Successful treatment of thin endometrium with Hysteroscopic PRP injection followed by ICSI

This article was published on: 11/8/21

Successful treatment of thin endometrium with Hysteroscopic PRP injection followed by ICSI Sharada (34) and her husband Pankaj (38) married for 8 years had tried fertility treatments at many places but all the treatments failed miserably. With no hope, they visited Oasis Fertility, Pune. Several tests and scans were carried out to find out the exact reason for infertility. Sharada was diagnosed with a thin endometrium during the evaluation.  What is thin endometrium? The endometrium is the innermost lining of the uterus and this layer is very important for the successful implantation of the embryo. Endometrium provides nourishment to the growing fetus. If the lining thickness of the endometrium is less than 7mm, it may result in miscarriages. The possible causes for thin endometrium are low levels of estrogen, pelvic inflammatory disease, fibroids, D&C, inadequate blood flow to the uterus, etc.  How is thin endometrium treated?  PRP (Platelet-rich plasma) is used in the regeneration of the endometrium. Blood plasma is prepared from the patient’s own blood. This contains several growth factors like epidermal growth factor (EGF), transforming growth factor (TGF), cytokines that can induce growth. PRP has been found to improve the thickness of the endometrium and help women in a successful pregnancy. Healing occurs and also new cells begin to grow due to PRP injection.   Who can benefit from PRP? Women with Thin endometrium  Men with Non-Obstructive Azoospermia Poor ovarian reserve Advanced maternal age Primary ovarian insufficiency Sharada had one probe Dilation and Curettage (D&C) and also 2 unsuccessful IVF attempts. To enable Sharada to conceive, hysteroscopic injection of PRP was done during the estrogen-primed FET cycle. After this process, the thickness of the endometrium increased to 8.2 mm following which embryos were frozen. Through ICSI, Sharada got a positive pregnancy.  The clinical expertise of the doctors and cooperation from the couple resulted in a normal delivery without any complications.  The couple expressed their sincere gratitude towards Dr Nilesh Balkawade, Clinical Head & Fertility Specialist, Pune & Oasis Fertility for this much awaited success. Dr Nilesh offers a decade-long distinctive experience and expertise in the fields of Infertility, Reproductive Medicine, and Gynaec endoscopy. He is renowned for handling infertile cases with a good success rate and spreading the joy of parenthood to many couples with his expertise & compassionate care.

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Successful treatment of Bilateral Hematosalphinx with Bilateral Salpingectomy

This article was published on: 11/8/21

Successful treatment of Bilateral Hematosalphinx with Bilateral Salpingectomy  Bhoomika, a 33 yr old woman, and her husband Ramkumar had been trying to conceive for 5 years but had not been able to achieve parenthood. Before they visited Oasis Fertility, Bhoomika had faced 3 IVF failures. The couple was evaluated after which Bhoomika was found to have Bilateral Hematosalphinx.  What is Hematosalphinx? When blood accumulates in both the fallopian tubes, it is termed as Hematosalphinx. The fallopian tube is the place where the fertilization of egg and sperm happens. It can happen due to several reasons. Ectopic pregnancy ( tubal pregnancy) is a very common reason. Other reasons can be tubal disease, endometriosis, or cryptomenorrhea (obstruction of menstrual blood flow).  How is Hematosalphinx diagnosed and treated? Hematosalphinx may result in uterine bleeding. Ultrasound/MRI is used to diagnose hematosalphinx. To treat this condition, both the fallopian tubes are removed. This procedure is carried out in women with endometriosis, ectopic pregnancy, blocked fallopian tubes, and also to reduce the risk of ovarian and breast cancer. After bilateral salpingectomy, conception is possible through IVF only.  Bhoomika’s husband was found to have no sperm in semen (Azoospermia). Due to blockage or structural abnormality in testicles, sperms are absent in semen.  Micro-TESE is a highly advanced procedure that is used to retrieve sperms from testicles. The same was planned and sperms so collected were used for ICSI.  During an ultrasound scan, bilateral hematosalphinx was observed and hence the doctors decided to remove both the fallopian tubes through bilateral salpingectomy (removal of fallopian tubes). Subsequently, an ICSI was planned through frozen embryo transfer (FET).  After 3 failed IVF, Bhoomika conceived through ICSI using the frozen embryo transfer method. The ICSI treatment was successful and now Bhoomika is 12+ weeks pregnant. The couple’s parenthood dream became possible through skilled clinicians and their expertise. Both the husband and wife’s commitment, cooperation has made them become happy parents.  The couple expressed their sincere gratitude towards Dr Nilesh Balkawade, Clinical Head & Fertility Specialist, Pune & Oasis Fertility for this much awaited success. Dr Nilesh offers a decade-long distinctive experience and expertise in the fields of Infertility, Reproductive Medicine, and Gynaec endoscopy. He is renowned for handling infertile cases with a good success rate and spreading the joy of parenthood to many couples with his expertise & compassionate care.

