Title: Bloom Clinic and Dr. Shilpa G B
1Bloom Clinic and Dr. Shilpa G B
One of the main gynecologists of the city, Dr.
Shilpa G B in Jp Nagar has built up the center
in 2010 and has picked up a dependable customer
base in the course of recent years and is
likewise as often as possible went to by a few
big names, trying models and other good
customers and global patients too. They
additionally anticipate extending their business
further and giving administrations to a few more
patients inferable from its prosperity in the
course of recent years. The productivity,
commitment, exactness and empathy offered at the
center guarantee that the patient's prosperity,
solace and needs are kept of best need.
Dr. Shilpa G B (shanthi nursing household) in
jayanagar has mounted the wellbeing focus and
has gotten a devoted buyers in the course of the
most recent couple of years and is additionally
regularly gone to by method for ivf specialists
in bangalore, yearning styles and diverse
respectable clients and worldwide sufferers as
pleasantly. furthermore they anticipate expanding
their business venture also
2and conferring offerings to various additional
patients inferable from its prosperity amid the
most recent couple of years. Sai femme and sprout
restorative establishment is a wellbeing focus
in dwarka, delhi. The sanatorium is gone to by
method for specialists like dr. ok.v.
mahalakshmi. The timings of sai femme and Bloom
Clinic are mon to sat 700 pm-900 pm. tap on
guide to find directions to reach sai femme and
sprout wellbeing focus. IUI, or intrauterine
insemination, is one of the most commonly
performed reproductive procedures in the world.
IUI has been used in one form or another for
almost 200 years. IUI today involves inserting
washed, concentrated sperm directly through the
cervix into the uterus. Unwashed sperm must
never be placed in the uterus, as serious and
sometimes even fatal allergic reactions can
occur. IUI is useful when there are infertility
issues related to a cervix that is scarred and
closed, when there are low numbers of sperm, or
even if the cause of infertility is unknown.
Cervical mucus must be of the correct consistency
for the sperm to swim to the site of
fertilization. Active infection of the cervix may
impair sperm motility, so should be treated. If
cervical mucus is absent or the cervix is scarred
due to past cervical surgery, sperm may be
unable to pass through the cervix normally. IUI
is sometimes a first-line treatment for
unexplained infertility. IUI is often performed
in stimulated cycles, meaning Clomid or FSH is
given to stimulate follicular development, thus
increasing the chances of a successful IUI. When
women undergo ovulation induction with FSH, they
must come to our office for repeat ultrasound
monitoring and estradiol measurements. These
tests ensure that the follicles are properly
developing and lower the chances of adverse drug
reactions such as ovarian hyperstimulation
syndrome. IUI ideally be performed by a trained
infertility specialist/reproductive
endocrinologist. Infertility specialists undergo
years of advanced training in FSH administration
and the management of difficult IUI cycles. They
have access to laboratories that process sperm
optimally, and can also do swim up procedures of
3semen to improve the IUI specimen. One IUI risk
is that it increases the chance of multiple
births because the number of eggs ovulated can be
difficult to control. This is unlike IVF, where
a set number of embryos are transferred to the
uterus. Most of the high order (gt4) births
reported in the media are the result of IUI
cycles that were administered by a
non-specialist in combination with injectable
FSH. Specialists are trained to limit the
chances of this unwanted potential side effect of
IUI. Three IUI cycles will usually be tried,
depending upon the couple's history, after which
IVF may be the next choice. In some cases of
infertility due to issues such as tubal disease,
advanced female age, and male factor, IVF is the
first-line treatment and IUI is not
attempted. What is intrauterine insemination
(IUI)? IUI is a procedure performed in the
physicians office that places sperm directly
into the uterus. First, sperm is obtained from
the male partner or donor. The sperm is then
counted, washed, concentrated and placed into a
small syringe. A small tube (catheter) is
attached to the syringe. The catheter is then
placed through the cervix and into the lower
part of the uterus. The sperm is deposited
directly into the uterus. The advantage of IUI
is that sperm become more active when they are
washed, so many more sperm reach the egg than in
routine intercourse. Since IUI bypasses the
cervix, it can help overcome the effects of
antisperm antibodies or thick cervical
mucus. Why choose IUI? Most women will choose
IUI because pregnancy rates are higher. IUI is a
good treatment for couples with unexplained
infertility (when used with medications to
improve ovulation), and for males with slightly
low sperm counts or motility. How long does IUI
take?
