Endocrine Assessment what is it?

Posted on October 15, 2024December 24, 2024 by Reviva Fertility

Endocrine Assessment what is it?

How does it affect fertility?

Endocrine Assessment- Hormone tests carried out as part of the first examination of women seeking reproduction treatment is known as endocrine evaluation also known as an endocrine profile, is a blood test to measure the levels of many hormones in the blood, including oestradiol, progesterone, prolactin, testosterone, thyroid function & anti-mullerian hormone (AMH).

How do hormone imbalances affect fertility & what causes them?

Hormones levels can be impacted by unhealthy lifestyles:

These problems may lead to irregular menstruation, affecting egg maturation, ovulation and pregnancy implantation. More crucially, any direct or indirect health issue affecting the reproduction system, particularly the ovaries & tests can cause hormonal imbalances, which can suggest a person’s incapacity to release eggs or generate healthy sperm.

What part do different hormones play in the process of reproduction:-

FSH: promotes development of follicles and egg from the immature stage to the mature stage.
LH: development & release of eggs.
Oestradial: it comes from the follicles that are growing. Estradiol plays an important role in development of endometrium which is the uterine lining.
Progestrone: Fosters an environment that is conducive to the establishment of a pregnancy or the implantation of an embryo.
PRL: Prolactin levels can frequently rise, which may prevent ovulation or the release of eggs.
AMH: one of the finest tests to gauge ovarian anti-mullerian hormone reserve is this hormone, before beginning fertility treatments such as assisted conception or IVF, it is almost always checked.

Takeaway:- Endocrine assessment is a crucial process that helps doctors to identify hormonal imbalances that can lead to various health conditions.

Conclusion:

Overall, endocrine assessment plays a critical role in maintaining overall health & well-being. REVIVA Fertility & IVF Clinic is one of the best fertility clinics in CHD. If you want to know more about endocrine assessment or still have questions, call us at 9915004407. We are here to help.

DNA Fragmentation Test of Sperm: How Far it’s Helpful!

Posted on September 20, 2024December 24, 2024 by Reviva Fertility

DNA Fragmentation Test of Sperm: How Far it’s Helpful!

In this blog, we will take a close look at the DNA fragmentation test of sperm and how helpful it is in determining male fertility.

(Sperm DNA fragmentation test refers to the assessment of the level of damage to the genetic material in man’s sperm.)

The test is performed to identify the presence of DNA damage in the sperm which can contribute to male fertility problems.
The DNA fragmentation test can be done to assess the potential occurrence of male fertility and infertility. The fertilizing capacity of sperm to be able to help couples to understand the problems related to it.

Can male fertility be improved if DNA fragmentation is detected?

If DNA fragmentation is detected during the DFI test, it may be possible to take steps to improve fragmentation level.
However, it depends on the severity of the DNA damage and other underlying factors which decide the speed of the recovery.
Lifestyle changes, such as quitting smoking & reducing alcohol consumption, can improve sperm quality and reduce DNA fragmentation.
A healthy diet high in antioxidants, such as fruits & vegetables, may also help reduce DNA damage in sperm.
ART, such as ICSI may also be an option for couples struggling with male fertility associated with high DFI. Sometimes testicular sperm is also recommended for better quality of sperm.

Conclusion:

It is important to note that high levels of DNA fragmentation have been linked to reduced sperm count & motility. It also decreases successful pregnancies. Consult with a healthcare professional specializing in male fertility to determine the best course of action if DNA fragmentation is high during DFI testing.

Importance of Genetic testing (PGT) of embryos for abnormalities

Posted on September 6, 2024December 24, 2024 by Reviva Fertility

Importance of Genetic testing (PGT) of embryos for abnormalities

Our breakthrough is preimplantation genetic screening (PGT-A) of embryos for abnormalities.

#PGT offers voluble insights into the genetic composition of embryos

Helping couples make informed decisions & significantly improving the chances of a successful pregnancy.

