us for more information on or click here to send us a query.

Q.What will happen if the quality of my own eggs is poor ?

Ans. If the quality of eggs is really poor, IVF can be carried out using donor eggs also, incase there is no other viable alternative.

Q.What I have fibroids ? Do they interfere with conception ?

Ans. Fibroids interfere with conception and are usually removed by laparoscopic fibroid surgery or myomectomy for better results.

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Q. What if I have endometriosis ?

Ans. If you have an endometriotic cyst, it can be removed with laparoscopic surgery before you ahead with IVF treatment.

Q. What if I have had failed cycles of IVF already ?

Ans.  ICSI, laser hatching, Embryoscope and IMSI are some of the options which give better results.

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Happy Mother’s Day ! Every woman deserves to be one

Happy Mother's DayEveryone woman deserves to be a mother and enjoy the trials , tribulations and joy which only motherhood can beget.

This mother’s day, lets look at a few reasons why some of us find it difficult to be a mother.

What is Infertility ?

Inability to conceive a child naturally is usually termed as infertility.

The most common reasons for female infertility include problems with ovulation, damage to fallopian tubes or uterus, or problems with the cervix.

Fertility also decreases with age, hence the older you are the more difficult natural conception is.

Hormonal imbalance, PCOD or polycystic ovarian disease, obesity, bulimia, anorexia, drug abuse, alcoholism are often contribution factors which hamper ovulation.

Other factors such as endometriosis, fibroids, polyps in the uterus, tumors, previous history of STD or sexually transmitted diseases, previous illness such as cancer, previous ectopic pregnancy, changes in mucosa of the cervix which hampers transportation of sperms are contributing factors in damaging the fallopian tubes and the uterus resulting in infertility.

What are the options when one is finding it difficult to conceive naturally ?

Taking medication or hormones to address hormone imbalance, endometriosis, PCOD is an option.

Very often hormones to stimulate ovulation are also provided.
Regular checkups and medication to remove infection is also a must.

Surgeries such as DNC for endometriosis and myomectomy or fibroid removal also help resolve the problem

If all fails, IVF is the often the last option.

What is IVF ?

In vitro fertilization or IVf is an assisted reproductive technique.

During IVF, eggs and sperm are brought together in a laboratory glass dish to allow the sperm to fertilise an egg.

After IVF, one or more fertilized eggs are placed in the uterus for the mother to carry the pregnancy through.

How does In Vitro Fertilization work ?

IVF treatments start evaluation of the male sperm followed by hormone therapy to stimulate the development of several follicles in the ovary.

These are collected as eggs, which are then fertilised in a test-tube (‘in vitro’) .

This leads to several embryos which are kept in an incubator for two and five days.

After assessing the quality, one or two of these embryos are transferred through the vagina to the uterus at the right time, where implantation begins.

However, not every embryo implanted leads to a successful pregnancy, and hence surplus embryos are frozen , so that subsequent implantations can be attempted should the first ones fail.

This leads to the IVF success rates varying between 20-40%.

IVF cost in India, varies from US$ 4500 per cycle to US$ 6500 per cycle depending upon whether ICSI ( incase of male infertility) is required or not.

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Good Friday and A Happy Easter!

Good Friday and A Happy Easter!Easter Eggs Benefits:

Easter eggs are lovely but do we know that eggs are incredibly nutritious and a great addition to diet too.

Great for fertility, healthy heart, weight loss along with many other health benefits, here are a few reasons to crack one daily

An egg a day can fulfill the following daily vitamin and mineral requirements

Vitamin A: 6% of the RDA.

Folate: 5% of the RDA.

Vitamin B5: 7% of the RDA.

Vitamin B12: 9% of the RDA.

Vitamin B2: 15% of the RDA.

Phosphorus: 9% of the RDA.

Selenium: 22% of the RDA.

Eggs also contain vital vitamins such as  of Vitamin D, Vitamin E, Vitamin K, Vitamin B6, Calcium and Zinc.

Protein Intake

One egg gives about 6.5 g of protein. The protein component is largely found in the egg white.

