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Mumbai Fertility Clinic and IVF Center with Dr. Jatin Shah

Dr. Jatin Shah has the one of a kind refinement of playing out all IVF assignments including Ultrasonography, Oocyte Retrieval Surgery, IVF Embryology and Embryo Transfer actually which reflects in the uncommonly high achievement rates. His capacity to investigate and take care of issues in IVF and ICSI programs in various research centers has earned him the epithet of “IVF Commando”.

He has shockingly a few pregnancies in ladies in their late 40’s and 50’s, the most seasoned being a 57 year old lady and has been granted various gold decorations and renowned honors. These incorporate gold awards at ICSE, DGO, MD (Obstetrics and Gynecology) where he has topped examinations at the state and national levels.

Dr. Shah’s philanthropic commitments extended to work with the Lions Clubs International, Vision 2020 India and the Ministries of Health and Labor for the Government of India.

Dr. Jatin Shah Gynecologist was born on November 4th, 1954 in Mumbai. He attended Topiwala National Medical College and B.Y.L. Nair CH. Hospital graduating with a Diploma in Ophthalmic Medicine and Surgery degree in 1983, followed by a Masters of Surgery degree in 1984. His professional expertise was on anterior segment surgery, cataract, glaucoma, oculoplastic surgery, medical retina as well as pediatric squints and amblyopia.

At the time of his death Dr. Shah held professional consulting positions at the H.J. Doshi Hindu Sabha Hospital, Lions Eye Hospital – Sion, Saifee Hospital, St. Elizabeth’s Hospital, Motiben Dalvi Hospital and the Conwest Jain Clinic, all located in Mumbai, India.

Dr. Shah was predeceased by two brothers and one sister, leaving behind one remaining brother and three sisters.

IVF at a glance

In vitro fertilization (IVF) means “fertilization in glass,” which involves fertilization of a woman’s egg by a man’s sperm outside of the body and in a lab.

TRM offers patients three IVF strategies: standard IVF, minimal stimulation IVF (mini-IVF) and natural cycle IVF (sometimes referred to as fresh-cycle IVF).

IVF offers the highest chance of pregnancy in the shortest period of time for virtually every diagnosis, though it is not appropriate for all couples.

What is IVF?

In vitro fertilization (IVF) means “fertilization in glass,” which involves fertilization of a woman’s egg by a man’s sperm outside of the body and in a lab. In general, IVF offers couples and women experiencing infertility the highest chance for conception. For many couples, a single attempt of IVF is more likely to be successful than many months of other treatments.

The reason for IVF’s high success rates is that it allows for the interaction of more eggs and sperm than any other procedure. Drugs increase the number of eggs a woman can produce in a month. We evaluate fertilized eggs that develop into embryos to determine which ones are most likely to result in pregnancy, before we place the embryo(s) into the uterus.

IVF is not appropriate for all couples. However, for virtually every diagnosis, IVF offers the highest chance of pregnancy in the shortest period of time.

At TRM, we try to demystify the IVF process and make it easy to understand. We promise to give you realistic expectations of what IVF can and cannot do, so that you can make the best, most informed decision.

Which IVF strategy is right for you?

Ten couples with the same circumstances may all make very different decisions. It is important to talk to a physician who can help patients determine which treatment is the best option. Patients often have the option to pursue standard IVF, mini-IVF or natural cycle IVF depending on several factors. For patients simply looking for the quickest route to pregnancy, standard IVF may be best.

Why IVF increases chances of pregnancy?

IVF maximizes pregnancy rates by using normal human biology to our advantage. In general, women are born with around two million eggs. Most of these eggs are in hibernation within the ovary. Every month a batch of these eggs comes out of hibernation.

Typically, one egg from this batch ovulates while others die. Unfortunately, there is no guarantee that the best quality egg is the one that will ovulate.

The reason most of the eggs die is because there is not enough follicle stimulating hormone (FSH) to support the growth of all of the eggs. One egg essentially steals the hormone and the other eggs degenerate.

By stimulating women with injections of FSH, the IVF process saves most of these eggs from being lost. The pregnancy rates are generally far higher than what occurs in a normal menstrual cycle, because multiple eggs are harvested. And we can select the very best embryos for placement in the uterus.

The chance of IVF success depends on many factors including:

Age of the female partner

Prior pregnancy history

Cause of infertility

Ovarian reserve.

From the time a woman decides she wants to do IVF, the entire process takes five to seven weeks to completion. To date, IVF offers most infertile couples their best chance of conception. IVF has been used to successfully treat a wide array of fertility problems including blocked fallopian tubes, low sperm count, polycystic ovary syndrome, endometriosis and unexplained infertility.

What are the risks of IVF?

Most couples proceed through IVF and pregnancy without difficulty, but there are some risks associated with IVF to the mother and risks to the baby. However, unless the mother has twins or other underlying conditions, her pregnancy will not be considered “high risk.”

Risks to the mother

Multiple gestation

Multiple gestation, which is having twins or more, is the most common of all IVF-related risks. Twins occur in 20-30 percent of successful IVF cycles, and higher numbers of babies can also occur.

Multiple gestation places the babies at risk for preterm delivery, which involves health risks for the child (see below Risks to the baby). Mothers are more likely to have complications of pregnancy including preeclampsia, diabetes, blood clots, preterm labor, cesarean section and postpartum hemorrhage.

We adhere closely to the American Society for Reproductive Medicine (ASRM) guidelines on number of embryos to transfer, thus maximizing chances of successful pregnancy while safely limiting the possibilities of twins and higher-order gestations of three or more babies. If a woman has excess embryos, these may be frozen for future use.

Ovarian hyperstimulation syndrome (OHSS)

OHSS is a condition in which the ovaries get very large and filled with fluid in response to the gonadotropin medications. Factors are released by the ovaries that cause a woman’s blood vessels to leak fluid into the pelvis.

In mild forms of OHSS, a woman may have symptoms of bloating and pelvic discomfort. This occurs in 10-20 percent of gonadotropin cycles and resolves quickly after treatment ends.

In severe cases a woman may have difficulty urinating, become dehydrated, gain weight rapidly, and have organ complications involving the lungs, kidneys and liver. This is rare, occurring in 1percent of cycles. These women may require hospitalization.

Women are at increased risk of blood clots when they have OHSS, and any symptoms of leg pain or difficulty breathing should be reported to a physician immediately.

Risk factors for OHSS include:


Low body weight


Higher doses of gonadotropins

High absolute or rapidly rising estrogen levels

Previous episodes of OHSS

High number of developing follicles.

There have been cases of death reported as a result of complications from OHSS. Fortunately, severe cases of OHSS are rare. By closely monitoring a patient’s response to gonadotropins, the physician can markedly decrease her chances of developing OHSS. However, a physician may cancel stimulation for patients at risk of OHSS.

Among women who conceive, symptoms of OHSS may worsen at the time pregnancy is detected and may take longer to completely resolve.

Ectopic pregnancy

Ectopic pregnancies (sometimes called tubal pregnancies) occur when a fertilized egg implants itself outside the uterus. The embryo may implant in the fallopian tube, or less commonly, in the cervix, ovary or pelvic cavity. Ectopic pregnancies occur in 1-2 percent of all pregnancies. Ectopic pregnancies require close physician supervision. Some ectopics can be treated with medications, but some cases require emergency surgical care.

