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Hand Foot Mouth Disease

Hand Foot Mouth Disease

(HFMD)

What Is It?

Hand, Foot, and Mouth disease is a type of viral infection that causes ulcers in the mouth and blisters on the feet, hands and buttocks.

It is caused by coxsackievirus A16.

How Does HFMD Spread?

HFMD is contagious and can spread through Blister’s fluids, Feces, Sliva, Poop, and Mucus.

Hand Foot & Mouth Disease Symptoms:

Who Is At The Risk Of HFMD?

  • Young children under 5 and
  • Adults with low immunity

How Is HFMD Diagnosed?

  • Physical exam for the appearance of blisters and rashes.
  • A stool test confirms HFMD.

How Is HFMD Treated?

Prevention Measures For HFMD:

Carry Home Message-:

Unfortunately, there’s no cure and vaccine available to prevent Hand, Foot, and Mouth disease, but your healthcare provider can help make you more comfortable during recovery. In addition, HFMD is a fairly painful but not serious condition, and its symptoms usually clear up within 7 to 10 days.

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Monkeypox -What Is It?

Monkeypox -What Is It?

Monkeypox is a disease caused by the Monkeypox virus (MPXV).

Monkeypox Outbreak 2022

MPXV was first detected in 1958 in the colonies of monkeys in West and Central Africa.

Till late July 2022, the CDC agency (Centers for Disease Control and Prevention) confirmed 16,800 cases of Monkeypox virus worldwide.

The first case of Monkeypox virus in India was reported in Kerala on 14 July 2022 and the figure is continuously increasing.

How Does Monkeypox Spread?

  • Can spread through close contact.
  • Can also spread through bites, scratches, or bodily fluids.

Signs & Symptoms Associated With Monkeypox

How MPX Diagnosed?

  • It is through a tissue sample taken from a lesion.
  • A blood sample confirms Monkeypox disease.
  • Doctor monitors and treats symptomatically.
  • No approved antiviral drug is available to cure this virus.

Carry Home Message-:

Monkeypox is rare, and there is no specific treatment for this disease. But, your healthcare provider can help you feel comfortable and prevent serious complications. So, don’t panic and call your doctor immediately after noticing the above-mentioned signs of the Monkeypox virus.

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Fertility in couples – things you need to know

Fertility in couples – things you need to know

Infertility is quite a scary term for couples who are eager to become parents. The fear increases with each passing day because 86% of couples successfully conceive within the first few months. Less than 10% conceive within a year.

However, there is a lot of uncertainty and misunderstanding around the word “infertility” and this creates more panic than necessary. In this blog article, we will speak in depth about it along with treatment options so that you walk the path of parenthood without any qualms.

What is infertility?

Infertility is the inability to conceive a child. A couple may be deemed as infertile after over a year of unprotected sex and no success. The usual thumb rule is that failure to conceive even after 15 months or so is an infertility case.
Infertility can be due to various reasons, sometimes unknown. Most of these reasons can be identified and treated to successfully foster pregnancy.

Infertility problems in couples

Infertility can be caused due to health problems in the female partner, male partner, or both. Even though consultations start with women heading to the fertility clinic, complications may be in the male partner as well. This is why it is recommended that both partners get the necessary tests done. Common reasons behind infertility problems are:

  1. Endometriosis
  2. Ovulation disorders
  3. Problems in the fallopian tube (Damage)
  4. Advanced age
  5. Uterine fibroids
  6. Unexplained infertility (14% of total infertility cases are unexplained)
  7. Hypothalamic disorders, gonad disorders, and sperm issues in men

The need for infertility treatment

Gone are the days when infertility was the end of the world. Today, your dream of being a parent can come true despite complications and hindrances because there are multiple treatments that you can try.

Based on the situation, your fertility clinic will provide the best solution. We have enlisted the most popular solutions here:

In-vitro fertilization or IVF

IVF is an intricate procedure in which the clinic will fertilize the egg in the laboratory. The sperm and egg will be taken and fused under stipulated conditions to aid fertilization.

IVF is currently the most successful method of fertilization and is used worldwide for this exact reason. No matter what the cause of infertility maybe, IVF is often the solution.

Stimulating ovulation

If infertility is caused due to ovulation disorders, stimulating ovulation through medication and injections maybe tried. The idea is to assist the female partner in ovulating and releasing mature eggs.

