Dr. Namrata Shah and Dr. Namrata Shah & Dr. Dhaval Shah an experienced gynaecologist offers you infertility treatment at Saavi Women's Hospital for couples experiencing infertility. Schedule a consultation today!
Infertility is defined as failure to conceive after frequent unprotected sexual intercourse for six months in couples in the reproductive age group. Infertility can be primary, in couples who have never conceived, or secondary, in couples who have previously conceived.
Your consultation will be followed by a detailed fertility screening composed of tests that will be tailored to your medical profile. A patient typically undergoes the following screening tests, although these may vary from case to case:
Fertility tests might include:
Ovulation testing: An at-home, over-the-counter ovulation prediction kit detects the surge in luteinizing hormone (LH) that occurs before ovulation. A blood test for progesterone — a hormone produced after ovulation — can also document that you’re ovulating.
Hysterosalpingography: During hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee), X-ray contrast is injected into your uterus and an X-ray is taken to check for problems inside the uterus. The test also shows whether the fluid passes out of the uterus and spills out of your fallopian tubes. If any problems are found, you’ll likely need further evaluation.
Ovarian reserve testing: This testing helps determine the quality and quantity of eggs available for ovulation. Women at risk of a depleted egg supply — including women older than 35 — might have this series of blood and imaging tests.
Other hormone testing: Other hormone tests check levels of ovulatory hormones as well as thyroid and pituitary hormones that control reproductive processes.
Imaging tests: A pelvic ultrasound looks for uterine (polyp, septum, fibroid, chocolate cyst, etc.) Depending on your situation, rarely your testing might include:
Laparoscopy: This minimally invasive surgery involves making a small incision beneath your navel and inserting a thin viewing device to examine your fallopian tubes, ovaries and uterus. A laparoscopy can identify endometriosis, scarring, blockages or irregularities of the fallopian tubes, and problems with the ovaries and uterus.
Genetic testing: Genetic testing helps determine whether there any changes to your genes that may be causing infertility.
Infertility treatment depends on the cause, your age, how long you’ve been infertile and personal preferences. Because infertility is a complex disorder, treatment involves significant financial, physical, psychological and time commitments.
Treatments can either attempt to restore fertility through medication or surgery, or help you get pregnant with sophisticated techniques.
Medications that regulate or stimulate ovulation are known as fertility drugs. Fertility drugs are the main treatment for women who are infertile due to ovulation disorders.
Fertility drugs generally work like natural hormones — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — to trigger ovulation. They’re also used in women who ovulate to try to stimulate a better egg or an extra egg or eggs. Fertility drugs include:
Letrozole: Letrozole belongs to a class of drugs known as aromatase inhibitors and works in a similar fashion to clomiphene. Letrozole is usually used for woman younger than 39 who have PCOS.
Clomiphene citrate: Taken by mouth, this drug stimulates ovulation by causing the pituitary gland to release more FSH and LH, which stimulate the growth of an ovarian follicle containing an egg. This is generally the first line treatment for women younger than 39 who don’t have PCOS.
Gonadotropins: These injected treatments stimulate the ovary to produce multiple eggs. Gonadotropin medications include human menopausal gonadotropin or hMG (Menopur) and FSH (Gonal-F, Follistim AQ, Bravelle). Another gonadotropin, human chorionic gonadotropin (Ovidrel, Pregnyl), is used to mature the eggs and trigger their release at the time of ovulation.
Metformin: This drug is used when insulin resistance is a known or suspected cause of infertility, usually in women with a diagnosis of PCOS. Metformin helps improve insulin resistance, which can improve the likelihood of ovulation.
Using fertility drugs carries some risks, such as:
Pregnancy with multiples:
Oral medications carry a fairly low risk of multiples (less than 10%) and mostly a risk of twins. Your chances increase up to 30% with injectable medications. Injectable fertility medications also carry the major risk of triplets or more.