Ectopic pregnancies used to be more common in women receiving fertility treatment, but that trend has been reversed in recent years thanks to developments in embryo transfer methods and the number of embryos transferred at one time. The rate of ectopic pregnancies in patients treated with advanced reproductive technologies is less than 1 percent.

Adnexal torsion (ovarian twisting)

This is a rare complication that occurs in 1 percent of cycles. As the ovaries enlarge, they may twist, cutting off their blood supply and causing severe abdominal pain, nausea, vomiting and sometimes low grade fevers. Treatment involves surgical untwisting of the ovary.

Egg retrieval risks

Internal bleeding is a rare complication. However, any time a needle is placed into the pelvis (such as with an egg retrieval) blood vessels can be lacerated. Usually this bleeding spontaneously resolves, but in extremely rare cases (less than 1 percent) surgical therapy may be required to stop internal bleeding.

Damage to surrounding organs including the bowel and bladder are possible, though very rare. Pelvic infection may also occur, but is rare as well. It occurs more commonly among women with ovarian endometriomas (a type of ovarian cyst) that are drained at the time of egg retrieval. Pelvic discomfort is common after the procedure.

Not a known risk: ovarian cancer

According to the New York Times, several recent studies have shown that there is “no convincing association” between the use of gonadotropins used in IVF and ovarian cancer.

Risks to the baby

The exact risks to children conceived after IVF are difficult to study and quantify. While some studies illustrate a higher risk to children born after IVF cycles, it is possible that these risks are due to the underlying state of infertility and are not exclusively due to the IVF treatment itself.

The most common risk to babies born after IVF is related to multiple gestation, which can cause premature birth. Other complications include a small increase in the risk of birth defects and pregnancy complications as described below.

Multiple gestation resulting in preterm birth

The degree of impairment due to preterm birth is related to the timing of the birth; children born more prematurely have more severe complications and greater risk of long-term impairment. Prematurity may result in complications involving:

Pulmonary immaturity and difficulty breathing

Cerebral hemorrhage (bleeding in the brain, possibly causing long-term handicaps)

Intestinal infection and inflammation (necrotizing enterocolitis)

Visual impairment including blindness

Poor growth.

Birth defects

The baseline risk of a major birth defect for all children in the United States is 3-5 percent. IVF pregnancies have an approximately 1-2 percent higher chance of having a major birth defect (predominately cardiovascular and musculoskeletal abnormalities).

The Mumbai Fertility Clinic and IVF Center right now performs near 2000 IVF and ICSI cycles every year. Their prosperity rates have been steady in the scope of 35 – 45% clinical pregnancy rates for every Embryo exchange with bring home child rates in the scope of 30%.

Our prosperity rates are among the most astounding in the nation, our gathering is perceived as the chief ART group of the nation and we have faith in peaceful and easy to use treatment for the barren couple. The clinic is known for rearranged IVF treatment with not very many clinic visits, the barest least of blood tests and amicable and strong staff which encourages the patient to adapt to the physical and enthusiastic worry of treatment. Additionally, all offices, for example, Ultrasound, blood tests for hormones, surgery for oocyte recovery, endoscopy, developing life culture and exchange, cryofreezing of gametes and incipient organisms, and so forth are accessible under a similar rooftop.

For More Information You Can Contact Us

Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Bourn Hall Clinic with Dr. Leena Yadav Gynecologist

Bourn Hall Clinic Dubai has built up organizations with the Dubai Herbal and Treatment Center, to help assist the prosperity of fertility patients, and the UAE Genetic Diseases Association, to enable chose patients to settle on decisions in regards to hereditarily transmitted illnesses.

The office’s fundamental claims to fame incorporate infertility treatment, hereditary testing and screening, and male infertility. Methods ordinarily performed at Bourn incorporate IVF, ICSI, IUI and sex determination. Results information for every one of these methods is accessible to patients upon ask.

Dr. Leena Yadav Gynecologist is right now working with us as a Fertility Consultant (IVF Specialist) for our Clinics situated in Gurgaon (Haryana) and Lajpat Nagar (Delhi). She has done her MBBS from D.Y. Patil Women’s Medical College, Pune, her DGO from College of Physicians and Surgeons of Mumbai, Mumbai University, perceived by MCI and her MD (Obs and Gynae) from Texila American University, University of Nicaragua. Post that, she has done her Specialized Training in Infertility Treatments and Endoscopy.

Indian Laws proposed to be framed for egg donation & Surrogacy

Law firms and semen banks will be encouraged to obtain (for example, through appropriate advertisement) and maintain information on possible oocyte donors and surrogate mothers as per details mentioned elsewhere in this document. The above organizations may appropriately charge the couple for providing an oocyte or a surrogate mother. The oocyte donor may be compensated suitably (e.g financially) by the law firm or semen bank when the oocyte is donated. However, negotiations between a couple and the surrogate mother must be conducted independently between them.

Oocyte Sharing

The system of oocyte sharing in which an indigent infertile couple that needs to raise resources for ART agrees to donate oocytes to an affluent infertile couple wherein the wife can carry a pregnancy through but cannot produce her own oocyte, for in-vitro fertilization with the sperm of the male partner of the affluent couple, for a monitory compensation that would take care of the expenses of an ART procedure on the indigent couple, must be encouraged. Surrogacy: General Considerations

  1. A child born through surrogacy must be adopted by the genetic (biological) parents unless they can establish through genetic (DNA) fingerprinting (of which the records will be maintained in the clinic) that the child is theirs. Surrogacy by assisted conception should normally be considered only for patients for whom it would be physically or medically impossible / undesirable to carry a baby to term.
  2. Payments to surrogate mothers should cover all genuine expenses associated with the pregnancy. Documentary evidence of the financial arrangement for surrogacy must be available. The ART centre should not be involved in this monetary aspect.
  3. Advertisements regarding surrogacy should not be made by the ART clinic. The responsibility of finding a surrogate mother, through advertisement or otherwise, should rest with the couple or a semen bank.
  4. A surrogate mother should not be over 45 years of age. Before accepting a woman as a possible surrogate for a particular couple’s child, the ART clinic must ensure (and put on record) that the woman satisfies all the testable criteria to go through a successful full-term pregnancy.
  5. A relative, a known person, as well as a person unknown to the couple may act as a surrogate mother for the couple. In the case of a relative acting as a surrogate, the relative should belong to the same generation as the women desiring the surrogate.
  6. A prospective surrogate must be tested for HIV and shown to seronegative for this virus just before embryo transfer embryo transfer. She must also provide a written certificate that (a) she has not had a drug intravenously administered into her through a shared syringe. (b) She has not undergone blood transfusion; and (c) She and her husband (to be best of her/his knowledge) has had no extramarital relationship in the last six months. (This is to ensure that the person would not come up with symptoms of HIV infection during the period of surrogacy).

Being an egg donor leads to a very exciting and rewarding journey provide an opportunity to help infertile couples make dream come true of having own child. Many couples out there find it difficult to conceive by their own and need donated eggs to get pregnant. Egg donation is a wonderful program whereby an infertile woman uses occytes (eggs) from a donor to fulfill her desire of becoming a mother.

Becoming an egg donor is a serious commitment and results are gratifying. The generosity and compassion is appreciated for the infertile couples. However in order to become a fertility egg donor, there are certain criteria you need to fulfill to establish your suitability.