#Here we will explore the importance of genetic testing (PGT) of embryos for abnormalities & its numerous benefits

(PGT) (PREIMPLANTATION GENETIC SCREENING ) / TESTING

It allows the selection of embryos with the highest likelihood of developing into the healthy pregnancies by screening for chromosomal abnormalities.

Detecting Genetic Abnormalities:-

It enables the identification of chromosomal abnormalities such as aneuploidy or structural rearrangements.This information helps determine the viability and health of embryos before they are transferred into the uterus.

Reducing the Risk of Genetic Disorder:-

Improving Success Rates of Assisted Reproductive:- By selecting embryos with the correct number of structures of chromosomes, PGT enhances the success rates of assisted reproductive technologies (ART) such as IVF.

Ethical Considerations Includes:

Handling of excess embryos

Psychological impact of screening for certain conditions

Embryo Biopsy	Genetic Testing Methods	Result Analysis
Few cells are carefully extracted from each embryo for genetic testing.	Includes (NGS) Next generation sequencing or (PCR).
Occurs on 3rd day after fertilization or during blastocyst stage.

Day 3 Embryo Biopsy

Day 5 Embryo Biopsy

PGT Limitations

Its important to acknowledge its limitations:

PGT does not guarantee the birth of a healthy baby, as it cannot detect all genetic abnormalities or address mom – genetic factors that may affect pregnancy.

So, there is still 1% risk of abnormalities in baby.
False +VE or False –VE results can occur, leading to incorrect interpretations of embryo viability.

Conclusion:

By leveraging the power of genetic testing, couples can increase their chances of achieving a healthy pregnancy and welcoming a child into the world.

Fallopian Tubes & Fertility

Posted on August 14, 2024December 24, 2024 by Reviva Fertility

Fallopian Tubes & Fertility

Your fallopian tubes play a vital role in the fertilization process necessary to become pregnant. These tubes are where the egg & sperm meet & the egg is fertilized.

The egg then travels through the fallopian tube, into the uterus to implant & grow into a baby.

So, lets address some questions are in one go:-

Can I get pregnant with only one working fallopian tube

Endometriosis
Fibroid
Tubal ligation
Pelvic inflammatory
Prior abdominal or pelvic surgery
Can I get pregnant after a tubal ligation!
Tubal ligation & pregnancy
It’s a surgical procedure, where the fallopian tubes are either blocked or cut to prevent pregnancy. This procedure has also been referred to as getting your tubes tied. Tubal ligation is a permanent form of birth control & sometimes can be reversed.
Occasionally women want to get pregnant after having a tubal ligation due to varying circumstances & life changes .

There are few options if you want to get pregnant after libel ligation.

Fertility with no fallopian tubes :-

There have been cases where women without these tubes are looking to become pregnant.

A women may have had her fallopian tubes removed for various reasons including:-

Ectopic pregnancy
Endometriosis
A severe infection
Prevention/ treatment of ovarian cancer
Regardless, a women can get pregnant with no fallopian tubes , but she will require assisted fertility treatment.

Why REVIVA Fertility & IVF Clinic

REVIVA Fertility & IVF Clinic is home to Chandigarh’s renowned fertility specialists. We custom-design fertility treatments for the individual to increase the chances of a successful pregnancy.

Our specialists believe in putting the patient first and being with them through every step of the fertility journey. Our team is well-versed in helping women of all ages reach their fertility goals. We are passionate about educating & supporting our patients throughout their journey.

Call us at 9915004407 or schedule your initial consultation today.

How to Prepare Yourself for Blastocyst Transfer

Posted on August 5, 2024December 24, 2024 by Reviva Fertility

How to Prepare Yourself for Blastocyst Transfer

With the aid of ART, such as IVF, infertile intended parents can have children. We have come up with the best and easiest solution for you. I ensure after reading this blog, we will solve all your queries related to blastocyst transfer.

What Does Blastocyst Transfer Signify?

Before addressing the direct question, we will briefly define blastocyst transfer. Thanks to recent improvements in the IVF lab procedures and culture material, embryos can now be successfully cultured up to the blastocyst stage. Compared to the embryos at an earlier stage, blastocyst might have a higher chance of implanting into the uterine wall.

