Listly by Nisha Mehta
Dr. Anubha Singh, Medical Director, Shantah Fertility Centre IUI IVF Clinic, discusses the infertility issues and the IVF scenario in India with Shahid Akhter, ENN How common is male infertility today, and what are the underlying reasons?
It is a widely prevalent myth that infertility is synonymous with female problem. Almost 40 percent of infertility cases concern men. A good many obstacles to conception stem from male issues like low-sperm count, sperm motility, erection issues, ejaculation, passage of sperms which may be blocked, or damaged due to bacterial infection that cause scarring or blockage of tubes. At times, infertility is the outcome of both male and female factors.
How do you take care of the first visit by infertile couples?
We always recommend couples coming together so that both of them understand the issues, and be a partner in our approach leading to the solution. The tests are explained to them in detail, and the outcomes are discussed. We begin with the detailed history, followed by investigations. Next comes counselling session where we invite all questions and doubts that the couple may be dwelling upon. In fact, counselling is a part of treatment, and is offered at all stages – prior to the treatment, during treatment and post-treatment. This is very important to erase the doubts and make the couples feel positive about the progress of the treatment. We also make them understand that stress is a big fertility robber and can even hurt the relationship. Diagnostic tests begin with Base- line 3C Ultrasound to do AFC (Antral Follicel Count) and also to check endometrial cavity.
What difficulties do you face while convincing IVF couples?
Following all tests and investigations when we are convinced that IVF is the only solution, we share this with the couples but still they look out for alternative minor treatments including medication. The cost factor is another impediment that makes the couple think again before they invest the amount. Some patients even turn up to us for some sort of guarantee or assurance that the child is assured, following the investment. Some look out for second opinion which is certainly a healthy thing to do but often people fall prey to unscrupulous IVF centres.
Some of the couples are too stressed, they need to relax and think of togetherness and time out. Some couples overread the internet, assess themselves, and arrive at their own conclusion which may be riddled with flaws. Ovulation kit is not recommended for the simple reason of misreading and misinterpretation which impacts the performance level.
What primary investigations do you recommend?
We begin with an ultrasound to check early stage developing follicles called Antral Follicles. Low count indicates low ovarian reserve, and thus treatment plan done accordingly. Other tests include – AMH (Anti-mullerian hormone), it is the hormone released by small Antral Follicles; Immunological Tests – if indicated, other tests may include screening for Rubella, Viral, HIV, Hepatitis B and Syphilis.
In males, the initial tests begin with semen analysis, WHO has set a refer- ence value, like semen volume needs to be 1.5 ml or more with pH – 7.2 or more, sperm concentration should be 15 million sperms/ml or more, total motility is supposed to be no less than 40 percent, progressive motility should be 32 percent or more, vitality should be 58 percent and the sperm morphology is supposed to be at least four percent.
“Our quality of service is at par with the best in the West, and we charge a fraction of the IVF cost”
Who is an ideal candidate for IVF?
IVF should be your treatment option if you have been diagnosed with unexplained infertility, or your fallopian tubes are blocked, or you have been unsuccessful with other techniques like using fertility drugs or intrauterine insemination (IUI). Add to this some extent of male sub-fertility more severe problems are treated with Intracytoplasmic Sperm injection (ICSI).
Shantah Fertility Centre is known for housing experienced Doctors. Dr. Anubha Singh, a well-reputed Doctor, practices in Delhi. Visit this medical health centre for Doctors recommended by 67 patients. It is important to us that you feel comfortable while visiting Shantah Ivf Centre office. To achieve this goal, they have staffed their office with caring people who will answer your questions and help you understand your treatments. Shantah Fertility centre is known for housing experienced Doctors. Dr. Anubha Singh, a well-reputed medical practitioner in Delhi. Dr.Anubha Singh MBBS MRCOG (London) is a Consultant In Reproductive Medicine And Assisted Conception. She is medical director- Shantah Fertility Centre- Vasant Vihar - New Delhi. Dr.Singh has clinical experience of around 14 years. She also had extensive training in obstetrics & gynecology in some of the best hospitals in London including University College London Hospital, Royal London Hospital, and Royal Free, Hampstead. Dr.Singh attained fellowship in reproductive medicine and assisted conception at Homerton University Hospital, London. Established in year 2014, Shantah Fertility Centre is serving its patients with intensive care in terms of infertility, gynec and obstetrics related issues. Shantah Fertility Clinic is a first venture of Shantah Healthcare LLP under the leadership of Dr. Anubha Singh MBBS MRCOG( London). Dr. Singh is young, well experienced and trained in some of the best Teaching Hospitals in London. The aim of Shantah Fertility Centre is to bring the modern care of Reproductive Medicine and Assisted Conception in India. We have renowned Consultants from London on its advisory board, this will facilitate in achieving its goal.
The centre is being set up in Vasant Vihar area ,with World class infrastructure and is located in Lush green and quite surroundings of South Delhi. It is about 10 kms away from the city Airport. The organization is committed for patientcentred care with extreme zeal and compassion.
Shantah Fertility Centre Is A First Venture Of Shantah Healthcare Under The Leadership Of Dr.Anubha Singh MBBS, MRCOG (London). Dr. Singh Is Well Experienced And Consultant Trained In London U.K. The Concept Of Shantah Fertility Centre Is To Bring Modern Concept Of Assisted Conception In India. We Have Renowned Consultants From Abroad On Its Advisory Board, This Will Facilitate In Achieving Its Goal.
Shantah Fertility Centre is one of flagship centre under the pioneering effort of Dr Anubha Singh (MBBS, MRCOG). Dr Anubha Singh is a qualified trainer in fertility health and has received rigorous training in London. Shantah Fertility Centre was created to bring maximum expansion of Assisted Reproductive (ART) services in India. The clinic is occupied with many experienced fertility experts and technicians.
Shantah Fertility Centre IUI IVF Clinic is a first venture of Shantah Healthcare under the leadership of Dr Anubha Singh MBBS, MRCOG (London). Dr Anubha Singh is well experienced and Consultant trained in London U.K. The concept of Shantah Fertility Centre is to bring modern concept of Assisted conception in India. We have renowned Consultants from abroad on its advisory board, this will facilitate in achieving its goal. The Centre has been set up in lush green and calm locality of Vasant Vihar New Delhi. It is about 10 kms from Delhi Airport.
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