Intracytoplasmic Sperm Injection (ICSI)

ICSI is a common treatment for male infertility in which the sperm is injected directly into the mature egg.

Intrauterine Insemination (IUI)

IUI is another widely popular method. It is also called Artificial Insemination and is used in cases of male infertility or damaged fallopian tubes.

There are multiple other treatments as well such as the use of donors and surrogacy, which are considered based on the severity of the situation and the comfort level of the couple.

Is it the right time to change your fertility clinic?

While infertility treatments may take time, there may come an instance when you might question whether you chose the right fertility clinic. If you see any of the following red flags, it could be time to change your fertility clinic:

The physician does not have a clear conversation

Good physicians do not demand that you listen quietly to them and do as told. They are always open to discussions and answering questions about the procedure.

They often tell you why the procedure is right for you and discuss alternatives as well. If your physician does not encourage this, you should look for a better clinic.

Unprofessional behavior

The most common unprofessional trait we see is making patients wait despite appointments. Appointments are commitments that the physician must honor as well.

If he/she makes you wait all the time and every appointment takes much longer than anticipated, it is a sure red flag.

Not discussing budget or expenses

Infertility treatment is a psychologically and financially heavy process. Couples look for clinics that can empathize with them and speak to them about all the options keeping budget in mind.

Couples may need to take multiple steps including loans before starting the process. Shutting them out and not listening to them shows that the clinic is less than supportive.

Not respecting privacy

Clinics that do not understand the need for privacy and physicians who would meet with multiple patients at once are best avoided.

Always trust your gut instinct and exit at the first negative sign. Infertility treatment is a challenging process that needs timely attention.

Sticking to the wrong clinic may knock precious time off, which is very crucial.

Choosing the best IVF Clinic in Chandigarh

The best IVF clinic in Chandigarh will not just provide the right options for treatment, but also discuss closely with you, empathize and come up with the right solution.

At Reviva IVF, we understand the challenges and difficulties you are going through, and do our best to ease your pain – physically and emotionally. All our physicians and team members work closely keeping budget constraints in mind so that the journey to parenting is fruitful and not taxing.

At Reviva IVF, we understand the challenges and difficulties you are going through, and do our best to ease your pain – physically and emotionally. All our physicians and team members work closely keeping budget constraints in mind so that the journey to parenting is fruitful and not taxing.

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How To Select Your IVF Clinic in Chandigarh

How To Select Your IVF Clinic in Chandigarh

IVF is an extensive procedure that may involve frequent visits to the clinic, regular talks with your doctor, and the need for constant support. This is why it is important to choose an IVF centre in Chandigarh that gives you the required attention and treats you well.

But how do you find a good IVF clinic? What are the factors that you must consider? Our article today is all about it.

We will help you distinguish clinics based on multiple parameters including emotional support, care, and compassion, which are paramount in sensitive procedures like IVF.

Reach out to friends and family for referrals

We are strong advocates of referrals because personal experience is the most reliable form of feedback. If anyone you know has sought IVF treatment, reach out to them and ask them about the doctor/clinic. You can also ask the clinics you are interested in for referrals. Reputed clinics are usually happy to share the details.

While speaking to them, ask about the entire journey and their overall experience. This will help you learn if a clinic needs to be avoided completely.

Speak to the doctor directly

A hearty conversation with the doctor will tell you a lot about what you can expect. It is crucial to create a healthy relationship with the doctor who will treat you because he/she will be your support system for a long while.

Be open about your concern and see how the doctor responds. If he/she only seems interested in speaking about the treatment, it is a red flag. Genuine, compassionate doctors are willing to help you, answer your questions, and walk the path with you. These are the doctors you should seek.

Another very important factor here is the doctor’s time. Since IVF is not a one-session procedure, you have to be sure that the doctor has time for you, regardless of how many other patients he treats. This will be clear once you get in touch a couple of times and see how long you have to wait. After the first visit, even if you like the doctor thus, do not take hasty decisions or make the advance payment.

Will the treatment be customized?

In case the first cycle does not work, the doctor should ideally tweak the treatment for the next. Reputed doctors follow this approach because everyone’s condition is unique and the same template treatment may not work for everyone.

If your case is unique, do they have the required expertise?

