Innovative Solutions

Innovative Solutions For Reproductive Problems


PERSONALIZED, IN-DEPTH PATIENT CARE FROM COMPASSIONATE, CONCERNED MEDICAL STAFF.

STATE-OF-THE-ART DIAGNOSIS AND AGGRESSIVE TREATMENT PLANS FOR OPTIMAL OUTCOMES.

COMPREHENSIVE ANALYSIS TO DIAGNOSE AND PREVENT REPEATED PREGNANCY LOSS.

PATIENT-CENTERED CARE, COMPASSIONATE CARE.

We have a strong commitment to provide full-service infertility and reproductive endocrine healthcare with a focus on patient-centered, compassionate care. Our practice was founded on the philosophy that patients seeking infertility treatment should be handled as individuals and treatment plans should be developed to provide results as quickly, safely and inexpensively as possible.

To provide the personalized, high-quality care for which we've became recognized, we spend hours with our patients and their partners devoting attention to each of the following steps in the treatment proces. Identify and diagnose the problem.

Develop a partnership with each patient and their support team, which may include the spouse or partner, another relative or friend and the referring Doctor. Outline medical or surgical options.

Initiate a cost-effective treatment plan that combines the highest quality of care with the best possible outcome.

Confidentiality

At our center, we understand the personal and sensitive nature of the work we do and for that reason we work hard to protect our patients' privacy.

Open Communication

The best patient is a well-informed one. We value an open and ethical relationship with each patient who, we believe, is entitled to complete knowledge about her reproductive health. In an environment of trust and mutual respect, our patients and their partners feel free to ask questions at any time. We promise to answer all the questions asked -- and even those that aren't. It's the only way to build partnerships with every patient, their spouse or partner, and the referring Doctor. As a team, we all work together to achieve the best possible outcome.

Embryologists

Trained in India and abroad brings patients the latest scientific advances in IVF laboratory techniques. They specialize in growing fertilized eggs in blastocyst cultures, which allow up to five days (instead of one or two) before embryo transfer. A useful technique for women who produce a large number of eggs, this delay means implantation of fewer but healthier embryos, increasing the odds of pregnancy and reducing the risk of multiple births. He also has extensive experience in intracytoplasmic sperm injection (ICSI -- injecting a single sperm into an egg.)

Success rate

Few subjects are as confusing or misleading as IVF success rates - they can be easily manipulated to enhance a particular programs public image. Therefore, reported IVF statistics provide little meaningful guidance for an individual patient hoping to achieve pregnancy with IVF. While experts in the field and statisticians have acknowledged this, the public does not generally understand this and places increasing emphasis on the statistics from individual programs.

A common question in fertility programs is, "What's your IVF success rate?" The quick answer is somewhere between 0% to as high as 50%. Unfortunately, a meaningful answer is a lot more complicated. Obviously, success rates depend on how you define success and calculate the total population. Do you mean clinical pregnancy rate (implantation seen on ultrasound), or ongoing pregnancy rate (fetal heart beat seen by ultrasound) or delivery? Will the denominator in this calculation be the number of couples entering treatment, or those going to oocyte retrieval, or those having pre-embryos replaced into the uterus? But it's even more complicated than that. You are a unique individual with a unique medical history that affects your chance of having a baby. That is why any calculation requires additional information, such as: duration of infertility, severity of infertility, your age, and a host of other factors.

"Success rates" are often advertised or heralded by the media showing that a particular program has the "best success rates" in a given area, supporting their claims with comparative data from publicly available data sources. Unfortunately few reporters or patients ask "How is this really calculated?" and instead choose to believe in miracle workers. While there are many talented individuals in the IVF field, there are no individuals, neither physicians nor embryologists, with supernatural powers.

What is really going on? To understand, we must keep in mind one of the essential principles of statistics - statistics report data from POPULATIONS. Samples are taken, and averages are calculated. But you are a PATIENT, not a POPULATION. You have a UNIQUE set of circumstances that will determine your own likelihood of achieving a pregnancy if you receive your medical care in an experienced IVF center. So, the key to good statistics is to have more ideal patients than difficult patients enter the program. To a large degree, the difference between a program with good statistics and one with less favorable pregnancy rates is more often due to the given mix of patients who present for treatment. Yet by excluding or wait-listing individuals who've failed in other programs, are over 38 years old, have borderline FSH values, have prolonged unexplained infertility, or are low responders, certain programs can improve their statistics. By encouraging ART treatments for patients who are young, have had previous normal or ectopic pregnancies, regular menstrual cycles, limited or no prior treatment, and have normal sperm factors, the advertised pregnancy rates can also be increased. The pregnancy rates also depend on the number of pre-embryos transferred. A program that transfers a larger number of pre-embryos will likely report a higher pregnancy rate than one that judiciously restricts that number, but the latter program will also experience far fewer complications due to multiple births.

