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.

ICSI Dr Sarita Teotia

One of prominent techniques of Assisted Reproductive Technique is ICSI. In case fertilization doesn’t occur by placing processed sperms near oocytes in petridish, sperms are directly injected. Intra-cytoplasmic sperm injection (ICSI) differs from conventional in vitro fertilization (IVF) in the way that the ICSI expert selects a single sperm to be injected directly into an egg, instead of fertilization taking place in a dish where many sperm are placed near an egg.

ICSI is required to be performed in case of low sperm, unexplained failures, unsuccessful fertilization previously, structural difficulties of sperm, immotility of sperm, sperms obtained through electro ejaculation or from azoo-spermic patients (patients with almost nil sperm production), etc.

ICSI is a very complicated and delicate procedure that requires steps involving sperm and egg extraction (may or may not be surgical), injection of single sperm into the egg through very thin hollow pipe like injection and then implantation of embryo into the womb with the help of latest scientific medical equipment such as the inverted microscope and micromanipulator along with setting and aligning of the injection and holding pipettes. Therefore it must be carried out with only an experienced ICSI expert.

Though there are a lot of ICSI experts in India but one should be careful before choosing one. Although the most of the process is carried outside your body still its success is mainly dependent upon the ICSI technician. Not just well trained but well experienced doctor should be chosen.

Dr Sarita Teotia is such a renowned and experienced ICSI expert from Delhi. She has given smiles to the hundreds couples from all over the globe.  http://www.drsaritateotia.com

IUI Expert Dr. Sarita

Intra Uterine Insemination or IUI is the process of placing washed and prepared semen of the male partner or the donor into the uterus in an attempt to achieve pregnancy. When due to any reason, sperm are unable to reach the female reproductive tract then through IUI this is made possible.

Dr Sarita Teotia, the renowned IUI expert of Delhi and a pioneer in facilitating all advance treatments of reproductive and infertility issues has a great experience of IUI procedure.

After considering  various symptoms of both the male and female partner such as Ejaculation failure [ because of diabetes, multiple sclerosis, spinal cord injury and  retrograde ejaculation,    psychological], Low sperm count, Poor sperm quality, etc in males whereas Mild endometriosis, Cervical mucus hostility, etc in females or combined unidentified factors Dr Sarita Teotia proceeds to Pre-IUI evaluation. For this the patient may need to undergo, routine blood tests, hormone analysis, HIV/Hepatitis tests, semen analysis, anti-sperm anti-bodies, ultrasound, etc.

Although IUI is a fairly simple process, still a lot of care and attention to details is needed. Ovulation induction must be done just prior to insemination and just at the right time sperms are introduced into female reproductive tract through a catheter. However, preparation is needed for both the partners. Sperm should be collected properly and hygienically after following the advisory regarding sex abstinence, diet, sleep and other things. Female partner needs to undertake ovulation induction program administered through oral drugs and injectibles. The IUI expert should ensure that the precautions and instructions regarding this preliminary stage is made clear to the couple and is properly followed.

Couples are advised and counseled to keep a watch for any symptoms of pregnancy. It may take anywhere between 6-12 weeks after insemination to conceive.