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Dr. Singh
Test Tube Baby Centre
Test and Treatment for Women Patient:
At our Centre for Reproductive Medicine, we strive to determine the best solution for your fertility issues. Sometimes that solution is simple, requiring no high tech interventions. On other occasions, all of the technology at our disposal will be available to you. Not every patient will need IVF. Our task to evaluate your situation carefully and recommend appropriate treatment. We will start the process with you and have the resources to move therapy forward as required. The following is a list of preliminary tests and treatments.
çtuu fpfdRlk ds fy, ge vius lsaVj esa çtuu laca/kh leL;kvksa ds fy, lcls vPNk vkSj ljy lek/kku fu/kkZfjr djus dk ç;kl djrs gSaA dHkh–dHkh ;g lek/kku ljy gksrk gS] ftlds fy, fdlh Hkh mPp rduhd dh vko';drk ugha gksrh gSA vU; tfVy lek/kkuksa ds fuiVkjs esa mPp rduhd dh vko';drk gksrh gS] tks gekjs lsaVj ij miyC/k gS A çR;sd jksxh dks vkbZoh,Q dh vko';drk ugha gksrh gS A ge fLFkfr dks lko/kkuh ls ewY;kadu djds mfpr mipkj ysus dh lykg nsrs gS A tc ge çkslsl 'kq: djrs gSa] rc lalk/kuksa dks vko';drkuqlkj vkxs c<+krs gq, lgh lek/kku dk ç;kl djrs gSA
fuEufyf[kr çkjafHkd ijh{k.kksa vkSj mipkjksa dh ,d lwph fups nh x;h gSA
Controlled Ovarian Stimulation:
Controlled stimulation of follicles to produce multiple eggs.
Endometrial Biopsy:
A sampling of the inside lining of the uterus. This is then analyzed for implantation defects, hormonal status or infection.
xHkkZ'k; dh van:uh vLrj dk uewukdj.kA blds ckn bEIykaVs'ku nks"k] gkeksZuy fLFkfr ;k laØe.k ds fy, bldk fo'ys"k.k fd;k tkrk gSA
Diagnostic Cycle Monitoring:
Non-medicated monitoring of a patient’s cycle through a combination of hormonal blood tests and ultrasounds, which are used to give a biological profile of a patient’s ovulation status.
gkeksZuy jä ijh{k.k vkSj vYVªklkmaM ds la;kstu ds ek/;e ls ,d jksxh ds pØ dh xSj&vkS"k/kh; fuxjkuh] ftldk mi;ksx jksxh ds vaMk'k; dh fLFkfr dh tSfod çksQkby nsus ds fy, fd;k tkrk gSA
Genetic (Inherited) Counselling:
A trained geneticist, to discuss a potential genetic abnormality or prospects for a genetic abnormality.
,d çf'kf{kr vkuqokaf'kdh] ,d vkuqokaf'kd vlkekU;rk ds fy, laHkkfor vuqokaf'kd vlkekU;rk ;k laHkkoukvksa ij ppkZ djus ds fy,A
Hystersalpingogram (HSG):
X-ray evaluation of uterine shape and fallopian tubes’ status. This test involves injecting x-ray dye into the uterus.
xHkkZ'k; ds vkdkj vkSj QSyksfi;u Vîwcksa dh fLFkfr ds ,Dl&js ewY;kaduA bl ijh{k.k esa xHkkZ'k; esa ,Dl&js MkbZ batsD'ku 'kkfey gSA
Diagnostic Laparoscopy Through Associated Physician:
Diagnostic assessment of a patient’s internal abdominal organs. This test involves the insertion of a thin diagnostic scope through the umbilicus (belly button).
Pelviscopy/Operative Laparoscopy Through Associated Physicians:
Whereby if pathology (disease) is noted at the time of laparoscopy, it is treated during that operative session.
,d jksxh ds vkarfjd isV vaxksa dk uSnkfud ewY;kaduA bl ijh{k.k esa umbilicus ¼isV cVu½ ds ek/;e ls ,d irys funku Ldksi lfEeyu 'kkfey gSA
isfYoLdksih/v‚ijsfVo ySçksLdksih ,lksfl,VsM fpfdRldksa ds ek/;e ls] ;fn ySçksLdksih ds le; jksxfoKku ¼chekjh½ dks uksV fd;k tkrk gS] rks bldk lapkyu l= ds nkSjku fd;k tkrk gSA
Hysteroscopy Through Associated Physicians:
Diagnostic vaginal procedure to examine the inside of the uterus, most often used to treat pathology in the uterine cavity. Hysteroscopy is usually performed under general anesthetic using an endoscope.
xHkkZ'k; ds vanj dh tkap djus ds fy, uSnkfud ;ksfu çfØ;k] vDlj xHkkZ'k; xqgk esa iSFkksy‚th dk bykt djus ds fy, ç;ksx dh tkrh gSA gkbLVjksLdksih vkerkSj ij ,UMksLdksi dk mi;ksx djds lkekU; ,usLFksfVd ds rgr fd;k tkrk gSA
Management Of Recurrent Fetal Loss (Miscarriage):
Evaluation and treatment of recurrent miscarriage.
