IVF Treatment, Journey Towards Parenthood

The causes of infertility are many and varied and involve male, female or a combination of factors. In Vitro Fertilization is commonly known as IVF.  This technique is a boon for those who are infertile and hope for a child.  IVF is an assisted reproductive technology which involves retrieving eggs and sperms male and female partners and placing them together in a laboratory in some special conditions.  The fertilized eggs are then transferred two to six days later into the woman’s uterus. 

Rashmi Hospital, Bangalore is one of the best IVF centers in India which has been providing world-class facilities to the patients.  They aim at evidence-based treatment and keeps transparency in all interactions with the patients.  They have brought in the best-advanced technology, ensuring that all services are cost-effective.

Who are IVF Candidates?

• Women with uterine fibroid
• Men with decreased sperm count or sperm motility
• Both male and female infertility problems can be solved with IVF.
• Women with damaged or blocked fallopian tubes
• Individuals with genetic disorder
• Women with ovulation disorders
• Women with removed fallopian tubes
• Unexplained infertility

Steps involved in IVF

Basically, there are five steps in the IVF:

Step I: Egg stimulating medications are prescribed as all the eggs will not develop or fertilize after retrieval. 

Step II: Eggs are retrieved through a minor surgical procedure.

Step III: Sperms are collected from man.

Step IV: The sperm and egg together placed in the laboratory dish to encourage fertilization.  In this stage sometimes an intracytoplasmic sperm injection is necessary, through this a single sperm is injected directly into the egg.  Embryos are developed during this stage.

Step V: Embryos are transferred to the uterus of the woman.  A catheter or small tube is inserted into the uterus to transfer the embryos.

Dr.  Deepak Rao is one of the best gynecologists in Bangalore.  He is also interested in urogynecology.   He is very approachable and for anyone can contact him.

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Ectopic pregnancy And Its Causes

What is Ectopic Pregnancy?

Ectopic pregnancy is a condition in which fertilized egg is not attached to the uterus lining and attached some other place. Almost all the ectopic pregnancy is occurred in the fallopian tube and thus called as tubal pregnancy. The fertilized egg in an ectopic pregnancy cannot develop properly in the fallopian tubes as these tubes are not designed to hole a growing embryo. The condition needs proper treatment. Rashmi hospital in Bangalore provides excellent care and treatment for ectopic pregnancy.

 
What are the causes of ectopic pregnancy?

There are many causes of ectopic pregnancy

•    A birth defect or an abnormal growth can develop an abnormality in the fallopian tube shape
• Scar tissue from a surgical procedure or a previous infection on the tube may also block the fertilized egg movement.
• An inflammation or an infection of the fallopian tube can block the fertilized egg movement

What are the symptoms of an ectopic pregnancy?

A potential ectopic pregnancy is recognized by

• Heavy or lighter vaginal bleeding apart normal periods
• Dizziness, fainting, or weakness
• Sharp or stabbing pain in the pelvic and abdomen area that can vary in the pain intensity
• Gastrointestinal symptoms

How is ectopic pregnancy diagnosed?

It is recommended to visit a doctor if a female is experiencing a sharp pain in abdomen area or have uncommon bleeding. The physician will perform a pelvic test to locate the pain or a mass in the abdomen. Then an ultrasound is performed to confirm that the uterus has a developing fetus.

What is the treatment for ectopic pregnancy?

Ectopic pregnancy is treated by

• Medication of methotrexate to permit the body to absorb the scar tissue and save the fallopian tube
• Surgery is needed by the fallopian tubes are ruptured, stretched or started bleeding
• Laparoscopic surgery is also an option to perform surgery with the use of laparoscopy or laparotomy to remove the tissue. Rashmi hospital, Bangalore has fantastic laparoscopic surgery facilities.

Rashmi hospital has a well-developed and latest Gynecology related Treatment facilities in Bangalore.  The hospital is an excellent center for treating fertility related problems.

For more details

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All you should Know about Endometriosis

Endometriosis is a uterus disorder in which the tissue that develops the uterus lining of the uterus is grows outside the uterine cavity. The uterus lining is known as the endometrium. Endometriosis includes female ovaries, fallopian tubes and the tissues lining in the pelvis. When the endometrium grows on ovaries, bowel, and tissues lining of the pelvis, endometriosis occurs. It is generally unusual for the endometrial tissue to spread outside the pelvic region but it is again not impossible. The growing of endometrial tissue outside the uterus is known as an endometrial implant. 

