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The Birthplace Blog

Filtering by Category: Infertility

The Birthplace Tales: Double Lines and Double Celebrations

The Birthplace

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Gunjan and Yash’s first chapter in having twins and how it all began at the Birthplace...

Blaring TVs are suddenly replaced by cute babbles; toys and mini-sized clothes occupy almost every corner of the house. From their first smiles to their oh-so-adorable sneezes, everything they do warrants being frozen in time. Phone galleries brim with their photos and their giggles just ripple through your heart - having children is one of the most beautiful experiences and motherhood, an absolute blessing.

Suhaani and Yuvaan are now 18 months old - their laughter pierces through the silence of the room, reflecting in the eyes of their parents - Gunjan and Yash. Their lives have got a new meaning ever since these two little ones have made their way into their lives. But, having them wasn’t easy - to hold them for the first time in their arms, both Gunjan and Yash had to cross several hurdles. Yet, here they are now, happier than ever before, their life full of cute cuddles and adorable stories.

With very intense maternal instincts, Gunjan Nolkha knew for sure how much she wanted to experience the bliss of motherhood. So, at 33, when she couldn’t conceive naturally, she was determined to utilise the advancements of medicine to its optimal best. But, what’s all the medicine worth without the touch of an excellent doctor? When Gunjan had shared her desire to consult with a good doctor, one of her friends had referred her to Dr Pratibha Narayan, an experienced senior gynecologist and a high risk pregnancy expert at the Birthplace.

With a heart full of hope and eyes full of dreams, Gunjan and Yash first met Dr Pratibha to discuss their issues and understand what their next steps would be. After a thorough examination as is the standard procedure at the Birthplace, Dr Pratibha’s recommendation for Gunjan was for her to go through a couple of cycles of IUI (Intrauterine Insemination) to check the response and chart further treatment plans.

What Exactly Is An IUI?

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.  To know more or to meet Dr. Pratibha, please call 040-45208108.

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.

To know more or to meet Dr. Pratibha, please call 040-45208108.

There can be several reasons why a woman can’t conceive. It could either be because of the partner’s low sperm count or lower sperm mobility, or because of fertility issues in the woman. This could include several factors like the eggs not getting fertilised, or conditions of the uterus like having a hostile environment, endometriosis or even a scar tissue from a previous treatment or procedure. Sometimes, the causes of infertility remain undermined.

 In Gunjan’s case, Dr Pratibha wanted to initiate the process of IUI, in which sperm is placed in the uterus through a catheter. To begin the procedure, many women are asked to take ovulation inducing medicines and are then monitored to track the maturing of the eggs. As soon as the lady experiences a surge in the LH hormone, indicating that ovulation is around the corner, the procedure of IUI is then performed.

 With the goal of helping her eggs get fertilised, Dr Pratibha administered a couple of rounds of IUI to Gunjan, because this is one of the least invasive treatments for infertility and causes minimal discomfort.

What Happened Next

Even though the success rates of IUI are as much as 20% per cycle, in this case, the eggs have to get fertilised on their own. When that didn’t happen in Gunjan’s case, Dr Pratibha swiftly moved on to the next course of plan.

 The next part of the treatment procedure was to go for IVF or In-Vitro Fertilization. This is one of the most popular forms of assisted reproductive techniques that involves gathering matured eggs from the woman and sperm from the man and helping the sperm fertilise the eggs in a controlled environment inside a lab.

 Once that happens, depending on the patient, a number of these fertilised eggs are transferred to the lady’s uterus, monitoring her developments closely. If one or more of these eggs attach themselves to the lining of the uterus, the procedure is successful and the lady conceives.

Two Lines Of Joy!

Gunjan is a firm believer of will-power. She says that the processes of artificial reproduction are tiring, painful and very uncomfortable, but having the determination to become a mother, alongwith the unwavering support from Yash held her through the arduous journey. That said, she says she cannot thank Dr Pratibha enough. When Dr Pratibha realised that IUI wasn’t going to be of great help, she immediately pulled the plug at the right time and advised the couple to go for IVF, unlike many other doctors who keep dragging the process, causing inexplicable amounts of discomfort to the patient, which leaves them very disheartened.

Would You Like To Schedule An Appointment?

 However, thanks to the timely suggestion by Dr Pratibha, the miracle of modern day medicine brought about two glorious lines on the home pregnancy test, something that Gunjan and Yash had been praying so hard for! But then, they were in for a bit of a surprise.

 Of the several fertilised eggs that had been implanted into Gunjan’s womb, four of them had attached themselves to her uterus! While the joys of being pregnant had been immense, yet, knowing that she had four babies inside of her was, well, slightly unexpected and quite challenging to digest. With inputs from Dr Pratibha and in the interests of the couple, Gunjan went through the process of reduction, all set to welcome a pair of twins in the next nine months.