Blastocyst Embryo Transfer Recommended for?

Blastocyst culture is being given as an alternative option to couples. Who have trial IVF or IVF-ICSI unsuccessfully despite having several high quality eggs recovered?

Couples that are strong candidates for blastocyst culture include those who have several healthy embryos on day 3.

How Does Transferring Blastocyst Benefits you?

A developing embryo generally exists in the fallopian tube and enters the uterus at the blastocyst stage (5 days after fertilization).
The blastocyst begins to implant itself into the uterus lining once it has reached the uterus a practice called implantation.
The benefit of trying to develop embryos to the blastocyst is that this stage of development is more compatible with the uterine environment. Doctors or specialists will need to replace fewer embryos.

Risks Involved in Blastocyst Transfer:-

The drawbacks are that very few embryos (probably between 30% & 50% of them) will survive or develop to this stage. A 10% chance exists that no embryos will develop to the blastocyst transfer stage leaving no embryos eligible for transfer.

FINAL OUTCOME

Our IVF expert Dr. Sandeep Cheema Sohi will take care of you. If you want to have a word with her, schedule an appointment with the best IVF centre in CHD at 9915004407 or send your enquiry via an email at revivagynae@gmail.com

Bleeding & Spotting During Ovulation: When to be Concerned

Posted on July 16, 2024December 25, 2024 by Reviva Fertility

Bleeding & Spotting During Ovulation: When to be Concerned

Ovulation occurs when the ovary releases an egg and some women experience bleeding & spotting around the time they are ovulating, which is a normal occurrence. It’s fairly common for women to spot or bleed at some point in their menstrual cycles. But when should you be concerned about the bleeding during ovulation?

( This blog post will explore the signs that indicate when ovulation spotting or bleeding is normal and when it is a sign of concern. it will also discuss the next steps that you can take if you are concerned about bleeding & spotting during ovulation.)

What is Ovulation Spotting?

Light vaginal bleeding can occur before or after ovulation. (Not every woman has spotting during ovulation). Ovulation bleeding occurs when hormone levels change. For example, estrogen levels decrease before a woman starts ovulating, causing the endometrial to shed.

You May Also Experience Other Symptoms of Ovulation Such as:-

Breast soreness and tenderness
Lower abdominal or pelvic pain
Increased sexual desire
Bloating
Changes in your body's basal temperature
Increased heart Rate

When does ovulation bleeding occur?

When you are ovulating, an ovary releases an egg. This occurs in the middle of your menstrual cycle between 11 and 12 days after the first day of your last period. Women do not always ovulate on the same days, as it depends on the length of their cycle.

When is Spotting During Ovulation Considered Normal?

Some signs that can help you determine whether your bleeding during ovulation is normal or a cause for concern.

First of all, it’s essential to keep in mind that ovulation bleeding occurs only once during each cycle.
Before you start ovulating, you experience an increase in estrogen levels, which then drop after ovulation. As a result progesterone levels rise for 5 days.
The fluctuation in E2 & P4 is what causes ovulation spotting.

When Bleeding During Ovulation is a Sign of Concern?

For heavy, severe and prolonged bleeding, we recommend seeing a doctor to provide you with a diagnosis.

Some Health Conditions Can Cause Bleeding Between Periods:

Spotting between periods can also be a sign of infection. If you have a sexually transmitted infection (STI) such as gonorrhoea and Chlamydia, you have a high chance of having light bleeding.

Book A hassle free IVF Consultation with Reviva fertility & IVF Clinic!

Give Us a Call

Recurrent Implantation Failure (RIF)

Posted on July 10, 2024December 25, 2024 by Reviva Fertility

Recurrent Implantation Failure (RIF)

Recurrent implantation failure refers to the inability of embryos to implant into the uterine lining after repeated attempts at ART like IVF. Despite transferring healthy embryos, they fail to attach to the uterus and initiate a pregnancy.

Who Can Get Recurrent Implantation Failure?

RIF can affect individuals or couples undergoing ART, partially IVF, it can occur in cases where the underlying cause remains unidentified.