The hormonal changes in the menstrual cycle disturbed the misplaced endometrial tissue that causes the area painful and inflamed. Because of this, the tissue will grow, thicken and break down and becomes stuck in the pelvis. The stuck tissue in the pelvis area can cause
Severe pain specially during periods time

• Irritation
• Adhesions
• Scar formation
• Fertility problems

Endometriosis is very common gynecological condition and its symptoms can vary from female to female. The symptoms include painful periods, cramps, pain in lower abdomen, heavy bleeding during menstruation and painful sexual intercourse. Treatment for endometriosis includes medical and surgical options that help to reduce the pain and manage any type of potential complications. The major treatment procedures are

• Pain medication
• Hormonal therapy
• Hormonal contraceptives such as patches, birth control pills
• Gonadotropin releasing hormone (GRNH) agonist and antagonist
• Danazol
• Conservative surgery
• Laparoscopy
• Last resort surgery (hysterectomy)

Endometriosis is a chronic problem with no cure, but it has not impacted the daily life. Various effective treatments are available in the market to manage pain and fertility problems. The risk factors for endometriosis include age, family history, pregnancy history and menstrual history.

Rashmi hospital, Bangalore has best treatment facilities for endometriosis in Indra nagararea. The hospital provides best Laparoscopic Surgery in Bangalore and have qualified and experienced doctors to treat endometriosis and provides highly successful results.

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Cholecystectomy :The surgical removal of the Gall Bladder

Cholecystectomy is the surgical removal of the gallbladder. A gall bladder is a pear shaped organ located just on the upper right side of the stomach just below the liver. The digestive fluid called bile, which is produced by the liver is collected and stored by the gall bladder.

Cholecystectomy is performed when there is a pain and block of flow of bile in the gall bladder. It is a very common surgical procedure which carries only a small risk of complications.

TheProcedure

Cholecystectomy is most commonly performed by minimally invasive techniques. The following are the steps of laparoscopic cholecystectomy:

• First the surgeon gives general anesthesia to the patient
• Then the surgeon makes four incisions around the umbilicus
• The surgeon then inserts four small narrow tubes through the incisions for the laparoscopic camera and instruments.
• The laparoscopic camera which is inserted through the small belly port provides the surgeon a magnified view of internal organs on a monitor.
• The surgeon then inserts long specially designed instruments through the other three ports helps the surgeon to seperate the gall bladder from its attachments to the bile duct and the liver.
• Finally, the surgeon removes the gall bladder through one of the ports from the abdomen and closes the incisions

Conditions Treated

Cholecystectomy is mostly performed to treat the following complications that affects the gall bladder:

• Cholecystitis: Inflammation of the gall bladder
• Cholelithiasis: Gall stones in the gall bladder
• Choledocholithiasis: Gall stones in the bile duct
• Cholangitis: Infection of Bile duct
• Pancreatitis: Inflammation of pancreas due to gall stones

Benefits of Laparoscopic Cholecystectomy

The following are the main advantages of Laparoscopic Cholecystectomy over open cholecystectomy

• It is a minimally invasive surgery
• Lesser pain
• No incision pain as occurs with open surgery
• Recovery time is much quicker
• There will be no scar on the abdomen after the surgery

RashmiHospital, under the supervision of DrDeepak Rao, one of the best gynecologist and laparoscopic surgeon, provides efficient laparoscopic surgery for Gall Bladder Removal in Bangalorehttp://rashminursinghome.com/This advanced laparoscopic centre based in Bangalore also offers the best and advanced AppendicitisOperation at Indira Nagar.

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Laproscopic Fibroid Removal -Treatment Without Scars

Laparoscopic Fibroid removal is a revolutionized gynecologic surgery which uses laparoscopic instruments to perform the surgery. It is an outpatient surgery that offers short stay in the hospital and quick recovery. In the laparoscopic fibroid removal surgery, two or three half inch, tiny incisions are made to perform the surgery. A laparoscope is inserted through these tiny incisions. A laparoscope is a slight telescope that is inserted in the abdomen through the navel to see abdominal and pelvic organs. After opening the uterus covering, a fibroid is found, grabbed, and unbound it from the normal uterine muscle. The fibroid is then cut into little pieces with an instrument known as morcellator and removed from the body through tiny incisions.
 

The entire surgery takes 1-3 hours which is depends on size, number, and position of the fibroids. Patients can recover fast after the surgery due to these tiny incisions. The surgeon performs surgery by viewing it on the monitor.

Laparoscopic fibroid removal surgery is a safe and effective procedure when performed by a qualified and experienced surgeon. This procedure needs a good coordination between eye and hand and also a good knowledge of pelvic anatomy.

 

Risks of laparoscopic fibroid removal surgery 

• Infections
• Bleeding
• Deep venous thrombosis or Pulmonary embolus
• Scarring (Adhesions)
• Infertility
• Uterine rupture during surgery

Benefits of laparoscopic fibroid removal surgery

• Gentle handling of body tissues and organs
• Tiny incisions
• Less scarring
• Less blood loss
• Less post-surgery pain
• Outpatient surgery
• Fastest recovery period
• Less use of narcotic for pain relief
• Early return normal life

Rashmi hospital, Bangalore has best laparoscopic facilities for fibroid removal. The hospital has a team of qualified and experienced doctors to treat the problem.

For more details,
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Easing Uterus Removal with Laparoscopic Hysterectomy

A laparoscopic hysterectomy is an invasive surgical process to remove the uterus. This surgical process is recommended to the women patients who are unable to treat abnormal uterine bleeding or fibroids. In this process, a tiny incision is made in the belly button to insert a tiny camera. This camera helps doctor to watch the inside images on the screen and complete operation process. In the lower abdomen, 2-3 other small incision also made to monitor the process from different angles. Other specialized instruments are also inserted to help the removal process.

There are two types of laparoscopic hysterectomy. Laparoscopic supra-cervical hysterectomy keeps the cervix in place and Total laparoscopic hysterectomy removes the whole cervix and uterus. The operation of keeping cervix in place is little safer and faster. But if the patient have a history of cancerous changes in the uterus or cervix lining then it is advisable to remove whole uterus. In the other case, if the operation is performed for pelvic pain or endometriosis then it is advisable to remove cervix to reduce the chances of severe pain after the operation.

A laparoscopic hysterectomy has many advantages.

• It requires few small incisions
• Low risk of blood loss
• Less scarring
• Low post-operative pain
• An outpatient procedure
• Less recovery period around 1-2 weeks
• Low level of infection
• No greater risk

It is mandatory for the doctor to check full medical history of the patient and complete all physical examinations, blood tests of the patient, before recommending surgery. Laparoscopic hysterectomy patients are expected to suffer less post-operative pain in comparison to traditional hysterectomy or cesarean section patients.

Rashmi Hospital, Bangalore is a center for minimally invasive surgery and laparoscopy. Rashmi hospital has well-developed laparoscopic hysterectomy treatment facilities. The doctors of Rashmi hospital are highly experienced and committed to improving women’s health and providing best facilities for the treatments.

For more details,
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Safe and Advance Fibroid Removal, Now With Laparoscopic Myomectomy

Laparoscopic myomectomy is a minimally invasive procedure done for the removal of uterine fibroids. Fibroids are benign (non-cancerous) growths forming in the uterus commonly during the fertile or child bearing years of a women.
The goal of laparoscopic myomectomy is safe removal of the fibroids to eliminate the symptoms and discomforts caused by it. It also aims at the reconstruction of the uterus. Laparoscopic myomectomy is much more simplified and convenient form of surgery, than the conventional open surgery method.

Scope of laparoscopic myomectomy
The procedure of laparoscopic myomectomy is preferred over hysterectomy in the following cases: -

• In case of planning a pregnancy in future.
• To alleviate the hindrance of fibroids with female fertility.
• In cases where uterus removal is not preferred.

Laparoscopic myomectomy procedure
Laparoscopic myomectomy procedure is done under local or general anaesthesia. The procedure involves making a few incisions in the abdomen, near the navel and inserting a laparoscope through it to view the inside of the body. The images of the site are transmitted by the camera attached to the laparoscope.
The surgeon can then remove the fibroids, by viewing the inside through the monitor and using instruments inserted through the other incision. In the case of big sized fibroids, they are removed after cutting them into smaller parts. Hormonal therapies can also be administered to shrink the fibroids, before removing them.
Benefits of laparoscopic myomectomy
Laparoscopic and other minimally invasive surgical procedures are gaining popularity because of their ease and simplicity when compared to conventional procedure. the main benefits of laparoscopic myomectomy are as described below.

