Monday 24 February 2020

Who needs IVF treatment

In vitro fertilization (IVF) is a treatment for infertility or genetic problems. If IVF is performed to treat infertility, you and your partner might be able to try less-invasive treatment options before attempting IVF, including fertility drugs to increase the production of eggs or intrauterine insemination — a procedure in which sperm are placed directly in your uterus near the time of ovulation.

Sometimes, IVF is offered as a primary treatment for infertility in women over age 40. IVF can also be done if you have certain health conditions. For example, IVF may be an option if you or your partner has:

Fallopian tube damage or blockage. Fallopian tube damage or blockage makes it difficult for an egg to be fertilized or for an embryo to travel to the uterus.
Ovulation disorders. If ovulation is infrequent or absent, fewer eggs are available for fertilization.
Endometriosis. Endometriosis occurs when the uterine tissue implants and grows outside of the uterus — often affecting the function of the ovaries, uterus and fallopian tubes.
Uterine fibroids. Fibroids are benign tumors in the wall of the uterus and are common in women in their 30s and 40s. Fibroids can interfere with the implantation of the fertilized egg.
Previous tubal sterilization or removal. If you've had a tubal ligation — a type of sterilization in which your fallopian tubes are cut or blocked to permanently prevent pregnancy — and want to conceive, IVF may be an alternative to tubal ligation reversal.
Impaired sperm production or function. Below-average sperm concentration, weak movement of sperm (poor mobility), or abnormalities in sperm size and shape can make it difficult for sperm to fertilize an egg. If semen abnormalities are found, your partner might need to see a specialist determine if there are correctable problems or underlying health concerns.
Unexplained infertility. Unexplained infertility means no cause of infertility has been found despite evaluation for common causes.
A genetic disorder. If you or your partner is at risk of passing on a genetic disorder to your child, you may be candidates for preimplantation genetic testing — a procedure that involves IVF. After the eggs are harvested and fertilized, they're screened for certain genetic problems, although not all genetic problems can be found. Embryos that don't contain identified problems can be transferred to the uterus.
Fertility preservation for cancer or other health conditions. If you're about to start cancer treatment — such as radiation or chemotherapy — that could harm your fertility, IVF for fertility preservation may be an option. Women can have eggs harvested from their ovaries and frozen in an unfertilized state for later use. Or the eggs can be fertilized and frozen as embryos for future use.

Women who don't have a functional uterus or for whom pregnancy poses a serious health risk might choose IVF using another person to carry the pregnancy (gestational carrier). In this case, the woman's eggs are fertilized with sperm, but the resulting embryos are placed in the gestational carrier's uterus. For more information and help contact Dr. Neeraj pahlajani at pahlajani test tube baby center Raipur.

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The Most Common Causes of Infertility in Women and Men

For any couple trying to start a family, and Infertility diagnosis can be shattering. Most doctors recommend couples visit a fertility specialist if they haven’t been able to conceive even after a year of unprotected sex. For women above 35, this duration falls to six months. In India, infertility has become a growing cause for concern. Going by current estimates, around 1 in 5 Indian couples will experience problems with infertility. Understanding Infertility could help couples take steps to manage their condition. Here are the most common causes of infertility faced by men and women today.

Causes of Male Infertility

Historically, the reasons for infertility have always been attributed to women. However, male and female factors contribute to infertility equally at 40 percent. In the remaining number of cases, there are usually issues with both. Male infertility is often more difficult to diagnose than female infertility because symptoms do not show up early. The following are the most common causes of male infertility.

1. Varicoceles are enlarged veins in the scrotum which can lead to complications with normal sperm production. It is one of the most common causes of male infertility, but luckily, it is also reversible.

 2. Retrograde ejaculation Even if a man has healthy sperm, problems with ejaculation can prevent conception. Retrograde ejaculation, also known as dry ejaculation, occurs when semen enters the bladder during orgasm instead of coming out of the penis.

3. Tubal issues Sperm travels through many different tubes before it finally exits the penis at the time of ejaculation. If any of these tubes are blocked, it might lead to low sperm count and as a result, infertility.

4. Infections, especially those that are left untreated for a long time, can cause significant damage to the sperm and tubes. STIs such as gonorrhea can cause inflammation of the testicles as well as the epididymis.

Causes of Infertility in Women Infertility in women can sometimes be detected early on because it can result from hormonal disruptions. Apart from hormonal factors, there are also multiple other factors that can cause infertility in women. These are the most common causes of infertility in women.

1.Endometriosis

One of the first symptoms of endometriosis is heavy and painful periods. During normal menstruation, the uterine lining formed in anticipation of pregnancy sheds and is removed from the body. However, when a woman has endometriosis, the uterine lining does not completely shed. Instead, it attaches to other parts of the body.

2.Irregular periods

If a woman regularly experiences irregular periods, then ovulation cycles can be unpredictable. PCOS (Polycystic Ovarian Syndrome) is one of the most common reasons for irregular periods in women and is also a major cause of female infertility.
Age, fallopian tube issues and lifestyle changes are few other factors in women but don't let any of this shatter your will to be parents as Dr. Neeraj pahlajani will help you throughout the process. Visit pahlajani test tube baby center soon.

