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The Birthplace Blog

Filtering by Category: Infertility

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.