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गर्भाशयातील फायब्रॉइड्सच्या पल्याड विचार करा आणि आपली पालकत्वाची स्वप्ने साकार करा: ओएसिस फर्टीलिटीची यशोगाथा

This article was published on: 08/30/21

अनेक जोडपी आपल्यातील वंध्यत्वावर मात करतात परंतु त्यांपैकी काही जोडप्यांसाठी हा प्रवास थोडा अधिक मोठा असतो आणि कुटुंबाची स्वप्ने पाहणाऱ्या या जोडप्यांची प्रचंड भावनिक व मानसिकफरपट होते. आव्हानांना भिडावे व त्यांच्यावर मात करावी असे म्हटले जाते. आणि, अनेक जोडप्यांचे पालक होण्याचे स्वप्न पूर्ण करणाऱ्या प्रजननक्षम औषधांच्या बाबतीत तर हे अगदीच खरे आहे. ३९ वर्षांची पूजा आणि तिचा ४७ वर्षांचा नवरा दिनेश यांच्या लग्नाला १४ वर्षे झाली होती. ते स्वत:च्या बाळासाठी आतुर होते. गेल्या काही वर्षांमध्ये त्यांनी वंध्यत्वावर अनेक प्रकारचे उपचार घेतले होते परंतु त्यांना यश मिळाले नाही. मग ते दोघे ओएसिस फर्टीलिटी सेंटरच्या वंध्यत्व विशेषज्ञ डॉ. निलेश उन्मेष बलकवडे यांना भेटले. या जोडप्याने पूर्वी घेतलेले वंध्यत्वावरील अनेक उपचार अयशस्वी ठरले होते. वैद्यकीय आढावा घेताना डॉक्टरांना गर्भाशयामध्ये मोठ्या आकाराचे फायब्रॉइड्स दिसले. तिचे वाढते वय व एएमएच ची कमी मात्रा लक्षात घेऊन उपचार पद्धती ठरवण्यात आली. ज्यामध्ये सर्वात आधी फायब्रॉइड्स काढून टाकण्यात आले. तिच्या नवऱ्याच्या सेमेनची मात्रा अगदी योग्य होती. गर्भाशयातील फायब्रॉइड्स हे स्त्रियांच्या प्रजननाच्या मार्गातील सौम्य गाठी असतात. या गाठी सामान्यत:२०-४०% महिलांच्या प्रजननाच्या वर्षांमध्ये त्यांच्या गर्भाशयात आढळतात. नुकत्याच झालेल्या वैद्यकीय अभ्यासानुसार अनेक महिला आपले गर्भारपण पुढे ढकलत उशिरा आई होण्याचा निर्णय घेतात. वंध्यत्व असणाऱ्या महिलांच्या गर्भाशयामध्ये आकाराने लहान पण ठराविक संख्येचे फायब्रॉइड्स आढळतात. शक्यतो फायब्रॉइड्सची लक्षणे दिसत नाहीत आणि बराच काळ त्यांचे निदान होऊ शकत नाही. असे असले तरीही, काही वेळा पाळीच्या वेळी होणारा अतिरिक्त रक्तस्त्राव, पाळीच्या वेळी प्रचंड वेदना होणे, ओटीपोट जड होणे, सातत्याने लघवीला जावे लागणे व संभोगाच्या वेळी वेदना होणे यांसारखी अनेक लक्षणे दिसून येतात. गर्भाशयाच्या थरानुसार (सबसेरस, इंट्राम्युरल आणि सबमकस) फायब्रॉइड्सचे वर्गीकरण केले जाते. औषधाने, शस्त्रक्रियेने किंवा अगदी कमीत कमी तंत्रज्ञान वापरून गर्भाशयातील फायब्रॉइड्सवर नियंत्रण मिळवता येते. फायब्रॉइडची संख्या, त्याचा प्रकार व आकार यांवर करावी लागणारी शस्त्रक्रिया व पुढील गरोदरपण लांबवण्याचा वेळ अवलंबून असतो. मियोमेक्टोमी म्हणजे काय ?  गर्भाशय निरोगी ठेवण्यासाठी फायब्रॉइड्स काढून टाकताना कराव्या लागणाऱ्या शस्त्रक्रियेला मियोमेक्टोमी असे म्हणतात. मियोमेक्टोमी केल्यानंतर गरोदर राहण्याच्या शक्यता वाढवण्याच्या दृष्टीने फायब्रॉइड्स व वंध्यत्व असणाऱ्या स्त्रियांना बहुतेकवेळा शस्त्रक्रिया करवून घेण्याचा सल्ला दिला जातो. गर्भाशयाच्या काठावर किंवा गर्भाशयाबाहेर असणारे फायब्रॉइड्स लॅप्रोस्कोपिक मियोमेक्टोमी ने काढून टाकता येऊ शकतात. मियोमेक्टोमी केल्यानंतर गर्भधारणा होण्याची शक्यता आहे का ? बहुतेक जोडप्यांच्या बाबतीत मियोमेक्टोमी केल्यानंतर गर्भधारणा होते. परंतु या शक्यता स्त्रीचे वय, फायब्रॉइड्सची संख्या, आकार, ठिकाण व इतर संबंधित घटकांवर अवलंबून असतात. लॅप्रोस्कोपिक मियोमेक्टोमी केल्यानंतर रुग्ण बरी होण्यास १-२ आठवड्यांचा कालावधी लागतो. पूजाच्या बाबतीत, पहिल्यांदा गर्भामध्ये बीजांडाचे रोपण केले गेले व त्यानंतर लॅप्रोस्कोपिक मियोमेक्टोमी केली गेली. एका महिन्यांनी पूजा बरी झाल्यानंतर जतन केलेल्या गर्भरोपणाचे चक्र सुरु करण्यात आले व पहिल्यांदा दोन आरोग्यपूर्ण गर्भाचे रोपण करण्यात आले. या उपचारांना यश मिळाले व तिला गर्भधारणा झाली. त्यांना पहिल्याच चक्रामध्ये अपेक्षित यश मिळाले आणि राहिलेला गर्भ इतर कोणत्याही अडथळ्यांशिवाय वाढू लागला. आणि आता तिची दुसरी तिमाही चालू आहे. जोडप्याने त्यांना त्यांचे सुख मिळवून देणाऱ्या डॉ. निलेश बलकवडे यांच्याविषयी व ओएसिस फर्टीलिटी विषयी कृतज्ञता व्यक्त केली आहे. डॉ. निलेश उन्मेष बलकवडे हे वाकड येथील प्रख्यात आयव्हीएफ तज्ञ आहेत. त्यांना वंध्यत्व, प्रजननक्षम औषधोपचार व स्त्रीरोग एंडोस्कोपी या क्षेत्रांतील दहा वर्षांचा अनुभव आहे. डॉ. निलेश हे आपल्या प्रदीर्घ अनुभवासाठी व अत्यंत काळजीपूर्वक यशस्वी उपचार करून अनेक वंध्यत्वग्रस्त जोडप्यांना पालकत्वाचा आनंद मिळवून देण्यासाठी प्रसिद्ध आहेत. जर तुम्हीही गर्भाशयातील फायब्रॉइड्सने त्रस्त असाल व याविषयी आणखी जाणून घेऊ इच्छित असाल तर आमचे वंध्यत्व विशेषज्ञ तुम्हाला गर्भधारणा होण्याच्या शक्यता बळावण्यासाठी निश्चितपणे मदत करतील.