Sonohysterogram:
Uses ultrasound to evaluate the inside of the uterine cavity. Involves the injection of saline solution into the cavity of the uterus.
xHkkZ'k; xqgk ds vanj ewY;kadu djus ds fy, vYVªklkmaM dk mi;ksx djrk gSA xHkkZ'k; dh xqgk esa uedhu lek/kku ds batsD'ku dks 'kkfey djrk gSA
Tubal Microsurgery Through Associated Physicians:
Repair of either damaged or sterilized fallopian tubes. This procedure is done by microscopic surgery.
{kfrxzLr ;k ulcanh QSyksfi;u Vîwcksa dh ejEerA ;g çfØ;k ekbØksLdksfid ltZjh }kjk dh tkrh gSA
Female Fertility Conditions :
Age for female fertility:
Age is the most important factor affecting a woman's chance to conceive and have a healthy child. As women age their fertility declines. A woman's fertility starts to decline in her early 30s, with the decline speeding up after 35. At 40 a woman only has a 5% chance of becoming pregnant in any month.
Polycystic Ovarian Syndrome:
Polycystic ovary syndrome (PCOS) is a set of symptoms due to elevated androgens (male hormones) in women.Signs and symptoms of PCOS include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, velvety skin. Associated conditions include type 2 diabetes, obesity, obstructive sleep apnea, heart disease, mood disorders, and endometrial cancer.
vk;q ,d lcls egRoiw.kZ dkjd gS tks fdlh efgyk ds xHkZ /kkj.k djus vkSj LoLFk cPps gksus dk ekSdk çHkkfor djrh gSA tSls&tSls efgyk,a viuh çtuu {kerk esa deh djrh gSaA 35 ds ckn dh fxjkoV ds lkFk 30 o"kZ dh mez esa ,d efgyk dh çtuu {kerk esa deh vkbZ gSA 40 esa ,d efgyk dks fdlh Hkh eghus xHkZorh gksus dk 5% ekSdk feyrk gSA i‚yhflfLVd fMEcxzafFk flaMªkse i‚yhflfLVd vaMk'k; flaMªkse ¼ihlhvks,l½ efgykvksa esa Åapk ,aMªkstu ¼iq#"k gkeksZu½ ds dkj.k y{k.kksa dk ,d lsV gSA ihlhvks,l ds y{k.kksa vkSj y{k.kksa esa vfu;fer ;k ekfld /keZ dh vof/k] Hkkjh vof/k] vfrfjä 'kjhj vkSj psgjs ds cky] eq¡gkls] Jksf.k nnZ] xHkZorh gksus esa dfBukbZ] vkSj eksVh] xgjs] e[keyh Ropk ds iSp 'kkfey gSaA ,lksfl,VsM fLFkfr;ksa esa Vkbi 2 e/kqesg] eksVkik] vojks/kd uhan ,isuk] ân; jksx] ewM fodkj] vkSj ,aMksesfVª;y dSalj 'kkfey gSaA
Uterine Fibroids:
Uterine fibroids, also known as uterine leiomyomas or fibroids, are benign smooth muscle tumors of the uterus. Most women have no symptoms while others may have painful or heavy periods. If large enough, they may push on the bladder causing a frequent need to urinate. They may also cause pain during sex or lower back pain. A woman can have one uterine fibroid or many of them. Occasionally, fibroids may make it difficult to get pregnant, although this is uncommon.
The exact cause of uterine fibroids is unclear. However, fibroids run in families and appear to be partly determined by hormone levels. Risk factors include obesity and eating red meat. Diagnosis can be performed by pelvic examination or medical imaging.
xHkkZ'k; Qkbcz‚,M] ftls xHkkZ'k; ys;ksvksekek ;k Qkbcz‚,M Hkh dgk tkrk gS] xHkkZ'k; ds lkSE; fpduh ekalisf'k;ksa ds Vîwej gksrs gSaA T;knkrj efgykvksa esa dksbZ y{k.k ugha gksrk gS tcfd vU; nnZukd ;k Hkkjh vof/k gks ldrs gSaA ;fn dkQh cM+k gS] rks os ew=k'k; ij /kDdk ns ldrs gSa ftlls ew= is'k djus dh yxkrkj vko';drk gksrh gSA os lsDl ;k ihB ds fupys fgLls esa nnZ ds nkSjku Hkh nnZ dk dkj.k cu ldrs gSaA ,d efgyk esa xHkkZ'k; Qkbcz‚bM gks ldrk gS ;k muesa ls dbZA dHkh&dHkh] Qkbcz‚,M xHkZorh gksus esa eqf'dy gks ldrh gS] gkykafd ;g vlkekU; gSA
xHkkZ'k; Qkbcz‚,M dk lVhd dkj.k vLi"V gSA gkykafd] Qkbcz‚,M ifjokjksa esa pyrs gSa vkSj vkaf'kd :i ls gkeksZu ds Lrj ls fu/kkZfjr gksrs gSaA tksf[ke dkjdksa esa eksVkis vkSj yky ekal [kkus 'kkfey gSaA funku iSfYod ijh{kk ;k fpfdRlk besftax }kjk fd;k tk ldrk gSA
Endometriosis:
Endometriosis is a condition in which tissue that normally grows inside the uterus (endometrium) grows outside it. Most often this is on the ovaries, fallopian tubes, and tissue around the uterus and ovaries; however, in rare cases it may also occur in other parts of the body. The main symptoms are pelvic pain and infertility. Nearly half of those affected have chronic pelvic pain, while in 70% pain occurs during menstruation. Pain during sex is also common. Infertility occurs in up to half of women affected. Less common symptoms include urinary or bowel symptoms. About 25% of women have no symptoms. Endometriosis can have both social and psychological effects.
,aMksesVªksfll ,d ,slh fLFkfr gS ftlesa Ård lkekU; :i ls xHkkZ'k; ¼,aMksesfVª;e½ ds vanj c<+rk gS] blds ckgj c<+rk gSA vDlj ;g vaMk'k;] QSyksfi;u Vîwc] vkSj xHkkZ'k; vkSj vaMk'k; ds vklikl Ård ij gksrk gS; gkykafd] nqyZHk ekeyksa esa ;g 'kjhj ds vU; fgLlksa esa Hkh gks ldrk gSA eq[; y{k.k Jksf.k nnZ vkSj cka>iu gSaA çHkkfor yksxksa esa ls yxHkx vk/kk iqjkuh Jksf.k nnZ gksrk gS] tcfd 70% nnZ ekfld /keZ ds nkSjku gksrk gSA lsDl ds nkSjku nnZ Hkh vke gSA çHkkfor efgykvksa ds vk/ks ls T;knk cka>iu gksrk gSA de vke y{k.kksa esa ew= ;k vka= ds y{k.k 'kkfey gSaA yxHkx 25% efgykvksa esa dksbZ y{k.k ugha gSA
Blocked Fallopian Tubes:
Fallopian Tube obstruction is a major cause of female infertility. Blocked fallopian tubes are unable to let the ovum and the sperm converge, thus making fertilization impossible. Fallopian Tubes are also known as oviducts, uterine tubes, and salpinges (singular salpinx).
QSyksfi;u Vîwc ck/kk efgyk cka>iu dk ,d çeq[k dkj.k gSA vo#) QSyksfi;u Vîwc vaMk'k; vkSj 'kqØk.kq vfHklj.k djus esa vleFkZ gSa] bl çdkj fu"kspu vlaHko cukrs gSaA QSyksfi;u Vîwcksa dks vksfoMîwDV~l] xHkkZ'k; Vîwc] vkSj lSyfiax ¼,dopu lSyfiuDl½ ds :i esa Hkh tkuk tkrk gSA
Miscarriage:
Micarriage, also known as spontaneous obortion and pregnancy loss, is the natural death of an embryo or fetus before it is able to survive independently. Some use the cutoff of 20 weeks of gestation after which fetal death is known as a stillbirth. The most common symptoms of a miscarriage is vaginal bleeding with or without pain. Sadness, anxiety and guilt may occur. Tissue or clot-like material may also come out of the vagina.
xHkZikr] ftls xHkZikr vkSj xHkkZoLFkk ds uqdlku ds :i esa Hkh tkuk tkrk gS] Lora= :i ls thfor jgus esa l{ke gksus ls igys H:.k ;k xHkZ dh çk—frd e`R;q gSA dqN xHkkZoLFkk ds 20 lIrkg ds dVv‚Q dk mi;ksx djrs gSa ftlds ckn H:.k dh e`R;q dks tUe ds :i esa tkuk tkrk gSA xHkZikr ds lcls vke y{k.k nnZ ds lkFk ;k fcuk ;ksfu jälzko gSA nq[k] fpark vkSj vijk/k gks ldrk gSA Ård ;k Dy‚V tSlh lkexzh ;ksfu ls Hkh fudy ldrh gSA
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