Welcome friends. Your search for the right information about infertility and IVF treatments ends here. We at Pearl women’s hospital & Yash IVF, a complete women’s care hospital often flooded with cases of infertility. Infertility is not an issue, it is a medical condition which is treatable if done in time with medical expertise.

IVF treatments is not merely a step-wise process. To achieve the dream of parenthood, along with you, Gynaecologists, andrologists, nurses and psychologists, and counsellors are the professionals who attend you from the very beginning.

However, there are also other important professionals in fertility hospitals who work silently & with no direct contact with patients & yet help you to realise the joy of motherhood. These specialist are the one, who has seen your baby growing from a single cell. They are mainly embryologists.

 “It is without doubt, that embryologists work tirelessly to help families achieve their dream of bringing a healthy baby home”

They are mainly embryologists, these embryologists are biologists, whose role inside the laboratory is very important.

IVF TREATMENTS WHO ARE THE EMBRYOLOGISTS?

An embryologist is a reproduction biology specialist. who is in charge of the assessment of eggs, sperm & embryos in order to achieve fertilisation.

Although most of the decisions related to IVF treatments are often taken by the team of doctors, it is up to the embryologists to decide on the specific treatment, as well as coordinating the development of every activity in the laboratory.

 Couples are often advised blood tests to assess their fertility potential. Haemogram, thyroid testing, AMH & other hormone profiles are often done in such cases. Men usually go through semen analysis. Once gynaecologists and andrologists have diagnosed the specific issue, along with senior embryologists, the most appropriate treatment depending on the woman’s age, and sperm quality is planned. Broadly speaking, 3 different approaches can be considered: intrauterine insemination, in vitro fertilization & Intra cytoplasmic sperm injection.

Intrauterine insemination (IUI) is probably the least invasive procedure. It is indicated in tube obstruction, cervical factor infertility or erectile dysfunction, & even some other unclear fertility issues.

IUI requires Embryologists to perform different procedures based on their evaluation of motile sperm that allows for the selection of the best gametes.

Couples suffering from low sperm count or low sperm motility on the male side, damaged Fallopian tubes or endometriosis on the female side are usually recommended to resort to either in vitro fertilization (IVF) or intra cytoplasmic sperm injection. In both cases, ovarian stimulation is required for women. Hormonal stimulation of the ovary increase increases the oocytes produced during the cycle; these oocytes must reach a minimum size in order to mature and be retrieved for the following procedures (either IVF or ICSI. The collection of oocytes is done through laparoscopic transvaginal surgery.

In cases of severe male factors, infertility may require the use of ICSI . This procedure consists of the injection of an individual sperm into the mature oocyte, thus being actually fertilised by the embryologist, one by one.

Sperm selection is based on morphology & motility. 24 hours after the procedure is done, embryologists verify whether fertilisation has occurred by looking under the microscope. The presence of 2 pronuclei is the first sign of fertilisation (one from each gamete), & they are to be fused into a single one in a process called syngamy.

It is of utmost importance to carry out such a procedure with accuracy and precision ,as it’s the transfer of genetic material that develops the baby. Strict hygienic & sterile conditions under specific media and reagents.

Every Inch of the embryology lab needs to be maintained as per the guidelines laid down by authorities. The use of any perfume, or deodorant & alike is completely forbidden just to prevent potential volatile organic compounds (VOS) from affecting developing embryos.

 In the laboratory, the use of caps, masks &disinfectants are mandatory for embryologists. Embryos are quickly placed in incubators that act as the natural environment of the uterus.

The embryology lab is where the time is set according to the procedure. Every second counts as procedures must be done at an exact time point in order to guarantee their success until transfer day.

Routine maintenance of the laboratory & equipment, sperm handling & processing for IUI, IVF & ICSI, cryopreservation of biological material, tissue sampling for biopsies for genetic analyses & PGD, or even embryo culture is of great importance. There is a strict & exhaustive record of the procedures for safety purposes.  A healthy baby is actually the outcome of the embryologist’s work to evaluate gametes & embryos.

