Ferty9 Fertility Center Dr Mounika Advices about Infertility in Male & Female & IVF Treatment |hmtv
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Ferty9 Fertility Center Dr Mounika Advices about Infertility in Male & Female & IVF Treatment |hmtv
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Hello Welcome to the Life Path of Karikraman
The Itiwalai Mahilalo Yekhoga Ibbandi Padatuna Problem Solution
This is a big problem that has become a cause of great concern
Yekho Mandi Mahilalo Santanalemiti Karanam Hothuna Thyroid Additional Problems PCOD
Pelopian Tubeslo Lopalu Tadithara Amsalapa
The 59th Santana Safalyata Kendram Dr Monika Garu Manatha
Hello Doctor Hello Nandini
Doctor recently many people have been suffering from Santanalemi
It has become a common problem for everyone
If we look into it what is IVF Who gets IVF When do they get IVF
In Vitro Fertilization is the full form of
IVF When broken down it is referred to as In Vitro Fertilization
This is what happens outside our body We call it In Vitro Fertilization
That is why we call it IVF
In our common language IVF is also known as a Test Tube Baby
What happens in this treatment is that in a woman 's
pregnancy one egg is separated out every month
But in the form of IVF we give her small injections on a daily basis to increase
the number of eggs When the number of eggs is more than the ordinary number
When the size is nearly 17-18 mm we inject the
woman and remove the eggs through the vaginal route
On the day of delivery the husband should also provide the fetal samples at the center
We check the maturity of the eggs and carefully select the best ones to inject
After that we take the fertilized eggs and place them in an incubator
The incubator provides an environment similar to that of pregnancy
In that environment the fertilized egg should move
forward A fertilized egg should form at least until day 3 or day 5
The fertilized egg is transferred to the woman's womb at the appropriate time
This is called IVF treatment
Simply put we perform all the natural steps in the
body inside a tube in the laboratory This is called IVF
Let's call Raju from Kakinada
Hello Raju please let the
doctor know about your problem
Raju please move away from the TV and speak
Okay doctor
Does everyone with infertility need IVF
No doctor
There are some absolute and some relative indications for IVF treatment
Absolute indications suggest that these couples are unable to try any other treatment besides IVF
If any of the women have blocked tubes on either side due to infection
or if they had to remove the tubes due to any complications during the surgery
in such cases due to the absence of a tube
Natural pregnancy or even small treatments like IUI
are not suitable for them In such cases they have to go for IVF treatment
The second indication is that husbands with very low fetal counts
the normal range should be more than 15 million per milliliter
Even if the grey zone is between 10 and 15 million we will try small treatments
But IVF is suitable for those with very low counts even if they are very active
Relative indications are unexplained infertility Many couples nowadays try with tablets
try IUI treatments In ladies everything is
fine there are no problems the tubes are open
The egg is properly hatched every month
In the same way even in the
husbands the semen test is normal Even then they are not able to achieve pregnancy
So in such cases because IUI treatments are also failing one after another
they have to go for IVF treatment there
can be perfect and absolute indications
Or some people go through IVF because small treatments have not been successful
Right doctor if IVF is cut will they definitely get pregnant
IVF treatment has a success rate
First after the uterus is created we create the uterus for the woman
The uterus has the right thickness and pattern and on the day when
blood flow is good we thaw the embryo and transfer it to the uterus
Immediately after the transfer we do not know whether the result is positive or negative
From the day we transfer approximately two weeks later a date is given
On that date they have to come and change the blood test
In this blood test we can tell if the tube is attached or not
So the chances of the tube being attached the success rates usually
range between 50-55% It does not have to be consistent every month
But on average success rates vary between 50-55% in most centers
Now can we further increase this success rate
Furthermore there are certain techniques
Some people test the prepared tube
After checking whether it is genuinely normal or not
They transfer the genuinely normal embryo
Otherwise there are certain genes in the uterus
No matter how good the embryo is some people get negative results even if they do it repeatedly
