FAQ…Frequently Asked Questions…

Q1.How to choose your Gynaecologist?

Ans: A important factor is would you be comfortable with a male gynaecologist or would you prefer a lady gynaecologist?Also the experience(Number of years of practise) can be taken into account before choosing your gynaecologist.Another thing is availability of the doctor.

(Dr (Mrs)Priti Vyas MD is in practise for more than 19 years and lives very close to the clinic)

 

Q2.How should I choose my place of delivery – do I need a Tertiary care center or is a nursing home good enough?

Ans: In most cases a nursing home is good enough.Tertiary care centre is required only if you have serious medical complications like Heart disease,bleeding disorders etc.Most women in India deliver at home,therefore to have a qualified gynaecologist with a pediatrician attending your delivery is more than adequate.

(Dr Priti Vyas is affiliated to some of the largest tertiary care hospitals in western suburbas of mumbai eg.Nanavati Superspeciality Hospital,Surya Mother n childcare,Seven hills hospital and BSES MG Global hospital)

Q3.Will my husband be able to stand with me during my delivery?

Ans.Ofcourse yes!But he should not faint at the sight of the blood!!

Q4.Do I need to do stem cell banking or cord blood storage for my baby?

Ans:It depends on you.If you can afford it and feel like doing then you can go ahead and do it.We do not recommend any particular company.

Q5.What kind of surgeries do you perform at your center?

Ans: We perform C-section,Hysterectomies, Cystectomies, Myomectomies, Laparoscopic hysterectomies, Lap.Myomectomies /Cystectomies, D&C,MTP,Hysteroscopy, Tubal ligation and all kinds of gynaecological surgeries.

 Q6.Since how many years is the nursing home in existence?

Ans.Since 1971.We have completed more than 45 distinguished years of service to the community.The institute was started by Dr Avinash Vyas.

FAQs on Infertility & IVF

1.How long should women try to get pregnant before calling their doctor?

A woman or a couple who is trying for pregnancy should consult their doctor once before trying so as to be sure that there is no major pathology that is missed out and the necessary tests and investigations are carried out, the right medicines and supplements are started before pregnancy .

Elderly(35yrs and above) should try for maximum  6 to 8 months and then meet the gynaecologist.

Young  can try for a  year before consulting the doctor. Also if there is any major medical problem then doctor should be consulted sooner.

2.What is assisted reproductive technology [ART]?

Assisted reproductive technology (ART) is the technology used to achieve pregnancy using procedures such as fertility medication, (IUI) intra-uterine insemination, and (IVF)in-vitro fertilization. It is reproductive technology used primarily for infertility treatments, and is also known as fertility treatment.

3.How often is assisted reproductive technology [ART] successful?

Depending upon a lot of factors like, Age ,co-morbidities, medical and surgical factor, IUI has a success rate of – 15 – 20%  and IVF has a success rate of – 40-50 % per cycle .

4.What are different types of assisted reproductive technology?

In Vitro Fertilization (IVF)

In Vitro Fertilization is the most common ART available today. IVF is where a woman’s eggs are combined with a man’s sperm in a laboratory. After the embryos are fertilized, they are placed back inside the woman’s uterus.

ICSI

ICSI is short for Intracytoplasmic Sperm Injection, and it is most commonly used for couples with serious problems with the man’s sperm. In ICSI, only a single sperm is placed inside a mature egg. Then this embryo is implanted into the uterus or fallopian tube

Donor eggs

Donor Eggs in  ART are used when a woman’s eggs are not viable. An egg from another woman is mixed with the man’s sperm and the embryo is implanted in the uterus. If a man’s sperm is also not viable, this procedure can also be performed using donor sperm as well.

Surrogacy

Surrogacy is the process in which another woman carries a baby that is made from either your egg and your husband’s sperm, or donor egg and sperm. The surrogate is simply the carrier for the baby during pregnancy.

 

5.What is artificial insemination?