Types of RIF:-

Early RIF: In this, the embryo fail to implant shortly after being transferred into the uterus.

Late RIF: In this type, when the embryos implant initially but result in early miscarriage or failed development soon after implantation.

Causes of RIF:-

Embryo related factors: Chromosomal Abnormalities (poor embryo quality).
Urine Factors: urine abnormalities or structural tissues – endometrial receptivity tissues, chronic endometriosis or infections.
Hormonal factors: Hormonal imbalances affecting the menstrual cycle-thyroid disorders or diabetes.
Lifestyle and environmental factors: Smoking or substance abuse –poor diet and nutrition – stress and excessive physical activity.

What are the Symptoms of RIF?

The symptoms of RIF can vary from person to person

However, there might be no specific symptoms & the primary indication is the inability to achieve a successful pregnancy despite multiple attempts at embryo transfer.

Who Can Get Recurrent Implantation Failure?

RIF can affect individuals or couples undergoing ART, partially IVF, it can occur in cases where the underlying cause remains unidentified.

How is Recurrent Implantation Failure Diagnosed?

No specific symptoms & the primary indication is the inability to achieve a successful pregnancy despite multiple attempts at embryo transfer.

Treatment for RIF:

Improving Embryo Quality:

Optimizing the quality of embryos through advanced laboratory techniques.

Endometrial Receptivity Analysis:

Assessing the best time for embryo transfer based on the women’s menstrual cycle and hormonal profile.

Uterine preparation:

Administering hormonal medications to prepare the uterine lining for better embryo implantation.

Lifestyle changes:

Adopting healthy lifestyle changes, including a balanced diet, regular exercise and stress management.

Conclusion:

Recurrent implantation failure is a complex and challenging condition that affects individuals and couples seeking to expand their families through ART. Understanding the various causes, symptoms, diagnosis & treatment options is crucial in effectively.

Endometriosis & Fertility: 3 Reasons for Women to have Hope

Posted on July 10, 2024January 3, 2025 by Reviva Fertility

Endometriosis & Fertility: 3 Reasons for Women to have Hope

If you want to get pregnant and you are diagnosed with endometriosis, you might assume that all hope is lost. With the right treatment, you might get pregnant more easily than you think.

3 Reasons Not to Panic About Endometriosis:-

Reason 1

First because you have endometriosis doesn’t mean you are infertile.
Endometriosis happens when the cells lining the uterus start to grow in places they shouldn’t, such as the ovaries or fallopian tubes.
But the problem varies for each woman; some people might have extensive endometriosis others might have just a few spots where the growth occurs.
The greater proportion of woman with endometriosis has difficulty getting pregnant but just because you have endometriosis that doesn’t automatically mean you have infertility.

Reason 2

There’s no harm in trying to get pregnant on your own when you have endometriosis.
If you have been diagnosed with endometriosis, doesn’t assume you need to see a fertility specialist right away. When you want to get pregnant, first try on your own.
If woman with endometriosis is not pregnant after 6 or 7 months of trying on her own , we may ask her to come in for an infertility consult to see if the endometriosis is contributing to try before seeking fertility assistance.

Reason 3

There are many treatments, depending on what’s right for you:

MACROSCOPIC	MICROSCOPIC
(Woman with macroscopic Disease may have lesions and scar tissue That can sometimes block the fallopian tube) This can make it difficult for an egg to make Its way into the uterus.	(On the other hand women with endometriosis have completely normal but microscopic lesions. It may or ,may not affect fertility)

An evaluation with fertility specialist can help physicians determine the extent to which your endometriosis is contribute to infertility and guide treatment accordingly.
Depending on the extent of disease, treatment options for infertility might range from oral medications all the way up to more advanced treatments like IVF .
The spectrum of options depends on many factor including:
Age
Reproductive history
Overall health
Results of your infertility evaluation

Conclusion

we have come quite a long way in understanding endometriosis how it offers fertility and how to treat it. Your chances of conceiving are better than they have ever been, so its worth looking into the many treatment options that are available.

