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gynecology

IUI - Intrauterine Insemination

The term Infertility is defined as the inability to conceive despite regular and unprotected intercourse for 1 year. At Our Center Couples should be aware that 80% will conceive within a year and 90% within two years if they do not use contraception and have regular intercourse. Although infertility by itself may not threaten physical health, it does have a serious impact on the mental and social well being of affected couples. Our Fertility Center will help your dream come alive. “Intrauterine insemination” (IUI) simply means putting sperm into the uterus. We give the simplest kind of treatment solution for couples having trouble conceiving. As it is so simple and easy, doctors may recommend that you try IUI before you consider any other treatment. IUI is carried out at the IVF unit and is usually performed in conjunction with ovulation induction. A doctor at the Unit will prescribe drugs to stimulate you to ovulate on a particular day, after carefully calculating the dose that is right for you. You will need two different types of drug. Firstly, you will need a drug that tells the immature eggs in your ovaries to start growing and developing. The drugs that do this mimic the action of a hormone that occurs naturally in the body. This hormone is called “follicle stimulating hormone” (FSH). FSH tells the immature eggs in your ovaries to grow. These immature eggs grow inside a bubble of fluid, known as a “follicle.” You will be given regular ultrasound scans whilst you are receiving these drugs. These scans will measure the size and number of your growing follicles, to decide when you are ready to ovulate. When one follicle reaches the right size, you will be given another hormone injection. This hormone will stimulate the release of the egg from the follicle (ovulation) at a predictable time so we can perform the IUI at the optimal time for sperm and egg to meet and hopefully fertilities.

PCOD Treatment

PCOD Treatment Polycystic ovarian syndrome(PCOS), also known as PCOD( polycystic ovarian disease) is one of the commonest causes of infertility. The condition, polycystic ovarian syndrome, known as PCOS, is the commonest cause of ovulation disorders in women of reproductive age. Polycystic ovarian syndrome (PCOS), is a primary ovarian condition and is characterized by the presence of many minute cysts in the ovaries and excess production of androgens. Polycystic ovarian syndrome can be found in apparently normal women and the full expression of the disease so-called “Stein-leventhal syndrome” is very uncommon. Polycystic ovarian syndrome is frequently associated with weight gain, excessive hair growth in the face and body, irregular and infrequent periods or absent periods, infrequent or absent ovulation, miscarriage and infertility. The cause of PCOS is not fully understood. However, PCOS is thought to be a genetic disorder (autosomal dominant) meaning that each child has a 50% chance of inheriting the disorder from a parent who carries the gene. The gene can be inherited from either mother or father. The exact gene causing PCOS has not yet been identified. There are long-term risks of developing type 2 diabetes, cardiovascular disease and cancer of the womb. Women diagnosed as having PCOS before pregnancy have an increased risk of developing gestational diabetes. Incidence of Polycystic Ovarian Syndrome Polycystic ovarian syndrome (PCOS) accounts for 90% of women with oligomenorrhoea (infrequent periods) and 30% of women with amenorrhoea (absent of periods) and over 70% of women with an ovulation. Diagnosis of Polycystic Ovarian Syndrome Laparoscopy: Laparoscopy allows direct inspection of the ovaries; the ovaries are enlarged and polycystic. However, polycystic ovaries may appear normal at laparoscopy. Vaginal ultrasound scan (better than abdominal): The vaginal ultrasound may show the typical PCOS appearance but reliability varies with expertise. Blood hormone levels of LH, FSH, androgens and SHBG Ideally, these tests should be performed during the first four days of the cycle. If the women has no period, then the test can be performed anytime, and repeated if the results do not provide a clear picture.

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