In artificial insemination, a doctor inserts sperm directly into a woman’s cervix, fallopian tubes, or uterus. The most common method is called “intrauterine insemination (IUI),” when a doctor places the sperm which have been processed and washed and concentrated in the uterus with the help of a small thin cannula.

6.What is In Vitro Fertilization or IVF?

In Vitro Fertilization is the most common ART available today. IVF is where a woman’s eggs are combined with a man’s sperm in a laboratory. After the embryos are fertilized, they are placed back inside the woman’s uterus.

 7.At what time of the month is a woman most fertile?

A woman is maximum fertile around ovulation.With a regular cycle of 28 days  woman is most fertile from day 12 to day 16 of the periods.

8.Are there any other ways to detect ovulation?

Ovulation can be detected through

  1. USG- Follicular scan
  2. Ovulation kit-from day 9 of cycle.

There are other methods such as basal body temperature charting and observing the mucus of the cervical secretions which are less commonly used .

9.What tests should our doctor perform?

Certain basic investigations are needed before any treatment is started for infertility. Investigations such as semen analysis for the husband and for  the wife – hormonal parameters- to rule out disorders of thyroid , pituitary and to know the fertility potential of the woman,  sonography ,  clinical examination are done . HSG and Laparoscopy  are advised for determining the status of the tubes , ovaries and uterus for any pathology such as blocks, adhesions or infections and endometriosis. During these surgeries if there is a pathology found the same may be corrected at the same sitting or in a subsequent surgery .

10.How is semen analysis done?

Semen analysis is done by observing abstinence for three days and then the sample should be collected in the laboratory  by masturbation.

11.What about smoking and drinking alcohol and caffeine?

Smoking, tobacco, nicotine in any form reduces sperm count and motility.

Long term alcohol consumption can cause reduction of sexual urges, can affect the hormones and can also  affect the ability of having sex.

12.Are hot tubs really bad for a man?

Too much heat causes increased heat and blood circulation which affects sperm count and motility.

13.Will we need to see a specialist or can my gynaecologist provide infertility treatment?

A gynaecologist can treat infertility. However some gynaecologists do not offer IVF or IUI treatments and in that case they will refer you to the right person who does the same

14.Are there any risks associated with taking fertility medications? Can they increase a person’s risk of cancer?

Certain drugs can be given only for a limited period of time or number of cycles. Taking them beyond that would increase risk of ovarian cancer in woman. However, every case is individualized and it is better to discuss with the treating doctor.

15.Is surgery ever used to treat infertility?

Yes it can be used for treatment of various ailments.

For example:- Endometriosis , fibroid, ovarian cyst, adenomyosis, blockage of tube, Adhesions etc.

16.Can acupuncture help improve fertility?

Acupuncture can increase fertility by reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system, according to several studies and medical research. However, there is no randomized controlled trial proving the efficacy of acupunture over the standard treatment for infertility.

17.Should couples trying to conceive take herbal medications or vitamin supplements?

Only after consulting the treatment doctor. There are certain herbal medications and vitamin supplements which are not allowed while trying for pregnancy and can infact be harmful.

18.What is sperm donation?

Sperm donation is the provision (or “donation”) by a man (known as a sperm donor) of his sperm (known as donor sperm), principally for the purpose of artificially inseminating a female who is not his sexual partner. These sperms are stored in a sperm bank. The donor is checked for the common sexually transmitted diseases. The identity of the donor is kept confidential.

19.What is the meaning of egg donor?

Egg donation is the process by which a woman donates eggs to enable another woman to conceive as part of an assisted reproduction treatment or for biomedical research. … Egg donation is a third party reproduction as part of assisted reproductive technology (ART). The identity is kept confidential and the donor does not know who is using the eggs .

20.I am diabetic and if I undergo IVF, can this procedure secure my child from DM?

Diabetes is a hereditary disease and lifestyle disease. It can pass on from generations to generations. Doing an IVF cannot secure the baby from DM.

21.Will the identity of the donor be disclosed to us?

The profile of the donor will be disclosed,  but  meeting the donor is not allowed .Identity id never disclosed.