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एन्डोमेट्रीयल रीसेप्टीव्हीटी अॅरे (इआरए) च्या सहाय्याने गर्भधारणेच्या शक्यता वाढतात.

This article was published on: 07/16/21

२३ वर्षांची राखी आणि ३३ वर्षीय पुरुष तुषार यांच्या लग्नाला ५ वर्षे झाली होती. लग्नाला ३ वर्षे पूर्ण झाल्यापासूनच ते दोघे कुटुंबनियोजन करत होते, परंतु त्यांना यश मिळत नव्हते. गर्भधारणेसाठी केलेल्या प्राथमिक चाचण्यांमध्ये तुषारचे शुक्राणू

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पीजीटी-ए सह पूर्ण होईल तुमचे आई- वडील होण्याचे बहुप्रतीक्षित स्वप्न

This article was published on: 07/14/21

३४ वर्षांची स्नेहा आणि ३६ वर्षांचा संजय यांच्या लग्नाला ९ वर्षे झाली होती. आई- वडील होण्याची आतुरतेने वाट पहात असलेल्या या जोडप्याने गेल्या ६ वर्षांमध्य गर्भरोपणाचे अनेक उपचार घेतले होते. परंतु, पुण्याच्या ओएसिस फर्टीलिटी सेंटरमध्ये

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पीजीटी-ए के साथ मातृपितृत्व का लंबे समय से विलंबित स्वप्न