• Use of tiny or small incisions
• Less stressful and discomfort when compared to conventional surgical procedures.
• Relatively very less complications
• Shortened period of hospitalisation
• Helps avoid complications like bleeding that can occur in open surgical procedures.
• Considerably painless.
• Very less scarring
• Fast recovery

Rashmi Hospital is an advanced laparoscopic centre offering laparoscopic surgical procedures for treating a wide array of gynaecological conditions and infertility.

For more details,
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Laparoscopic Hysterectomy – Simplifying Uterus Removal

Certain diseases like severe cases of fibroids or uterine disorders in women demands uterus removal for achieving complete cure. Uterus is removed through a surgical procedure called hysterectomy. With the advent of minimally invasive procedures in surgery, laparoscopic hysterectomy has become popular.
Hysterectomy involves removal of ovaries and fallopian tubes along with the womb in some cases. If the patient is below the age 60 years, ovaries are not removed unless they are severely diseased. If hysterectomy does not involve ovary removal, the patient does not face mood swings or issues of hormonal imbalance. However, pregnancy and menstrual cycle are not possible after hysterectomy.

Scope of laparoscopic hysterectomy

Laparoscopic hysterectomy is carried out in cases where the patients face issues like uterine fibroids with accelerated growth that would affect the health of the patient, uterine prolapse, cancer affecting cervix, uterus, endometrium or ovaries, abnormal and irregular menstrual bleeding, endometriosis, conditions like adenomyosis and chronic pelvic cramps.

Laparoscopic Hysterectomy Procedure

Laparoscopic hysterectomy is a minimally invasive surgical procedure to remove uterus with the help of about 4 small incisions of 5mm each. Performed after administering general anaesthesia, the incisions are made on the abdominal area. The lighted laparoscope is inserted into the abdominal cavity after filling it with carbon dioxide.

The camera on laparoscope provides a clear image of the anatomy which helps the surgeons to perform the surgery with ease. The uterus is cut off from the blood supply and other organs to which it is attached. Other issues, if any, are also taken care of. After the removal, the carbon dioxide is drained of and incisions are closed.

Advantages of laparoscopic Hysterectomy

Laparoscopic hysterectomy is a basically safe technique with limited scarring or bleeding. The post-operative pain associated with the procedure is virtually nil. The procedure requires very less recovery time and hence limited period of hospitalisation.

Rashmi Hospital, advanced laparoscopy centre in Bangalore offers efficient laparoscopic procedures for treatment of fibroid, endometriosis, appendicitis and so on, under the guidance of Dr. Deepak Rao, a pioneer in the field of endoscopic surgery.

For more details,

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Removal Of Ovarian Cyst Through Laparoscopy

Keyhole cyst removal or laparoscopic cyst removal surgery is an operation where surgeon uses laparoscope to operate out the cyst formed in ovary.

Advantages of keyhole cyst removal over regular surgery
Keyhole surgery is done by making a small hole rather than making large incision on body. After keyhole surgery the scars will be smaller than that of regular surgery.
Keyhole surgeries are safer than normal surgeries; laparoscopic cyst removal reduces the recovery time to 2 to 4 weeks while the normal surgery (laparotomy) takes 6 to 8 weeks. The cost is also less than that of laparotomy.

How keyhole cyst removal surgery works?
First step is to find the cyst. Laparoscope with microscope attached to its camera, tiny fiber-optic flashlight and high definition monitor at the end , is used to visualize the inner parts of ovaries and the location of cyst.
After identifying the cyst the surgeon makes small holes to pass tools required to perform laparoscopic surgery and the cysts are removed using the cuts made in skin. After the cyst is removed, the cuts are stitched using dissolvable stitches.

What all things to be taken care of after surgery?
After laparoscopic surgery the patient had to take rest for 2 weeks, giving time for the stitches to heal. Sometimes the doctors might sent cyst for testing. The results are then evaluated so that the doctor will be able to confirm if any further treatments are required or not.
Infection can also occur after keyhole cyst removal, the possible symptoms like heavy bleeding, fever, appearance of swelling in abdomen area  indicates the presence of infection.

Rashmi Hospital, Bangalore provides the services of best laparoscopic surgeons who are capable of performing keyhole cyst removal effectively at an affordable cost.

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