Infertility Specialist in Thane

Infertility evaluation

An infertility evaluation is a set of examinations and tests performed to attempt to determine the reason for infertility. This occurs when a woman is unable to conceive after having unprotected intercourse for a year. The eggs, sperm, fallopian tubes, and uterus are the four key sites that must be examined to determine the reason. To know more about Infertility evaluation consult our Infertility Specialist in Thane, Dr. Arohi Tasgaonkar.

High Risk pregnancy

The numerous tests carried out will fall into one of these categories. According to the survey, 40% of infertility cases are due to the male, 40% of infertility cases are due to the female, and 10% of cases are related to both couples. In the other 10% of instances, despite rigorous testing, no reason for infertility can be discovered, which is known as unexplained infertility. However, infertility may frequently be effectively treated even if no reason is established because of advances in medical research. For the initial testing it is important that both partners undergo the tests to carefully assess and identify the extent of the infertility problem.

Fertility Tests for Men

The penis, vas deferens, testes, and other parts of the male reproductive system will be examined physically.The fertility specialist will ask about medical history, lifestyle, and information regarding exposure to heavy metals/pesticides/radiation, among other things. The following tests are performed:

  • Semen Analysis: Used to determine sperm count, motility, shape, and other factors. Advanced sperm assays, such as the DNA Fragmentation Index and the Reactive Oxygen Species assay, may aid in the evaluation of instances of secondary and unexplained infertility.
  • Transrectal Ultrasound: Examines seminal vesicles, vas deferens, and other structures using high-resolution imaging.
  • Scrotal Ultrasound: Used to examine the scrotum; may also aid in the detection of any abnormalities in the testes.
  • Fertility assessment allows the fertility expert to determine the cause of infertility and develop a comprehensive and tailored fertility treatment plan.

Male infertility treatment methods

Surgery aids in the correction of a varicocele or the removal of obstructions, the reversal of vasectomies, and the recovery of sperm directly from the testicles or epididymis utilizing sperm retrieval procedures.

  • Intrauterine insemination (IUI): During ovulation, sperm is directly injected into the uterus. Generally, drugs are given to the woman initially in order to enhance the number of eggs.
  • In-vitro fertilization (IVF): This is the most widely used assisted reproductive technique. Multiple eggs are extracted from the female and combined with sperm. The eggs are then implanted in the uterus after fertilization.
  • Intracytoplasmic sperm injection (ICSI): This is a highly accurate method in which a single sperm is put into an egg using a small needle. The egg is placed in the uterus after fertilization. This treatment is often used when sperm levels are aberrant or very low.
  • PICSI: Physiological Intracytoplasmic Sperm Injection is an abbreviation for Intra-cytoplasmic Sperm Injection. When a man’s sperm count is very low, sperm motility is limited in some manner, or sperm is otherwise aberrant, PICSI is often employed. It entails selecting motile sperm for injection, but instead of just employing known approaches, it entails selecting mature sperm that adhere to hyaluronic acid. PICSI may result in better embryo quality, higher live birth rates, and lower miscarriage rates.
  • IMSI: Intracytoplasmic morphologically selected sperm injection is a variation of ICSI that uses a higher-powered microscope to select sperm. This enables the physicians to examine the sperm in more detail (including the nucleus, which contains the genetic material of the sperm). According to some research, this approach may choose superior quality sperm, resulting in greater pregnancy rates and reduced miscarriage rates when compared to standard intracytoplasmic sperm injection.

Fertility Tests for female

Following a comprehensive history and physical examination, blood and urine tests are performed to determine the level of reproductive hormones such as FSH, LH, Estradiol, AMH, and others. The following are some imaging methods that may be used to search for particular causes:

  • Ultrasound: Used to detect ovarian cysts and fibroids. Aids in understanding the location and size of the uterus, endometrial pattern, thickness, number of follicles in the ovaries, ovulation, and other reproductive issues.
  • Hysterosalpingogram: Used to determine whether the fallopian tubes are blocked.
  • Diagnostic hysterolaparoscopy: A procedure used to examine the pelvic region of women in order to detect and treat ovarian cysts, endometriosis, fibroids, uterine abnormalities, or any other condition that may influence fertility.

Female infertility treatment methods

  • Laparoscopy-Problems in terms of scar tissue, endometriosis, blocked tubes, ovarian cysts can be removed by using laparoscopy.
  • Hysteroscopy: A hysteroscope is inserted into your uterus via your cervix. This technique is often used to remove polyps and fibroid tumors, split scar tissue, and open blocked channels.
  • Medication: If there is a difficulty with ovulation, it is usually resolved with drugs such as clomiphene citrate, gonadotropins, or letrozole. Ovulation may be stimulated by gonadotropins. These medicines cause your ovaries to produce several eggs rather than the normal one egg each month. Gonadotropin is often used to treat “unexplained” infertility or when fertility therapies have failed to provide the intended results. It should be mentioned that you should only use drugs after consulting with your doctor.
  • Intrauterine insemination: In this process, semen is injected directly into your uterus after it has been washed with a specific solution. This is done throughout your ovulation cycle. It is often done in combination with your drugs, which aid in the release of an egg.
    IVF (in vitro fertilization): IVF is a set of medical techniques intended to aid with fertility or avoid genetic defects in order to help with child conception. In an IVF process, mature eggs are extracted from the ovaries and fertilized in a laboratory using sperm. The fertilized egg or eggs (depending on the scenario) are then placed in the uterus. A whole IVF cycle takes about three weeks. Because each instance is unique, these processes may be divided into various sections, causing the procedure to take longer.
  • ICSI (Intracytoplasmic Sperm Injection): Sperm is injected directly into an egg in a dish, and the fertilized egg is then implanted in your uterus.
  • GIFT (Gamete Intrafallopian Tube Transfer) and ZIFT (Zygote Intrafallopian Tube Transfer): These treatments are similar to IVF in that eggs are collected, combined with sperm in a lab, and then transferred into your body. Fertilized eggs are referred to as zygotes in ZIFT and are implanted within 24 hours. Before being delivered into your uterus, sperm and eggs are mixed in GIFT.
  • Egg donation is suitable for women who have a healthy uterus but a Malfunctioning ovary. In this process, eggs from a donor’s ovary are taken, and the fertilized egg is placed into your uterus following IVF.

For more information & consultation on Infertility Evaluation and Treatment in Thane, visit Complete Women’s Care at Ghodbunder road, Thane or contact us on 9833074977 or simply fill in your name and number & one of our team member will get in touch with you soon. Our team of experts along with Dr. Arohi Tasgaonkar, MS (ObGy), DNB (ObGy), and one of the best Infertility Specialist in Thane will help you out in understanding your problem and guide you through every stage of your treatment.