As all women are not eligible for donating her eggs, some criteria are fairly standard including donor age limits which should be less than 35 years, screening tests and consent (a legal document for the use of donated eggs in treatment). Prior to egg donation process, you will be required to undergo certain screwing tests such as blood tests, ultrasounds, pelvic exam and psychological screening etc.

At Delhi- IVF, along with the above criteria, we also heck donor for physical characteristics, blood group, complexion, age, medical problem, surgeries, blood transfusions, marital status and allergies medications.

The egg donation process involves (In Vitro Fertilization) the retrieval of occytes from the donor and will be combined with the sperm from the recipient couple or donor and kept for 3-5 days in laboratory to produce embryos. Once healthy embryos are produced, one or two are transferred to the recipient in order to achieve the pregnancy.

Egg Donation. An egg from a fertile woman that is donated to an infertile woman to be used in an assisted reproductive technology procedure such as IVF. The woman receiving the egg will not be biologically related to the child but will be the birth mother on record. The process of fertilizing eggs from a donor and transferring the resulting embryos to the recipient’s uterus. The recipient will not be biologically related to the child, although she will be the birth mother on record.

Dr. Leena Yadav , an Obstetrician, Gynecologist, Fertility and IVF pro is situated in Delhi/NCR ( Gurgaon Region ) offers world class Fertility and ART medications. She has aced in Artificial Reproductive Technology medications like IUI , IVF/ICSI , Donor Oocyte medicines , Embryo Donation , Surrogacy , Donor Semen and Fertility Preservation medications. She is working in Best Fertility Clinics in Delhi NCR.

She graduated solution from Dr. D.Y. Patil Medical College , Pimpri , Pune. She proceeded with her investigations and got her Diploma in Obstetrics and Gynecology, from Mumbai. Moreover she embraced her Post Graduation in Obstetrics and Gynecology from TAU , University of Nicaragua. She at that point guided her vocation to the sub claim to fame of Reproductive Medicine and finished her preparation and Fellowship in IVF and furthermore sought after affirmed trainings in Pelvic Ultrasounds and related Dopplers in Infertility from Gujarat.

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Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Dr. Nikita Trehan Gynecologist with Sunrise Hospital

Dr. Nikita Trehan Is an eminent Gynecologist and Laparoscopic Surgeon. After her post-graduation in Gynecology Dr. Nikita Trehan finished her association in Endoscopic Gynecology under the capable direction of Dr. Hafeez Rahman and has been devoted to Gynae Endoscopy and Minimally Invasive Gynecology at “Sunrise Hospitals, INDIA, and Sunrise IMH, Dubai”. She is the Managing Director of Sunrise Hospital, Delhi, Mumbai and International Modern Hospital, Dubai.

Dr. Nikita Trehan Gynecologist has sorted out and directed a few CME’s for the advancement of Minimally Invasive Gynecology under the pennant of “Sunrise Keyhole Surgery Foundation” of which she is the Vice president. She has likewise prepared numerous Indian and International Doctors in Minimally Invasive Gynecology and has been a Training Surgeon for negligibly obtrusive Gynecology.

As a major aspect of her undertaking to advance insignificantly obtrusive systems in Gynecology and finishing the CSR(Corporate Social Responsibility)she has sorted out many ‘Free Surgical Camps’ for poor patients at Sunrise. She has added to numerous parts in Gynecology Endoscopy Surgery books and is effectively associated with different scholarly exercises of instructing and new research and has numerous papers in different worldwide diaries amazingly.

Dr. Nikita Trehan Gynecologist is a standout amongst other Gynecologists in Kalindi Colony, Delhi. She is at present honing at Dr Nikita Trehan’s Clinic in Kalindi Colony, Delhi. Try not to hold up in a line, book a moment arrangement online with Dr. Nikita Trehan on elawoman.com.

She has the record for the biggest fibroid evacuate laparoscopically in the UAE at 3.05 KGS and has as of late entered the Guinness Book of World’s Record for the most seasoned patient worked on the planet at Sunrise IMH, Dubai the Lady was 107 years of age.

Dr. Nikita Trehan is a famous Gynecologist and Laproscopic Surgeon. After her post graduation in gynecology, Dr. Nikita Trehan finished her association in Endoscopic Gynecology under the capable direction of Dr. Hafeez Rahman and has been devoted to Gynae Endoscopy and Minimally Invasive Gynecology at Sunrise Hospital for as long as 8 years.

In Vitro Fertilization (IVF): What Is It?

In Vitro Fertilization is a helped conceptive innovation (ART) ordinarily alluded to as IVF. IVF is the procedure of treatment by extricating eggs, recovering a sperm test, and afterward physically consolidating an egg and sperm in a lab dish. The embryo(s) is then exchanged to the uterus. Different types of ART incorporate gamete intrafallopian exchange (GIFT) and zygote intrafallopian exchange (ZIFT).

Why is IVF utilized?

IVF can be utilized to treat fruitlessness in the accompanying patients:

Blocked or harmed fallopian tubes

Male factor fruitlessness including diminished sperm check or sperm motility

Ladies with ovulation issue, untimely ovarian disappointment, uterine fibroids

Ladies who have had their fallopian tubes evacuated

People with a hereditary issue

Unexplained fruitlessness

What is included with in vitro treatment?

There are five essential strides in the IVF and developing life exchange process:

Stage 1: Fertility medicines are endorsed to empower egg generation. Different eggs are wanted in light of the fact that a few eggs won’t create or prepare after recovery. A transvaginal ultrasound is utilized to look at the ovaries, and blood test tests are taken to check hormone levels.

Stage 2: Eggs are recovered through a minor surgical methodology that utilizations ultrasound imaging to direct an empty needle through the pelvic pit to evacuate the eggs. Drug is given to lessen and expel potential inconvenience.

Stage 3: The male is solicited to deliver an example from sperm, which is set up for joining with the eggs.

Stage 4: In a procedure called insemination, the sperm and eggs are combined and put away in a lab dish to support treatment. At times where there is a lower likelihood of preparation, intracytoplasmic sperm infusion (ICSI) might be utilized. Through this methodology, a solitary sperm is infused straightforwardly into the egg trying to accomplish treatment. The eggs are observed to affirm that treatment and cell division are occurring. When this happens, the treated eggs are thought about developing lives.

Stage 5: The incipient organisms are typically moved into the lady’s uterus three to five days following egg recovery and treatment. A catheter or little tube is embedded into the uterus to exchange the developing lives. This technique is easy for most ladies, albeit some may encounter gentle cramping. On the off chance that the methodology is effective, implantation normally happens around six to ten days following egg recovery.

Symptoms of in vitro treatment

In spite of the fact that you may need to relax after the method, most ladies can continue ordinary exercises the next day.


Fertilization can be attempted using two common methods:

Insemination. During insemination, healthy sperm and mature eggs are mixed and incubated overnight.

Intracytoplasmic sperm injection (ICSI). In ICSI, a single healthy sperm is injected directly into each mature egg. ICSI is often used when semen quality or number is a problem or if fertilization attempts during prior IVF cycles failed.

In certain situations, your doctor may recommend other procedures before embryo transfer.

