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FAQ Recurrent Miscarriages

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    How common is the problem? Recurrent miscarriages affects 1-2 percent of reproductive age women. However in India the prevalence is 7.4%. Researchers have been intrigued by the complexity of the factors causing it and treatment that may help to prevent or manage it. It is important for clinicians to be updated with the evolving investigations and evidence based treatment options to mange couples with recurrent miscarriages. What is the Definition of Recurrent miscarriages? ESHRE/ RCOG/ASRM/MOHFW : Depending upon the gestation of viability and epidemiological data each society has different definition of Miscarriage and RM (Recurrent Miscarriages) GDG of ESHRE Defines : A pregnancy loss is defined as the spontaneous demise of a pregnancy before the fetus reaches viability. The term therefore includes all pregnancy losses from the time of conception until 24 weeks of gestation. The term Recurrent Pregnancy Loss for two or more pregnancy loss and to reserve ‘re...

Low Sperm Count

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  Are You Having Infertility? What is low sperm count? Low sperm count is the term used to define the condition when men have fewer than 15 million sperm per milliliter of semen when compared with normal. It is also called oligospermia. Having a low sperm count reduces the chances of pregnancy. However, many males that have a low sperm count but are still in a position to father a baby as sperm count varies in men. Have you been diagnosed with no sperm count? No sperm count is the term used to define the condition when men have complete absence of spermatozoa in the ejaculate even though they may be producing sperm. It is also called azoospermia and is associated with infertility. In humans, azoospermia affects nearly 1% of the male population and may be seen in up to 20% of male infertility situations. When sperm cannot move through a man’s genital tract because of any obstruction, or if there is a mechanical problem with them getting to where they need to be, sper...

Poor Ovarian Reserve

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  Are You Having Infertility? Have you been Diagnosed with Low Egg Count? What do we understand by the term ovarian reserve? Ovarian reserve is a theoretical concept. As a practical matter, it refers to the ease at which an individual’s ovaries can be successfully stimulated with fertility drugs. It indicates quantity and quality of oocytes in women of reproductive age group. The single most consistent variable affecting ovarian reserve is the woman’s age. This is because a woman is born with all the eggs she will ever have. In most women majority of the eggs are genetically normal or balanced. However, there will be some that are genetically abnormal or unbalanced. It appears that the best eggs are ovulated first. The older a woman is, the fewer genetically balanced eggs she has left to respond to fertility drugs. This age relationship holds true even in the fertile population. What does a decreased ovarian reserve mean? It indicates a reduction in quantity ...

Sperm Donation

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  Are You Having Infertility ? Have you been diagnosed with no sperm count? What do we understand by the term sperm donation? Sperm donation is the process by which a man, known as a sperm donor donates his semen to a recipient via ART semen bank with the intention that it be used to achieve a pregnancy and produce a baby in a woman who is not the man’s sexual partner. Sperm donation is a means of third party reproduction. Who can opt for donor semen IUI or ART cycle? The male partner has azoospermia, severe oligospermia, or other significant sperm or seminal fluid abnormalities. The male partner has ejaculatory dysfunction. In assisted reproductive technologies ( in vitro fertilization , gamete intrafallopian transfer, zygote intrafallopian transfer), the male partner demonstrates significant male factor infertility (i.e., previous failure to fertilize, significant oligoasthenospermia, male immunologic infertility) and in vitro fertilization ( IVF ) with intracytoplasmic...

Do you need Ovarian Cortex Freezing to preserve fertility in cancer?

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  Have you been advised ovarian cortex freezing? What is Fertility Preservation? Fertility preservation is an effort of preserving eggs, embryos, and sperms of individuals who have been diagnosed with cancer or are preparing to undergo treatment, so that they can have children in the future. This method allows these individuals to remain potentially capable of having children once the treatment is complete. Have you been advised chemo and radiation therapy? Ovarian follicles are vulnerable to agents that lead to DNA damage, including ionizing radiation and chemotherapy, at any age. Such anticancer treatments lead to a reduction in the ovarian follicle reserve in a dose-dependent manner, and can eventually cause amenorrhea and premature ovarian failure. Alternatively, there could be the occurrence of partial ovarian injury, in which the reduction in primordial follicle stockpiles is manifested by infertility along with a shortened reproductive lifespan despite the...

Have you been Diagnosed with Blocked Tubes

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  Have you been advised IVF? Are you under stress and confused? What is hydrosalpinx / Blocked Tubes Diagnosis? Every month during ovulation, an egg is produced by one of the ovaries. The mature egg is carried from the ovary to the uterus through a thin oviduct or fallopian tube . When a blockage prevents the egg from traveling down the tube then the woman is having blocked fallopian tube, also known as tubal factor infertility or hydrosalpinx. This can occur on one or both sides. How does hydrosalpinx look on ultrasound? Hydrosalpinx simplex is characterized by excessive distension and thinning of the wall of the uterine tube, the plicae being few and widely separated. Hydrosalpinx follicularis : A tube without any central cystic cavity , the lumen being broken up into compartments as the result of the fusion of the tubal plicae. Sactosalpinx : Dilation of the inflamed uterine tube by retained secretions [saktos = stuffed). What are the causes of hydrosalpinx? Hydrosal...

Are you thinking about social egg freezing?

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  What is Social Egg freezing? Egg freezing can be beneficial for women who wish to preserve their fertility for the future, whether this be because they want to focus on their career, have been diagnosed with an illness or are doing so for religious or moral reasons. How much is natural egg reserve in a Woman? Women are born with two ovaries, each containing resting eggs or follicles. Every woman is born with a set amount of eggs. At 20 weeks gestation, a woman has about 6 million eggs, the most eggs she will ever have in her lifetime. At birth, she will lose approximately half of her eggs, and by the time she reaches puberty, she has only about 200,000 eggs left in her ovaries. During a menstrual cycle, one egg matures while the remaining eggs that are present that month degenerate. When should I freeze my eggs? Ideally, eggs should be frozen when a woman is in her twenties; her prime reproductive years. However, this isn’t always the case, as many women ar...