Reproductive surgery- Dr Sarita Teotia

Those surgical procedures which aim at reinstating and maintaining the reproductive operations are collectively known as reproductive surgeries. These procedures also intend to restrain the negative brunt to the minimum. To accomplish this purpose day-surgery procedures like laparoscopy and hysteroscopy that are minimally invasive are adopted. Urologists or gynecologist-obstetrician wit reproductive surgery specialty can serve as reproductive surgeons.

In laparascopy, an ultra thin flexible tube known as laparoscope is inserted into the abdomen. This tube is studded with camera and allows the clear and real time view of pelvic and abdominal organs. This insertion is made possible by making a small minor incision near abdomen.

In Hyteroscopy procedure hyteroscope (another thin flexible tube with camera) is introduced in body via vaginal cavity for the ocular checkup of the internal uterus and cervical canal.

Reproductive surgeries have proven to be very effective in various female diseases and issues like endometriosis, Tubal reconstruction, repair and tubal-ligation reversal, Repair and reconstruction of intrauterine abnormalities like scar tissue and congenital malformations, Removal of endometrial tissue due to dysfunctional bleeding that is not responsive to medical therapy, Pelvic adhesions, Uterine fibroids, Uterine polyps, Ovarian cysts, Ectopic pregnancy, etc.

Role of reproductive surgeries is of equal importance, use and efficiency for male infertility related issues. Laparoscopy and hysteroscopy procedures are extensively used for reverse vasectomy, testicular biopsy, percutaneous sperm aspiration, testicular sperm aspirations, etc.

When compared with traditional surgeries, there are many advantages of these surgeries with minimal invasion. Patient has to endure much less pain after the surgery, time spend in the hospital is shorter, recovery is fast and smaller scar is made as incision is very small.

Dr Sarita Teotia of Adam and eve test tube baby and research centre is a famous reproductive surgery expert. http://www.drsaritateotia.com

Surrogacy- Dr Sarita Teotia

Surrogacy refers to the arrangement of carrying a pregnancy for somebody else. A woman agrees to carry pregnancy and deliver the child. If the surrogate is getting paid anything beyond medical reimbursements, it is known as commercial surrogacy otherwise altruistic surrogacy. When it is not possible for the woman to carry pregnancy, she doesn’t want to be pregnant but wants child or risk to mother’s health due to pregnancy is unacceptably high, then couple may undergo surrogacy arrangement.

Surrogacy is suitable to the female with medical conditions that may not be favorable for pregnancy. These conditions can be infantile uterus, surgically removed uterus, damaged uterus, abnormal uterus, recurrent pregnancy losses, repeated IVF failures, etc.

Surrogacy can be classified in two main types- traditional or partial or straight surrogacy and gestational or full or host surrogacy. The main difference between the two is the genetic participation of surrogate. In traditional surrogacy, impregnation may be done artificially or naturally but the baby will relate genetically to the surrogate whereas in gestational surrogacy, embryo resulting from IVF is implanted into surrogate and the baby isn’t genetically related to her.

These two types can be further subdivided as:

·         Gestational surrogacy with embryo from both parents

·         Gestational surrogacy with donor sperm

·         Gestational surrogacy with donor egg

·         Gestational surrogacy with donor embryo

·         Traditional surrogacy with the intended father sperm

·         Traditional surrogacy with the donor sperm

India is the biggest and popular surrogacy destination of the world. Due to easy availability of healthy surrogates, lenient state laws and very low cost, India is becoming the leader of surrogacy industry. Very soon a bill to regulate surrogacy business shall be enforced known as Assisted Reproductive Technology bill. This will stimulate the practice by building confidence in the service receivers and clinics as well.

IVF Dr Sarita Teotia

In Vitro Fertilization of IVF is a boon to the couple who are unable to conceive. Even after doing unprotected intercourse for an year, if pregnancy isn’t achieved, couples are advised to take help of Assisted Reproductive Techniques (ART), most common of which is IVF.

IVF is the process of achieving fertilization of egg and sperm outside the body of the women by placing washed and prepared sperm into the egg (oocyte) in a petridish. If fertilization is achieved, then the resultant embryo needs to be transferred into the womb of women for allowing it to develop further into the child.

IVF is a long and tedious process of numerous steps including male and female infertility work up, different tests and analysis such as irreparable non functional fallopian tube, Severe egg factors, Endometriosis grade III and IV, Severe male factors, Unexplained infertility, Failed IUI treatment, followed by several other procedures known as Pre-cycle evaluation for IVF like assessment of uterine cavity and ovarian reserve, cervical cultures, endometriosis, evaluation of sperm, etc. 

Real treatment begins after completion of these preliminary working. Treatment includes Ovulation induction, semen preparation, TESA/PESA/MESA, oocyte retrieval (egg retrieval), insemination, emryo/blastocyst culture, embryo transfer, etc. Each of these steps is a full fledged process in itself.

An IVF expert must calmly and patiently help the patient not only through the medical treatment but also by making him aware of the process itself throughout the IVF cycle, even after delivery.

Dr Sarita Teotia, infertility specialist at Adam and Eve test tube baby centre, Noida, Delhi is an experienced IVF expert who believes in ethical and transparent work with quality. She has spread smiles on the faces of more than 2000 couples.