This article was published on: 07/12/21

34 वर्षीय महिला स्नेहा और उनके 36 वर्षीय पति संजय, जिनकी शादी को 9 वर्ष हो चुके हैं, एक परिवार शुरू करने के लिए तरस रहे थे और पिछले 6 वर्षों में कई प्रजनन उपचार की कोशिश कर चुके थे, लेकिन जब तक वे पुणे में स्थित ओएसिस फर्टिलिटी केंद्र

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एंडोमेट्रियल रिसेप्टिविटी एरे (ईआरए) गर्भावस्था की संभावना को बढ़ाता है

This article was published on: 07/9/21

23 वर्षीय राखी और 33 वर्षीय तुषार की शादी को 5 वर्ष हो चुके थे। वे अपनी शादी के पिछले 3 वर्षों से परिवार शुरू करने का प्रयास कर रहे थे लेकिन असफल रहे। प्रारंभिक प्रजनन परीक्षणों से पता चला था कि तुषार के सामान्य वीर्य पैरामीटर थे, जबकि राखी

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అమ్మ నాన్న అవ్వాలన్న ఎన్నో ఏళ్ళ కల పి.జి .టి -ఏ [PGT -A ]తో సాకారం

This article was published on: 07/7/21

స్నేహ అనే 34 ఏళ్ళ మహిళకి ,36 ఏళ్ళ తన భర్త సంజయ్ తో పెళ్లి అయ్యి 9 ఏళ్ళు అయింది ,వాళ్ళు చాలా ఆశతో సంతానం పొందడానికి గత 6 సంవత్సరాలుగా కొన్ని సంతానోత్పత్తి చికిత్సలు తీసుకున్నారు కానీ అవి

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ఎండోమెట్రియల్ రెసెప్టివ్ ఎరే [ఈ .ఆర్ .ఏ ] గర్భం దాల్చే అవకాశాలు పెంచుతుంది

This article was published on: 07/5/21

23 ఏళ్ళ రాఖి అనే మహిళకి 33 ఏళ్ళ తుషార్ అనే పురుషుడితో పెళ్లి అయి 5 ఏళ్ళు అయింది ,వాళ్ళు తమ వైవాహిక జీవితంలో గత మూడేళ్ళుగా సంతానం కోసం ప్రయత్నిస్తున్నారు కానీ అవి ఏమి ఫలించలేదు .

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Successful management of secondary infertility in severe Adenomyosis

This article was published on: 06/30/21

Priya, a 34-year-old woman, and her 35-year old husband Raj, married for four years were keen to start a family, they had visited the Oasis fertility center in Secunderabad. Priya had a history of a bulky uterus

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Success story of a couple with recurrent pregnancy loss due to abnormal male karyotype

This article was published on: 06/30/21

Infertility is a global phenomenon affecting 1 in 6 couples and approximately accounts for 15% of married couples of reproductive ages in India. As male factor infertility attributes to 50%

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கருத்தரிப்பதற்கான வாய்ப்பை அதிகரிக்கின்ற ERA

This article was published on: 06/18/21

என்டோமெட்ரியத்தின் உள்வாங்கும் தன்மைக்கு உதவக்கூடிய ஒரு ஹார்மோனாக ப்ரோஜீஸ்ட்ரோன் உள்ளது.

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PGT-A பரிசோதனையுடன் தாய்மை தந்தை பேறு.

This article was published on: 06/15/21

ஸ்னேகா ஓர் 34-வயது பெண்மணி. அவளது கணவன் சஞ்சய்க்கு வயது 36.அவர்களுக்கு திருமணமாகி 9 ஆண்டுகள் ஆகின்றன.

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A long-delayed dream to parenthood with PGT-A

This article was published on: 05/31/21

Sneha a 34-year old woman and her 36-year-old husband Sanjay, married for 9 years were desperate to start a family and had tried several fertility treatments over the past 6 years, but all was…

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Endometrial Receptivity Array (ERA) increasing the chances of pregnancy

This article was published on: 05/31/21

Rakhi a 23-year-old woman and Tushar a 33-year-old male were married for 5 years. They were trying to start a family for the last 3 years of their marriage but were unsuccessful. …….

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A success story of a couple with IVM and TESA procedures

This article was published on: 05/13/21

శ్వేత, ఒక 34 ఏళ్ల మహిళ మరియు ఆమె 35 ఏళ్ళ భర్త వెంకట్, పెళ్ళై ఐదు సంవత్సరాలైన పిల్లలు లేకపోవడం వలన నిరాశ చెందారు, సంతానం కోసం ఆత్రుతగా ఎదురు చూస్తున్నారు

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The journey to parenthood through IVM and TESA

This article was published on: 05/3/21

Swetha, a 34-year-old woman and her 35-year old husband Venkat, married for five years were desperate to start a family and had visited Oasis Fertility center in Warangal……

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