Assisted hatching. About five to six days after fertilization, an embryo “hatches” from its surrounding membrane (zona pellucida), allowing it to implant into the lining of the uterus. If you’re an older woman, or if you have had multiple failed IVF attempts, your doctor might recommend assisted hatching — a technique in which a hole is made in the zona pellucida just before transfer to help the embryo hatch and implant.

Preimplantation genetic testing. Embryos are allowed to develop in the incubator until they reach a stage where a small sample can be removed and tested for specific genetic diseases or the correct number of chromosomes, typically after five to six days of development. Embryos that don’t contain affected genes or chromosomes can be transferred to your uterus. While preimplantation genetic testing can reduce the likelihood that a parent will pass on a genetic problem, it can’t eliminate the risk. Prenatal testing may still be recommended.

Embryo transfer

Embryo transfer is done at your doctor’s office or a clinic and usually takes place two to six days after egg retrieval.

You might be given a mild sedative. The procedure is usually painless, although you might experience mild cramping.

The doctor or nurse will insert a long, thin, flexible tube called a catheter into your vagina, through your cervix and into your uterus.

A syringe containing one or more embryos suspended in a small amount of fluid is attached to the end of the catheter.

Using the syringe, the doctor or nurse places the embryo or embryos into your uterus.

If successful, an embryo will implant in the lining of your uterus about six to 10 days after egg retrieval.

After the procedure

After the embryo transfer, you can resume your normal daily activities. However, your ovaries may still be enlarged. Consider avoiding vigorous activity, which could cause discomfort.

Typical side effects include:

Passing a small amount of clear or bloody fluid shortly after the procedure — due to the swabbing of the cervix before the embryo transfer

Breast tenderness due to high estrogen levels

Mild bloating

Mild cramping


If you develop moderate or severe pain after the embryo transfer, contact your doctor. He or she will evaluate you for complications such as infection, twisting of an ovary (ovarian torsion) and severe ovarian hyperstimulation syndrome.

Sunrise Hospital is known for lodging experienced Gynecologists. Dr. Beena Tiwari, a very much presumed Gynecologist, hones in New Delhi. Visit this therapeutic wellbeing place for Gynecologists suggested by 108 patients.

Dr. Nikita Trehan is an eminent Gynecologist and Laparoscopic Surgeon. After her cooperation in laparoscopic surgery (under Dr. Hafeez Rahman) she has been performing “Propelled Gynecology Laparoscopic Surgeries” in Gynecology throughout the previous 10 years with unique mastery in expelling expansive fibroids laparoscopically (6.5 kgs evacuated by laparoscopy) alongside other ripeness upgrading laparoscopic and hysteroscopic surgeries. Likewise shockingly is a Limca Book of Records for the “Most seasoned individual to have a surgery”. She is a general showing staff at all real workshops in India and abroad. She additionally attempts cooperation course where in 1 year association for post graduates is led for preparing in laparoscopy.

For More Information You Can Contact Us

Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Maharaja Agrasen Hospital with Dr. Sadhna Gupta Gynecologist

Dr. Sadhna Gupta is known for lodging experienced Gynecologists. Dr. Sadhna Gupta, a very much presumed Gynecologist, rehearses in Delhi. Visit this therapeutic wellbeing community for Gynecologists prescribed by 85 patients.

One of the main gynecologists of the city, Dr. Sadhna Gupta (Flex Medical Center) in Paschim Vihar has set up the facility and has picked up an unwavering customers in the course of recent years and is additionally every now and again went by a few VIPs, yearning models and other noteworthy customers and worldwide patients too. They additionally anticipate extending their business further and giving administrations to a few more patients attributable to its prosperity in the course of recent years. The proficiency, devotion, accuracy and empathy offered at the facility guarantee that the patient’s prosperity, solace and needs are kept of best need.

Dr. Sadhna Gupta Gynecologist is a Gynecologist and Obstetrics from Delhi in Delhi. Dr.Sadhna Gupta finished MBBS from Lady Hardinge Medical College New Delhi in 1982 MD – Obstetrics and Gynecology from University of Delhi in 1987. Dr. Sadhna Gupta ability in contraception exhortation, pcod or pcos treatment, cervical tumor inoculation, pre and post conveyance mind, vaginal contamination treatment, well lady healthcheck, obstetrics and antenatal care, laparoscopic surgery obs and gyn, womens wellbeing, menopause guidance, hysteroscopy, restorative end of pregnancy mtp, gynae issues, pap spread, infections in pregnancy.

Swallowing seems simple, but it’s actually pretty complicated. It takes your brain, several nerves and muscles, two muscular valves, and an open, unconstricted esophagus, or swallowing tube to work just right.

Your swallowing tract fgoes from the mouth to the stomach. The act of swallowing normally happens in three phases. In the first phase, food or liquid is contained in the mouth by the tongue and palate (oral cavity). This phase is the only one we can control.

The second phase begins when the brain makes the decision to swallow. At this point, a complex series of reflexes begin. The food is thrust from the oral cavity into the throat (pharynx). At the same time, two other things happen: A muscular valve at the bottom of the pharynx opens, allowing food to enter the esophagus, and other muscles close the airway (trachea) to prevent food from entering the airways. This second phase takes less than half a second.

The third phase starts when food enters the esophagus. The esophagus, which is about nine inches long, is a muscular tube that produces waves of coordinated contractions (peristalsis). As the esophagus contracts, a muscular valve at the end of the esophagus opens and food is propelled into the stomach. The third phase of swallowing takes six to eight seconds to complete.

A wide range of diseases can cause swallowing problems, which your doctor may call “dysphagia.” These include:

Disturbances of the brain such as those caused by Parkinson’s disease, multiple sclerosis, or ALS (amyotrophic lateral sclerosis, or Lou Gehrig’s disease)

Oral or pharynx muscle dysfunction such as from a stroke

Loss of sphincter muscle relaxation (termed “achalasia”)

Esophageal narrowing such as from acid reflux or tumors

Dysphagia facts


Dysphagia means difficulty swallowing.

Swallowing is a complex action involving the muscles and nerves within the pharynx and esophagus, a swallowing center in the brain, and nerves that connect the pharynx and esophagus to the swallowing center.

Dysphagia should be differentiated from odynophagia and globus sensation.

General causes of dysphagia can be grouped as either oropharyngeal or esophageal. Specific causes include physical obstruction of the pharynx or esophagus, diseases of the brain, diseases of the smooth muscle of the esophagus, diseases of skeletal muscle of the pharynx, and miscellaneous diseases.

Symptoms of dysphagia may be swallowing-related or non-swallowing-related.

The differential diagnosis of dysphagia includes odynophagia and globus sensation, tracheoesophageal fistula, rumination syndrome, gastroesophageal reflux disease (GERD), and heart disease.

Evaluation and diagnosis of the cause of dysphagia includes history, physical examination, endoscopy, X-rays, esophageal manometry, esophageal impedence, esophageal acid testing, and tests for the diagnosis of muscular dystrophy and metabolic myopathies.

The treatment of dysphagia depends primarily on its cause.

Newer diagnostic procedures for the evaluation and diagnosis of the cause of dysphagia include high resolution or 3D manometry and endoscopic ultrasonography.

What is dysphagia?

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Dysphagia is the medical term for the symptom of difficulty swallowing, derived from the Latin and Greek words meaning difficulty eating.