Even if the embryo is of a good grade if it fails 2 3 or 4 times in
a row there can be a
problem with the embryo each time
There can also be an issue in the uterus
So we study the genes in the uterus that play a role in attaching the embryo
We call that test an error
So by doing this error test we can increase the success rate by another 10-15%
Unfortunately IVF does not have a 100% success rate
But if we compare it with a natural test
when a husband and wife perform a natural test
There is a less than 10% success rate per month after 1 to 2 years of marriage
So if we compare it with that IVF will give us a six to seven times higher chance
Dr Ananthapuram is on the line
Hello Mr Raju Hello
Please let the doctor know about your
problem Okay
Tell me sir
Ma'am I've had a hernia twice
That's all ma'am Did you
have the hernia
surgery No My
wife had it Your wife
had it What kind of hernia was it
Is it an inguinal hernia
It's an abdominal hernia
Okay
An umbilical hernia is an umbilical hernia
There are rectus muscles in the
abdomen When the rectus muscles are not
strong or when we lift heavy weights
or when we have a chronic cough
or when the intra-abdominal pressure is high
or when the muscles are weak a small
defect is formed and the contents inside
bulge out When we lift heavy objects
Usually general surgeons will handle this
issue They will perform a small
scan and check the size of the defect They will examine the contents that are bulging out
An umbilical hernia has nothing to do with being unable to get pregnant
An umbilical hernia can be treated with a minor procedure They will
advise you to perform some exercises
There is nothing to worry about
An umbilical hernia has nothing to do with
infertility Even if the hernia is repaired twice
There is nothing to worry about getting
pregnant Let's talk to Dr Krishna from Hyderabad
Hello Mr Krishna
Please let him know about your problem
Hello
ma'am
Hello ma'am
sir Tell me
Hello ma'am
Tell me
My wife
is pregnant
ma'am Okay She
is pregnant
Did you take
her to any hospital
Yes ma'am We took
her to Bangalore
Hospital Okay Were
all the tests
positive
All the tests
were positive ma' am Okay
Morphology
was positive
What is the percentage
of morphology ma'am
3% ma'am
3% okay
Are the 5D scans and tubes open ma'am
Yes ma'am Is
there PCOD
Okay Even if there is a
PCOD issue the
periods may
be regular or irregular
The PCOD is determined by the picture in the scan If the
periods are irregular you can
take tablets for basic treatment
You can monitor whether an egg has developed or not
You can consult the doctor at the best time
Now coming to semen analysis you
said that morphology is 3% The rest
of them are in the normal range Normal
morphology should be 4% and above
according to the normal parameters
But isolated teratospermia
which means that the counts are good
and the movement percentage is normal
there is a small amount of discrepancy in normal forms
It is not a major issue I won't say that
isolated teratospermia needs treatment
or that a treatment plan should be
changed If you try lifestyle interventions
like avoiding non-vegetarian food
alcohol smoking and other habits
I think pregnancy is possible
Right doctor You said that the
success rate in IVF has increased What are the
precautions to take for this In IVF
treatment there are two types of precautions
Clinician and couple should be taken
First from the clinician's side
the weight of the clinician
their body mass index their
height
The number of dose injections given to them
the optimum response
the proper monitoring in
scans the correct time to trigger and pick up
all these are taken care of by the clinician
Now moving on to the couple 's
side they will definitely
ask what they should do to increase the success rate
First thing if possible
exercises and weight reduction
will be advised especially if
they are overweight or obese
Second during the time of injections it
is better if husband and wife do not meet Because
the size of the under shell increases So
suddenly during the time of sexual activity
There is a chance of
overeating abdominal
pain Therefore it is advisable not
to meet Similarly if the husband provides
a sample directly on the day of pickup
It will be a
very old sample So
it is advisable for the husband to discard the sample once in 3 or 4
days by masturbation
Another thing they should
avoid eating outside
food and avoid infections
Third some people ask
for injections at home It may be difficult to
come to the center every
day In such a situation
The injections are temperature controlled If
they are kept at room
temperature the potency will
be lost So you should maintain these injections in the fridge in any
compartment at any temperature
There should also be a power