Embryologists choose which ones are the most appropriate to be used & which should be kept for future use if, needed.

 Embryologists are the architect of the baby. The process of developing a tissue from a single cell is the most difficult and needs only the best in terms of infrastructure, expertise, knowledge & teamwork, excellent media and reagents.

We at pearl women’s hospital and Yash IVF, have Dr Ashwini Ganapule as embryology lab director. It is under the capable guidance of Dr Ashwini Ganapule, that the institute is adopting the best practices & certifications. She has international exposure to best practices in embryology.

In her own words, It is really wonderful to be a part and parcel of a fertility journey, while reassuring them & in the lab creating & caring for that little tiny cell, witnessing the miracle of multiplication. It’s a single cell on a tube or Petri plate, and then on day 5, it’s a life, that moves ahead in the womb. I silently listen to the music of my heart and wait patiently for 9 months.

Who says, the child belongs only to mothers? We as a team, are the mothers of every child born in embryology labs. It’s an amazing feeling and just feel honoured to be a part of such a process.

See More – WHAT IS IVF? BIRTHING OF MOTHER & HER CHILD

Some events change life and one such event changed the world and bought hope to childless couples. This discovery won the Nobel Prize for Dr Patrick Steptoe (the gynaecologist) and Sir Robert Edwards for the first successful birth of a human baby, Louise Brown through In vitro fertilization (IVF). On July 25, 1978, Louise Brown, was the first human life created through IVF, for which Edwards was awarded the Nobel Prize in Physiology or Medicine in 2010.

It is always a special event to be a mother & father to a healthy child. This process, we will call a reproductive journey. This is a much more complex process. When the couple starts the journey of parenthood & is unable to conceive after 1 year of active sex life, it’s time to get the advice of the experts.

Some medical help is required to start the journey of parenthood. In vitro fertilization or IVF is the process of manually combining sperm with an egg in a laboratory dish for fertilization. The embryo is then transferred to the uterus.

IVF is often used to treat infertility due to a decreased sperm motility or sperm count, ovulation disorders or uterine fibroids, or with individuals who suffer a genetic disorder, which results in infertility.

From stimulation to retrieval, in vitro fertilization (IVF) is a seven-step process, which may be the best option for you and your partner. A consultation allows you to review all your pregnancy options and decide what next steps to take.

In Vitro Fertilization or IVF simply means, if we break the word, In vitro means in glass under experimental conditions or in a laboratory whereas fertilisation is a process of fusing egg & sperm to form an embryo.

IVF is a method of treatment in which the man’s sperm and the woman’s eggs are fused outside the body.

The National Institute for Health and Care Excellence (NICE) fertility guidelines make recommendations about who should have access to IVF.

These guidelines recommend that IVF should be offered to women under the age of 43 who have been trying to get pregnant through regular unprotected sex for 2 years. Or who has had 12 cycles of artificial insemination, with at least 6 of these cycles using a method called intrauterine insemination (IUI)?

Pearl women’s hospital & Yash IVF follow these  Step by step procedures for In Vitro Fertilization treatments.

Step 1: Before the scheduling of IVF treatment, females are usually put on birth control pills. These pills are recommended because they reduce the risk of ovarian hyperstimulation & improve the rates of success.

Step 2: The IVF treatment cycle begins the day you start getting your periods. On a subsequent day, a blood test and ultrasound will be arranged. While blood test is done to examine estrogen levels & ultrasound will determine ovary size and detect ovarian cysts if any. If there is a cyst, your doctor will postpone the procedure for the next few days or can suck it with the help of a needle alternatively.

Step 3: After your blood test and ultrasound results are found normal, ovarian stimulation via fertility drugs is the next step. You may require to take 1 to 4 injections per day for around a week depending upon your treatment procedure. The commonly prescribed fertility drugs are CC, Letrozole, HMG, FSH, rFSH, HCG, rHCG, and Cetrorelix inj. etc. Through Ovarian stimulation,  the doctor estimates whether the medication dosage should be increased or not.