Generally, the more fetuses you’re carrying, the greater the risk of premature labor, low birth weight and later developmental problems. Sometimes, if too many follicles develop, adjusting medications can lower the risk of multiples.
Ovarian hyperstimulation syndrome (OHSS):
Injecting fertility drugs to induce ovulation can cause OHSS, which is rare. Signs and symptoms, which include swollen and painful ovaries, usually go away without treatment, and include mild abdominal pain, bloating, nausea, vomiting and diarrhea.
It’s possible to develop a more severe form of OHSS that can also cause rapid weight gain, enlarged painful ovaries, fluid in the abdomen and shortness of breath.
Several surgical procedures can correct problems or otherwise improve female fertility.
Laparoscopic or hysteroscopic surgery: Surgery might involve correcting problems with the uterine anatomy, removing endometrial polyps and some types of fibroids that misshape the uterine cavity, or removing pelvic or uterine adhesions.
Tubal surgeries: If your fallopian tubes are blocked or filled with fluid, Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah recommend laparoscopic surgery to remove adhesions, dilate a tube or create a new tubal opening. This surgery is rare, as pregnancy rates are usually better with in vitro fertilization (IVF). For this surgery, removal of your tubes or blocking the tubes close to the uterus can improve your chances of pregnancy with IVF. If your fallopian tubes are blocked or filled with fluid, Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah recommend laparoscopic surgery to remove adhesions, dilate a tube or create a new tubal opening. This surgery is rare, as pregnancy rates are usually better with in vitro fertilization (IVF). For this surgery, removal of your tubes or blocking the tubes close to the uterus can improve your chances of pregnancy with IVF.
The most commonly used methods of reproductive assistance include:
In the natural process of conceiving, the sperms travel through the mouth of the uterus, called the cervix, into the uterus and the fallopian tubes. The fallopian tubes are tube-like structures attached to the uterus on either side. A woman becomes pregnant when the egg from the woman’s ovary is fertilized by the sperm. This happens inside the fallopian tube. Sometimes, couples experience difficulty conceiving a baby, a condition known as infertility. If you have not been able to get pregnant, IUI is one of the methods suggested by Dr.Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah , from Saavi Women's Hospital, Ahmedabad to have a baby. Intrauterine insemination, also known as IUI, is one of the verified assisted methods of reproduction in which the sperm from the man is placed directly inside the uterus of the woman’s body. It helps them have a successful pregnancy. This is advised after a careful evaluation by Dr. Namrata Shah & Dr. Dhaval Shah , from Saavi Women's Hospital, Ahmedabad, with the purpose of treating infertility and increasing the chances of fertilization. The ultimate goal of doing IUI is to improve your chances of getting pregnant.
You are an ideal candidate for IUI if you have not been able to conceive due to:
In humans, fertilization of the egg takes place in the uterus. The fertilized zygote then attaches itself to the walls of the endometrium. Thus a baby grows in the mother’s womb for 9 months before the delivery. But, certain circumstances may require this fertilization process to be initiated outside the body.
In vitro fertilization, or IVF as it is popularly referred to, is a laboratory-based process where eggs from a woman’s ovaries and male sperm are combined in a glass dish.
In vitro fertilization is one of the methods to achieve pregnancy when the couple cannot conceive naturally. The following conditions make you and your partner ideal candidates for IVF:
The cost of infertility treatment at Saavi Women's Hospital, Ahmedabad varies depending on the individual circumstances. Dr. Namrata Shah & Dr. Namrata Shah & Dr. Dhaval Shah will work with you to find a solution that meets your needs and financial situation.
THE INFORMATION ON THIS WEBSITE IS OBTAINED THROUGH ONLINE SOURCES AND MEDICAL LITERATURE. IT'S NOT MEANT TO REPLACE AN ACTUAL CONSULTATION WITH A DOCTOR BUT IS A STARTING POINT FOR YOUR OWN RESEARCH.