backup Because when the power is cut
even if it is exposed for a few hours
The costly injection potency
will be lost When you
take the injection you
should check the expiry date who
is administering the injection and if it is
administered correctly You
should take these precautions
For the IVF
cycle to be successful
Doctor what is the difference
between IVF and ICSI What is the difference
Many of the centers are doing this now
ICSI stands for
Intracytoplasmic Sperm Injection
When we take the eggs from a woman
we keep the eggs in a dish
and the husband also gives a sample on the same
day we process that sample
and keep it in a dish
Traditionally many decades
ago they would take
the eggs directly and keep them in a dish of sperm and leave them
overnight The next morning
they would come and check the fertilization
This is IVF Now a step further in
IVF what we are
doing now is we are
taking the eggs and picking the
sperms and injecting
the sperms inside
That is called ICSI
Who needs ICSI
Everyone
Nowadays most centers
are performing ICSI for most cases
But the ideal indication is ICSI
In the previous cycle everything was
fine But in the
following day there was a
total fertilization
failure So ICSI should be offered to
those who have this problem
Secondly the number of canals is less than
5 million
The number of canals is
very small In that small dish
When the eggs are placed so close to the
sperm the sperm travel
that small distance
and cannot enter
the egg No chemical
reaction is happening Even then when we do ICSI
We facilitate this method
To perform ICSI
we need a machine
So most of the
centers are doing ICSI
Doctor can we do IVF to
reduce the number of eggs
Ladies are born with a fixed
number of eggs
As our age
is increasing the number of eggs is increasing Every day the number of eggs
is decreasing Everyone thinks that every
month one egg increases
and one egg decreases
But many eggs die
on a daily basis
When ovarian activity stops
menopause
occurs Periods stop completely
But in men new canals are formed
Almost every 70 odd
days a new batch
of sperms is produced But this is not the
case with ladies That is why we say that it is ideal for ladies
To plan their pregnancies early
The reason is that even after
35 years the
number of eggs decreases rapidly
and the quality
declines Even after 35 years
The success rate is
5-10% This is because due to the decrease in the quality of eggs
the ovaries are not formed properly
Even after the ovaries are formed
There are chances of genetic defects
in the age group Even after 35 years the
success rate is lower
in small treatments
That is why we prefer IVF treatment
What we do in IVF is address these small
problems like not being able to enter the
egg tube or not being able to reach
the ovary or even after
reaching the ovary
The ovaries are
not formed properly We are not able to see all these things even with
modern technology That
is why we bypass all
the events in the ovary
and in IVF treatment
If we can create an ovary
in the lab the success
rate will increase a
lot Doctor what is the reason for
the decrease in the number of eggs
Eggs are called
atresia or apoptosis
After every egg is
born the number of
eggs have to mature in a chain of events Finally when
a graphene follicle
Or a dominant follicle reaches 20 mm
outside the follicle
the egg is ruptured and
released In this
situation due to major
abnormalities or slight
insults many eggs die
Most of the normal
eggs are recruited
and move forward This is due to age
concerns There can be other reasons
for the decrease in
the number of eggs
One factor is endometriosis
If an ovary is formed
the blood is collected locally
and the environment is very harmful Due
to this the eggs die
Teenage girls
who are diagnosed
Patients with ovarian
cancer undergo chemotherapy
and radiotherapy We
see that the eggs die
before time Another
thing is PCOD Many PCOD
patients undergo
laparoscopic ovarian drilling
We apply laser
energy to drill
3-4 holes in the ovaries The
laser energy spreads laterally
and kills some
of the normal eggs
Many such factors lead to
the decrease in egg numbers
Hello Mr Venkatesh
Hello ma'am It's been
15 years since
I got married I have been
married for 15 years
I have been married for 10 years I don't have any children
I am
still single I have two children
He is my only son
He has many other children
He is not a doctor He goes to the hospital
For a check-up I am from Kambam village I have been living in Kambam for the past 15 years
I have been living in Kambam for the past 15 years
Our Tyugontlu Poblamundi is a medicine for our few and our prattengaa and our polstengaa and our pethvagi and our pradhikindhi maxtindi makh
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Did the previous one end
