Hydrosalpinx Prior to Doing IVF

Is there any need to remove a hydrosalpinx prior to doing IVF?

Many women with blocked tubes go in for IVF treatment. Some of them have a hydrosalpinx, in which the blocked tube is filled with fluid. It has now become standard advice to remove the hydrosalpinx or to clip the blocked tube prior to IVF. This needs to be done by performing an operative laparoscopy; and this procedure is supposed to improve IVF pregnancy rates (because the hydrosalpinx fluid is toxic and can prevent the embryos from implanting.)

Most gynecologists are happy to advise this surgery before referring the patient for IVF, because this is an additional surgical procedure for which they can charge the patient. In reality, however, this unnecessary surgery can actually end up causing harm.

For one, it leads to overtreatment. In many IVF clinics, all blocked tubes are surgically removed prior to IVF, even if the hydrosapinx is very small! This has never been proven to be of any benefit ( the original study only selected patients with a large hydrosalpinx) , but sadly patients are not well informed enough to ask questions and most are quite happy to sign on the dotted line. However, as is true of all surgical procedures, even this "minimally invasive surgery" carries a risk. This surgery can impair ovarian blood flow and reduce ovarian reserve.

In reality, there is a much easier way of ensuring that the hydrosalpinx fluid will not affect the embryos when they are being transferred. At the time of egg collection, the hydrosalpinx can be aspirated under vaginal ultrasound guidance. This means that when the embryos are being transferred into the uterus 3-5 days later, there is no toxic fluid in the hydrosalpinx to harm the embryos. This is a simple, zero-cost, non-surgical solution which ensures that the hydrosalpinx fluid will not affect embryo implantation or IVF success rates!

Gays and Single Women had Chance for Surrogacy

With the acceptance of gays and single women in the society, surrogacy aspirants have grown over a tenfold.

Cost wise, Surrogacy in India is quite encouraging, since it is highly economical in contrast with that in US. And there is no discrimination, what so ever.
No matter who you are, surrogacy process offers an ever glowing concept of enhancing your life with children. Though as gays, one cannot except to deliver a child of their own one such miracle concept of surrogacy has broken all the walls of impossibilities. Now even gays can have their own genetic child through the process of surrogacy by hiring a surrogate mother.

Earlier the concept was restricted to single women but with changing times and adaption to different cultures, surrogacy is now legally applicable to gays too. India being the prime destination for surrogacy, most of foreigners choose India for their surrogacy process. As the culture of single women is more prominent abroad, most of them in US, UK and Canada like to enjoy the state of parenthood.

Surrogacy is a process of hiring a woman’s womb for carrying a child till the full term for interested couple. In the process of surrogacy, the single women couple would closely interact with surrogate mother and the surrogacy services provider to know the whole process for their arriving for a child. Single women couple should select a Fertility Center, Sperm Donor, Select of a Surrogate and Legal Work and the Attorneys

India – a Suitable Destination of International Intended Parents

Surrogacy in India is highly advantageous, since it had become legal in India in as early as 2002.The entire process is carried out as per the guidelines, laid down by the Indian Council of Medical Research (ICMR). ICMR had prepared a draft with necessary guidelines for setting up IVF Clinics and ART Centers in India, which is being regulated by the Government of India. The Supreme Court of India had permitted surrogacy way back in 2002.

Like in any other sphere of commercial activity, India is emerging a leader in commercial surrogacy also. Today, India has not only become a preferred destination, but also raised to be the “Surrogacy Capital of the world”, since surrogacy in India is much more simple, besides being competitively cost-effective. The unprecedented momentum is because of many advantages like economical cost, better legal environment, world-class medical facilities, multi-specialty hospitals and clinics, latest technologies, skilled doctors, global accreditations etc.

International Surrogacy has become popular as the surrogacy procedures and laws are unfavorable in some countries or states. Before opting for international surrogacy, intended parents should thoroughly follow the state laws of surrogacy agencies they are choosing. Each country specifically has different laws related to surrogacy procedure. Intended parents should hire a qualified and experienced legal expert for smooth processing of cross-border surrogacy arrangements. Commercial surrogacy is gaining its acquaintance with many countries allowing it as a legal procedure but there are few countries/ states that still hold it illegal to pursue. With commercial surrogacy becoming legal in India, a huge number of surrogates are ready for the process of surrogacy. Even the number of healthcare providers or clinics providing surrogacy services has increased drastically. The clinics have a huge database of well screened surrogates who wish to take part in international surrogacy as well as local surrogacy. Intended parents are open to choose the right kind of surrogate and utilize the local surrogacy agencies.

International surrogacy involves many sensitive and ethical issues related to the surrogate mother and their origin. It is required for intended parents to respect the traditions and customs of their surrogate mother. Since Indian surrogacy agencies takes care of all important issues involved in the process of surrogacy at each stage, most of the internationals intended couples prefer India as their destination point for surrogacy. Moreover Indian surrogacy centers are well equipped with highly professional fertility experts who provide quality surrogacy services to the intended parents.

Moreover, medical council of India is handy in serving with the complete required information about the process and surrogacy centers in India. Any medical process involves risk factors, medical tourism of India helps the surrogate to acquire thorough knowledge of the process, equipments, expenses and medical process involved through their network of hospitals. Through medical council of India, intended parents can have valuable and confidential information regarding the whole process of surrogacy.

Availability of best quality surrogates and highly qualified medical professionals in India giving a 100% success rate in the process makes it even more reliable for international intended parents to choose India as their destination point for surrogacy.

Outsourcing Surrogacy to India

Why Surrogate Mothers in India – Outsourcing Surrogacy to India – How to Decide on Surrogacy in India

More Americans Now Traveling to India for Surrogate Pregnancy because it about A mum, a dad, an egg donor and a surrogate equals baby.

India is attractive for two reasons. Surrogacy comes at a reasonable price here. In the US, surrogacy costs up to $120,000; in India, couples pay only a fourth or so of that amount. Having a child could cost anything between Rs 10 lakh and Rs 25 lakh here: costs include the in vitro fertilisation, caring for the surrogate for her full term of pregnancy, the surrogate’s fee and living expenses for the intended parents. Many couples also come through medical tourism agencies or surrogacy agency that specialise in medical tourism. These agencies liaise with infertility clinics in India and organise the couple’s trip for a fee.

The second reason for India’s pull as a surrogacy destination is its laws. It is far simpler to become legal parents in India. Unlike countries such as the UK, some parts of USA, Canada and Australia, which consider surrogates legal mothers, India recognises the intended parents as the legal parents. Also, couples don’t have to fear that Indian surrogates will refuse to give up children they bear. In some states in the US, where surrogacy agreements are not legally binding, there have been cases of surrogate mothers deciding not to relinquish babies. In India, on the other hand, most surrogates are from the middle and lower classes. As they undertake surrogacy for some extra money, it is unlikely that they would stake a claim to the children they bear. All surrogates are required to sign contracts waiving any rights over the child.

As a result more and more Intended parents around the world are hiring Indian women to be surrogate mothers to their babies. , Caucasian Americans, USA, UK, Australian couples and singles, Indian NRI couple, canadian couples and singles are looking for surrogacy option in India or Surrogate Mother in India.

Miscarriage & Stillbirths

Miscarriage

A miscarriage is the spontaneous abortion of an embryo or fetus before it’s developed enough to survive. This can happen even before a woman is aware that she is pregnant. A miscarriage usually occurs in the first 3 months of pregnancy, before 12 weeks’ gestation. A small fraction of miscarriages less than 1% of them — are called stillbirths, as they occur after 20 weeks of gestation.

Miscarriage is often an upsetting event and with repeated miscarriages, a woman or a couple can find themselves on an emotional roller coaster. Almost anyone who has suffered a miscarriage or stillbirth worries about the risk of having subsequent losses. Recent information indicates that women should look into testing after two losses when it used to be common to wait until three. This is especially important for women in their 30s and 40s. Newer studies indicate a miscarriage rate of 26-40% after a woman has suffered two losses, so earlier testing makes sense emotionally, physically, and in many cases financially as well.

Symptoms of a Miscarriage?

Many women don’t even know that they’ve had a miscarriage, thinking that it’s just a particularly heavy menstrual flow.

Some women experience cramping, spotting, heavier bleeding, abdominal pain, pelvic pain, weakness, or back pain. Spotting is not always a sign of a miscarriage; many women experience it early on in pregnancy. But just to be safe, if you have spotting or any of these other symptoms anytime during your pregnancy, talk with your doctor.

Reasons for Recurrent miscarriage:

Some Reasons for Recurrent Pregnancy Loss can be genetic or Chromosome problems, Hormonal factors, Problems with the uterus, Immune system disorders or Unexplained Miscarriage. There is sometimes more than one reason for recurrent pregnancy loss so investigations need to be complete.

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The loss of pregnancy can result in feelings of grief. For many, the emotional healing that follows a pregnancy loss takes longer than the physical healing. Your feelings of grief may be different from those of your partner and the healing process may progress at a different speed.

Stillbirths

A stillbirth, which many experts define as the death of a baby after the 20th week of pregnancy, can occur before delivery or during labor or delivery. It is rare and occurs in less than 1% of all births. A stillbirth also is sometimes referred to as intrauterine fetal death or antenatal death.

While there are some known risk factors for stillbirth (such as smoking, high blood pressure, and diabetes), there is no way to predict when stillbirth will happen or who will have one, and the cause of many stillbirths remains unknown.

The first and most common sign of a stillbirth is decreased movement in the baby. Other possible signs include persistent cramping or stabbing pains in the pelvis, back, or lower abdomen, or vaginal bleeding. If you experience any of these symptoms, call your doctor immediately.