Almost all clinics are well-equipped to deal with regular IVF procedures. But, if you have a difficult condition, this particular factor will be important for you. Even if the clinic/doctor has been in business for years, the experience will not count if they haven’t dealt with cases similar to yours. So, make sure you get that information from them as well.

How good is the clinic?

Since, along with the doctor, you will also be dealing with staff members, you should assess how good the clinic is. Here are a few things to ask yourself:

  • Is the staff courteous and kind?
  • Are all hygiene practices being followed?
  • Is the clinic a super-specialty clinic or multi-specialty clinic? Especially in these uncertain times, it is best to choose a super-specialty clinic. The doctors and staff members will be dedicated to IVF and not be distracted by other emergencies.
  • Do they have the latest equipment to cater to your condition? A little background research and a talk with your OB/GYN will help you understand this.

Are they being honest?

Pushy clinics are bad news. They will be too eager to push their services instead of honestly assessing your condition and helping you accordingly.

In case you need donor eggs, they may also push you to choose what they offer instead of letting you use your own eggs.

Such situations can be tricky but you can understand whether a clinic is trustworthy by the way they approach you, speak to you, and suggest a way forward. Good clinics will not be pushy or complacent. The doctor will not just advise but also give you reasons behind the recommendation.

IVF is an emotionally tiring process. Having an understanding doctor who supports you through the difficult journey will make it considerably easy. So, choose wisely.

Reviva IVF – Your friendly IVF clinic in Chandigarh

At Reviva IVF, we value our transparency over everything else. We strive to provide a customized treatment that is best suited to you and your health conditions. Our team of dedicated doctors will work closely with you right from day one to help your dream of being a parent come true. Get in touch with us and choose the best IVF centre in Chandigarh!

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Fertility Tests For Women

Fertility Tests For Women

It’s a scary thought – being unable to conceive.

If you have been trying for months and if each passing day is making you worry that there’s a problem, it may be time for a fertility test.

Getting tested to pinpoint the problem is always a wise choice because it removes suspicion and helps you prepare for the future in an informed manner. Otherwise, you may continuously worry, imagining the worst. This kind of stress is not good for conception either.

We have listed out a few common fertility tests for women that you can consider.

Blood tests

A blood test will determine if you suffer from an infection or STI (sexually transmitted infection). This is important because if you have had an STI before or if you have any inflammation, conception could be difficult.

Scans

The doctor may suggest a TVS ultrasound or a pelvic ultrasound to check your ovarian reserve as well as the follicles. If there are multiple follicles, it is good news!

The ultrasound will also help find out if there are cysts or fibroids. Polycystic ovaries are common and among the leading reasons for infertility today.

Hormone tests

Certain hormones are very crucial in reproduction. Low levels of these hormones can ring the alarm bells. Thus, a hormone test will be able to clear the air. Since there are multiple reproductive hormones, you might undergo multiple tests. Below are the hormones you must get tested.

Follicle stimulating hormone

Commonly called FSH, this hormone stimulates the growth of follicles in the ovaries. Increase in FSH causes follicles to be stimulated. They then produce estrogen and grow. One of them grows the most and this is when the ovulation process begins. If you lack FSH, you will not be able to ovulate.

Estradiol

Estradiol regulates menstruation. High or low amounts of this hormone spell trouble because:

  • High estradiol indicates lower ovarian reserve
  • Low estradiol is a sign of PCOS

Thyroid Stimulating Hormone

Also known as TSH, doctors will check for its levels as well because thyroid problems are known to cause many fertility problems. Both, hypo and hyperthyroidism are bad for fertility.

Progesterone

Under normal circumstances, progesterone levels are high after ovulation (around a week after). As you near the time of your next period, the levels will drop. It is very important to time the test right to get accurate results. If your periods are irregular, you may not get the right results.

Note: Due to the sensitivity of timing, this test is not very dependable

Prolactin

Prolactin works to inhibit FSH, forcing it to stop follicular stimulation. High levels of this hormone could indicate PCOS. Extremely high levels could be a sign of a tumor.

If you have no issues with your periods and your progesterone levels are normal, this test can be skipped unless there are other clinical indicators.

Luteinizing Hormone

This hormone works just like FSH. Its levels go up right around the time of ovulation. This is the only time this hormone’s levels should be up (24-48 hours). At any other time during the menstrual cycle, if the hormone surges, it could be due to polycystic ovaries. Lower than normal levels immediately before ovulation indicate that your menstrual cycle is not normal.