STEP 4:

The fourth step of IVF is activating the oocytes for leading them to the final maturation stage for egg retrieval. It is important to estimate the right time of giving the trigger shot and daily ultrasounds help at this point. The human chorionic gonadotropin injection is given when more than 4 follicles grow up to a length of a minimum of 18 mm.

Step 5: After 3 days of receiving the hCG injection, your egg is being retrieved. Before the retrieval process, a Transvaginal ultrasound will be conducted wherein a needle will be inserted via the back side of vagina leading to ovaries.

Step 6: After the Oocytes are retrieved, the embryologist will examine them for the maturation of eggs. However, if the eggs have not matured accurately, they might be stimulated to maturity in the lab.

Step 7: Post 5 days of the retrieval, the fertilized eggs are transmitted to the female uterus via a catheter. The embryos are transferred along with some fluid. After the transfer procedure ends, you are kept under observation for a few hours, and then allowed to go home.

Step 8: After two weeks of the embryo transfer, a pregnancy test is being conducted and if the result is positive, your doctor will put you on progesterone supplements for a few more weeks.

For most patients, IVF is the most effective treatment, but it’s very much underutilized and comes with lots of issues. It is very obvious to measure the success of IVF & most important is to have realistic expectations.

PWH & YASH IVF, fertility hospital at Deccan, Pune comes with transparent practices and uniform protocol. Dr Chaitanya Ganapule & team is committed to women’s health at all phases.

SEE MORE – When BMI Weighs Down Chances of Pregnancy

The best and most reputed IVF Center, Pearl Women’s Hospital & Yash IVF has a game-changing approach to Obesity when it’s an impediment to fertility.

Among the various factors due to which the conception and pregnancies are delayed, obesity &the lack of right information about its impact turned out to be important ones. Obesity in either parent is a concern. Educating about it is the easy

Obesity & Lack of right information about it can be addressed but it is not all that simple to manage and requires a professional & focused approach, which the team at Pearl Women’s Hospital & Yash IVF has mastered.

Let’s find out, the impact of obesity on fertility. The journey of Pregnancy is never the same for all, for some, it is full of twists & turns. Some get it easy while some struggle a lot for months together. Body weight definitely has a say in conception.

1. Let us find out which is the ideal body weight? Or going a step forward, let’s look at your Body Mass Index, a more accurate measure of the impact of your Body Mass on your chances of pregnancy.

To calculate your body mass index (BMI), there are many tables available online (search term: BMI table). Enter your height and weight into the tool to see your BMI.

A BMI between19 to 24 is considered normal; less than 19 is considered underweight. A BMI between 25 and 29 is considered overweight and greater than 30 is obese.

There is a negative impact of being underweight or overweight, on fertility, whether you are female or male.

2. Let us understand the impact of weight on the fertility of women.

The problem of Ovulation is most widely seen as per our experience with patients categorized as either underweight, overweight or obese women.

In the case of underweight women (BMI 18.5 or less), there is a problem of irregular menses,

A BMI of 17.5 or less could also be due to an eating disorder.  The underweight women need to look beyond weight & should correct the underlying causes on priority in consultation with a gynaecologist.

1. In obese women (BMI > 30), often irregular menstrual cycles and ovulation problems could exist together. Even when obese women may have normal periods, still the fertility issue remains. Ovulation problem is a major issue but not the only one for fertility in the case of obese women.

A visit to a gynaecologist to rule out thyroid disease, insulin resistance, and diabetes will be of great help during the journey of parenthood due to obesity, as they have. These issues can be the reasons behind the struggle with fertility.

How does obesity affect the chances of getting pregnant with treatment as well as the health of the baby?

It is a known fact derived from the latest studies & findings that obesity could lower the success rates of in vitro fertilization (IVF).

In the case of obese females, Studies have shown,

Lower pregnancy rates, higher miscarriage rates.

Increased risk for gestational diabetes and high blood pressure (Pre-eclampsia).

Obese women also  could have a higher chance of  C- section. Children of obese mothers are at increased risk of some birth defects.