 Ask how the feeling of having twins was and the one word in which Gunjan would describe it would be - interesting!

Onto Parenthood

Gunjan and Yash had been to several other doctors before consulting with Dr Pratibha, but it was with her that they had finally found the comfort and right medical advice. With the expertise and warmth of Dr Pratibha to guide them through the nine months of pregnancy that Gunjan says she absolutely enjoyed, the next blog will talk about all the things that Gunjan and Yash experienced during this beautiful phase and Dr Pratibha take on the case.

 Keep reading!

Counter the Challenges of Ageing Ovaries in Young Women!

The Birthplace


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Inability to get pregnant, somehow always springs nasty surprises. Sample this…What if you were told that though you are young…..you have OLD eggs and that you need to borrow some from another donor so that you may be a mother!! Bizarre as it may sound, this too happens thereby prolonging the agony of any family in the making. The field of infertility poses many challenges every day, but the sweet success achieved somehow makes the journey worth it. In recent times, it is not uncommon to come across young women, trying to conceive and planning their first pregnancy, being diagnosed with decreased ovarian reserve. In other words, even though these women are young but have aged ovaries with very few eggs. 

Dr. C Jyothi is a fertility expert and ADV.ART Specialist (Dubai) with an M.S in Reproductive Medicine (UK), D.GO.MRCOG(London), and DIP-ART(Germany). She is also the Founder and Managing Director of a very reputed fertility clinic in the twin cities. Coming with over 15 years experience as a specialist in the field of fertility, Dr. Jyothi is known for her focus on optimising pregnancy rate and quality care using international standards, while keeping the treatment easy and cost-effective  To know more or to meet Dr. Jyothi, please call 040-45208108. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. C Jyothi is a fertility expert and ADV.ART Specialist (Dubai) with an M.S in Reproductive Medicine (UK), D.GO.MRCOG(London), and DIP-ART(Germany). She is also the Founder and Managing Director of a very reputed fertility clinic in the twin cities. Coming with over 15 years experience as a specialist in the field of fertility, Dr. Jyothi is known for her focus on optimising pregnancy rate and quality care using international standards, while keeping the treatment easy and cost-effective

To know more or to meet Dr. Jyothi, please call 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Causes 

The known causes for diminished ovarian reserve could be inherent genetic factors, previous surgeries, radiation exposure and environmental factors. But in some women, it may not be possible to establish a definitive cause for decreased egg numbers. The condition comes in as a harsh reality for the woman, who has been trying to get pregnant. We encountered such a lady with diminished ovarian reserve at our clinic. She had been advised to go for donor Oocyte for conception elsewhere before she came to us. But the lady was very keen to try with her own eggs. After discussing her condition in detail, she was counselled about the pros and cons of trying IVF with her own Oocyte.

Treatment

A novel treatment protocol called double stimulation was started for her. Herein, the follicles are stimulated and Oocyte is obtained twice within a single menstrual cycle. The idea is to pool maximum number of embryos as early as possible. This lady got three eggs in two back to back stimulations within a single menstrual cycle and 3 embryos were formed. The embryos were then transferred in a frozen cycle. The lady conceived in the first cycle itself. Today she is a happy mother with her own genetic child.

Frequently asked questions for common disorders:

A lady aged 25 years married for 3 years trying for pregnancy since 2 years asked “I have PCOS. How can I conceive.”? 

PCOS is a treatable cause of infertility and is associated with ‘Anovulation’. So you can get your hormonal profile checked and then doctors can induce ovulation with the help of medication/injection and when your egg reaches adequate size, they can proceed for procedures like IUI which will lead to a positive result.

Looking for one-on-one counselling?

A patient aged 34yrs, married for 6 years asked “I have got my semen analysis done few months back and my sperm count is zero. How can I have my own genetic baby”?

These days there are procedures such as TESE/TESA available through which your sperms are procured and thereafter IVF-ICSI can be performed by which you can have your own genetic baby.

Do you have more queries as such or have you been advised fertility treatment? Come visit Dr. Jyothi C at the Birthplace today!


Surviving the Roller Coaster of Infertility

The Birthplace

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Whether you’ve always dreamed of being a parent or started to yearn for a baby later in life, having a child of your own can be a roller-coaster ride of emotions, and this is particularly true when you struggle with infertility and all that it entails. Having spent a lot of time with couples on their journey to have a baby, I thought that it would be helpful to note my observations on how it impacts your relationships and how you can be supportive of your spouse on this journey and trust the clinical aspects to a fertility expert who has delivered positive results in coping with this issue.

