Dr Apoorva Pallam Reddy - Fertility and Laparoscopy Consultant || Female Infertility
 

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Female Infertility

AGE

Like every other cell in our body, the reproductive cells also lose their best potential as we age. Irrespective of other associated factors, the fertility potential of both men and women decreases with age.

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Patient information by American society of Reproductive medicine 2012 Click here

Considering these factors, it may be safe to say that fertility evaluation is best done earlier than later. IVF Treatment in Jayanagar If you choose to postpone conception, the choice of oocyte or embryo cryopreservation maybe opted for.


OVARIAN PATHOLOGY

A. PCOS

  • What is PCOS?
  • What causes PCOS?
  • How is PCOS diagnosed?
  • Can PCOS be completely cured?
  • How can you reduce the ill effects of PCOS?
  • What are the methods for establishing ovulation in PCOS women?

B. ENDOMETRIOSIS/ OVARIAN CYSTS

  • What is Endometriosis?
  • How to diagnose endometriosis?
  • What are the stages of endometriosis?
  • How does endometriosis affect fertility potential?
  • How to manage endometriosis?

C. POOR OVARIAN RESERVE

  • What is ovarian reserve?
  • Why is it important to know your ovarian reserve?
  • What are the tests to assess ovarian reserve?
  • Can medication improve ovarian reserve?

D. POOR OOCYTE QUALITY

  • Why is oocyte quality important?
  • How to test for poor oocyte quality?

E. EMPTY FOLLICLE SYNDROME

Empty follicle syndrome (EFS), is an extremely rare (incidence of 0.2–7% of all IVF cycles) condition where no oocytes are retrieved during in vitro fertilization (IVF), even though ultrasound and estradiol values show the presence of many potential mature follicles.

It is important for us to differentiate a true empty follicle syndrome from that of an iatrogenic one resulting from improper action of the medication (trigger). In the later case, women may be re-stimulated for IVF and there is a good chance of obtaining mature oocytes and result in pregnancy using their biological (self) oocytes. However, in true EFS, there is no benefit of doing a repeat stimulation.

Unfortunately there are no methods to predict EFS. It is diagnosed only on the day of egg pick up.

The only solace is that, the condition is indeed extremely rare.

1. TUBAL

  • What is the importance of tubes?
  • What is a TUBAL BLOCK?
  • What causes tubal block?
  • How to diagnose tubal block?
  • Can tubal block be released using surgery?
  • What is a hydrosalphinx and why is it important to manage it?

2. UTERINE FACTORS

  • MALFORMATIONS (Bicornuate/Didelphys/Unicornuate/Septum/Arcuate)

3. FIBROIDS

  • Fibroids

4. ADENOMYOSIS

  • Adenomyosis:

5. ENDOMETRIAL HYPERPLASIA

  • ENDOMETRIAL HYPERPLASIA:

6. ENDOMETRIAL TUBERCULOSIS

  • ENDOMETRIAL TUBERCULOSIS:

7. PELVIC ADHESIONS:

  • PELVIC ADHESIONS: