Best Infertility Specialist in Nagpur - Infertility Management

When some complex issues become the reason for your infertility, advanced technologies like ICSI become a ray of hope. All these fertility treatment options have a single goal, that is to achieve a healthy pregnancy. Long back when ICSI was not invented, male infertility due to low sperm count was considered untreatable. The ICSI procedure has enabled many couples who were unable to conceive or were dependent on donor sperm, to conceive their biological child through IVF.
Intracytoplasmic sperm injection (ICSI) is a conventional IVF procedure where fertilization of the egg is achieved through a different approach. Generally, fertilization occurs when a sperm attaches itself to the egg and penetrates through the outer layer. For some reason, the sperm may fail to penetrate the egg. In such a condition, ICSI can be done along with IVF to achieve pregnancy. During ICSI, a single sperm is picked and is injected directly into the egg.
ICSI is performed by an experienced embryologist using specialized instruments. Though ICSI is a precise procedure but still for fertilization to occur, required cellular events need to take place.

In IVF , the eggs are removed from woman's ovaries and are then fertilised with the man's sperm in a laboratory. The embryos are formed which are then put back into the uterus to achieve a pregnancy.

1. Indications of IVF include fallopian tubal factor (e.g. permanently damaged fallopian tube, impaired function of fallopian tubes),
2. male infertility factor (absence or abnormal number and morphology of motile sperm cells),
3. moderate to severe endometriosis,
4. hormonal imbalance ,
5. failed intrauterine insemination (IUI)
6. unexplained infertility

1. one of the partners is a carrier of HIV or HCV,
2. the couple is a carrier of genetic anomalies which cause severe and irreversible changes
3. If the woman is on anti-cancer therapy and there is high likelihood that the applied treatment can cause irreversible damage to ovaries.

IVF is also the treatment option for couples requiring donor oocytes.Success of your treatment depends on various factors like; age of the patient, type and duration of infertility, ovarian response, type of procedure (fresh or vitrified embryo transfer, self or donor eggs). Dr. Swadha Kotpalliwar Jannawar will be able to give you a prognosis after proper evaluation. While there is no guarantee, we do our best to ensure you find happiness.

After a year of regular, unprotected intercourse, women who haven't gotten pregnant should be evaluated for infertility.

• Women over the age of 35 who have one of the following in their medical history or physical examination should be evaluated sooner than six months:


• Women with a history of irregular menstrual cycles (over 35 days apart or no periods at all)


• The trouble with the uterus (womb), fallopian tubes, or anything else in the abdomen (like endometriosis or adhesions)


• Male infertility issues that have been observed or are suspected to exist through the tests

Below-mentioned are some of the tests conducted for the infertility assessment:

• The semen analysis of the male partner is an essential part of evaluating infertility, even though it is obtained from the male partner.


• Sperm number, movement, and shape can all be determined by a semen analysis. Even if the male partner has fathered a child in the past, a semen analysis is required.


• Hysterosalpingogram- An X-ray procedure known is used to determine if the fallopian tubes are open and if the uterine cavity is normal in size. It is done through the vagina with the aid of an intravenous catheter.


• If abnormalities are found, such as fibroids or cysts, they can be detected using transvaginal ultrasound, which involves placing an ultrasound probe in the vagina.


• This test attempts to predict the quality of an egg and the efficiency with which the female reproductive organs respond to hormonal signals coming from the brain when looking at the ovarian reserve of a woman's ovaries for insemination.


• An FSH blood test, taken on cycle day 3, is the most common method of evaluating ovarian reserve in a woman's treatment plan. Other blood tests that our best infertility specialist may suggest include estradiol, antimüllerian hormone (AMH), and inhibin B. (the number of follicles or egg sacs seen during the early part of a menstrual cycle). Transvaginal ultrasound may be used to count the number of antral follicles in addition to the FSH test


• Laparoscopy - An abdominal wall-to-pelvic cavity-lighted telescope-like instrument (the laparoscope) is inserted during laparoscopy. Endometriosis, pelvic adhesions, and other abnormalities can be detected by laparoscopy.

To determine the maturity of the eggs, it is necessary to keep an eye on their follicles. Follicular monitoring, as the name implies, is a process of ultrasonic monitoring of the follicles of the female ovaries. This procedure is essential to measure follicle size and uterine lining thickness accurately.

One of the most common methods of treating ovulation induction is stimulating the ovaries to produce an egg fertilized naturally. When a woman doesn't ovulate irregularly, she can benefit from ovulation induction.

How is Ovulation Induction achieved?

Depending upon the individual, the infertility specialist assigns the ovulation induction medications. The clinician will recommend when and how to start the medicines to stimulate the ovaries further. Alongside, the specialist will also ask you to enrol in the frequent ultrasound scan programs and blood tests.

There are specific drugs required to achieve ovulation drugs:

Follicle Stimulating Hormone - a daily dose of injections that will encourage the ovary to produce egg-containing follicles and mature them

Clomiphene citrate - It's a pill used by some women to trigger ovulation. In contrast, others take it to encourage multiple follicle growth in others. When the pituitary gland produces more hormones, they encourage follicular development in the ovary. This, in turn, triggers the ovulation cycle.

Human Chorionic Gonadotrophin - Hormone-containing injectable medications trigger egg release after the follicles and eggs have formed and matured. After a gonadotropin injection, ovulation will occur 36 to 72-hour period.

In natural conception, sperm move from the vagina, past the cervix (the thin, lower portion of the womb), via the uterus, and up into a fallopian tube. When sperm arrive in a tube shortly after the egg is released from the ovary (ovulation), the sperm and egg might meet and fertilise.

The cervix limits the number of sperms entering the uterus. It means an only a tiny percentage of sperm ejaculates and finds its way into the fallopian tube.

Intrauterine insemination, or IUI, is a treatment in which sperm is injected directly into a woman's uterus during ovulation. An easier and quicker route to fallopian tubes means that more sperm have a higher chance of interacting with an egg. The purpose of this process is to increase a woman's probability of becoming pregnant.

Women are not the only ones who suffer from infertility. A couple's inability to have children may be due mainly to the fact that the male partner is infertile. There are few male fertility tests available that assists the couple in taking the next step in their journey.

Semen Analysis

In a male fertility test, samples of sperm are examined under a microscope. Microscopy helps determine whether or not the semen is healthy enough for use in reproduction. The proportion of healthy sperms, the volume of sperms, the percentage of sperm motility may be determined by doing a semen analysis.

The form and size of the sperm are taken into account. The presence of white blood cells is also checked in the semen. When white blood cells (WBC) are present, it is a sure sign of infection. A healthy sperm must travel over the egg in a straight line for the female partner to get pregnant.

Testosterone Testing

It is crucial for sperm production and motility that testosterone be present. Low testosterone levels may result in low sperm counts and poor sperm motility, both undesirable outcomes. Tests for the hormone prolactin may also help identify the root cause of male infertility.

Physical Exam

Infertility may be prevented with a thorough physical exam that looks for and eliminates the most prevalent reasons for infertility. During this phase, you will be asked about your overall health in an entirely confidential way. Everything from your general surroundings to your sexual history will be examined to find the underlying problem.