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Gynecology

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Dr. Manu Lakshmi

17 Jun 2020

Infertility has affected millions of couples around the world and is still increasing. Infertility being a prevalent problem among those in their childbearing age leave a impact on public health. Infertility is not only a health problem but also a social and emotional problem, especially in our Indian culture. A recent survey on infertility patterns in Indian cities has indicated that 46 % of couples in the age group 31-40 years were found to be infertile and 49 per cent of the couples in the same age group from South India were infertile. A regional NEWS journal reported that infertility has been on the rise in Tamil Nadu compared to many other states in the country. The higher infertility rates in Tamil Nadu could be attributed to the reason that environmental factors here are demanding and stressful, thus resulting in physiological imbalances and ovulation disorders. We are honoured to be the top gynecologist in chennai for infertility contributing our wholesome service to overcome this challenging and alarming increasing trend of infertility and its social burden.

Causes of infertility in women and men can vary from environmental factors such as exposure to chemicals or smoking, physical factors like blocked fallopian tubes or obesity to conditions that prevent production of sperm or mature eggs such as abnormal hormones. There are many other causes which are still unknown. Primary infertility refers to couples who have not ever become pregnant after at least 1 year of unprotected intercourse. Secondary infertility refers to couples who have been pregnant at least once, but are not able to get pregnant when they attempt to conceive for the next time.

Lifetime infertility is defined as having any delay (more than one year) to get pregnant during their life regardless of whether or not they have the child now. Couples having trouble getting pregnant over a range of reasons should approach a qualified, experienced and reputed fertility specialist. Advanced diagnostic and treatment options along with expertise of doctors at our best hospital for pregnancy have made it possible for childless couples to conceive and achieve successful pregnancies.

Evaluation is the first step to taking full advantage of reproductive potential and timeline. Guidelines that indicate the need for a fertility evaluation are:

  • Women under the age of 35 trying to get pregnant but have not conceived after a year of well-timed intercourse
  • Women between the age of 35 to 39 unable to conceive after six months of well-timed intercourse
  • Women trying to get pregnant beyond the age of 40 who have not conceived after three months of well-timed intercourse.
  • Men with altered semen parameters
  • Men or women with high risk factors
  • Single women or homosexual couples who may require fertility services

Fertility care is a fundamental part of the family planning spectrum, involves both women and men and provides insight into a patient’s overall health, including underlying health problems. At our Department of Obstetrics and Gynaecology, we consider it important to include all the factors while evaluating the situation that might add up to an individual’s or the couple’s inability to conceive. A fertility evaluation will take into account:

  • Physical health – Illness, birth defects or acquired structural defects such as of the fallopian tubes or uterus in women and testicular or penile problems in men can interfere with conception and healthy pregnancy.
  • Female age – Age can affect the production of the reproductive hormones and quantity/quality of eggs which are essential to establish and maintain pregnancy.
  • Menstrual health and ovarian dysfunction – Irregular periods and absence of ovulation may be a sign of hormonal disturbances such as in PCOS.
  • Male fertility health – Involves the assessment of the status of male sperm through a semen analysis as well as the male reproductive history and lifestyle.

Besides being the top Gynecologist in Chennai, Dr Manu Lakshmi is also a reproductive endocrinologist and a fertility specialist. A reproductive endocrinologist practices a subspecialty of obstetrics and gynaecology called reproductive endocrinology and infertility (REI). REI is an area of medicine that addresses hormonal functioning as it pertains to reproduction and infertility in both women and men. When it comes to diagnosing the problem and suggesting solutions, the couple generally prefers a single doctor for both the partners. Our best Gynaecology and maternity hospital looks to both males and females for diagnosis of fertility problems.

Diagnosis data reveals that fertility problems arise 35% of the time from males, 35% from female, 20% from combined issues and 10% from unexplained causes. In men, semen collection is a standard diagnostic test to ascertain problems with the sperm and semen parameters while women may need a number of tests including an ovulation analysis, x-ray of fallopian tubes and uterus. Laparoscopy, ultrasonogram and advanced pregnancy tests in women may also be the essentials of a thorough investigation. We, as lady gynecologist near me, are equipped with tools and procedures necessary to evaluate and diagnose all possibilities leading infertility.

On arriving at a diagnosis, a treatment plan is put together. The best treatment for infertility depends on the cause. At times no clear cause can be found. This is called unexplained infertility. Also, sometimes there is more than one cause contributing to the problem. Even though the test results may indicate no conclusive diagnosis for inability to conceive, treatment options ranging from simple lifestyle changes and medications to more advanced assisted techniques can be applied. That way, our best fertility hospital in Chennai has been very successful at helping couples to achieve pregnancy naturally.However, therapeutic solutions for even the most challenging conditions like fallopian tubular defects, absence of a uterus, diminished ovarian reserves or absence of sperm are available with us at affordable cost toassure every childless couple that there is no need to give up on having a child.

Many treatments have been available with different success rates. They include fertility drugs, intrauterine insemination (IUI), in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), donor insemination (DI), egg (or embryo) donation and surrogacy. We, striving to provide the best pregnancy care in Chennai, apply the principles of evidence-based medicine that allows the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients needing reproductive medicine.

Getting good care before, during and after pregnancy is very important. It can help the baby grow and develop while keeping the mother healthy. It is the best way to be sure to give the little one a head start on a healthy life. At the pregnancy and maternity care centre in Chennai, we offer a number of check-ups, tests and scans as part of our best antenatal care. Special tests and treatments are recommended and advocated for women with higher risk of problems or are experiencing any concerns such as gestational diabetes, pre-eclampsia or Intra Uterine Growth Retardation (IUGR) during their pregnancy. Women also need skilled care during childbirth and continued care and support in the weeks after childbirth. All births are assisted by skilled health professionals at our department of gynaecology and obstetrics as we abide by regulatory and timely management and treatment that makes the difference between life and death for both the mother and the baby.

Fertility problems, pregnancy complications and maternity problems bring in a mix of feelings. Stress over the inability to get pregnant, miscarriages or difficult birth often lead to anxiety and depression in women. Caring for the emotional needs of the woman demands continuity and should not be treated as a single event. Diagnostic procedures and medical treatment in infertility have an important impact on the intimate life of the patients. Therefore, in support of a holistic approach to best pregnancy care, in addition to the course of treatment and future treatment options, we also consider the couple’s relationship dynamics, sexuality, ability to cope with the psychological and the emotional effects caused by this process.

Through our decades of experience in labour and childbirth at our pregnancy and maternity hospital in Chennai, we have acquired the expertise to prioritize on what needs to be done to make women feel safe, comfortable and positive about the experience. We truly believe in respectful maternity care, organized for and provided to all women in a manner that maintains their dignity, privacy and confidentiality, ensures freedom from harm and mistreatment and enables informed choice and continuous support during labour and childbirth. Social burden of pregnancy and parenthood often falls entirely on women and we offer facilities that enable them to have successful motherhood roles.

Global studies are still under way to identify more effective treatments for infertility and conditions of high risk pregnancy that may enable couples one step closer and faster to being able to have healthy children. Due to rapid research progress in reproductive biology and reproductive clinical endocrinology, many human infertility treatments are close to potential breakthroughs. The radical nature of change is expected to primarily benefit women, reduce fertility treatment costs and thereby expand access to treatment. At our fertility and pregnancy care centre, we aim to keep up with the latest medical advancements and yet maintain our ideals of empathy in our journey of fulfilling utmost fertility and pregnancy care.

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