Anti-Mullerian Hormone

This is a basic test that reveals the number of follicles that are growing. However, it won’t indicate the quality of the eggs.

Cervical mucus test

The consistency of the cervical mucus changes through the menstrual cycle. Examining it and testing its components will help determine if your periods are normal and if there are any sperm-killing antibodies in it.

Advanced fertility tests for women

Let’s walk through a few advanced fertility tests that the doctor may recommend after the basic tests.

Laparoscopy

The surgeon will inject a camera through holes created near the public hairline to get a check if all reproductive organs are okay. This test will also help find scars or endometrial growths.

Magnetic Resonance Imaging

Commonly called MRI, this test helps assess the uterine wall. It is recommended in case there’s endometrial growth on the uterus, painful periods, IVF failures, etc.

Note: This is an expensive procedure.

Hysteroscopy

This test helps determine the presence of polyp growth and scarring through a small camera. It is inserted through the vagina.

Endometrial biopsy

This test is conducted between the 18th and 28th days of the menstrual cycle. The doctor will take a tiny piece of the uterine lining to check its development when progesterone is released.

Saline hysterogram

The doctor will inject a saline solution in the uterus to check abnormal growth, polyps, etc.

Hysterosalpingogram

This is an X-ray that checks the condition of the tubes and uterus. The doctor injects a radio-opaque dye to facilitate this.

Tests help determine the current situation and pave the way forward. You will be able to work with your doctor to get the right treatment and conceive as quickly as possible.

Reviva IVF – A fertility treatment centre close to your home!

Reviva IVF is a leading fertility and IVF centre in Chandigarh. We have a team of dedicated medical experts who will work closely with you and recommend the right fertility tests based on your situation. We will walk with you from day 1 and ensure that this is not a cumbersome process for you. To book an appointment, get in touch with us now!

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Things To do To Improve Your Chances of Conceiving Naturally

Things To do To Improve Your Chances of Conceiving Naturally

Natural conception, as easy as it seems, has only a 20% success rate per cycle. So, if you are unable to get pregnant naturally, please do not panic. Good things usually take time.

Having said that, we understand that the process may be worrisome. You may be trying for months without any luck – that can be quite frustrating. But, the good news is that you can do a few things to improve your chances of conceiving naturally. It is all about understanding your body and doing what’s best for it.

Improve your physical health

Physical fitness is of the most importance while trying to conceive. Taking care of yourself and ensuring that you are healthy will automatically increase the chances of conceiving naturally without any intervention. Here are a few helpful tips for you:

  • Ensure that you are not overweight or underweight. Both of these conditions affect fertility negatively. If you have chronic weight issues, we suggest that you work with your doctor on the same. Otherwise, you may alter your diet and lifestyle to achieve optimal weight.
  • Make exercise a routine and workout at least 3 times a week. The right exercises for you will depend on your body type. But, aerobics, weight training, and yoga have proven to benefit most women.
  • Stop smoking and consuming alcohol – this holds true for both partners. Studies over the years have found that even moderate alcohol consumption reduces fertility. Moreover, tobacco reduces the motility of sperm. Even passive smoking can have adverse effects. If you indulge in either or both of these habits, it’s time to stop.
  • Try to relax. Stress has severely negative effects on the body and the mind. Excessively stressing about conception may actually be the reason why you are unable to conceive. Try to give yourself a break and take good care of yourself.

Watch your diet

Exercise and diet go hand in hand. Doing just one and ignoring the other is almost as bad as doing nothing. So, along with staying active while trying to conceive, it is important to eat right

Food that must be a part of your diet:

  • Water: Drinking water and staying hydrated through the day helps remove toxins from the body. It also helps organ function and stabilizes hormones.
  • Whole milk: Whole milk is high-fat dairy that helps successful ovulation and improves fertility. We recommend that you drink 3 glasses of whole milk every day.
  • Grains, vegetables, and fruits: All these foods have complex carbohydrates that provide fiber, remove toxins, and improve fertility.