Are there fertility problems in men with obesity as compared to normal BMI?

Obesity in men may be associated with,

Testosterone & other hormones, and imbalance are important for reproduction.

Low sperm counts and low sperm motility (forward movement).

Knowing the ill effects of obesity, what to do next?

Should you try to lower your BMI, when planning for pregnancy?

We at pearl women’s Hospital & Yash IVF have excellence in treating such cases and managing the progression of fertility over obesity concerns. Pearl Women’s hospital and Yash IVF have a holistic approach that offers umbrella services of Dieticians, Physiotherapy, stress management therapists and lifestyle coach for offline as well as online consultation.

You should first consult a gynaecologist. The doctor will consider He or she will consider all risk factors like age, weight, lifestyle, family history, current medications, and any other infertility factors, before making a recommendation about whether you should try to lose weight as the first step.

Since losing excess unhealthy fat is more important than weight reduction, that’s why it calls for the expert multidisciplinary approach.

Pearl Women’s hospital and Yash IVF is the center of excellence for women’s health issues & is located centrally at Deccan, Pune. The vision of Dr Chaitanya Ganapule & his team has created a roadmap of affordable treatments which are transparent and clear. We are dedicated to winning the patient’s trust every time without compromising the guiding principles.

Obesity is a global issue affecting the dreams of millions, healthy parents can create a healthy child.

Let us join us in the mission to know more about ways to get healthy pregnancy by fighting obesity.

SEE MORE – PCOS: Don’t Lose Sleep Over Hair Loss.

Pearl women’s hospital & Yash IVF is the Best IVF hospital of repute and witnessed Increased footfall of PCOD patients at our hospital, as well as awareness workshops for screening at remote places, have prompted us to go much deeper. The untreated PCOS can further get established as age progresses.

More clarity about PCOS is attained with increased number of cases and so is better understanding about topic.

There are many symptoms related to PCOS, one of them is rampant hair loss. The symptoms may be different and as diverse, one of them is, hair loss which is, more obvious and upsetting symptom.

To address the concern of PCOD induced hair loss, we have gathered the Pearl of knowledge from reputed sources & own experiences. PCOS is a hormonal disorder that causes irregular periods, obesity, and type 2 diabetes.  Some of the more noticeable symptoms of PCOS are related to hair.

Some people with PCOS have unwanted growth on their face or back of the body. Others may also develop hair loss and hair thinning on their scalps. Unwanted growth of hair and hair fall is felt simultaneously by many patients.

Let’s try to know about the followings.

Why is hair loss associated with PCOS?

If you notice hair fall after oiling, shampooing or tangles of hair on your comb, which is different than normal or you had seen before, it is a sign of hair loss. Such Hair loss can be due to varieties of reasons and, if treated in time, hair fall can be stopped. One possible culprit is PCOS related hair loss. Let’s address these concerns one by one.

How does PCOS cause hair loss?

Hair fall due to PCOS happens because of the increased male hormone, testosterone. It leads to increased hair growth on the face, abdomen, chest, and neck but leads to thinning hair. This thinning of hair is due to testosterone which ultimately leads to hair fall due to PCOS. The pattern and distribution of hair fall are even more important in the assessment of PCOD induced hair fall.

One important thing to notice here is unlike males, hair follicles of females survive for a long time.

Loss of an average, of 100-150 hair follicles is a daily scenario. It should be noted that it may take at least 20-25% of a total loss of scalp hair before it may be visibly recognized by the woman.

Lack of ovulation means less amount of progesterone which would normally bind to those same sites, which hair loss from happening in the first place.

What is female pattern hair loss?

The affected hair becomes thin, shorter in length, and lighter in colour until it falls due to breakage. This is also referred to as female-pattern hair loss or FPHL. It is truly a matter of concern that affect personality & self-esteem. A hormonal imbalance causes PCOS, so to restore hormonal balance, hormonal treatments may help. You may need to try a few medications for a while before you see results.

Seek medical help to control PCOS.

Hair treatments like medicated foam, lotions, and gels under Dr’s guidance is of great importance.

Natural treatments for PCOS hair loss

There are home remedies that can reduce androgen and can help in controlling PCOS.

Use a soft and wide-toothed comb to comb your hair as it reduces friction.

Physical workout can reduce male hormone production which ultimately results in controlling hair fall due to PCOS.

Improve your food habits. Eating healthy and fresh can help you treat PCOS faster by reducing your weight.

Natural hair masks made at home make hair smooth and shiny and offer strength and a lot of nutrition.

Diet: what you eat is often reflected in the health of your hair.A  high-fiber diet helps in stabilising sugar levels.

Manage a BMI within limit: Research has proved that weight loss is associated with reduced androgen levels.

Biotin and zinc supplements stop the Hair loss

Avoid pulling out hair and tight hair-dos. This will only aggravate hair loss.

Warm Oil massages with coconut oil increase blood circulation and provide nutrition to the hair follicles

Stop colouring the hair which will further damage the hair follicles. Avoid overheating, and blow from distance.

Even if your BMI is within normal limits, limit those Junk foods. Avoid sugary foods. All of this will cause Insulin resistance and eventually increased Androgens

Moderate Exercise at least 30 min every day for 5 days a week will correct the hormonal imbalances.

We at pearl women’s Hospital & Yash IVF have excellence in treating such cases and managing the progression of PCOD over other health concerns. Pearl Women’s hospital and Yash IVF have a holistic approach that offers umbrella services of Dietician, Physiotherapy, stress management coach, and lifestyle counsellors offline as well as online.

Pearl Women’s hospital and Yash IVF is the center of excellence in women’s health issues & is located centrally at Deccan, Pune. The vision of Dr Chaitanya Ganapule & his team has created a roadmap of affordable treatments which are transparent and clear. We are dedicated to winning the patient’s trust every time without compromising the guiding principles.

SEE MORE – The Best IVF Treatment Center in Pune | Medical Emergencies in Women’s Care | What Is Ectopic Pregnancy?

Pearl women’s hospital & Yash IVF is the Best IVF hospital of repute and has seen increased cases of PCOS. The alarming rise of PCOS is seen all over irrespective of geographical locations. Urbanisation has taken a toll on the health of women. The silver lining of the issue is, that there is increasing awareness and all are equally involved.

Increased footfall at our hospital, as well as awareness workshops for screening at remote places, have prompted us to go much deeper. A lot of research has been done in this domain & conclusions are drawn, many guidelines are formed, so we thought of writing this Blog.

In this blog, we will address the followings:

• What is PCOS?
• What causes PCOS?
• What are the symptoms of PCOD?
• How common is PCOS?
• What are the symptoms of PCOD?
• How to confirm, whether you are suffering from PCOD?
• PCOD in nutshell.

Let’s start with PCOD in general. PCOD stands for Polycystic Ovarian Disorder. PCOD is not a disease. The disease is caused by an external agent like bacteria, viruses, fungi, or through vectors (like mosquitoes, bites, etc.).Every disease has an external agent that enters the body, causing pathological changes in the body. Initially, these changes are not seen or felt. As the disease gets established in the body, symptoms appear. These symptoms force us to go to the doctor.

PCOD is a metabolic disorder caused by hormonal changes in the body. Hormones are the secretions of ductless glands. These hormones are the secretions or chemicals secreted in the body which carry out different functions. These chemicals flow through the blood to the different organs of the body.

Hormones control many activities in the body like” growth & development, metabolism, blood pressure and blood sugar regulation, water balance and body temperature, Making & maturation of sex organ and Mood.”

What & How of PCOS?

Polycystic ovary syndrome (PCOS) is a common metabolic disorder due to hormonal imbalances. Hormones are chemical messages in the blood. In PCOS, two hormones (androgens and insulin) are responsible for the symptoms related to PCOS. 1 out of 5 women has PCOS.

What causes PCOS?

The probable known causes of PCOS are; acquired through family, hormones that are increased during our development in the womb before birth, and lifestyle.

What are the symptoms of PCOS?

