Title: Sivasundar Hospital | Dr. Sadhana Srithar | ElaWoman
1Sivasundar Hospital Dr. Sadhana Srithar
ElaWoman
Sivasundar Hospital
Adyar-based Sivasunder Hospital is one of the
star hospitals in Chennai, India. Their worker
skillful doctors and utilization the current
technologies in the field to treat several
ailments. Dr. P.B. Sadasivam practices at
Sivasundar Hospital in Adyar, Chennai. He has
realized MBBS, MD-General Medicine and FIAMS.
Contact us for any queries. Some of the services
provided by this centre are Surgery Theater,
Pharmacy, X Ray, Laboratory and ECG.
2Dr. Sadhana Srithar
Dr. Sadhana Srithar is a Obstetrician and
Gynecologist in Kottivakkam, Chennai and has an
experience of 23 years in these fields. Dr.
Sadhana Srithar practices at Sakthi Clinic in
Kottivakkam, Chennai and Sivasundar Hospital in
Adyar, Chennai. She completed MBBS from Madurai
Medical College in 1992 and DGO from Indian
College of Maternal and Child Health, Kolkata in
1994. Indigo Womens Center Their core services
include Fertility care (IVF/IUI/ICSI),
Laparoscopic Services, Maternity, Weight Loss
Programs, Diagnostics and Aesthetics. Indigo
Womens Center dont believe in invasive
marketing we are driven by patient satisfaction
which is the single most important faculty for
our rapid growth. Each patient is her own best
advocate. Unfortunately, due to the large amounts
of misinformation provided online, there is a
confusion regarding healthcare delivery and
treatments. For this reason alone, we always urge
patients to get a second opinion wherever
possible. For a free consultation, feel free to
Contact Us and one of our doctors will get back
to you regarding the treatment options available
to you.
3Our goal is to educate patients by providing
evidence based information on the best
treatments available. We have placed quality
markers at every level such that healthcare is
delivered seamlessly and of the highest quality.
We aim to be an experience rather than just
another visit to the hospital. Our Laparoscopic
Specialists are board certified, high volume
surgeons. Increased surgical volume is important
because it develops and maintains expertise in
any field of surgery. Our surgeons are pioneers
in modulating newer advanced techniques in
laparoscopic surgery and have implemented upon
innovative procedures to reduce blood loss
during surgery, like dual uterine artery ligation
technique, inbag morcellation, scarless surgery,
etc. For a complete list of all laparoscopic
procedures performed at our center, Click
here. Dr. Sarat Battina
Dr. Sarat Battina is the manager of reproductive
medical specialty and consultant gynecologist in
Chennai at Indigo Womens Center. Having done his
graduation and masters from Kurnool medical
college, Andhra Pradesh, he had underwent IVF
grooming at National University Hospital,
Singapore under supervising of Prof. S.S Ratnam
and Dr. NG Soon Chye and at Kings college school
of medicine, London under Dr. John Parsons. Dr.
Sarat is the pioneer of fertility treatment in
South India, delivered first GIFT baby of Tamil
Nadu in 1989, first IVF twins of South India
4in 1991and the first IVF baby from frozen semen
sample in India. He was in-charge of IVF
programme at Apollo hospitals Chennai, since
1989. What is in vitro fertilization?
- IVF involves retrieving Eggs from the woman and
fertilized with the husbands semen in a
petridish simulating a natural fertilization
process. - The IVF process involves
- Stimulating growth of multiple eggs
- Egg retrieval
- Fertilizing the eggs with husbands sperm
- Embryo transfer into the uterus
- Who should undergo treatment with IVF?
- Blocked or damaged fallopian tubes.
- Low sperm count for the husband.
5- Poor sperm motility.
- Several failed IUIs (intra uterine inseminations)
- Intra cytoplasmic Morphologically Selected Sperm
Injection (IMSI)
IMSI is a process of selecting a morphologically
superior sperm using a high powered
microscopically enlarged digital imaging system.