4After the man provides a semen sample, it takes
about one hour to process the sperm. On rare
occasion, sperm processing takes longer,
depending on the mans sperm. Processing frozen
or donor sperm takes about 45 minutes. The IUI
procedure takes only a few minutes. We ask you to
lie still for about 10 minutes after the
procedure. Overall, the process usually takes an
hour and a half. If necessary, the male partner
and female partner can arrive and depart at
separate times. How likely am I to get pregnant
with IUI? The absolute success rate depends on
your age, the conditions contributing to
infertility, what medicines you are taking to
enhance your fertility (e.g. clomiphene or
gonadotropins) and the sperm count in the
specimen. In general, IUI doubles the pregnancy
rates seen obtained with intercourse (though
these rates vary depending on the cause of the
infertility). Couples who have multiple reasons
for not being pregnant are less likely to achieve
a pregnancy. Based on your history, your
physician will estimate your possible success
rate with IUI. How many times should I do
IUI? We typically recommend three IUIs before
regrouping with your physician. After each IUI,
your physician will review your chart to see if
any changes in medication or treatment plan
should be considered. Women who have not
conceived after six IUIs are much less likely to
succeed with further IUI attempts. What tests
do I need? The following tests are required for
IUI
5Cervical cultures for chlamydia and gonorrhea
Normal Pap smear in the past year Hepatitis B, C,
HIV, syphilis (RPR) and cytomegalovirus (CMV)
testing Blood type and screen Men providing a
semen specimen for IUI must be tested for
infectious diseases HIV, syphilis, hepatitis B
and C, and CMV How do I know this is my partners
sperm? This is a common question among patients,
even if they dont ask out loud. When you arrive
in clinic, an IUI order form is generated with
your name on it, as well as a numbered code.
This order form is given to the lab and a
specimen cup is labeled with your numbered
code. After your partner returns the sample, it
is transferred into a syringe labeled with your
name, your partners name and your code. You must
identify all three as correct prior to having
the IUI performed. How do I know this is the
correct donors sperm? As with correctly
identifying a partners sperm above, we will
label your donors sperm sample with your name
and your code. You must identify both correctly
prior to having the IUI performed. What are the
risks of IUI? IUI complications are rare. Mild
cramping is not uncommon during the procedure
but this usually resolves within 15-20 minutes.
The risk of infection is extremely small. Less
than one percent of women ever have a significant
problem after IUI. Call your physician if you
develop severe abdominal or pelvic pain, fever or
chills within three days after this
procedure. How do I schedule IUI? If you are
attempting a natural cycle (spontaneous ovulation
without medications) or using oral ovulation
medications, there are two ways to schedule IUI.
6Using ovulation predictor kits (OPKs). This is
mainly used with clomiphene or other oral
ovulation induction agents. Call your physician
the day your kit turns positive. Since most
women ovulate 12-36 hours later, the IUI is
scheduled the next day. Using human chorionic
gonadotropin (hCG) injections. HCG will induce
ovulation in women who have mature egg
follicles. The IUI will be scheduled
approximately 36 hours after the hCG injection,
when ovulation occurs. For women who can
reliably detect their own ovulation, studies have
shown that the two timing strategies are equally
effective. The advantage of using OPKs is lower
cost the disadvantage is that the tests are
imperfect and may not always detect ovulation,
causing frustration and delayed treatment. Dr.
Shilpa G B Gynecologist is a Consultant
Gynecologist at Shanthi Nursing Home, Bangalore.
She offers administrations like Ultrasonography,
Lab Investigations, Pap Smear, Infertility Work
Up, IUI, Contraception, Antenatal Care and
Breast Cancer Screening. She finished MS in
Obstetrics and Gynecology from JJM Medical
College, Davangere in 2005 and DNB in Obstetrics
and Gynecology in 2006. She additionally got
preparing in IVF and Infertility from NUH,
Singapore. Dr. Shilpa is a regarded individual
from Bangalore Society of Obstetrics and
Gynecology, MNAMS, and Indian Society of
Colposcopy. She has additionally gotten
Fellowship in Maternal and Child Health. For
More Information You Can Contact Us Block 30,
East Patel Nagar, Rajendra Place, New Delhi,
Delhi 110008 (91)-7899912611 contact_at_elawoman.com
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