When a Couple should seek help of Infertility Specialist?
If a couple is unable to conceive in spite of one year of unprotected sexual contact, they should consult a qualified infertility specialist / Gynecologist

What are the Common cause of Childlessness?
Traditionally, in our society the blame of childlessness is always on wife. It is not true. Both Husband and Wife are responsible for making a baby so problem could be in either of partner or both. In Males, cause may be less number of sperm & poor quality sperm or nil sperms while in females, main reason are deficient egg formation, hormonal disturbances, blocked tube, endometriosis, Tuberculosis and other infections. Approximately 10-15 % of couples may show no obvious cause but are unable have a baby on their own.

Is the treatment of Infertility Expensive?
All infertility treatment need not to be very expensive and there are lots of simplified and cost effective treatments available which are employed to give a suitable outcome in most of the patient. However it is recommended to have baseline investigations so as to know the exact line of treatment. Only a small percentage of patients need to go for more expensive treatment like Test Tube Baby

What are the basic investigations before starting the treatment?
Before starting the treatment, we must know seminal parameters for male partner & Tubal Status, Ovulatory Status and Hormonal Profile of female partner. This helps us to decide the most cost effective line of management.

What are various options for Nil sperm in male partner?
It depends upon the cause, which can be known by few investigations. If it is due to less hormones than treatment is by medicines if the cause is flow obstruction than sperms can be retrieved surgically & used in IVF / ICSI ( Test Tube Babies). In case of damaged testes, no medicine or surgery helps. So we offer Frozen Donor Semen from Sperm Bank.

Is there any treatment for damages tubes ?
Treatment depends on nature and extent of damage. I will like to clarify that there is no medication for correcting tube damage. So if there is minimal damage, then by laparoscopic surgery, tubes can be opened and results are acceptable otherwise for tubal factor, we have to restore to Test Tube Baby.

What is laparoscopy?
 Laparoscopy (lap-a-ros-copee) is an examination of the interior of the abdomen by means of an instrument called a laparoscope (lap-a- ros-cope).A laparoscope is a small telescope-like instrument with a light on one end which is passed through a small incision below the navel. This allows the physician to view and examine the organs in the abdominal cavity
An instrument to move the uterus during surgery will be placed in the vagina. Carbon dioxide (CO2) is put into the abdomen through a special needle that is inserted just below the navel. This gas helps to separate the organs inside the abdominal cavity, making it easier for the physician to see the reproductive organs during laparoscopy. The gas is removed at the end of the procedure.

What is diagnostic laparoscopy?
A diagnostic laparoscopy is a procedure in which the laparoscopic surgeon uses a laparoscope, to look at the organs and tissues inside abdominal cavity.

What is laparoscopic surgery?
The laparoscopic surgery is a method by which surgery is done by making small incisions on the abdominal wall and inserting the instruments through specially designed ports. The procedure will be visualized with the help of a camera, which will also be introduced through one of these ports.

What are the advantages of this method?
In conventional surgery a long incision is made to gain entry into the abdominal cavity and operate. This result in increased post- operative pain, longer stay in hospital, delayed recovery, long and ugly scars, respiratory problems, higher chance of wound infection, higher chance of incisional hernia, delayed feeding after surgery. The incidence of all these is dramatically reduced by laparoscopic surgery.

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What procedure can be done by laparoscopic surgery?
Almost all surgeries being done in open surgery are nowadays being performed. The most common however are ovarian cystectomy (removal of the ovarian cyst wall) Hysterectomy (removal of the uterus), tubal ligation (sterilisation), diagnostic laparoscopy, adhesiolysis etc.

Will I need anaesthesia ?
Diagnostic laparoscopy  and other operative  procedures will require general anesthesia.

How long do I have to stay in hospital ?
A healthy person without any other medical ailments and complications can be investigated on an out- patient basis. They can come in on the day of surgery or the previous day. Following a laparoscopic procedure they can be discharged on the next day but for more advanced procedures three to four days in hospital would be the norm.

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How soon can I start eating after surgery?
If the surgery is uneventful, feeding can be started on the same day once the patient has recovered completely from the effects of anaesthesia, provided no procedure has been performed on the bowel.

When can I get back to work?
Usually a weeks rest from the day of surgery should suffice. But it would be advisable for the surgeon to advice based on your progress.

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Do I have to take absolute bed rest?
No. The advantage of this method as has been previously mentioned is that the incisions are very small, thereby reducing pain and danger of hernia. You can become ambulant as early as pain and anaesthetic factors permit.

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Is it more expensive than open surgery?
The equipment, maintenance and procedure are more expensive but as the hospital stay and the intake of drugs is reduced it is actually the same if not less than open surgery.

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What are the risks of laparoscopic surgery?

  1. There are some risks when you have general anaesthesia.
  2. There is chance of infection or bleeding.
  3. The abdominal organs, glands, intestines, or blood vessels may be damaged if surgeon is not experienced
  4. The lining of the abdominal wall may become inflamed known as peritonitis
  5. A blood clot may enter the bloodstream, and clog an artery in the lung, pelvis, or legs. Clot may break off and clog an artery in the heart or brain, causing a heart attack or stroke. But these risks are very rare.

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Roshni infertility Clinic Quick Tour
What is infertility
Dr Rajesh Bhakta