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Dr sumita prabhakar dehradun infertility


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Dr sumita prabhakar dehradun infertility

  1. 1. INFERTILITY CARE-Best Infertility treatment in Uttrakhand By. Dr Sumita Prabhakar
  2. 2. FEMALE INFERTILTY  Problems with tubes  Problems of egg formation or ovulation  Problems in cervix(mouth of womb)  Problems in womb(uterus)  The peritoneal Factor
  3. 3. Problems with Tubes  In India, problems of tubes are very common.  Main function of tubes are to bring eggs formed in ovaries to womb.  Tuberculosis and other infections are common cause of infertility and damaged tubes.  X-ray procedure, shows blocked tubes, scar tissue may be present.  Laparoscopy tell us the exact status of tubes, uterus, and ovaries.  Laparoscopy procedures are used to opened up blocked tubes.
  4. 4. Problems of egg formation or ovulation  Imp clues are revealed by menstrual pattern.  Irregular or abnormal ovulation accounts for approx 25% of all infertility cases.  Ultrasound and endometrial biospy help to evaluate ovulation.  If anyone is not ovulating, medication is prescribed to stimulate ovulation.
  5. 5. Problems in cervix(mouth of womb)  Cervix can be a cause of infertility but it is quite rare.  For determining cervix problem, Postcoital test(PCT).  This test evaluates cervical mucus, sperm, and interaction between two.  Cervical problems are generally treated with antibiotics, hormones, or by intrauterine insemination.
  6. 6. Problems in womb(uterus)  A special x-ray called HSG can reveal defects of the inside of uterus or fallopian tubes.  HSG is conducted when menstrual period stops and before ovulation.  HSG may also suggest blockage of the fallopian tubes.  Surgery may be required to further evaluate and possibly correct uterine structural problems of fallopian tubes.
  7. 7. The peritoneal Factor  It concerns about conditions and abnormalities involving the peritoneal surfaces of pelvic organs or abdominal cavity.  Laparoscopy is the simplest way of diagnosing peritoneal and tubal disorders.
  8. 8. Male infertility  In approx 40% of infertile couple, male partner is a cause of infertility.  Therefore, semen analysis is important.  Treatment for male factor of infertility may include antibiotic therapy, surgical correction of varicocele or obstruction of ducts, hormones to produce improve sperm production.  IVF also provide treatments for male infertilization.  Intracytoplasmic sperm injection is another option for treating severe male infertility.  For unresponsive patients, anonymous donor is an option.
  9. 9. Tuberculosis  TB is an infectious disease and enhance the infertility in couples.  In women, it damage to endometrium and fallopian tubes.  In men, it cause TB of epididymo-orchitis, resulting in inhibiting sperm to get into the semen.  TB is easily treated by antitubercular therapy using drugs.
  10. 10. Premature ovarian failure  It is a condition where ovaries stop functioning before the age of 35 yrs.  Venal infection thyroid disorders autoimmune disorders chronic medical distress, renal and liver dysfunctions can cause POF.  DHEA can help in such cases.
  11. 11. Recurrent abortions  Abortions more than three times is a cause of infertility.  It require series of blood tests and ultrasounds investigate the causes.  Abnormalities and anatemical defects of uterus and cervix can be corrected surgically and also laproscopically.
  12. 12. Thin endometrium  Sometimes with good egg formation but lining of womb remains thin, this makes infertility.  It is because of tuberculosis or hormonal problem.  There are some medicines for its treatment.
  13. 13. Thank you Contact Us Dr. Sumita Prabhakar CMI Hospital, 54, Haridwar Road, Dehradun. Uttarakhand, India. PIN:248001 Phone: 0135-6542172, 0135- 2520042, 2720142, 2720238 Mob: - Email: