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What is Infertility?

A couple trying to conceive through regular and unprotected intercourse for at least a year is termed as infertility.

What are the Causes of Infertility?

There are four requirements to get pregnant:
1. A sperm capable of fertilizing an egg (male factor)
2. An egg capable of being fertilized (ovulation)
3. Open passage to allow the egg and sperm to meet (tubo-peritoneal disease)
4. A uterus to nurture the developing pregnancy (uterine factors)
Failure of conception is the result of the failure of the meeting of the two cells: the egg and the sperm, their union and further development after implantation in the uterus. Hence the cause of inability to conceive could be in the male, in the female, in both or neither (unexplained). The number of couples facing infertility is increasing mainly as because of lifestyle and career oriented attitude.

How should be normal Female Reproductive System?

A woman usually produces a single follicle each month. The egg within the follicle is released during ovulation. After the egg is released from the ovary, the tubes pick up the egg and move it towards the womb (uterus). The movement of the tube and it's octopus like fimbrial end, helps in this process.
At the time of ovulation, if unprotected sexual intercourse happens, the sperm (from the male partner) moves upward into the womb and then enters the tube.
Egg and sperm meet within the tube. Fertilization then takes place within the tube and if it is successful the embryo is developed. The embryo then travels into the uterus (womb) and gets embedded in the cushy lining of the womb (which is called endometrium) and grows further.

How should be normal Male Reproductive System?

In men sperms are produced in the seminiferous tubules of the testes, from where they move to be matured and stored in the epididymis. This process takes three months to complete. During sexual intercourse the sperm leave the epididymis and travel through the vas deference where they are mixed with fluid secreted by various glands. This mixture of fluid and sperm is then deposited in the vagina of the female partner following ejaculation.

What are normal Requirements for fertility in the man?

• Normal production of sperms and
• Normal/Patent tubes carrying the sperms from the testis to the outside.
• Transmission of spermatozoa to vagina:
– Adequate sex drive
– Maintain erection
– Normal ejaculation
– Placement of ejaculate in vagina .

What are normal Requirements for fertility in the female?

• Adequate sexual drive, sexual function
• Regular ovulation
• Normal vagina, cervix, uterus, fallopian tubes and ovaries
• Normal physiology
• Normal immunologic responses to accommodate sperm, conceptus, and fetal survival
• Adequate chemical, nutritional, and health status to maintain nutrition and oxygenation of placenta and foetus. .

What are Fertility Tests?

To determine if the male partner has problems is easy. The basic test is to test the semen. If this is abnormal, more tests will be advised. However some additional tests will be done if fertility treatment is being considered.
To determine if the female partner has problems concerning ovulation, egg transport, fertilization or implantation, various tests may be administered based on the physician's examination and analysis. They include:
o Serum hormone testing
o Ultrasound
o Endometrial biopsy
o Hysterosalpingogram (HSG)
o Diagnostic laparoscopy
o Hysteroscopy

What is Recurrent Miscarriage?

When a woman suffers three or more miscarriages in a row, these are termed as recurrent miscarriages. Around one in every 100 women has recurrent miscarriages and can be due to various reasons. Investigations should be done to find answers on why the miscarriages occurred so that treatment options can be determined to improve likelihood of a successful pregnancy.
Diagnosis
To help determine the cause of miscarriages, your doctor may run the following tests:
• Anatomical Evaluation
• Hormonal Tests
• Genetic Tests
• Autoimmune Tests

What are the services available at Shivdikar Human Reproduction and Fertility Centre?

Shivdikar Clinic offers range of services under one roof ensuring that patients are required to visit only one site for all stages of their diagnosis and treatments.
Services at Shivdikar Human Reproduction and Fertility Centre
a. IN VITRO FERTILISATION
         a. Intrauterine Insemination
         b. In vitro Fertilisation (IVF)
         c. Intra Cytoplasmic Sperm Injection (ICSI)
         d. Minimal stimulation IVF
         e. Surgical Sperm retrieval
         f. Donor Egg program
         g. Sperm banking and donor sperm
         h. Embryo freezing
         i. Gestational Surrogacy
         j. Embryo donation
b. FERTILITY CLINIC
         a. Dilatation & curettage with endometrial biopsy
         b. Diagnostic laparoscopy with infertility related corrective surgery
         c. Hysteroscopy
c. Surgical Procedures
f. ART Bank
g. Counseling of Infertile couple
h. Ovulation Induction.

How do I reach Shivdikar Human Reproduction and Fertility Centre?

Shivdikar Human Reproduction
Dr. Ashok H. Shivdikar
Shivdikar Hospital & Fertility clinic
Shivdikar building No. 28-A, J.B. Road,
Opp. Shirodkar Market, Parel (East) Mumbai- 400 012
For further detail please refer to the map below:
The Journey to our clinic
• The Clinic is centrally located nearby Parel and Elphinstone railway station, just 1minute walk able distance from Parel and Elphinstone station
• Our Clinic is easily accessible by both public as well as private transport
• The clinic is a 30minutes drive from the Airport
• For outstation patients, accommodation can be arranged in the vicinity of the clinic, provided they are informed in advance
Contact No: 2416 9486/2415 6722/2413 6144.
Mobile No: 9821010184
Email address: shivdikarclinic@rediffmail.com
Website : drshivdikarivfcentre.com

 
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Dr. Ashok H. Shivdikar
Shivdikar Hospital & Fertility clinic
Shivdikar building No. 28-A, J.B. Road,
Opp. Shirodkar Market, Parel (East), Mumbai- 400 012

 
 
 
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