Early Symptoms & Cause of PCOS

Posted on April 29, 2024December 25, 2024 by Reviva Fertility

Early Symptoms & Cause of PCOS

Polycystic ovary syndrome is a very common hormonal condition in females which causes hormonal imbalance. The females suffering from this produce excess of male’s hormones which results in delayed periods.

In PCOS, high androgen levels disrupt reproductive hormones, causing imbalanced cycles, missed periods, and irregular ovulation.

Today we will be sharing the causes & symptoms of PCOS as per our fertility specialist & guide you through this.

What are the symptoms of PCOS

There is a possibility that you have PCOS & your body doesn’t represent any of the symptoms & on the other hand, some women start seeing symptoms around their first period itself.

Any how here are few prominent symptoms of PCOS

As PCOS presents with a diverse array of symptoms, which can manifest differently each individual. The most typical signs are :

Irregular menstrual cycle:- ovulation might be uneven or irregular, or it may not occur at all, which can cause irregular menstrual periods or even a total absence of a monthly cycle.

Elevated Androgens: – it can cause actual side effects, including acne excessive face & body hair growth and male–pattern baldness.

Weight: Those dealing with PCOS often encounter challenges in managing their weight, heightening the likelihood of obesity.

It is crucial to remember that not everyone with PCOS will necessarily have all the symptoms, and symptom intensity can vary greatly.

Navigating Treatment Options for PCOS: A Holistic Approach

The PCOS treatment objectives include symptom relief, fertility improvement, and lowering the danger of long-term health issues.

Lifestyle Modifications: Following a healthy lifestyle can be exceptionally useful in managing PCOS. Through a well-balanced diet and steady physical activity, it is possible to improve insulin sensitivity and establish regular menstrual cycles.

Fertility Interventions: Fertility Intervention, for example, Ovulation Induction, IUI or In Vitro Fertilization ( IVF ), might be prompted for those attempting to get pregnant depending upon various factors.

Conclusion

In conclusion, PCOS is a complex hormonal condition with a range of symptoms and causes. By adopting a holistic approach that encompasses lifestyle changes, medications, and emotional support, individuals with PCOS can lead fulfilling lives and better navigate the challenges posed by this condition. For more information regarding PCOS visit us at Reviva fertility and IVF clinic in CHD or contact us at 9915004407.

Fresh VS Frozen Embryo Transfers: An Explanation through Comparisons

Posted on February 26, 2024December 26, 2024 by Reviva Fertility

Fresh VS Frozen Embryo Transfers: An Explanation through Comparisons

Doctors initially introduced In Vitro Fertilization (IVF) with fresh embryo transfers as the only option due to the limited progress in cryopreservation techniques.

However, over the past years, significant advancements in:

Nowadays Generally FET’s are preferred depending upon various factors:-

Age of couple
No. of oocytes received
Quality of embryos
Hormonal parameters
Adequacy of endometrial lining

Fresh & Frozen Embryo Transfers

Understanding the Differences

Fresh Embryo Transfer

It is typically scheduled for 3 days or 5 days after the eggs are collected from the patient.
Fresh embryo transfer allows for a shorter time between egg retrieval & transfer into the uterus, increasing the chances of conception.
However, doctors do not recommend fresh embryo transfer in certain cases. If the patient progesterone level is high, it can negatively impact the implantation of embryos, making a fresh embryo transfer unsuitable.

Frozen Embryo Transfer

A frozen embryo transfer typically takes place around 6-8 weeks after they freeze the embryo.
When the patient is ready for transfer, the healthcare provider will give her medications to stimulate a natural menstrual cycle.
The FET date is then coordinated with the cycle to improve the chances of successful implantation. Doctors can also utilize it for future pregnancies.

The Benefits & Drawbacks of Fresh & Frozen Embryo Transfer

Advantages of Fresh Embryo Transfers

The waiting time for fresh embryo transfer is shorter as embryos are transferred soon after fertilization.
The process avoids subjecting the embryos to the stress of freezing and thawing.
The fresh cycle involves the process of ovarian stimulation, which can result in a receptive endometrial lining if the woman does not experience hyper-response.

