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
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, 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 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
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