How Infertility Affects Your Marriage

Even the most solid, loving marriage can suffer when infertility raises its ugly head. Neha and Ankur are a couple that were often admired by many of their friends due to their caring relationship. At first, they started to question which party was "defective." Once the tests indicated that Neha was the one with the fertility problem, Ankur felt guilty, but deep inside, he was secretly relieved it wasn't his fault.

Over time, couples typically unite in their efforts to do whatever it takes to create a new life together, but after months, and sometimes years, of having sex on a rigid timetable, the romance may fade. The lack of spontaneity — having intercourse whether they are in the mood or not — the stress, financial burdens and medical interventions all start to take a toll on an otherwise happy marriage.

Frequent communication is the key to holding your marriage together through this journey. Openly sharing your frustrations with each other helps heal the emotional wounds that may otherwise fester. Talk with a trusted friend or relative about your struggles and frustrations. This is a wise way to gain a fresh perspective and to receive encouragement.

Dr. Samatha Kumar, is a senior gynecologist at the Birthplace with more than 11 years of experience, specializing in infertility, multiple births, and high-risk pregnancies.  To know more or to meet Dr. Samatha, please call 040-45208108. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Samatha Kumar, is a senior gynecologist at the Birthplace with more than 11 years of experience, specializing in infertility, multiple births, and high-risk pregnancies.

To know more or to meet Dr. Samatha, please call 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Your Other Relationships

Suchitra and Pavan found themselves avoiding certain situations. They would make an excuse not to attend a child’s birthday party or an occasion where they needed to support their nieces and nephews in their school events. They found excuses to avoid attending baby showers and going to the park, zoo or other places where they often saw young families. It hurt them both emotionally to be around happy families and their adorable children.

They started considering all the joy they were missing by isolating themselves. They resolved to enjoy life fully by being the best aunt or uncle they could be and to be a caring adult in the children’s lives of their friends.

Don’t ever force yourself to go to a gathering with small children if you aren’t feeling strong emotionally. It’s perfectly understandable to sometimes say no, but it shouldn’t become a habit. Cut yourself some slack; if you need to buy a gift for a baby shower, new parents or a small child, ask one of your friends to pick up something for you, or shop online. This prevents you from being bombarded by beautiful infant clothes, bedding and other child-centered gifts.

Coping with the Never-Ending Questions

Khusboo and Prashant became weary when simple curiosity made the people in their lives ask when they were going to start a family. After discussing this with a close family friend they gained a new perspective. They learned that this subject is often a way to make conversation and wasn't meant to make them feel inadequate. Nevertheless, to both of them it seemed as if the person was implying that they didn't want to have children, and if so, “Why not?”

You may be tempted to tell your acquaintances all your intimate secrets and regale them with stories that show how hard you've tried to have a baby. This isn’t necessarily a wise option. If you don’t want to hear the question, “Well, do you have exciting news to share?” every single month, then don’t confide in them. If you don’t want their constant and unsolicited advice, keep this matter to yourself.

The best answer is a simple one, such as “You'll be the first to know” or “That’s a question I don't feel like discussing.” The choice is yours; you don't have to answer a question that is no one else's business.

Clinical Options

Looking for one-on-one counselling?

90% of couples conceive within twelve months of unprotected sex. If you are concerned that you have not conceived yet, it may then be a good idea to seek the counsel of an expert who can provide you with appropriate options.

Couples having trouble conceiving may increase their chances of getting pregnant through assisted fertility techniques. Causes of infertility in women can include endometriosis, pelvic inflammatory disease, hormonal imbalance, problems with ovulation, tubal dysfunction, hostile cervical mucus or idiopathic causes (unknown cause).

Fertility treatment can be quite expensive, so, it may be a wise idea that you explore all the avenues possible before spending a huge amount, which may not be necessary. Surgery may be an answer if you are suffering from Endometriosis, PCOS, or fibroids. On the other hand, fertility drugs may be all you need to become pregnant within few months.

Other alternatives include in vitro fertilization, intrauterine insemination, and intracytoplasmic sperm injection. Obtaining donor eggs and embryos, having a gestational surrogacy or a gamete intrafallopian transfer are other effective ways to become parents.

For women with blocked fallopian tubes or unexplained infertility, the best treatment is IVF. For men with low sperm counts, ICSI, a specialized form of IVF where an individual sperm is injected directly into the egg, is usually recommended.

Some couples forego expensive testing and treatments because they simply want to become parents, and it doesn’t matter if the baby is their biological child; instead, they opt for adoption or become foster parents to many children.

Whatever way you and your spouse choose to become parents is a personal and heartfelt decision, and the result is a gift that lasts a lifetime!

Note: Although the names have been changed to protect the privacy of the couples, rest assured that these are real stories and common experiences for those on the roller coaster ride of infertility.