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Rotunda fertility Clinic,Surrogacy clinic IndiaInfertility Clinics in India Mumbai specialize in the area of IVF Treatment Our Infertility Treatments Clinics includes ICSI IUI Treatment, Embryo Donation, Egg Donation, infertility treatment, Male Female Infertility Treatment Mumbai Fertility Clinics in India Doctors, Gynecology Pregnancy Infertile Couples Problems Child birth in Mumbai Maharashtra Hospitals Conceiving Concepts Sex, IVF baby, Infertile Couple having Test Tube Baby Egg Donors Sperm Donation in our fertility IVF Centres Hospitals Mumbai Maharashtra India Good Fertility IVF Clinics in India New Delhi Chennai Bangalore Kolkata Kerala Mumbai Centre Infertile Couples in Muscat Oman USA Canada Australia United Kingdom UK London UAE United Arab Emirates Dubai China Kenya Nigeria Ethiopia

 

 
 
Tags:  IVF India  IVF Clinic  IVF Clinic India  IVF Clinics in India  ICSI clinic  ivf  infertility clinic  fertility  fertility center  ivf clinic  ivf india  In Vitro fertilization  ivf success  ivf stories  ivf cost  low sperm coun 
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Published:  December 24, 2010
 
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Slide 1: rotunda.co.in search... Home Programs and Services Infertility Surgery All you need to know Pictures and Videos About us Glossary of terms Our Success rates Contact us Welcome to the official website of Rotunda Fertility Clinic and Keyhole Surgery Centre. This clinic is the latest venture of Rotunda-The centre for Human Reproduction and one step forwards in creating a chain of well equipped and Stateof-the-art IVF centres in the city of Mumbai. In addition to Infertility treatments, we also have facility for patients to undergo keyhole surgery which is performed by reknowned specialists when indicated. Facing infertility and undergoing treatment for the same is without doubt one of the most distressing situations that a couple can face. It fosters uncertainities, doubts, fears, guilt and apprehensions. We at Rotunda strive towards making the whole process as simple and transparent as possible, providing guidance and counselling at every step. We boast of a team sensitised to the needs of our clients and have a long track record to prove this. Most of all, we respect our clients' need for privacy and offer this and much much more at very reasonable and competitive rates. Egg donation may offer the only chance of..... Success rates at Rotunda Centre of Human..... Please use this form to request an ....... http://www.rotunda.co.in/[12/22/2010 5:36:08 PM]
Slide 2: Male and Female Infertility
Slide 3: Goals  Enhance comfort level with workup Basic Management Strategies TRICARE www.rotunda.co.in   
Slide 4: Definition  12 months of unprotected intercourse  Earlier for certain historical factors  Older than 35
Slide 5: Infertility Etiology
Slide 6: Female Factors
Slide 7: Male Factors General Causes  Meds  Unknown: 40-50% 1 Hypogonadism: 3040% Altered Sperm Transport: 10-20% 2 Hypogonadism: 1-2% 1 or 2 Hypogonadism Common medications       Ketoconazole Cimetidine Spironolactone 
Slide 8: The Scenario  Tech: “Husband and wife can’t get pregnant.” You: OB rotation was last infertility workup What now?  
Slide 9: Workup  History is KEY Focused Physical Exam Labs and Specialized Tests  
Slide 10: Workup: History        Coital Practices Gestational History PMHx/PSHx Meds Menstrual History Substances Recent High Fever
Slide 11: Our Couple: History Female  Male  G1 P0010 No hx of STIs No previous partner pregnancies Gonorrhea hx No meds Occasional EtOH    Normal menses   Unprotected sex for 15 months 
Slide 12: Workup: Physical Exam Female  Male   Breast Formation Galactorrhea Genitalia Hyperandrogenism?       Infection Hernia Vas deferens Androgen deficiency Testicular mass Varicocele 
Slide 13: Workup: Labs Female  Male   Ovulation problems Ovulatory Dysfunction Ovarian Reserve       CBC FSH, Testosterone GC/Chlam, UA Renal and Liver Function Semen analysis Postejaculatory urinalysis
Slide 14: WHO Seminal Fluid Analysis (1999)     Volume: >2ml Sperm concentration: >20 million/ml Total Sperm Number: >40 million/ejaculate Sperm Motility: >50% motile and/or  >25% progressively motile   Sperm Morphology: >14% normal forms
Slide 15: Workup: Special Tests Female  Male  Transvaginal Ultrasonography (TVUS) Hysterosalpingography (HSG) Hysteroscopy Laparoscopy Scrotal Ultrasonography   Transrectal Ultrasonography (TRUS)  
Slide 16: Our Couple: Exam, Labs & Tests  Normal male exam Normal initial labs Oligospermia on 2 separate semen analyses TRUS and postejaculatory UA normal   
Slide 17: Management: General Concepts  41 different methods “Fertile window” intercourse “E-type” vaginal discharge Avoid lubricants and douches   
Slide 18: Management: Female  Treat underlying cause Hyperprolactinemia PCOS Gonadotropin therapy   
Slide 19: Management: Female  Ovulatory dysfunction (Unknown etiology) Clomiphene 50mg PO daily x 5 days  Start on days 3-5  Can increase to 100mg daily next cycle  Results  80% will ovulate  Hyperstimulation and Twinning  Higher-order multiples rare 
Slide 20: Management: Female  Clomiphene Failure?  IVF Injectable ovulation-inducing agents 
Slide 21: Management: Female  Tubal/Pelvic/Uterine Issues Reparative Surgery (low success)  IVF   Endometriosis Laparoscopic ablation  Laparotomy  Ovulation induction +/- IUI and IVF 
Slide 22: Management: Male  Hyperprolactinemia Surgical repair Fertility Specialist  
Slide 23: Stress and Infertility  69% Women and 21% Men have preexisting condition Greater risk for psychological stress No significant difference in psychopathology  
Slide 24: Stress and Infertility  Men have increased stress over time, same as women Watch for normal grief vs. psychopathology Same rates of depression as other chronic disease  
Slide 25: Stress and Infertility  Bottom line: Not a means to improve pregnancy rates.
Slide 26: Management: Our Couple  Male: Imipramine Mar 08 Pregnant in www.rotunda.co.in June 2008! Separated from USAF in July 2008  
Slide 27: Questions?
Slide 28: Infertility treatments search... Home Programs and Services Infertility treatments Infertility treatments Rotunda offers all services pertinent to infertility under one roof. We are known for our innovation, integrity, medical and technical excellence, personalized service, and consistent willingness to accept patients facing the most difficult medical challenges. We offer the following services: Intrauterine Insemination In vitro Fertilisation (IVF) ICSI IVF Lite (Mild IVF/Minimal stimulation IVF) Surgical Sperm retrieval Donor Egg program Sperm banking and donor sperm Embryo freezing Gestational Surrogacy Embryo donation << Back to Program & Services

   
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