Mechanism of swallowing

Swallowing is a complex action.

Food is first chewed well in the mouth and mixed with saliva.

The tongue then propels the chewed food into the throat (pharynx).

The soft palate elevates to prevent the food from entering the posterior end of the nasal passages, and the upper pharynx contracts, pushing the food (referred to as a bolus) into the lower pharynx. At the same time, the voice box (larynx) is pulled upwards by muscles in the neck, and, as a result, the epiglottis bends downwards. This dual action closes off the opening to the larynx and windpipe (trachea) and prevents passing food from entering the larynx and trachea.

The contraction of the muscular pharynx continues as a progressing, circumferential wave into the lower pharynx pushing the food along.

A ring of muscle that encircles the upper end of the esophagus, known as the upper esophageal sphincter, relaxes, allowing the wave of contraction to push the food from the lower pharynx on into the esophagus. (When there is no swallow effort, the muscle of the upper sphincter is continuously contracted, closing off the esophagus from the pharynx and preventing anything within the esophagus from regurgitating back up into the pharynx.)

The wave of contraction, referred to as a peristaltic wave, progresses from the pharynx down the entire length of the esophagus.

Shortly after the bolus enters the upper esophagus, a specialized ring of muscle encircling the lower end of the esophagus where it meets the stomach, known as the lower esophageal sphincter, relaxes so that when the bolus arrives it can pass on into the stomach. (When there is no swallow the muscle of the lower sphincter is continuously contracted, closing off the esophagus from the stomach and preventing contents of the stomach from regurgitating back up into the esophagus.)

After the bolus passes, the lower sphincter tightens again to prevent contents of the stomach from regurgitating back up into the esophagus. It remains tight until the next bolus comes along.

Considering its complexity, it is no wonder that swallowing, beginning with the contraction of the upper pharynx, has been “automated,” meaning that no thought is required for swallowing once swallowing is initiated. Swallowing is controlled by automatic reflexes that involve nerves within the pharynx and esophagus as well as a swallowing center in the brain that is connected to the pharynx and esophagus by nerves. (A reflex is a mechanism that is used to control many organs. Reflexes require nerves within an organ such as the esophagus to sense what is happening in that organ and to send the information to other nerves in the wall of the organ or outside the organ. The information is processed in these other nerves, and appropriate responses to conditions in the organ are determined. Then, still other nerves send messages from the processing nerves back to the organ to control the function of the organ, for example, the contraction of the muscles of the organ. In the case of swallowing, processing of reflexes primarily occurs in nerves within the wall of the pharynx and esophagus as well as the brain.)

The complexity of swallowing also explains why there are so many causes of dysphagia. Problems can occur with:

the conscious initiation of swallowing,

propulsion of food into the pharynx,

closing of the nasal passages or larynx,

opening of the upper or lower esophageal sphincters,

physical blockage to the passage of food, and

transit of the bolus by peristalsis through the body of the esophagus.

The problems may lie within the pharynx or esophagus, for example, with the physical narrowing of the pharynx or esophagus. Dysphagia also may be due to diseases of the muscles or the nerves that control the muscles of the pharynx and esophagus or damage to the swallowing center in the brain. Finally, the pharynx and the upper third of the esophagus contain muscle that is the same as the muscles that we use voluntarily (such as our arm muscles) called skeletal muscle. The lower two-thirds of the esophagus is composed of a different type of muscle known as smooth muscle. Thus, diseases that affect primarily skeletal muscle or smooth muscle in the body can affect the pharynx and esophagus, adding additional possibilities to the causes of dysphagia.

Odynophagia and globus sensation

There are two symptoms that are often thought of as problems with swallowing (dysphagia) that probably are not. These symptoms are odynophagia and globus sensation.


Odynophagia means painful swallowing. Sometimes it is not easy for individuals to distinguish between odynophagia and dysphagia. For example, food that sticks in the esophagus often is painful. Is this dysphagia or odynophagia or both? Technically it is dysphagia, but individuals may describe it as painful swallowing (i.e., odynophagia). Moreover, patients with gastroesophageal reflux disease (GERD) may describe dysphagia when what they really have is odynophagia. The pain that they feel after swallowing resolves when the inflammation of GERD is treated and disappears and is presumably due to pain caused by food passing through the inflamed portion of the esophagus.

Odynophagia also may occur with other conditions associated with inflammation of the esophagus, for example, viral and fungal infections. It is important to distinguish between dysphagia and odynophagia because the causes of each may be quite different.

Globus sensation

A globus sensation refers to a sensation that there is a lump in the throat. The lump may be present continuously or only when swallowing. The causes of a globus sensation are varied, and frequently no cause is found. Globus sensation has been attributed variously to abnormal function of the nerves or muscles of the pharynx and GERD. The globus sensation usually is described clearly by individuals and infrequently causes confusion with true dysphagia.

Maharaja Agrasen Hospital Is Providing Round the Clock Services in the Department of Imaging, Laboratory, Accidental and Emergency and Critical Care Ambulance. The Department of Radiology Is Equipped With State of the Art Latest 1.5 Tesla MRI for Whole Body Screening, Spectroscopy, Angiography and Csf Flow Studies, Multislice Ct Scanner With Pressure Injector With Facilities for CT Guided FNAC, Angiography, and so forth 3-D and 4-D Color Doppler, 3D Mobile C-arm System, Digital OPG, X-beam With CR System, Image Intensifier, Bone Densitometer and Mammography and so on. This Hospital Can Boast of a Fully Automated Computerized Laboratory With Facilities for Histopathology, Cytology, Microbiology, Serology, Hematology and Biochemistry. The Blood Bank Is Equipped With Latest State of the Art Equipments to Collect and Process Whole Human Blood Along With Various Blood Components Including Facilities for Plateletpheresis. Hospital Is Providing Most Advanced Treatment and Care for Cardio-vascular Disease and Coronary Ailments Including Facilities for Angiography, Angioplasty and by-pass Surgery Etc. By a Team of Reputed Medical Professionals and the Services Are Comparable to Those Found in Most Advanced Countries of the World.

Hospital Has a State-of-the-workmanship Labor Room Cum Neonatal Nursery Complex Fully Equipped With the Latest Monitors, Ventilators, Cardiac Tocometers and a Number of Other Equipments to Monitor High-chance Pregnancies and Deliveries. the Neonatal and Pediatric Nursery Is One of the Best in Delhi. Other than This an Infertility Center (IVF Center for Test Tube Babies) Has Been Developed With Latest Equipments and Providing Best Facilities for the Couples to Have Children by Artificial Methods.

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Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Kailash Hospital with Dr. Nandita Gusain Barthwal

Kailash Hospital is a Multi Speciality center in Sector 27, Noida. The facility is gone to by specialists like Dr. Neelam Benerjee (PT), Dr. Neelu Mittal and Dr. Amit Sharma. The timings of Kailash Hospital are: Mon to Sun: 12:00 AM-11:05 PM. A portion of the administrations gave by the facility are: ECG, Transurethral Incision of The Prostate (TUIP), Valvuloplasty, Urinary Tract Infection (UTI) and Permanent Pacemaker Implantation. Tap on guide to discover headings to achieve Kailash Hospital.

Subject matters: High hazard pregnancy; Laparoscopic surgery – incorporates LAVH/TLH Ovarian blisters; Ectopic pregnancy; Endometriosis and Diagnostic for barrenness.

What is transurethral incision of the prostate (TUIP)?

Transurethral incision of the prostate (TUIP) is a procedure to treat an enlarged prostate gland.

The prostate gland is part of a man’s reproductive system. It is about the size of a walnut and located between the bladder and the penis. The prostate gland surrounds the upper part of the urethra, the tube that carries urine from the bladder out through the penis. It makes fluid that nourishes sperm and helps carry it out of the body during sex.

When is it used?

When the prostate gets bigger than normal, it may put pressure on the urethra and cause problems with urination. You may have trouble passing urine, and you may feel the need to urinate more often, sometimes even at night. The need to urinate can come on suddenly. In severe cases, you may not be able to pass urine. This can cause kidney damage if it is not treated promptly.

TUIP is a possible treatment if your prostate gland is not severely enlarged. It’s best to have this procedure before urine symptoms become severe or the prostate gland gets too large. Ask your healthcare provider about your choices for treatment and the risks.

How do I prepare for this procedure?

Make plans for your care and recovery after you have the procedure. Find someone to give you a ride home after the procedure. Allow for time to rest and try to find other people to help with your day-to-day tasks while you recover.

Tell your provider if you have any food or medicine allergies.

You may go home with a catheter for a few days after the procedure. A catheter is a small tube used to drain urine from the bladder. It’s best to learn about the catheter and urine collection bag before your procedure. Ask your healthcare provider about this.

You may or may not need to take your regular medicines the day of the procedure. Tell your healthcare provider about all medicines and supplements that you take. Some products may increase your risk of side effects. Ask your healthcare provider if you need to avoid taking any medicine or supplements before the procedure.

Your healthcare provider will tell you when to stop eating and drinking before the procedure. This helps to keep you from vomiting during the procedure.

Follow your provider’s instructions about not smoking before and after the procedure. Smokers may have more breathing problems during the procedure and heal more slowly. It is best to quit 6 to 8 weeks before surgery.

Follow any instructions your healthcare provider may give you.

Ask any questions you have before the procedure. You should understand what your healthcare provider is going to do. You have the right to make decisions about your healthcare and to give permission for tests or procedures.

What happens during the procedure?

This procedure is usually done at a surgical center or hospital.

You will be given medicine to help you to relax. The medicine can make you drowsy or you may fall asleep before the procedure.

You will be given medicine called anesthesia to keep you from feeling pain during the procedure. You may have:

Regional anesthesia, which numbs the lower part of your body.

General anesthesia, which relaxes your muscles and you will be asleep. A breathing tube is usually put in your throat when you have general anesthesia.

Your healthcare provider will pass a thin, lighted tube through the urethra and into the bladder. Fluid will be passed into the bladder to stretch the bladder and help your provider see the area better. With the scope, your provider will be able to see the area where the enlarged prostate is causing problems.

Your provider will make several deep cuts through the bladder neck and into the prostate gland to relieve the pressure on the urethra. Then, while you are still numb, your provider will insert a catheter into the penis and the urethra and then into the bladder. The catheter will help the bladder drain and flush out any blood clots that may have formed. The urethra will swell after the surgery and the catheter will help it stay open.

What happens after the procedure?

After the procedure you may stay in a recovery area for at least a few hours. You may be able to go home the day you have the procedure or you may stay in the hospital overnight.

You will likely have some pain or discomfort in the area over your bladder, as well as at the base of your penis. The catheter in the urethra normally needs to stay in for 2 to 3 days. Do not try to remove the catheter. Your healthcare provider will remove the catheter.

Ask your healthcare provider:

How long it will take to recover

If there are activities you should avoid, including lifting, and when you can return to your normal activities

How to take care of yourself at home

What symptoms or problems you should watch for and what to do if you have them

Make sure you know when you should come back for a checkup. Keep all appointments for provider visits or tests.

What are the risks of this procedure?

Every procedure or treatment has risks. Some possible risks of this procedure include:

You may have problems with anesthesia.

You may have infection, blood clots, or bleeding.

It may be harder for you to have an erection. Also, when you have an orgasm, semen may not come out of your penis. Instead it may flow backward into your bladder.

Rarely, you may have trouble controlling your urine.

Ask your healthcare provider how these risks apply to you. Be sure to discuss any other questions or concerns that you may have.

Transurethral incision of the prostate (TUIP) may be done to treat benign prostatic hyperplasia (BPH). The surgeon uses an instrument inserted into the urethra that generates an electric current or laser beam to make incisions in the prostate where the prostate meets the bladder. Cutting muscle in this area relaxes the opening to the bladder, decreasing resistance to the flow of urine out of the bladder. No tissue is removed. It is done under either general or spinal anesthetic.

What To Expect After Surgery

TUIP is a much less invasive procedure than transurethral resection of the prostate (TURP). You are typically able to go home after surgery. You may not be able to urinate and may need to have a catheter to drain your bladder. For most men, this lasts for a week or less.

Why It Is Done

TUIP may be a good option for men who have only slightly enlarged prostates and who are bothered a lot by their symptoms.

TUIP may be chosen instead of TURP by men who:

Are at higher risk for complications from surgery and anesthetic, including men with serious health problems. TUIP involves less blood loss and can be done more quickly than TURP.

Want to avoid the risk for retrograde ejaculation, a condition in which semen flows backward into the bladder. This side effect is more common with TURP than with TUIP.

How Well It Works

Symptoms improve after TUIP in about 8 out of 10 men.1 Men notice about a 73% improvement in their American Urological Association (AUA) symptom index scores.1 For example, if you have a symptom score of 25 (severe), it could be reduced to about 7 (mild).

Short-term improvement in BPH symptoms is about the same for TUIP as for TURP. Studies comparing the two types of surgery suggest that the outcomes are similar. Men who have had TUIP generally are less likely to develop retrograde ejaculation than men who have TURP. But men who have TUIP are more likely to need a second surgery.2

Transurethral Incision of the prostate (TUIP)

TUIP is for men who are experiencing obstruction problems and have a relatively small prostate. The procedure takes about 20 minutes, under general or epidural anaesthetics. As with a TURP, an instrument will be passed up through the penis up the urethra. Here a TUIP differs from a TURP, as one or two small cuts are made in the neck of the bladder and in the prostate. This allows the bladder neck to spring apart and urine to flow more freely.

After the incision, you will be catheterised at the end of the operation. This allows urine to drain away freely. The catheter will be removed after 24-48 hours and you will normally leave hospital after urinating normally.

Potential complications of TUIP:

Retrograde ejaculation-This is where semen passes backwards into the bladder into the bladder during orgasm, rather than out through the penis. This is not harmful; you will pass the semen mixed with urine next time you urinate.

Retrograde ejaculation may reduce your fertility, though it does not make you sterile.

Dr. Nandita Gusain Barthwal is a put stock in Gynecologist in Sector-27, Noida. Specialist has helped various patients in his/her 23 years of experience as a Gynecologist. Specialist contemplated and finished MBBS, DGO, MD – Obstetrics and Gynecology . Specialist is presently honing at Kailash Hospital IUI IVF Clinic in Sector-27, Noida. You can book a moment arrangement online with Dr. Nandita Gusain Barthwal on elawoman.com.