Essential nutrients:

While making diet changes, remember to ensure that you get enough of the following:

  • Zinc: Deficiency of zinc causes infertility in men and women.
  • Vitamins: Particularly, vitamin B6, C, E, and folic acid enhance the production of male and female hormones.
  • Fatty acids: Nuts, seeds, and oily fish can help you get the required fatty acids. They don’t just support fertility but also fetal development.
  • Proteins: Consuming protein-rich foods will help enhance the production of sex hormones. We recommend plant-based proteins only. Red meat can be harmful.

Food that you must avoid while trying to conceive naturally:

  • Caffeine: Various studies have shown that caffeine causes infertility and can increase the risk of miscarriage as well. So, it is vital that you remove it from your diet entirely.
  • Soy products: They cause infertility in men.
  • Processed foods: Processed foods must always be avoided but it is even more crucial if you are trying to get pregnant naturally. This is because they are loaded with preservatives, pesticides, and other harmful substances.
  • Animal protein: Red meat, etc. increase risk of infertility. Plant proteins are the safest.

Learn about your menstrual cycle

It is not enough to know when your period is due. You must also know when you are ovulating. Keeping track of this is the easiest way to conceive because this is when you are most fertile. There are a few ways to do this:

  • Buying ovulation kits: These kits will help you determine whether you are ovulating.
  • Following the calendar method: Each cycle lasts for 28 to 32 days. Keeping this in mind, track the first day of your period and determine when the next cycle will start. You may have to track your cycle for a few months to get the exact date but we are assuming you already do that. From the determined date of your next cycle, count backward and note the 8 to 18 days. This is the period when you will ovulate. Ovulation usually occurs only on one day and penetration during that time will increase chances of pregnancy drastically. There are free ovulation calendars available for download as well.
  • Checking the cervical mucus: The mucus changes in color and consistency throughout the cycle. Around the time of ovulation, it becomes slippery, stretchy, and whitish – almost like an egg white. Tracking these changes will help you determine when you are ovulating.
  • Tracking the basal temperature: All you need is a basal thermometer to check when the basal body temperature goes up. It is usually up immediately after ovulation.

Work on sperm build-up

Both partners have equal roles to play in conception. Tracking ovulation and ensuring you time intercourse in that window is not enough. The male partner must have enough sperm to increase chances of fertilization. Not ejaculating in a while can help with this. So we recommend abstinence for 3-4 days for a positive outcome.

If you have been trying to conceive for over 6 months, it is a good idea to get a few tests done. There might be a medical reason why you are facing problems. Identifying it and solving it could be the breakthrough you are looking for. It will also help you plan the way forward.

Reviva IVF – Your solution to infertility

Reviva IVF offers state-of-the-art IVF treatment centre in Chandigarh. We are a specialty clinic with over 65% success rate. Our team of embryologists, andrologists, and anesthetics will work closely with you to make the journey easy and exciting. We offer the most affordable IVF costs in Chandigarh and surrounding areas to ensure that the procedures don’t take a toll on you. Book an appointment with us now and start the magical journey of pregnancy.

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Things you must know before starting IVF

Things you must know before starting IVF

We would like to commend you and your partner on your decision to undergo IVF. You are extremely brave.

The road ahead can be daunting when you don’t know what to expect and how to prepare yourself for the journey. IVF takes time and getting ready for it is important – and we don’t just mean financially. We mean that you must be prepared emotionally and physically as well. To help you with this, we have jotted down the most important things you must know before starting IVF.

IVF requires patience and optimism

The procedure involves multiple steps and cycles that can stretch for weeks. Different couples respond differently to the treatment and that is why it can be stressful to go through it. There’s no formula about body response and the time it will take for the procedure to show results. This is why, we urge you to have a patient and optimistic mindset right from the get-go.

Around 50% of couples see results in the first cycle but the rest require at least one additional cycle. Each cycle takes about 4 weeks. If the first cycle does not show results, it is very crucial not to be disappointed and worried. Brace yourself for the journey along with your partner – there will be light at the end of the tunnel.