So, how can couples with complex fertility problems make an informed choice? Unfortunately, the answer is not simple. You cannot rely solely on published statistics when seeking professional care. The misguided focus on "success rates" has created strong incentives, economic and otherwise, for IVF programs to maximize IVF statistics by adopting some of the "gaming" tactics noted above. A better approach might be to take the following steps:

Look for our service experience and track record.

Make your own opinion of our integrity, intelligence, responsiveness and compassion.

Learn as much as you can. Review the reputation of the organization and its professionals.

Do not try to contact the former frustrated patients. Do not talk to your friends with infertility problems.

Be willing to spend your own money wisely to get the best health care.

Distrust waiting lists. Avoid apparent economic bargains. Ignore gimmicks.

Lastly, think hard and trust your own judgment. Your health care is very important, and the final decisions are yours!

The Emotional Effects of Infertility on the Couple Relationship

Men and women are affected by infertility in different ways. Most couples experience the struggle in much the same way. This is related to the traditional ways men and women have been trained to think, feel and act.

Women are typically seen, by others as well as themselves, as the emotional caretakers or providers of the relationship. Women typically feel responsible not only for everyone's bad feelings, but also for anything bad that happens. When women try to repress feelings, their emotions can become more ominous until they finally feel out of control. Their emotions can become a monster about to swallow them whole.

Women in infertile couples often protect their husbands from their own pain and feelings of failure by taking much of the responsibility for the treatments upon themselves. When it is suggested that men accompany their wives for appointments, couples get concerned about issues like income loss, use of time, etc. While these concerns are usually relevant and important, they also serve the purpose of protecting husbands from their own responsibility in the conception process and from their own feelings, which could easily be intensified by so much contact with the medical process. Men are traditionally seen as the financial providers of the relationship and are responsible for protecting the family from real or imagined dangers. Men usually feel more threatened expressing themselves since they have often been conditioned to repress their emotions. They are trained to be more instructional, to take charge, to make decisions and to think without being sidetracked by emotions.

Males in infertile couples often feel overwhelmed by the intensity of their partner's emotions as well as an inability to access their own. They tend to focus their energy back into their work, a place where they feel they can have more success.

As a result of taking responsibility for the emotional impact of the infertility, the woman experiences intense feelings, such as pain, anger, fear, etc., which, combined with the messages that her way of dealing with things is in some way dysfunctional or "crazy", causes her to feel an anxious depression. As feelings spill out, she feels out of control and doesn't really know how to ask for what she needs, especially from the husband she is struggling so hard to protect. She may yearn for an emotional connection/interaction at one moment and in the next withdraw emotionally from her husband when she fears she has disappointed him.

Men find themselves in a position where, regardless of how well they've been trained to solve problems, they are helpless to make this situation better for the woman and, as a result, may give off messages that she is "too" emotional or sensitive, hoping that this will calm her down. The wife hears this as criticism of her coping and care taking skills rather than as an expression of her husband's fears.

This is the time when couples cling together for dear life, feeling that they've failed in the most basic of all roles: reproduction. Couples are hesitant to admit problems in their marriage, feeling that having difficulty coping would mean that their marriage is also a failure. Luckily, there are ways that men and women can help each other balance thinking and feeling as they struggle side by side on their journey toward parenthood. The questions then arise: How do I get what I need from my partner? How can I support my partner during this difficult time?

Here are some suggestions to help both partners during the infertility process

Communicate openly with each other.

Realize there's no right or wrong way to feel. Getting in touch with your feelings will help you know what you need. Once needs are identified, clearly and specifically tell your partner how to help you.

Ask your partner what she/he needs rather than assuming that you can/cannot give it.

Recognize the psychological and emotional differences between men and women.

See if you can teach each other some of the skills you've learned from your own life experiences as man or woman.

Share more in the process of treatment. Share both the burdens and joys of your different perceptions/experiences of infertility. It will help to balance the intensity and bring you closer with a deeper respect for each other.