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Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Dr. Bani Kumar Mitra Surgery Centre

One of the main gynecologists of the city, Dr. Bani Kumar Mitra in Rash Behari Avenue has set up the facility and has picked up a devoted demographic in the course of recent years and is additionally every now and again went to by a few big names, trying models and other respectable customers and universal patients too. Dr. Bani Kumar Mitra Surgery Centre one of the best centre . They additionally anticipate extending their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The proficiency, devotion, accuracy and empathy offered at the facility guarantee that the patient’s prosperity, solace and needs are kept of best need. The facility is furnished with most recent sorts of gear and gloats very progressed surgical instruments that assistance in experiencing careful surgeries or strategies.

Surgy Center IUI IVF Clinic

Dr. Bani Kumar Mitra is Top Gynecologist in Rash Behari Avenue, Kolkata. Dr. Bani Kumar Mitra hones at N G Medicare and Calcutta Hope Infertility Clinic, 123 A, Rash Behari Avenue, Kolkata . Dr. Bani Kumar Mitra is DGO, DNB, MRCOG(Lon) . You can Book Online Appointment, Consult with Dr. Bani Kumar Mitra on elawoman.com.

One of the main gynecologists of the city, Surgy Center in Biren Roy Road West has built up the facility and has picked up a dependable customer base in the course of recent years and is likewise as often as possible went by a few big names, yearning models and other decent customers and universal patients too. They likewise anticipate extending their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The effectiveness, commitment, exactness and empathy offered at the center guarantee that the patient’s prosperity, solace and needs are kept of best need.

In vitro fertilization, or IVF, is a specialized procedure to help you get pregnant when other fertility treatments are unsuccessful or unavailable. You may want to consider IVF if you’re dealing with:

Failed standard infertility treatment.

Prolonged infertility (more than three years).

Severely damaged or absent fallopian tubes.

Male factor infertility (low sperm count or low motility).

Endometriosis (severe or failed prior treatment).

Unexplained infertility.

Cervical factor infertility.

The technique involves collecting eggs from the ovaries, fertilizing eggs in the laboratory with partner or donor sperm and then placing developing embryos into the uterus.

Step 1: Induction of Multiple Ovulations (Eggs)

To increase IVF effectiveness, you’ll receive medications to stimulate production of multiple eggs and to inhibit the release of those eggs, a process called ovulation induction. Drugs called GnRH agonists suppress your body’s own hormonal response so that we can directly control the ovarian production of eggs. Other drugs, called human gonadotropins, induce multiple eggs’ development and maturity. Your doctor will administer these drugs (oral or injections) in a set sequence. You’ll continue these medications until it is time to induce ovulation.

Step 2: Egg Retrieval

When your doctor verifies two or more mature, preovulatory follicles, you will be scheduled for egg retrieval 32 to 35 hours after you’ve received the hCG injection. Using ultrasound to guide the procedure, your doctor will pass a needle either through the vagina or abdominal wall into the follicles to collect the eggs. This technique takes 20 to 30 minutes under a light anesthesia, with very little discomfort.

Potential risks do exist; the most common risks include bleeding, either at the puncture site or from the ovaries, infection or failure to obtain eggs. If bleeding from the ovaries persists, an extremely rare event, an operative procedure may be necessary.

Step 3: Sperm Preparation

On egg collection day, you’ll also need a semen sample. Abstinence for 48 hours is required prior to collection. In some situations, your doctor may also ask for a sperm sample prior to the IVF cycle to freeze as a backup in case there’s some problem on egg collection day. Lab technicians will process the sperm sample using specialized techniques to collect the most motile (active) sperm.

Step 4: Egg Fertilization

Retrieved eggs undergo examination by a gamete biologist for maturity and viability. We then place the eggs into a special incubation fluid to complete the final steps of development necessary for fertilization. At a specific time, the specially processed sperm are added to the eggs.

Step 5: Embryonic Growth in the Lab

Approximately 24 hours after retrieval, a gamete biologist performs a fertilization check on the egg(s). If one or more are fertilized, the pre-embryo(s), also called zygotes, are checked at different times to determine adequate growth and development. Typically, embryo(s) grow in the lab for three to five days after egg collection. All aspects of the embryo growth are carefully monitored and controlled.

Step 6: Transfer of Embryos into the Uterus

Once normal growth and development occurs, embryo(s) go back into the uterus, typically three to five days after the egg retrieval. Using abdominal ultrasound to monitor the process, your doctor transfers the embryos through a very fine catheter passed through the cervix and into the uterus. No anesthesia is required although you may receive a mild sedative prior to the transfer. Afterwards, you may need to stay in bed for two hours and rest for the first 24 hours, with no exercising for 14 days.

Ovulation Stimulation

In-vitro fertilization (IVF) is a process that involves the administration of medications to stimulate the development, growth, and maturation of eggs on the ovaries. This process of egg recruitment typically starts with a medication called Lupron which helps us control the menstrual cycle by decreasing your body’s production of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). After the Lupron is administered for 12 to 14 days, we then start the administration of injectable medications to stimulate egg development.

Egg Development

The egg development will be followed closely with a combination of ultrasound monitoring and blood work. When the eggs have reached optimum maturation (typically after 10 days of medications) human chorionic gonadotropin (HCG) is administered to start the sequence of ovulation.

Egg Retrieval

Approximately 35 hours after the HCG administration you are given anesthesia and your eggs are harvested from your ovaries with a needle guided by ultrasound. After the eggs are removed from the ovary they are placed in culture media designed to mimic the conditions of the fallopian tube (where fertilization typically takes place).


The eggs are then combined with the sperm and the resulting embryos are nourished in an incubator that is maintained at precise temperatures to mimic the conditions in the human body. Embryo development is then observed assessing embryo morphology, cell count and growth velocity.

Embryo Transfer

At the appropriate stage of development the embryos are placed into the uterus through a very simple procedure similar to a pap smear. A pregnancy test is then performed approximately 10 days later.

Blastocyst Transfer

Normally, fertilization of the egg occurs in the fallopian tube where the embryo spends three days developing to the 8-cell stage. This embryo then travels into the uterine cavity where it grows to a blastocyst (140 cells) by Day 5. At this point, on either Day 5 or 6, the embryo breaks through the outer membrane (hatching) and attaches to the wall of the uterus where it continues to grow into a baby.

Prior to 1998 most IVF programs transferred three to four embryos on day 3 at the 8-cell stage. The incidence of triplet pregnancies became unacceptably high, accounting for 10 to 15% of pregnancies. Fortunately, a technique which divided the culture process into two steps was developed by Dr. David Gardner, permitting IVF laboratories to grow embryos to Day 5 and thus transfer only two embryos while maintaining high pregnancy rates without the risk of triplet pregnancies or greater.

Blastocyst transfer is an important cornerstone of our IVF program as it allows us to evaluate the embryos over an extended period of time prior to embryo transfer. Not all patients are candidates for a blastocyst transfer, however, and we prefer to select the day of transfer based on the judgment of our embryologist regarding the best chance of a single or twin pregnancy.

Coastal Fertility Specialists also offers a variety of modifications to the standard IVF process to help patients with specific disorders. We offer intracytoplasmic sperm injection (ICSI) for couples with male factor infertility, preimplantation genetic diagnosis (PGD) for couples with genetic disorders and assisted hatching for patients with repeat IVF failure.