Your doctor can use an ultrasound to detect the heartbeat or give you an electronic fetal non-stress test, which involves lying on your back with electronic monitors attached to your abdomen. The monitors record the baby’s heart rate, movements, and contractions of the uterus.

Stillbirth is common. It may affect anyone. There is no way to predict when stillbirth will happen or who will experience it. Stillbirth occurs in families of all races, religions, and income levels.

Always remember that the Recurrent Pregnancy Loss, Recurrent miscarriage or Stillbirths can be cured like any other disease and it does not mean that you cannot have family. If you have been through or experiencing Recurrent Pregnancy Loss, Recurrent miscarriage or Stillbirths, come share your experiences with us.

INTENDED PARENTS

INTENDED PARENTS- Your Partner for Parenthood

Intended Parents are the infertile couples who intend to have a child through the process of surrogacy. Planning a child through the surrogacy procedure is practically a full time job and it needs expert advice and assistance at every facet of journey. International Fertility Centre is a dedicated surrogacy (medical and legal) services provider that can help and assist the intended parents throughout the journey of surrogacy.

Surrogacy or Egg donation is the best solution for infertility and other relative problems. Intended parents who wish to have a child through the process of the surrogacy need to assist professional services. It is highly essential to find professional who can help and guide you in finding the right surrogate who is capable of bearing a child for you.

International Fertily Centre has a wide database of surrogates who can actively acts as surrogate mother for the intended couple. Our professional team screens surrogates through various dimensions and offer the right and suitable surrogate for the intended couple. It is very important for the Intended couple to select the right surrogate based on the review of complete medical records, checking family history, and social/criminal background and education level. It is also necessary to get a perfect psychological evaluation of the surrogate before selecting for surrogacy or Egg donation. International Fertility Centre has the expert team of professionals who can do all this for you.
Intended parents have to carefully scrutiny all the information shared by surrogates before they determine to select her for the process of surrogacy or egg donation.
 

Infertility and Obesity

Relationship Between Obesity and Female Infertility

Obesity and Infertility have been linked together by several studies. But what is the precise relationship between obesity and female infertility? And why do women who are obese have a greater risk of fertility and other pregnancy-related problems?

A person is defined as being obese if thirty per cent of her body weight is made up of fat tissue.

Obesity is linked to several health conditions, including cardiovascular disease, hypertension, diabetes and infertility.

But how does obesity cause infertility? Dose Obesity Raises Risk of Miscarriage?

Obesity and Female Infertility, Risk of Miscarriage

Obesity results in an increased production of estrogen; this hormonal imbalance in turn interferes with ovulation, which of course, is the basis of successful conception.

Obesity and women’s fertility are strongly related, as any woman with PCOS could tell you. New study from the UK, suggest a linkage between women’s body weight their ability to conceive and carry a pregnancy to term:

Overweight women undergoing fertility treatment have double the risk of miscarriage of normal weight women, a UK study says.

Obesity poses a greater risk to both maternal and fetal health during pregnancy. Studies show that obesity is associated with adverse consequences like malformation, still birth, gestational diabetes, and the need for a cesarean delivery. Multiple studies show that pregnant women who are overweight and given to greater change in body weight during the first trimester of pregnancy are more likely to have lengthier and more complicated deliveries.

More than a third of overweight and obese women had a miscarriage compared with one in five of normal weight women.

Evidence supports a casual relationship between obesity and adverse pregnancy outcome. It is a warning for women to drop weight to the standard recommended level. By doing so, they can avoid miscarriage, both sporadic as well as recurrent.

There are many options available in treating obesity

Treating Obesity

Women who have had a miscarriage earlier are at a greater risk of having one again, if they are obese. Women who are overweight should be counseled regarding the benefits of weight loss. They should lose weight before embarking on a pregnancy, to minimize risk of a miscarriage. This should be done under the guidance of a doctor or nutritionist. Women with BMI of over 35 have more than double the risk of a miscarriage.

Previous research has shown that women who conceive naturally are also at a higher risk if they are overweight. Obesity is a known risk factor for ovulation problems, but it also contributes to infertility in women who ovulate normally.

There are many options available in treating obesity, such as:

1. Altering your diet. Avoid foods that are high in saturated or trans fats or that are high in sugar. Enrich your diet with whole grains, vegetables, fruits and lean sources of protein.

2. Exercise regularly. Even moderate forms of exercise, such as walking or low-impact aerobics, can lead to healthy weight loss.

3. Gastric bypass surgery. Many people who are obese turn to surgery in order to reduce their appetites.

Always consult your physician on any of the above obesity treatments.

The issue of obesity and reproduction is complex, and fertility specialist is only beginning to understand it.

If you are above 35 and you have been through or experiencing infertility and Obesity, come share your experiences with us. For more information on being obese or overweight and how it affects your pregnancy, Contact US.