Studies have shown that using IMSI could
increase pregnancy rates and reduce miscarriages.
IMSI magnifies the sperm 7000-12000 times the
normal size. Males with high levels of DNA
fragmentation or high abnormal forms of sperms
are good candidates for IMSI. Embryo
Transfer Embryo transfer is the most important
step in the IVF procedure, it requires expertise
and good skill. Our Reproductive medicine
specialist has over 35 years of experience in
treating patients with infertility.We assure you
the highest chance of attaining
parenthood.. Depending on the age of the patient
1-3 embryos are transferred into the uterus
using special catheters. The embryo transfer is
performed under ultrasound guidance from our
radiologist . This is a completely painless
procedure and does not require any anesthesia..
6At Indigo Womens Center our consultants have done
over 20,000 Embryo Transfers and with their vast
experience of over 35 years we can ensure that
you will have the highest chances of having a
successful pregnancy. PGD/PGS/FISH Preimplantati
on Genetic Diagnosis (PGD) involves the removal
of a single cell from an embryo (obtained from
ICSI/IVF) for genetic testing prior to transfer
into the uterus. The testing of this cell will
give us information regarding specific genetic
abnormalities which could have a familial
inheritance (cystic fibrosis, beta thallasmia,
sickle cell disease, Duchenne muscular
dystrophy,etc.).PGD can be used to screen a
large number of monogenic disorders due to a
single gene only.PGD is however an adjunct to
assisted reproductive technology and requires
IVF or ICSI to obtain oocytes. The worlds first
PGD was performed at Hammersmith Hospital in
London by Dr. Handyside and Dr. Winston where
female embryos were selectively transferred in
five couples resulting in two twins and one
singleton pregnancy. Preimplantation Genetic
Screening (PGS) involves the removal of a single
cell from an embryo to test for the overall
chromosomal normalcy in embryos. PGS is not
looking for a specific disease, but rather to
screen the embryo for normal chromosome copy
number. Its most advantageous in screening women
of higher age groups (over 37 years of age). The
logic behind this is that higher age group women
have an increased rate of chromosomally abnormal
embryos. Most eggs might be chromosomally
abnormal but thankfully only 30-60 of human
embryos have this abnormality transferred.
7- When are embryos biopsied?
- When one of the patents are carriers of some
hereditary genetic disease and deicide to visit
a genetic specialist. When one or both parents
are having their karyotype altered due to
presence of a chromosomal abnormality. - Patients with repeated IVF / ICSI failures.
- Advanced mothers age.
- What types of cells can be removed for biopsy?
Polar body biopsy - A mature egg has one polar body and a fertilized
egg has two polar bodies. At both stages the
polar bodies can be biopsied. This technique does
not remove anything from the embryo (cells). The
developing potential of the embryo, however
could be damaged because there is evidence that
such polar bodies may help direct
differentiation of cells in the embryo. - Cell biopsy
- On day 3 of embryo development, there are usually
6 10 cells within the embryo. At this stage, a
portion of the zona pellucida (outer shell of the
embryo) is removed either mechanically or with
laser and, one or two cells are extracted for
the biopsy.The day 3 clevage has been shown to be
detrimental to the developing embryo, therefore,
these embryos will be discarded. - This biopsy is performed at the blastocyst stage
where the trophectoderm is biopsied. - This trophectoderm will later form the placenta.
This biopsy shows excellent results and is the
method of choice for a biopsy for PGD and PGS.
8- The sampled embryos will be frozen after the
biopsy because results of the embryo transfer
would come only after 2 3 weeks. - Sperm Donor
- Unlike egg donation, sperm donation is more
straight forward. A donor sperm is used as the
last resort for males with azoospermia where
sperm retrieval techniques yielded no sperm - Scenarios where sperm donation is used
- Patients with testicular failure
- Patients who underwent radiotherapy for cancer.
- Azoospermia( no sperm in the semen or testicular
biopsy) - Repeated IVF failures with own sperm
- High chances of chromosomal abnormalities in
babies.
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