Surgy Center IUI IVF Clinic in Kolkata treats the different afflictions of the patients by helping them experience top notch medications and methods. Among the various administrations offered here, the center gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears – Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions.

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Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008



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Mitr Hospital Kharghar with Dr. Nandita Dubey

In Delhi, Mitr Hospital Kharghar is a recognized name in patient care. It was incepted in the year 2014. They are one of the well-known Hospitals in Sector 35. Backed with a vision to offer the best in patient care and equipped with technologically advanced healthcare facilities, they are one of the upcoming names in the healthcare industry. Located in , this hospital is easily accessible by various means of transport. A team of well-trained medical staff, non-medical staff and experienced clinical technicians work round-the-clock to offer various services . Their professional services make them a sought after Hospitals in Delhi. A team of doctors on board, including specialists are equipped with the knowledge and expertise for handling various types of medical cases.


The hospital’s architecture has a welcoming design from the outside as well as in the lobby and other areas inside resembling a five star hotel instead of a conventional hospital building.. The hospital offers complete Surgical, Internal, Neuro, Ortho, Gynae and Pediatric care. The hospital encompasses a well equipped Diagnostic wing comprising of CT Scan, Ultrasound, Color Doppler, X-ray and a fully Computerized Radiography system in the Department of Radiology & Imaging and a full fledged Pathology Lab and Non Invasive Cardiology set up of TMT, ECG and Echocardiography.


Mitr Hospitals is regarded as one of the most promising healthcare centre providing a comprehensive yet diligent care in

multiple specialties all under one roof in Delhi-NCR region.

Mitr Stands for :

  • Empathy – We understand your pain and won’t let you stand alone in it.
  • Care – We are always at your constant aid and assistance.
  • Collaboration – We collaborate to create a patient-centric holistic healthcare hub.
  • Companionship – We strive to build a deep rooted relationship.
  • Protect – Our moto of service is ‘Your Life, Our Responsibility’.
  • Compassion – We serve our patients with love and tenderness.

Mitr Hospitals has a rich heritage and is a part of the Triage Group that owns Clarks Inn- Cytrus Hotel. Thus the hospital’s.


genesis has a strong backing of a well- reputed group company with a sound knowledge of hospitality and understanding of customer servicing, which is generally seen as a lacking trait in the Indian Healthcare Industry.


Mitr Hospitals is a 100 bed specialty destination that is divided into a deluxe category of both single and double beds as well as a modern, hygienic and well-maintained general ward category. To offer world- class services the hospital has modular operation theatres, surgical and medical ICUs, NICU, Labour suites and LDR beds.


Dr. Nandita Dubey Gynecologist is one of the best Gynaecologists in Sector-21, Navi Mumbai. You can meet Dr. Nandita Dubey personally at MITR Healthcare Hospital – Advanced Urology & Laparoscopy Centre in Sector-21, Navi Mumbai. Book an appointment online with Dr. Nandita Dubey on elawoman.com.


The hospital’s architecture has a welcoming design from the outside as well as the lobby and other areas inside resembling a five star hotel instead of a conventional hospital building. The hospital structure ensures full utilization of natural light and air circulation with a pleasant view so that our patients heal faster in serenity.


What is an endoscopy?


An endoscopy is a procedure in which your doctor uses specialized instruments to view and operate on the internal organs and vessels of your body. It allows surgeons to see problems within your body without making large incisions.


A surgeon inserts an endoscope through a small cut or an opening in the body such as the mouth. An endoscope is a flexible tube with an attached camera that allows your doctor to see. Your doctor can use forceps and scissors on the endoscope to operate or remove tissue for biopsy.




Why do I need an endoscopy?


Endoscopy allows your doctor to visually examine an organ without having to make a large incision. A screen in the operating room lets the doctor see exactly what the endoscope sees.


Endoscopy is typically used to:


help your doctor determine the cause of any abnormal symptoms you’re having

remove a small sample of tissue, which can then be sent to a lab for further testing; this is called an endoscopic biopsy

help your doctor see inside the body during a surgical procedure, such as repairing a stomach ulcer, or removing gallstones or tumors

Your doctor may order an endoscopy if you’re having symptoms of any of the following conditions:


inflammatory bowel diseases (IBD), such as ulcerative colitis (UC) and Crohn’s disease

stomach ulcer

chronic constipation



unexplained bleeding in the digestive tract



blockage of the esophagus

gastroesophageal reflux disease (GERD)

hiatal hernia

unusual vaginal bleeding

blood in your urine

other digestive tract issues

Your doctor will review your symptoms, perform a physical examination, and possibly order some blood tests prior to an endoscopy. These tests will help your doctor gain a more accurate understanding of the possible cause of your symptoms. These tests may also help them determine if the problems can be treated without endoscopy or surgery.




How do I prepare for an endoscopy?


Your doctor will give you complete instructions on how to prepare. Most types of endoscopy require you to stop eating solid foods for up to 12 hours before the procedure. Some types of clear liquids, such as water or juice, might be allowed for up to two hours before the procedure. Your doctor will clarify this with you.


Your doctor may give you laxatives or enemas to use the night before the procedure to clear your system. This is common in procedures involving the gastrointestinal (GI) tract and the anus.


Prior to the endoscopy, your doctor will do a physical examination and go over your complete medical history, including any prior surgeries.


Be sure to tell your doctor about any medications you’re taking, including over-the-counter drugs and nutritional supplements. Also alert your doctor about any allergies you might have. You may need to stop taking certain medications if they might affect bleeding, especially anticoagulant or antiplatelet drugs.


You may want to plan for someone else to drive you home after the procedure because you might not feel well from the anesthesia.


Dr. Nandita Dubey is experienced gynecologist practicing for more than 19 years in Navi Mumbai. She is renowned laparoscopic endo-gynae surgeon. The surgeries performed by her are laparoscopic vaginal hysterectomy, laparoscopic myomectomy and many other.


What is upper endoscopy?


Upper endoscopy is a procedure that enables the examiner (usually a gastroenterologist) to examine the esophagus (swallowing tube), stomach, and duodenum (first portion of small bowel) using a thin, flexible tube called the upper endoscope through which the lining of the esophagus, stomach, and duodenum can be viewed using a TV monitor.


How do I prepare for endoscopy?


To accomplish a safe and complete examination, the stomach should be empty. The patient will most likely be asked to have nothing to eat or drink for six hours or more prior to the procedure.


Prior to scheduling the procedure, the patient should inform his or her physician of any medications being taken, any allergies, and all known health problems. This information will help the doctor determine whether the patient may need antibiotics prior to the procedure, and what potential medications should not be used during the exam because of the patient’s allergies. The information will provide the individual scheduling the procedure an opportunity to instruct the patient whether any of the medications should be held or adjusted prior to the endoscopy.


Knowledge whether the patient has any major health problems, such as heart or lung diseases, will alert the doctor of possible need for special attention during the procedure.


Dr. Nandita Dubey has practiced in both private practice settings, providing comprehensive care to her patients as well as at academic centres instructing resident physicians in minimally invasive surgery. Her desire is to explore and contribute to the future of women’s health care.


For More Information You Can Contact Us

Block 30, East Patel Nagar, Rajendra Place, New Delhi, Delhi 110008




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