The cost is an important consideration

Cost is a huge factor because the procedure can be expensive. However, the approach here must be different. There are many important things to consider to understand whether you will get value for money. A few of these are as follows:

  • The success rate of the clinic: Good clinics usually have an excellent success rate, making them more suitable. The chances of having to go through fewer cycles are also high if the success rate is good. This means that even if the cost is slightly on the higher end, you will save money on the whole and there will be less hassle as well.
  • Transparency: Hidden costs are a major concern in most cases. What’s discussed upfront may not appear in the final invoice due to a large number of charges that the clinic initially does not speak about. Speaking to the doctors will give you a fair idea about this. Notice how open they are about the procedure, whether they are giving out details of the cycles, etc. and you will be able to tell if they are transparent. Reviews come in handy here as well. So, be sure to explore them.
  • Whether it is a specialty clinic: A super-specialty clinic accommodates multiple disciplines of medicine and may not be the right choice especially during a pandemic. A specialty clinic, on the other hand, is much safer. Also, since the entire clinic is dedicated to IVF and infertility, there will be better equipment, expert doctors, focus, and better success rate.
  • How long the clinic has been in business: This factor will help you understand how well the clinic has fared and whether it is thriving in the space. If the clinic is new, you may not have previous results to go by.
  • Payment options: Does the clinic offer 0% EMI? If yes, check if the cycle rates are higher than its competitors. Does it have tie-ups with banks for loans? This may help you get a loan without extra trouble.

When you evaluate the IVF cost, it is crucial that you tap into each of these points. It will give you a 360-degree understanding of the clinic, making the choosing process quite easy.

Your body needs to prepare

Physical preparation is a must for the IVF procedure and the 9-month journey after conception. Your body must be ready for it. In other words, it should be fit and healthy. If you lead a rather unhealthy lifestyle such as low physical activity, smoking, obesity, etc., you have to start working on it. The great news is that a few simple changes can have a huge impact on sperm count and your fertility. So, based on your partner’s and your physical fitness, you can start taking the necessary steps. A few doctors may also recommend a specific IVF diet. You will need to follow this for at least 2 months before you can start the IVF procedure.

Stress is harmful

Anxiety and confusion are a part of the IVF journey especially in the beginning but these factors lead to stress. Stress makes conception harder than it needs to be. This is because it directly affects the body! Multiple studies have, in fact, proven that women who did not stress much during the process were more likely to see positive results.

We realize that it is easier said than done. Stress is an obvious part of a life-altering process especially when you don’t know what to expect. This is why, the best way to avoid stress is to learn about the process, what to expect, and what needs to be done. We recommend that you choose a good IVF clinic and speak to the doctors regularly. Have all your questions answered so that you know exactly what to expect. This will ward off the fear of the unknown quite significantly.

Be prepared for some discomfort

We have seen many couples fret about pain and discomfort due to the medication. The injections themselves are standard and do not cause much pain. But, they have been known to show side-effects such as breast tenderness, mood swings, and abdominal pain. Headaches, nausea, and bloating may also be experienced. Having said that, you must note that “severe” pain is not very common. It only happens to a few women. Progesterone shots may also cause bruising and pain.

It can be incredibly difficult to take so much pain but we urge you to look at the bigger picture – 9 months down the line, you will realize that the pain was indeed worth it.

You may need a support system

The burden of infertility is indeed too much to take. Adding to this, the taboo surrounding it, the fear of society, and the worry to keep it under the covers can be too much to handle. You and your partner must emotionally be there for each other, of course, but along with that you will need a support system of your closest family members and friends. They will provide a comforting shoulder through the process.

Don’t hesitate to reach out to the ones you trust the most – they are there for you.

It may not feel like it at the moment, but something wonderful will come out of this journey. Choosing a good IVF clinic and working closely with your doctor will alleviate most of the stress revolving around it. We hope the aforementioned points work as a positive light as you begin what we hope will be a magical phase in your life.

Choosing the right IVF clinic in Chandigarh

If you are on the lookout for a specialty IVF centre in Chandigarh, we invite you to check Reviva Infertility and IVF Centre Chandigarh. We provide state-of-the-art medical services to help and support you through the treatment. Our success rate is around 50-60% and we offer the most competitive IVF costs in Chandigarh. Contact us to know more and book an appointment.

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Fertility Treatment During the COVID-19 Pandemic

Fertility Treatment During the COVID-19 Pandemic

Over the past few weeks, our TV channels, newsfeeds,
social media platforms have been filled with terms such as ‘social distancing’,
‘flatten the curve’ due to the global pandemic i.e. COVID-19. There is no
denying in saying that this pandemic has pressed a pause button to the world.
Whether its planned vacations, weddings, big conferences, sports events or
world championships – everything is on hold.

Now that the world is facing a global health crisis, the cloud of ambiguity and uncertainty is looming larger than ever as many people are questioning how the current restrictions will impact their ability to start or grow their families. Infertility itself is a situation that endures anxiety, feeling of helplessness and fear about the future – and now, there’s COVID-19 pandemic on top of it all.

Current Situation

Given the unknown effects of COVID-19 on fertility
treatment, reproductive medicine societies have recommended the suspension of
new infertility treatment cycles during this time. Couples and especially women
who have invested their time and a lot of money in their treatment may be
frustrated and anxious about the impact of this enforced, yet indefinite delay
on their chances of conceiving. This whole situation has put the health care
providers in the difficult position of trying to balance the patient’s needs
with the current government mandates and expert recommendations.

Infertility Care during COVID-19

There are some guidelines issued by the reproductive
medical associations and authorities to ensure that all patients and staff to
be kept as safe as possible by reducing exposure and therefore complications
that may arise.

With concerning to infertility treatments during the
COVID-19 pandemic, it has been advised to:

  • Suspend commencement of new treatment cycles,
    including intrauterine  insemination,
    ovulation induction; and in vitro fertilisation, including frozen embryo
    transfers, retrievals, and also suspend non-urgent gamete cryopreservation.
  • Cancel all embryo transfers, whether fresh or frozen.
  • Continue to provide care and support to patients who
    are currently ‘in cycle’ or who require urgent cryopreservation and
    stimulation.
  • Suspend all the elective surgeries and non – urgent
    diagnostic procedures.

How REVIVA is combating the Infertility Treatments
amidst COVID-19?

Its understandable that it can be devastating for those couples who have been trying so hard to build and grow their families to now have to delay treatment due to COVID-19. The goal of this communication is to help patients to have a clearer understanding of the recommendations issued by the government and to help answer questions they may have. Thus, we are providing after-care and support via phone calls whilst keeping your safety on the forefront.

Q: Are elective medical procedures are supposed to stop;
are IVF and other fertility treatments are included in this?

A: Infertility is nothing but a disease, and getting treatment of infertility is medically necessary. IVF treatment is extremely time-sensitive and important but not a medical emergency like treatment of ruptured appendix. We know that many other non-emergency treatments are also being postponed during this crisis scattered globally.

Q: I want to pursue IVF or other fertility treatments.
Should I delay care during the COVID-19 pandemic?

A: To deal with the infertility treatment is in itself is quite daunting, especially when you’re pursuing the dream of starting or growing your family. This COVID-19 crisis has come like an unexpected challenge in the way and the government here and around the world has restricted IVF fertility centre in performing treatments.

As fertility care requires a lot of interaction and
communication with many people and person-to-person meet which might increase
the likelihood of getting infected in one way or the other. so, this is why we
have postponed infertility care until the crisis passes.

Q: Are my frozen embryos, eggs, or sperm safe?

A: Yes. As there is no immediate threat to the safety
of cryopreserved eggs, embryos, or sperm. We have some policies and advanced
procedures which maintain the life of embryos, eggs and sperm.

Q: How safe is the clinic and what cleaning protocols
it is following?

A: Our clinic is following all the cleaning and safety
protocols mandatory as per the government regulations. We have been keeping a
close check on every nook and corner and our cleaning staff is taking care
diligently. And, we would be following these measures even after this crisis
gets over for the safety of our patients and staff members.

Q: Can I still have a medical, counselling or nurse
consent consultation?

Right now, we are encouraged to minimize in-person
interactions and instead utilising Telehealth conversations via phone or video
chat. Patients who are undergoing through a fertility cycle and need
after-care, we are here for you providing support and all the possible options.

Therefore, COVID-19 has cast the future of IVF and the
fertility sector into uncertainty.

To be noted, if you have been exposed to COVID-19 or
may be at risk, we recommend you to postpone the treatment until cleared by
your primary health care provider. This is all in the interest of your safety
and the safety of our staff members and other patients. For more information,
you can email us or call us. We all are in this together.

As we are facing this unprecedented health crisis due
to the wide-spread of the coronavirus, we recognise and appreciate the efforts
and response of the entire army of doctors, staffs, and nurses who are
tirelessly doing their jobs and helping the patients from this dreadful
disease.