Disadvantages of Fresh Embryo Transfer

Ovarian stimulation during fresh cycles may result in OHSS (ovarian hyperstimulation syndrome), a potentially serious condition marked by enlarged & painful ovaries.
Fresh transfer is time-critical & needs to be synchronized with the natural menstrual cycle, providing limited flexibility in terms of timing.

Advantages of Frozen Embryo Transfers

FET provides a couple who have encountered challenging situations like cancer treatments with the opportunity to have children once they complete their treatments.
Reduced risk of ovarian hyperstimulation.

Disadvantages of Frozen Embryo Transfer

Not every embryo can withstand the freezing and thawing process, which could reduce the number of embryos that can be transferred.
Going through frozen embryo transfer can be quite time-consuming.

Factors to Consider When Deciding Between Fresh or Frozen Embryo Transfer

Personal health
Timing flexibility
Success rate

NOTE: REVIVA IVF & Fertility Clinic in Chandigarh provides advanced fertility preservation methods. Our dedicated healthcare team serves exceptional care with precision & expertise in reproductive healthcare. For specialized assistance with embryo transfer, reach out REVIVA IVF & Fertility Clinic

For more information contact us at: 9915004407

Endocrine Assessment what is it?

How does it affect fertility?

How do hormone imbalances affect fertility & what causes them?

What part do different hormones play in the process of reproduction:-

Conclusion:

Recent Posts

DNA Fragmentation Test of Sperm: How Far it’s Helpful!

Can male fertility be improved if DNA fragmentation is detected?

Conclusion:

Recent Posts

Importance of Genetic testing (PGT) of embryos for abnormalities

(PGT) (PREIMPLANTATION GENETIC SCREENING ) / TESTING​

Detecting Genetic Abnormalities:-

Reducing the Risk of Genetic Disorder:-

Ethical Considerations Includes:

Day 3 Embryo Biopsy

Day 5 Embryo Biopsy

PGT Limitations

Its important to acknowledge its limitations:

Conclusion:

Recent Posts

Fallopian Tubes & Fertility

So, lets address some questions are in one go:-

There are few options if you want to get pregnant after libel ligation.

Fertility with no fallopian tubes :-

Why REVIVA Fertility & IVF Clinic

Recent Posts

How to Prepare Yourself for Blastocyst Transfer

What Does Blastocyst Transfer Signify?

Blastocyst Embryo Transfer Recommended for?

How Does Transferring Blastocyst Benefits you?

Risks Involved in Blastocyst Transfer:-

FINAL OUTCOME

Recent Posts

Bleeding & Spotting During Ovulation: When to be Concerned

What is Ovulation Spotting?

You May Also Experience Other Symptoms of Ovulation Such as:-

When does ovulation bleeding occur?

When is Spotting During Ovulation Considered Normal?​

When Bleeding During Ovulation is a Sign of Concern?

Some Health Conditions Can Cause Bleeding Between Periods:​

Recent Posts

Book A hassle free IVF Consultation with Reviva fertility & IVF Clinic!

Recurrent Implantation Failure (RIF)

Who Can Get Recurrent Implantation Failure?

Types of RIF:-

Causes of RIF:-

What are the Symptoms of RIF?

Who Can Get Recurrent Implantation Failure?

How is Recurrent Implantation Failure Diagnosed?

Treatment for RIF:

Conclusion:

Recent Posts

Endometriosis & Fertility: 3 Reasons for Women to have Hope

3 Reasons Not to Panic About Endometriosis:-

Reason 1

Reason 2

Reason 3

There are many treatments, depending on what’s right for you:

MACROSCOPIC

MICROSCOPIC

Conclusion

Recent Posts

Early Symptoms & Cause of PCOS

What are the symptoms of PCOS

Any how here are few prominent symptoms of PCOS

Navigating Treatment Options for PCOS: A Holistic Approach

Conclusion

Recent Posts

(PGT) (PREIMPLANTATION GENETIC SCREENING ) / TESTING

When is Spotting During Ovulation Considered Normal?

Some Health Conditions Can Cause Bleeding Between Periods: