Important things that you should take care while pregnant

If you are planning to get pregnant – or if you already are, you should probably know few basics things about pregnancy and what you should take care of yourself while pregnancy. Some of the important things are mentioned below:

  • You should get regular medical checkup to avoid problems and complications
  • Make sure to take parental vitamins and eat plenty of proteins
  • Add minerals and fiber in your food and get plenty of exercise
  • Try to add enough fat in your food
  • Make sure you do Kegal exercises as this will help you a lot during pregnancy

In addition to these, you should also write birth plan like procedures you want to avoid or what are the clothes that you should wear. Make sure that you do not lift heavy things or climb on stepstools or ladders. You should also wear gloves when you are working in the yard. Another most important thing that you should take care of is to track your weight gain so that you gain healthy rate. During pregnancy, folic acid is very important as this can ensure proper development of baby’s neutral tube. You can eat asparagus, lentils, wheat germ, oranges, and orange juice. Besides this, you can eat fruits and fish as well during pregnancy.

Resolve your Infertility Issue with this expert

Are you experiencing infertility problem for the few quite a long time? Well this is high time when you should approach to an expert and get the problem resolved. If you search over internet, you might find different names of Gynecologist, for which you need to do a stringent research. Instead you can consult with Dr. Shivani Sachdev Gour, who is one of the eminent infertility specialists.

Dr. Shivani Sachdev Gour is an MBBS, Gynecologist, Obstetrician and Infertility Specialist having 17 years of experience in this profession. She has practiced about infertility abroad and through her medical expertise and dedication to excellence today, hundreds of couples are now happy parents.

She is the founder and director of SCI Healthcare and consultant fertility specialist, where you can come and meet her and discuss about your problem and get treated easily. Book an appointment now!

Why Woman’s usually hide some personal problems with Men Doctors

It has been many a time seen and experienced that woman usually hides their personal problem with Men doctor and this is very normal in everyone’s case. It can be the hesitation or the shame that she feels to state her personal problem to the men doctor. They also do not talk deeply with the men doctor instead they can be very comfortable to women doctor. So, why to worry, when you can also approach to a women doctor and explain all your personal problems that you are facing? Dr. Shivani Sachdev Gour is a name to whom you can approach and discuss all your personal problems and get treated.

Many woman also feel insecure to explain their personal problem with men doctor and this case, a lady doctor can be very helpful. Just approach to a lady physician let her solve your personal problem that you are facing.

Why SCIIVF Healthcare in Delhi is best for Infertility Issue

Talking about the Infertility, it is when a couple is unable to conceive after having intercourse several times without using any protections. There might be many reasons for it and an infertility specialist would be the best person to explain the reason why you are facing this problem. You can visit an expert gynecologist in the city, or you can directly come to SCI IVF Health care in Delhi. You can book an appointment to meet Dr. Shivani Sachdev Gour, who is an MBBS MD, Gynecologist, Obstetrician and Infertility Specialist.

Dr. Shivani Sachdev Gour is the founder and director of SCI Healthcare and consultant fertility specialist. She has more than 17 years of experience in this profession and with her experience and medical science; she has helped hundreds of couples from around the world to enjoy the phase of parenthood.

What is Infertility and Best Way to get treated?

Infertility is mainly described as the incompetence of the women to get pregnant after even having a year of unprotected intercourse. Male and female are together responsible for infertility problem, which can be treated through proper medical checkup. Now, talking about the infertility in woman is the case when the female is trying to get pregnant but she is still unsuccessful despite having sexual intercourse for more than a year. If you are also facing the same difficulty, it is important that you seek proper medical assistance.

Causes of Infertility

There are many causes of infertility and these are mentioned below:

  • Harm to fallopian tubes: The work of the Fallopian tubes is to carry eggs from the ovaries to the uterus and if it gets damaged, it would prevent the contact between the egg and the sperm.
  • Unsuitable hormonal changes: The next cause can be the hormonal changes, which many women suffer now-a-days.
  • Having Cervical problems: There are women that have cervical condition, where the sperm cannot pass through the cervical canal and as result the area cause blockage and stops from conceiving.
  • Endometriosis: When the endometrial tissue gets implanted and it starts growing outside of the uterus, it leads to pregnancy complications and this is one of the major female infertility causes.

Infertility Treatment

Infertility problem can be treated by using different medical technologies and some of these are mentioned below:

  • In Vito fertilization is one of the comprehensive and highly advanced procedures to treat infertility. It is a technique of artificial insemination, where egg and sperm are combined outside the body and these are placed in the uterus.
  • There are special drugs that are prescribed to the women who are facing the problems with ovulation.
  • Egg donation can also be used to treat infertility, where the fertilized eggs are placed in the uterus of the mother after IVF within 24 hours. With the help of Gamet intrafallopian tube transfer (GIFT), sperm and eggs are mixed before insertion.

If you are facing with the same problem, you can visit Dr Shivani Sachdev Gour, whp is one of the best Infertility Specialists in Delhi. She is an MBBS, MD – Obstetrics & Gynaecology, Gynecologist, Obstetrician and Infertility Specialist with 17 years of experience in this profession. She with her distinguished work has brought both local and international attention to SCI Healthcare IVF and surrogacy programs. With her medical expertise and dedication, she has been able to help hundreds of couples from around the world and treat infertility.

What You must Know About In Virto Fertilization?

In Vitro Fertilization is a procedure to treat infertility. It is an assisted reproductive technology (ART) of fertilization, which is done by extracting eggs, recovering a sperm sample and finally adding an egg and sperm in a laboratory. Followed by this, the embryo(s) is then transferred to the uterus. To make you understand about the IVF, you need to know few things and these are mentioned below:

Before Starting IVF procedure

Before starting the IVF procedure, the doctor would prescribe you with fertility pills or hormones, which you would ask to, take it in order to stimulate follicle production. The oils would stimulate your ovaries so that multiple eggs can be harvested as this would increase the chances of fertilization/pregnancy.

How Fertilization takes place?

Once eggs have been harvested with IVF procedure, the best eggs are then placed in incubators and then sperm and eggs are mixed together and watched till the embryo has been developed.

Egg Transfers

Looking the embryo development, the doctor would choose the best candidates for transfer. After this by using a catheter guided by ultrasound, doctor would transfer the embryo through the cervix and finally to your uterus. In order to enhance the chances successful pregnancy and live birth multiple embryos are implanted into the womb, but this has a demerit that it can increase the chances of multiple births.

Success rates with IVF procedures

As it is a new technology, so it might take several IVF cycles in order to make you get pregnant. In this procedure, success rates basically depend on your age and health status.  A Woman who is mid-30s can experience higher risk of infertility and it increases as women reach age 40. Moreover, you can experience greater risk of IVF procedures if you are over 40 years of age. On the contrary, a young and healthy woman would have an excellent chance of progressing through IVF and she can experience successful route from pregnancy to delivery.

In order to ensure that you can have successful IVF procedure, it is very important that you get yourself treated by an experienced gynecologist. There are many infertility specialists in the town to which you can approach to get your infertility treated.  Dr. Shivani Saachdev Gour is a prominent name in this genre; she is an IVF Specialist, Gynecology and Obstetrics. You can come to her and seek the expert advice and treatment on infertility that you are encountering.

Consult with Dr. Shivani Sachdev Gour and get Infertility Treated

Infertility is a kind of problem where the woman faces issue and complications in conceiving a baby or getting pregnant. This issue keeps a couple alone from being a happy parent. Though the problem seems to be a complex, but with the help of latest medical technology this can also be resolved. If you are facing the same problem you should visit Dr. Shivani Sachdev Gour of Delhi and consult with her regarding the issue that you are facing and try to get resolved.

Dr. Shivani Sachdev Gour is a well-known and prominent Gynecologist in Kailash Colony, Delhi. She is MBBS, MD – Obstetrics & Gynaecology, DNB – Medical Genetics and has been a successful Gynecologist for the last 19 years. If you have any issue related to infertility, you can easily consult with Dr. Shivani Sachdev Gour at SCI IVF Hospital in Kailash Colony, Delhi as she leads the center. So, don’t wait, book an instant appointment today!

Common Questions On IVF

Here some important questions along with answers which help you to get a solution of most asked question related with IVF

  • What is infertility? When should couples go for IVF?

There are many causes of infertility are due to female and male factors.

Female factors which can be benefited by IVF are:

  • Blocked fallopian tubes
  • Endometriosis
  • PCOS (Polycystic ovarian syndrome)
  • Premature ovarian failure
  • Females over age of 40

Male factors which can be benefited by IVF:

  • Reduced sperm motility
  • Decreased sperm count
  • Abnormal sperm structure
  • Premature ejaculation
  • Retrograde ejaculation

 

  • What is IVF?

The full form of IVF is In Vitro Fertilization which means the fertilization is carried outside the body.  Insemination which means meeting of sperm and the egg is done in a petri dish of a laboratory. For this procedure, eggs from the female are retrieved and at the same time sperms from the male partner are collected. After fertilization of the egg and sperm, the embryo is formed which is transferred in the womb of the female.

  • Is there any age limit for IVF procedure?

The quality of egg decreases with age declines grossly after 35. The maximum age limit for IVF is 42 using her own eggs.

  • What is the time required for an egg retrieval?

The length of egg retrieval process usually depends on the number of follicles matured. Egg retrieval procedure can take about 20-30 minutes.

  • Will I feel any pain when the egg is retrieved?

No, the egg retrieval procedure is carried out under anesthesia. Female patient is asleep due to the heavy sedatives, given to her by anesthetists. You won’t feel any pain during egg retrieval.

  •  Can egg retrieval harm my ovaries?

There is no specific data available implying egg retrieval harms the ovaries. Women who underwent egg retrieval and after that laparoscopic surgery, the ovaries were found to be normal.

  • What is stimulation of ovaries?

It is the first step in IVF. Fertility medications are given in the form of injections in the female which stimulates the ovaries to develop many follicles. Only one egg is released from ovaries normally. Fertility medicines induce the ovaries to produce many eggs.

  • Is there any vaginal bleeding after egg retrieval procedure?

There is very slight bleeding similar to menstrual bleeding or less than that. The bleeding results due to the puncture site in the vagina. It is minor and need not be worried about.

  • How many eggs are retrieved?

Eggs are retrieved from the most matured follicles. After ovulation induction, many follicles increase in size, but all of them may not carry eggs; some might have immature or post mature eggs.

  • Will I have pain during embryo transfer?

It is not painful. The doctor will use a speculum to visualize the cervix; you will only feel the speculum.  

  • What is ICSI?

ICSI stands for Intracytoplasmic sperm injection. When the sperm is directly injected into the female egg, it is called as ICSI. This process is done to increase the success of fertilization.

  • Do I need complete bed rest after embryo is transferred?

Embryo swims in the womb for few days before actual implantation. Only prophylactic rest is advised which means avoid any kind of vigorous activities.

  • Are all the embryos transferred in the womb?

All the embryos are not transferred .Usually 2-3 embryos are transferred. If the couple wishes them to be preserved for future use, they are cryopreserved.

  • When should I do a pregnancy test after IVF?

A pregnancy test will be positive after the hormone hCG which finalizes egg maturation comes in the urine and blood which in itself takes about 9 to 10 days. Hence between 12 to 14 days the pregnancy test will be positive.

  • What are the restrictions during an IVF procedure?

Stop smoking and drinking alcohol at least 3 months before an IVF procedure. Smoking during pregnancy is hazardous for the growing fetus. It may result in low birth weight baby and congenital disabilities. Smoking also affects the pregnancy rate.

Inform your physician about all the medications you are taking. Over-the-counter medicines affect the fertility medications. Few of them are not safe during ovulation or implantation.

Rigorous exercises or any activities are prohibited during the entire procedure.

Stress is inevitable during IVF cycle. Couples must seek advice from psychologist/personnel counselor or talk with friends and family members for support.  

  • If I become pregnant, what are the steps to take?

Your doctor will advise few blood tests, ultrasound to keep a check on successful pregnancy. An obstetrician will guide you further once the fetal heartbeat is confirmed.

  • Does IVF increase the chance of abortion?

The abortion rate is same when compared to females conceived naturally. Although elder females undergone IVF have high risk of miscarriage.

  • What affects sperm quality?

Sperm development takes about 3 months. Hence the health during the 3 months has to be monitored.

Sperm quality is affected by following conditions:

  • High-grade fever hinders in the fertilization process. Immediate help from the physician must be taken to lower the temperature.
  • Alcohol and smoking.
  • Any prescription drugs apart from advised by IVF specialist.
  • Sitting in hot spas, Jacuzzis, tubs or saunas
  • Vigorous workout routine
  • Supplements containing testosterone, DHEA usually given in gym.
  • Genital herpes

 

  • What is the success rate of IVF?

There are various factors which influence successful IVF:

  • Age of woman- Increasing age decreases the success rate.
  • Quality of sperm
  • Response to the fertility medicines
  • Number of embryos implanted in the womb.

Usually success rates are 60 % depending on center to centre .

  • What are the side-effects of IVF?

The minor side-effects during the egg retrieval procedure are an infection, bleeding, and pain. These are usually mild and are resolve with appropriate care and treatment.

Hormonal injections give to female may cause ovarian hyper stimulation syndrome. There might be pain associated with bloating and uncomfortable feeling. These are self-limiting symptoms and go away with time.

The major risk of IVF are an ectopic pregnancy (implantation occurs in fallopian tubes), blood pressure disturbances, gestational diabetes and multiple pregnancies.

Multiple pregnancies may lead to abortion, premature delivery and affect the health of mother or child.

 

In Vitro Fertilization (IVF)

Infertility is a dark, lonely situation which is hard to experience. It is difficult to live with the reality which comes with the countless trying, investigations and failure to conceive even after the various procedures. Medical science with its increasing advances has created a reproductive assistance to the infertile couples. In Vitro Fertilization or popularly known as IVF wherein the egg and sperm are fertilized in a laboratory dish and then transferred to the uterus.

Sir Robert Edwards and Patrick Steptoe are the pioneers of IVF in 1978. Louise Brown is the first test tube baby born by IVF. Infertility can be due to both male and female factors which needs to be assessed carefully.

Which are the couples who can go for In Vitro Fertilization?

IVF can be useful in the patients with following conditions:

  • Women with blocked fallopian tubes
  • Male having low sperm count or abnormal structure and motility of sperms
  • Women with Endometriosis , ovarian failure, and ovulation disorders
  • Couples having genetic diseases in which conceiving is difficult
  • Unexplained infertility

What are the procedures of In Vitro Fertilization?

A couple has to undergo five steps  in IVF:

  1. Stimulation of ovaries for egg production:

Fertility drugs are given to stimulate the ovaries for ovulation or known as egg production. Normally, only one egg is released from ovaries.  Fertility drugs cause the ovaries to produce many eggs. Follicular studies are done to monitor the follicular growth and development through transvaginal ultrasounds.  Blood tests are also done to check levels of hormones.

  1. Retrieving of  eggs

A small outpatient procedure is carried out to retrieve the eggs/follicular fluid aspiration from woman’s ovaries .The woman is put under anaesthesia. There is continuous monitoring of the woman’s reproductive system by ultrasound imaging. The doctor inserts a needle connected to a suction device into the vagina and then in the follicles of ovary. The device pulls the eggs from the follicles one by one. This step is repeated with the other ovary

In cases where a woman cannot produce their own eggs, they are taken  from egg donors from ART banks

  1. Combining and fertilization:

The combining of the sperm and the egg is known as insemination. This is stored in a controlled temperature in the laboratory. Fertilization occurs when the sperm enters an egg which happens within few hours.

Intracytoplasmic sperm injection (ICSI) is the process where the sperm is directly injected into the egg. This is carried out when the chances of fertilization might be low.

  1. Embryo culture:

Division of the fertilized egg results into an embryo. A constant check is done on the growth of the embryo. A normal and healthy embryo is which divides actively. If there are chances of a strong genetic disorder transferring to the child, a pre-implantation genetic diagnosis (PGD) is done 3-4 days after fertilization. Genetic material from the embryo is screened for the disorders.

  1. Embryo transfer:

The final and important step in IVF is placing the embryos in the uterus after about 3 to 5 days from fertilization.
A catheter (thin tube) containing the embryos is inserted through the vagina, then cervix and up into the uterus. The woman is awake during this procedure.
When the embryo gets implanted in the uterine lining and grows,  woman gets pregnant.
Chances of twins, triplets increase when more than one embryo is transferred into the uterus. Doctors can store the unused extra embryos in frozen form . If first embryo transfer fails , frozen embryos can later be used in next attempt .

What are the benefits of In Vitro Fertilization and why should couples consider IVF?

  1.   When couples  who are trying to conceive are tired with the various failed infertility treatments, IVF techniques offers them their best chances for success. Due to everincreasing developments and new technology in the field  of this  procedure,  IVF success rates are now even better.
  2.  IVF is also used during surrogacy especially for  woman who is physically unfit to carry a full-term pregnancy .
  3. IVF is carried out in couples who have a low ovarian reserve or low or nil sperm count. In such cases donated eggs/sperms are used for IVF and the pregnancy chances increase with donor gametes
  4. Couples who are much focused on careers can store (cryopreservation) their eggs and sperms to carry out IVF in future.
  5. IVF decreases the chances of genetic disorders (Down’s syndrome, sickle cell anemia to name a few) due to PGD carried out during the procedure. Hence the possibility of healthy baby increases.
  6. IVF has reduced the number of abortions which occurs most often due to genetic abnormality.
  7. PCOS is the most common cause of hormonal imbalance and irregular ovulation in females. IVF has been successful in such cases where the ovulation is facilitated by giving fertility drugs.
  8. Women aged more than 40 years having low ovarian reserve are the suitable patients for in vitro fertilization.

Even though with many benefits of in vitro fertilization, there are few complications which can occur. Fertility medicines may give rise to abdominal pain, headaches, acidity, mood swings and bloating. Over-response to these medicines in rare circumstances can cause ovarian hyper-stimulation syndrome (OHSS ).

Success rate of IVF:

IVF has been noted to have a high success rate over other assisted reproductive technology. However, IVF may not be successful in each and every case.

Risks associated with IVF procedure:

There is a chance of bleeding, rupture of bowel or bladder and infection during egg retrieval step.

IVF carries a risk of multiple pregnancy when many embryos are transferred which in turn may give rise to low birth weight baby and premature delivery.

The major impact of in vitro fertilization on patients is on their finances due to its high cost. Emotionally couples are drained in case of In Vitro Fertilization failure.

Know about Infertility Treatment with Dr Shivani Sachdev Gour: How Safe & Successful It Is?

Infertility is a kind of disease related to reproductive system that harms a person’s ability to reproduce. Many women are suffering from the same problem and they have been diagnosed with female infertility. The problem is a serious concern for the couples because they cannot enjoy the parenthood. To overcome this problem, many people are desperate to find the treatment, which will enable them to have babies. Well In vitro fertilization or IVF is one such treatment that is being practiced to treat the infertility problem.

 

Advantages and Disadvantages of IVF Treatment

In the IVF treatment procedure works by perfectly collecting the sperm and the eggs from a couple, or the donor eggs and/or sperm. Then both the collected sperm and eggs are processed in a laboratory to create embryos. The embryos are then transferred to the uterus thereby helping the woman get pregnant. During IVF process, your doctor has to use some infertility drugs before your procedure and this can raise the chances of conceiving multiple babies. Besides, the drugs can also increase the risk of ovarian hyper stimulation syndrome. Let us discuss on the advantages and disadvantages of IVF treatment:

 

Advantages of IVF Treatment

Talking about the advantages offered by IVF can be unbelievable. Those couples that are facing infertility problem and those who are struggling to get pregnant IVF shows them the right path to get pregnant. Those are frustrated by the problem of unable to conceive naturally due to the reasons like stress, anxiety or depression, IVF offers them the best way to achieve their goals. Today, the process is being done for thousands of couples around the world.

 

In this concern, Intracytoplasmic injection of sperm, genetic counseling as well as assisted hatching can easily help in improving the maximum chances of success and getting pregnant. Some of the people even choose to freeze the embryos, which can be used in the future cycles. This is one such procedure that also carries the higher success rate compared to other procedures like artificial insemination.

 

Disadvantages of IVF Treatment

One of the main disadvantages of IVF treatment is that it is not guaranteed. The chances of success may vary greatly and that totally depends on different factors like the age of the woman. It is said that women who are over the age of 35 will not have the same chances of success compared to the women who are under the age of 35. The next is the higher cost of the procedure, which means that middle class people will not be able to get this treatment. Besides, freezing the embryos might also help to reduce the cost of future cycles.

 

One of the main disadvantage is the there is a risk of getting multiple pregnancies with IVF. Since the success is not guaranteed, doctors would transfer more than one embryo to the uterus for implantation with a hope that one of the embryos will successfully implant in the uterine wall and develop. The process can be opposite and in some cases, more than one embryo can get implanted and multiple pregnancies can be experienced.

 

So, now you might be thinking is IVF safe for mother? I would say, if you want to enjoy the life of being a parent, you can always give it a try. There are different many IVF Center in India, which you can approach but, I would refer you SCI Healthcare and SCI IVF Hospital and Multispecialty Centre. It is in Delhi, India, where the Infertility Treatment Cost is also affordable and Dr. Shivani Sachdev Gour is leading this center.

 

Know who Dr. Shivani Sachdev Gour is?

Dr. Shivani Sachdev Gour is an MBBS, MD – Obstetrics & Gynaecology, DNB – Medical Genetics. She is a Gynecologist, Obstetrician and Infertility Specialist, who has 17 Years of experience in this genre. Dr Shivani Sachdev has completed her medical and Obstetrical qualifications from Mumbai in the year 2000. She has also spent her 4 years in the UK, where she practiced as an IVF clinical research fellow at the prestigious Hammersmith Hospital. She has also trained herself as a Gynecologist and Obstetrician at Royal Infirmary of Edinburgh.

 

After completing the practices, she returned to Delhi and has opened SCI Healthcare and SCI IVF Hospital and Multispecialty Centre. Now Dr. Shivani is the founder and director of this center, where she also gives consultation about the fertility specialist. She is also leading the SCI Healthcare and SCI IVF Hospital surrogacy and IVF programs.