Daily protein reqt  is approximately 50 gms so 3 egg whites alone can make up for roughly half of daily protein recommended intake.

One egg has as much protein as 30g cooked meat, fish or poultry.

Breast Cancer

Research shows that Choline can reduce the risk of breast cancer by 24 percent. An egg yolk contains 125.5 milligrams of choline, about 1/4th of the recommended daily intake, so just two boiled eggs can work wonders.

Women who eat 6 eggs a week have a 44% reduced risk of developing  breast cancer.

Preggers – Eggs are the best for foetus development

Choline found in the eggs helps in foetal brain development and l memory enhancement.  Choline is of extreme importance during pregnancy and lactation when the reserves may get depleted.  Going in for an IVF(In Vitro Fertilization), don’t forget your daily intake of 2 eggs a day.

Weight Loss

One Egg contains roughly 70-86 calories. Eating eggs for breakfast keeps us full at a low calorie count and leads to less snacking and subsequent weight loss when on a diet.

Many dieticians recommend atleast 6 egg whites in a week during weight loss programs

Prevents Cataract

An egg  a day may reduce your cataract risk by 20%. It may also reduce age-related lens and retinal degeneration, the leading cause of blindness in the elderly (up to a 40% decrease).

Eggs are a good source of the antioxidants lutein and zeaxanthine, which play an important role in keeping the eyes healthy.  Getting enough lutein and zeaxanthine is therefore very important from childhood onwards throughout life.

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Insights to in vitro fertilization (IVF)

IVF (In Vitro Fertilization) Treatment,what is ivf,cost of ivf

What is IVF ?

IVF (In vitro fertilization) is a medical process by which fertilization is achieved outside the human body.

It is an advanced technology of assisted reproduction. In vitro fertilization involves obtaining an ovum from a female and fusing it with a sperm in the test tube. The zygote obtained after fertilization is then implanted into the uterus of the same mother or another mother to successfully achieve pregnancy.

IVF becomes handy when less invasive or other appropriate ways of  treating Infertility and achieving unassisted reproduction are impossible. IVF assists women who have never given birth to achieve pregnancy and eventually give birth.

In order to acquire the ova, ovulation has to be induced by use of fertility drugs. The ova can then be monitored through trans-vaginal ultrasound and retraction of eggs is by follicular aspiration.

Types of IVF are as follows

  1. Natural Cycle IVF- In this type of IVF, there is no induction of ova production by the ovaries. The eggs used in IVF are obtained from normal cycle without stimulation by drugs or any other means.
  1. Low Stimulation IVF- This is another form of IVF in which hormones that induce fertility are stimulated for a short time. This reduces chances of hyper-production of eggs.
  1. Donor eggs IVF- This is a form of IVF in which the recipient gets an ovum from a relatively younger donor. Getting a more viable ovum from a younger donor guarantees more chances of successful pregnancy
  1. Intracytoplasmic Sperm Injection (ICSI) IVF- This is a form of IVF used when the proposed male experiences oligospermia. This means the sperm count is too low and chances of in vitro fertilization are minimal. The sperm is therefore injected directly into the ovum to maximize chances of fertilization.

Cost implications play a major role in deciding whether to undertake IVF  treatment or not.

How much does an IVF cost  or an In vitro fertilization cost? 

Averagely, a successful In Vitro Fertilization (IVF) costs $ 5500- 6500 per cycle

This amount is inclusive of cycle stimulation medications and trans-vaginal harvesting of eggs. Medications can cost about $1000 on average while a whole IVF cycle stimulation can cost up to $6500 per cycle.

In conclusion, IVF plays a major role in giving a chance to women who cannot conceive naturally to give birth. Inducing egg production by the ovaries, obtaining and incubating them with sperms enables fertilization outside the body.

Implantation into the recipient mother and successful pregnancy then marks a complete cycle of assisted reproduction.

Best Hospital in India for IVF offer complete assistance for assisted hatching, donor sperms, donor eggs and also surrogacy if required.

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