Coping Strategies

How You Can Survive Your Infertility Treatments Part of the problem of "coping" with infertility is that we all have the notion that we should do it gracefully, with a minimum of tears and hysterics. Who told us that what was coping? Who made the rules that said don't cry too much; don't show your feelings too much; don't let your feelings affect your work or relationships at all?

The next important question is: Why do we accept these rules? What's wrong with having our feelings? Grief is a natural process. Infertility is an on going stressful crisis where we repeatedly experience grief. In short, it's a terrible experience we wouldn't wish on our worst enemies. People can't experience fertility problems without being affected emotionally unless their feelings are so well protected that they're not in touch with them. Don't put yourself down because you get upset. Learn now that your reaction is normal. You've chosen the coping style that you know best. But, you can make things better. Start by identifying the positives about your coping style. Focus on how well you're doing. Give yourself credit for how well you've succeeded. For instance, many women put themselves down for feeling the need to talk to people a lot. Well, using support systems is an excellent way of dealing with stressful life experiences. Most people don't know how to deal with such intense pain. So give yourself positive self-talk about how good you are at reaching out for help. If you can't find the positives in what you are doing, ask a friend or your partner. There's always a way.

Infertility often creates or exacerbates marital conflict. Find time to talk about it and decide if it's conflict within your relationship or if it's created by your infertility experience. Talk about the ways you've solved problems before and see if any of these work. If not, ask friends what they've done or seek out counseling. It is normal for marriages to have problems during this time. If you can survive this crisis together, you can handle just about anything.

Friends and family members often seem insensitive and say or do things out of their ignorance, discomfort or feelings of helplessness. Educate them when you are strong enough. Tell them how you feel. By explaining your feelings and letting people know how to help, you will often get what you need. "I really appreciate your wanting to offer advice, but, right now I have enough advice and what I need most is someone to listen and try to understand," is an expression of what many infertility patients feel but cannot communicate. Don't wait until you are in crisis or you'll tend to talk yourself out of dealing with them and they'll never learn what you need from them.

Medical caregivers have feelings about your infertility also and may react in a number of ways which may or may not feel good to you. Give them feedback about what feels good and what doesn't so they learn, and so your anger and resentment don't build. You'll be helping yourself right now and contributing to other infertile couples in the future.

Co-workers and employers may also react in hurtful ways or not understand your need for time off, your emotional ups and downs. Educate them when you can. Find supports in your workplace. Imagine you have another illness that doesn't have the social stigma of infertility and give yourself as much permission as you would in that situation to use your time as medically recommended and expect others to honor this as well.

Remember what you've done in the past to make it through difficult times and see if it can work for you now as well. Find time to have fun, read books, do nice things for yourself, buy things, meet new people, and take exciting classes. Learn to do something you've always been afraid to try. Develop a sense of humor about the infertility experience (this actually can be done on your better days). Use this time to develop deeper and more intimate relationships with your partner and others you care for. Go for counseling, join a support group at RESOLVE, get online or do anything else your heart desires. You deserve it!

PRE-CYCLE COUNSELING

We recommend that you contact the IVF nurse coordinator at +919989432345 , +919989462345 when your period begins for the cycle preceding the one in which you will undergo in vitro fertilization. At this time, arrangements will be made to complete any pre-cycle testing, provide you with the necessary prescriptions for medications, complete the appropriate informed consent documents, and review and clarify your financial obligations. Consent forms are available for IVF, and micromanipulation. All consent forms must be signed by you and your partner prior to initiating the treatment cycle.

PRE-RETRIEVAL INSTRUCTIONS

Report to Srushti at your assigned time. DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT. Please make sure to arrive without jewelry, nail polish, make-up, or contact lenses. You may wear your mangalasuthra.

EMBRYO TRANSFER / REPLACEMENT

On the day of your embryo replacement, report to SRUSHTI approximately 30 minutes prior to your scheduled pre-embryo-transfer time. About an hour before the transfer, you will take a mild tranquilizer to help you relax and minimize the risk that your uterus will expel the pre-embryos. So RELAX! Following pre-embryo transfer, you will be able to dress and leave after the "ok" is given by the embryologist. Following the procedure, you may get dressed and be driven home. You will NOT be able to drive yourself home. Please take things easy for the next few days. Please remember that you are to continue your progesterone (and any other prescribed medications such as heparin, estrogen, or baby aspirin) until we have the results of your pregnancy test. Following transfer, some patients may pass a small amount of bloody fluid or air from the vagina. Please do not worry about this, it does not mean that you are expelling the embryo(s). From the time of transfer until your pregnancy test, you can resume most of your regular activities.