The symptoms of PCOS are wide & different by age group.

Some of the symptoms often felt & related to,

• Periods (menstruation) that are irregular & blood flow variation (heavy or light)
• Excess facial hair growth
• Loss of hair on the top portion scalp
• Severe acne (pimples)
• Weight gain
• Difficulties in getting pregnant
• Increased risk of diabetes Or Blood pressure.

A combination of the above symptoms may be present and often a dilemma for the investigation. PCOD is a syndrome based that means, it has many symptoms of many health conditions.

How common is PCOS?

Almost 1 in 5 women suffers from PCODHow to confirm, whether you are suffering from PCOD?

“To know this, you should meet at least two of the three criteria.

1. Periods that are more or less frequent than the monthly schedule.

2 Symptoms such as acne, and blood test showing higher levels of androgen.

3 Ultrasound of your ovaries (showing more than 20 follicles.).

You do not need to have an ultrasound if you have 1) and 2).

For younger women within 8 years of periods starting 1 and 2 are needed for diagnosis.

In adult women, if only 1 or 2 are present then an ultrasound can be performed“.

Control PCOS before it controls you

What can you do if you have PCOS?

Diet and weight monitoring is a very important aspect of managing PCOS. As it is important for avoiding future complications. It is of utmost importance to seek medical advice at the earliest and adhere to it completely. The Wiser option of PCOD treatment handles the side effects as well as overall health impact which is measurable, accurate, and in line with the guidelines.

In nutshell, PCOS is common and you are not alone.

• PCOS can have features that change over the period.
• PCOS affects individuals differently and treatments need to be tailored to your needs.
• There are many health impacts of Untreated PCOD.
• Learning as much as you can about PCOS is important.
• Treatment can reduce symptoms and the risk of later complications.
• Lifestyle modification has a great impact.
• Effective treatments are available.
• Evidence-based information and support are available.

We have excellence in treating such cases and managing the progression of PCOD over other health concerns. Pearl Women’s hospital and Yash IVF have a holistic approach that offers umbrella services of Dietician, Physiotherapy, stress management coach, and lifestyle counselors offline as well as online.

Pearl Women’s hospital and Yash IVF is the center of excellence in women’s health issues & is located centrally at Deccan, Pune. The vision of Dr. Chaitanya Ganapule & his team has created a roadmap of affordable treatments which are transparent and clear. We are dedicated to winning the patient’s trust every time without compromising the guiding principles.

See More:- The Best IVF Treatment Center in Pune | Medical Emergencies in Women’s Care | What Is Ectopic Pregnancy?

The best treatment of IVF is most sought after, as it is a result of excellence, understanding of the gravity & of the medical problems of women has evolved. One such canter is Pearl women’s hospital & Yash IVF, Pune, which has dedicated every inch of the hospital to the well-being of the women care. No wonder, Pearl women’s Hospital & Yash IVF is scaling new heights with patient success stories which are challenging and every win over such issues is celebrated with our patient testimonials, which will be updated soon.

While handling the challenging cases of all Gynaecological problems as well as pregnancies along with IVF, we have conquered many milestones. The silence over the women’s issue is a matter of great worry. This blog is an attempt to create awareness about some medical emergencies, and one is Ectopic Pregnancy.

When it comes to emergencies, there is no time to wait, search or run. Many Obstetric emergencies present with similar symptoms, as we have discussed in our earlier blog. The important thing is to be alert and seek appropriate medical advice quickly, get investigated, and treated with minimum loss of time. One such topic is Ectopic pregnancies.

We will focus on the Ectopic pregnancies and probable treatments. This is for the information purpose only and doesn’t act as a substitute for medical advice.

Ectopic pregnancy is a medical emergency, so when it is detected, treatment needs to be accurate, prompt & concise.

There are many changes in the blood, which are called biomarkers. One such is the availability of sensitive hormone testing and ultrasound examinations. Blood level measurements of hormones can confirm the diagnosis of an ectopic pregnancy without the need for laparoscopy. Ectopic pregnancy, in most cases, can’t be seen with ultrasound, and the diagnosis is considered when the pregnancy is not seen in the uterus when specific levels of hCG are detected.

Laparoscopy is often advisable to confirm the diagnosis of an ectopic pregnancy. Sometimes, laparoscopy is diagnostic as well as clinical importance for an ectopic pregnancy. Laparoscopy is OPD based surgical procedure. A small telescope called a laparoscope is placed into the abdominal cavity through a small cut in the navel. If necessary, the doctor usually can remove the ectopic pregnancy by placing special instruments through the laparoscope or small incisions above the pubic area.

Laparoscopy is skilled surgery covered under insurance, small cuts ensure less bleeding, reduce hospitalisation stay, and faster recovery.

WHAT COULD HAVE CAUSED ME TO HAVE AN ECTOPIC PREGNANCY?

1. Women who already have damaged or blocked tubes are more likely to develop an ectopic pregnancy. 50% of ectopic pregnancies are associated with some degree of tubal disease. Fallopian tube damage is due to prior pelvic infections, such as gonorrhoea, chlamydia, or other sexually transmitted infections (STIs).
2. Tubal disease also may occur as a result of endometriosis, appendicitis, or previous pelvic surgery.
3. The pregnancies of women who conceive with an IUD in place sometimes occur in the fallopian tube.
4. Women who conceive after having a tubal ligation for sterilization, reversal of tubal ligation,
5. Sometimes, unexplained reasons behind an ectopic pregnancy become worrisome.

However, it is known that, if a woman has a history of ectopic pregnancy, there is an increased probability of having the same in future, so the situation calls for careful monitoring.

WHAT COULD BE THE LINE OF TREATMENT IF IT IS INDEED AN ECTOPIC PREGNANCY?

The skill of a laparoscopic doctor is of utmost importance for surgical removal of such cells require high precision.

Ectopic pregnancies are in fact can be detected early with biomarkers, even without symptoms. This allows some ectopic pregnancies to be treated safely without the need for surgery. Ectopic pregnancies usually were treated by total salpingectomy (removal of the entire tube via laparoscopy). The underlying condition may have equally affected the other fallopian tube as well and that may also be blocked or similarly damaged. If the doctor feels removal is better than risking another ectopic pregnancy, he/she will advise bilateral salpingectomy (removal of both the fallopian tubes).

Dr Chaitanya Ganapule is an expert in Laparoscopic as well as open surgical interventions. Laparoscopic excellence is his forte and he is considered the top Gynaecologist in Pune for this procedure.

He has a diploma in Gynec Endoscopy from France, a diploma in Pelvic Endoscopy from Germany, and has recently attended & completed the “Indian Workshop of the Franco-European Multidisciplinary Endometriosis Institut in France, in 2022.

Dr Chaitanya Ganapule, a leading fertility specialist, and his team conducts & attains the training as well as online workshops, which helps many primary center clinics to understand & offer guidance, skill, and experience.

A teacher by heart & Best infertility specialist has many dreams which are getting realised, one such is to offer the best, transparent treatments at an affordable cost.

See More – The Best Ivf Treatments Pune Info Series Medical Emergencies in Women’s Care | could It Be an Ectopic Pregnancy?

The best IVF treatment for the medical problems of women has evolved over time. Every smile is snatched & day is robbed with silence over the issues. Pearl women’s hospital and Yash IVF, Pune is one such center with a clear vision to offer the best services for every female. The very purpose of having a strong foundation is to raise the voice over such issues. When it comes to emergencies, there is no time to wait, search or run. Many Obstetric emergencies present with similar symptoms, as we have discussed in our earlier blog. The important thing is to be alert and seek appropriate medical advice quickly, get investigated and treated with minimum loss of time. One such topic is Ectopic pregnancies.

We will focus on the Ectopic pregnancies regarding concerns & symptoms, dos as well don’ts of ectopic pregnancy. This is for the information purpose only and doesn’t act as a substitute for medical advice.