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Getting pregnant after 40 and the treatment options – Reviva IVF

Getting pregnant after 40 and the treatment options – Reviva IVF

The reproductive potential of a woman declines after 40. So, chances of natural conception reduce with age. Delaying in pregnancy can be due medical reasons or lifestyle which can be a leading cause of ovarian aging. Women are born with millions of eggs but with age, the quality & number of eggs become less. But if natural conception is not happening due to age factor then a patient must go for a fertility checkup.

How pregnancy can be achieved in 40’s?

Achieving pregnancy after 40’s needs a healthy lifestyle. Taking good care of health, eating a healthy diet, and regular exercise can improve the chance of your pregnancy. Since the age is the major factor so if a woman has aged more than 40 yrs & trying for a baby without any success then the patient should seek the advice of a fertility doctor. The infertility factor can either be associated with male or female. So it is important to know the cause. In women, the problem can be blocked fallopian tubes, endometriosis, infections, fibroids etc. In males, the problems can be with semen sample like, Azoospermia, oligospermia, Globozoospermia etc. IVF treatment for such patients is the only answer to achieve a successful pregnancy.

If a couple is undergoing IVF treatment patient must undergo necessary investigations to make a correct diagnosis. In women, blood investigation is performed to check the hormonal levels – Estrogen, progesterone, LH levels, AMH level (check ovarian reserve), followed by Ultrasound to monitor any fibroid or lesions etc. Whereas, in male blood tests for viral markers, semen analysis & culture is done.

Treatment available after 40

Assisted Reproductive Technology (ART) process which is commonly known as Invitro Fertilization (IVF) is the treatment available for such patients. Through IVF treatment, it is to ensure that a patient is able to get children after taking proper treatment. In the process, the embryo is made outside the human body in in-vitro conditions and on Day 3 or Day 5 it is transferred to the uterus for further development. The whole treatment can be done in 2 weeks.

Name of some treatment Available:

  • IUI (Intrauterine Insemination)
  • IVF (Invitro-Fertilization)
  • ICSI (Intracytoplasmic Sperm Injection)
  • LAH (Laser Assisted Hatching)

Reviva Fertility clinic & IVF Centre in Chandigarh offers you all kind of latest fertility techniques to treat infertility problem.

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Egg freezing Process

Egg freezing Process

Egg freezing is the process of freezing mature or immature oocytes below sub-zero temperatures. These oocytes can be thawed & matured under in vitro conditions & can be fertilized using appropriate technique. Good pregnancy rate have been seen from such embryos derived from oocyte freezing. In view of the fact that the egg freezing has drawn a lot of attention in the field of reproductive medicine, the indications for oocyte freezing are given below.

  • Women of reproductive age undergoing chemotherapy for cancer treatment.
  • Unable to get sperm for IVF/ICSI during treatment
  • Egg donation programme
  • When women wish to have family in the later stage due to their personal reasons.
  • History of premature ovarian failure (POF)
  • In PCOS patients when stimulation is merged with in vitro maturation (IVM) method.

Process of freezing

After egg retrieval, the embryologist (an expert in oocyte freezing) will wash & incubate the oocytes for approx 2 hrs. The process starts with the denudation in which the cumulus cells which surrounds the oocytes are denuded to know the maturity of eggs. During the freezing process, oocyte has to undergo various biological changes. Firstly, it is treated with Equilibration Solution (ES) – high concentration of penetrating cryoprotectants like glycerol DMSO, propanediol, etc which replace the water content of cell with cryoprotectants. Then the oocytes are treated with Vitrification solution (VS) which is a combination of permeating & non-permeating agents (Rafflose, Trehalose, etc). Then it is directly exposed to liquid nitrogen. Due to this highly viscous medium its forms a glassy substance at low temperature. The procedure is very rapid any delay can cause damage to the oocytes like spindle damage etc.

Advantages of Oocyte freezing:

  • Social egg freezing offered to women under the age of 38 yrs who want to start their family at later stages. It adds a possibility to have a healthy & genetically related child.
  • Fertility preservation for young women with cancer.
  • Reduces need of a donor
  • Reduces the number of treatment performed at advanced maternal ages.

A couple needs to understand the impact of age on their fertility. Egg freezing is an alternate option for those people who are facing such kind of problems as discussed in the above article.

For more information, you can reach us for more information.

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