Ectopic pregnancies account for 1% to 2% of all the conceptions. In normal conception, the egg is fertilized by the sperm inside the fallopian tube, then, an embryo travels through the tube and reaches the uterus in about 3 to 4 days.

However, if the fallopian tube is blocked or damaged, so could not transport the embryo to the uterus, the embryo may implant in the lining of the tube, resulting in an ectopic pregnancy. The fallopian tube cannot support the growing embryo, that’s why, after several weeks, if untreated, the tube can rupture and bleed, resulting in a potentially serious situation.

95 % of ectopic pregnancies implant in the fallopian tube, but they may also occur in the cervix or even within the abdomen (abdominal pregnancy). Most of the patients often ask, can the pregnancy be removed from tubes and then transplanted into the uterus?

Unfortunately, the answer is a Big NO as this is not possible with present medical science.

HOW DO I KNOW IF MY SYMPTOMS ARE OF AN ECTOPIC PREGNANCY?

You don’t. Especially if you have no idea that you may be pregnant, this could be an emergency. Nevertheless, getting appropriate medical advice without delay is always going to help you minimise distress, discomfort and money.

If you have had unprotected sex and present with the following symptoms,

DO:

1. Take an emergency appointment with your Gynaecologist.
2. Schedule this meeting at the hospital itself rather than the clinic, so that investigations and subsequent management can be effected under one roof and without time loss.
3. Understand thoroughly that this event may require further investigation of some underlying ailment/condition.
4. Understand how this is going to affect your future pregnancies and what you may require to do subsequently for bearing a child.
5. Do follow the advice of the doctor. If you have any doubts, take a second opinion from a more qualified or reputed expert but remember the clock is ticking.

DONT’S:

1. Do not ignore the symptoms, especially if you know you are pregnant or have been planning a pregnancy or have had unprotected sex.
2. Do not self-medicate.
3. Do not refuse the surgical treatment option because it may affect your chances of a future pregnancy. There are ways to deal with that. The immediate concern is to safely negotiate the immediate crisis with medically prescribed procedures.

WHAT SYMPTOMS MIGHT I EXPERIENCE IN AN ECTOPIC PREGNANCY?

1. Delayed or abnormal bleeding can be an early sign of an ectopic pregnancy. Pelvic pain along with irregular bleeding in the first weeks of pregnancy can indicate an ectopic pregnancy due to the reasons stated above.
2. If a woman knows or suspects a pregnant and has abdominal pain, she should see the doctor on priority, even if the pain stops or reduces in intensity.
3. If a woman has any risk factors for an ectopic pregnancy, including a previous ectopic pregnancy & if her period is delayed, must seek the help of a gynaecologist.
4. Sometimes an ectopic pregnancy is suspected when ultrasound does not show a pregnancy inside the uterus.
5. Until recently, ectopic pregnancies often were not diagnosed until 6 to 8 weeks into the pregnancy. Often women experience pelvic pain, irregular vaginal bleeding, possible.
6. internal bleeding, and a tender feeling in the pelvis. Under these circumstances, it is a life-threatening emergency, and major surgery (laparotomy) was required to remove the pregnancy and control bleeding.

With the advent of better tools & understandings, fortunately, most ectopic pregnancies are now identified much earlier, often before the woman is even aware of an acute problem.

This information series is intended for the patients. We have gathered this info, by studying the content available as well as generated at our Pearl women’s Hospital & Yash IVF. Yash IVF is the best IVF hospital in Pune, headed by Dr Chaitanya Ganapule. Dr Chaitanya Ganapule is an expert in Laparoscopic as well as open surgical interventions. Laparoscopic excellence is his forte and he is considered the top Gynaecologist in Pune for this procedure.

He has a diploma in Gynec Endoscopy from France, a diploma in Pelvic Endoscopy from Germany and has recently attended & completed the “Indian Workshop of the Franco-European Multidisciplinary Endometriosis Institut in France, in 2022.

Dr Chaitanya Ganapule, a leading fertility specialist and his team, has excellent surgeon training, skill, and experience, which also play a significant role in handling the cases of ectopic surgeries.

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