Website - https://www.raipurivf.com/
Follow us on Instagram - https://www.instagram.com/pahlajani_ivf/
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Saturday 15 February 2020

Is IVF Painful? Myths and Facts about IVF by Dr. Neeraj Pahlajani

With the advancement of technology in medical science, people are turning to advanced technology for reproduction. One such technology is IVF. But for this process one needs to be educated, there are way too many myths about IVF.  In this article, we will discuss some of the myths and facts associated with IVF. Raipur’s renowned gynecologist Dr. Neeraj Pahlajani has simplified it for us. Firstly let us familiarize ourselves with the myths related to IVF. 



·         One of the common myths about IVF is that it gives a 100% guarantee in the first attempt.
·         Another common myth is that IVF does not require hospitalization.
·         It is often assumed that the entire burden falls upon the woman.
·         If once Conceived naturally the further pregnancy won’t require IVF.
·         Often considered as the last resort treatment.
·         IVF is still considered taboo in modern society.
·         Often taken as a difficult treatment of conception.
·         IVF can affect the immunity of the mother. 
·         Beta HCG report is the final call for pregnancy.
·         IVF is unaffordable and expensive.
·         Cesarean is the only option for delivery.

Now let us educate ourselves with the FACTS about IVF in correlation with the MYTHS mentioned above. 

IVF is not a guaranteed treatment; one does not get the result in the first attempt. With multiple IVF attempts, the cumulative pregnancy rate is very high. Cumulative pregnancy rates can vary from 70-80% to almost guarantee. One must not get depressed after the failure of their first IVF attempt.  One needs to attempt IVF 2-3 times before claiming it to be a failure.

It’s true that IVF doesn’t require hospitalization or surgery, but one needs to be mentally prepared that it takes a lot many frequent visits to the hospital. One needs to be mentally prepared as IVF is a time-consuming process. One needs to adjust their work accordingly, nothing important should fall during this period to avoid unnecessary stress. 

IVF can be stressful not only for the woman but also for the man. The would-be dads are equally involved in the process emotionally and financially. It is suggested that the couple should engage themselves in hobbies of their choice to stay relaxed and comfortable throughout the journey.

We often feel that if our first pregnancy has been natural, the upcoming will be of the same. But in case the tubes have been blocked or because of the acquired diseases the male semen has gone down or due to the advancing age the ovarian reserves have gone down, IVF can prove to be a better treatment in conditions like these. 

During the treatment, due to frequent visits and changes in hormones induced by gonadotropins one may feel emotionally challenged, irritable and sexually charged up. So it shouldn’t surprise you or disturb you if you feel all of this during your IVF treatment.

IVF success is directly related to age especially with the female party. With the increasing age of the female, the ovarian reserves tend to fall short. So the chances of getting pregnant with one’s own egg will keep declining with the advancing age. So one should not think that IVF is the last resort treatment. The success rate depends on many factors. With IVF the chances of multiple pregnancies can be high, however, it can be minimized after consulting your doctor. The success rate with a single embryo can be very less.

IVF is as common as natural pregnancies but is still considered as a taboo. Not everyone wants to tell people that they conceived through IVF or are going through IVF treatment. It is a simple process and one must be acceptable towards it. 
IVF doesn’t affect the health of the mother or the fetus significantly. The only complication involving IVF is ovarian hyperstimulation syndrome that too in the present-day world with the use of technology and advanced drugs and flexible treatment can be rectified. The other complications are similar to what we face during our natural pregnancy.

One should be happy with the positive HCG result but should also prepare themselves mentally for the upcoming pregnancy-related challenges which can be stressful for the couple. 

IVF is pretty affordable in today’s scenario. As far as the finances are concerned most people do not drop the IVF treatment because it is expensive but they get stressed out because of the whole time-consuming process.

IVF pregnancies can deliver vaginally as well. It is often considered that Cesarean delivery is the only option with IVF conception. The delivery of the baby depends on many factors and these factors remain the same for vaginal delivery as well as the Cesarean delivery.

Hope that this article answers most of your IVF related queries. 

Thursday 18 December 2014

Monday 17 November 2014

Couples look forward to Surrogacy Regularization in India



In Oct 2008, the Supreme Court ruled that "commercial surrogacy is legal and an industry in India", making it a legally protected and viable option for international couples. Now after 12 years, surrogacy in India has become a debatable sector.

Compensation, age and consent of the surrogate mother – the three major factors to be considered in surrogacy bill. Winter session of parliament is close and everyone has crossed fingers for a benchmark decision on surrogacy in India. Surrogacy in India has always been a controversial subject with activists blaming foreigners for exploiting poor women.

Recently, Department Of Health Research (Health Ministry) V M Katoch said to a leading newspaper that the final draft bill is now lying with the law ministry and, after being cleared, will be presented before the cabinet for approval.

It is a clear hint that the most debated practice in India is on the lines of regularization. In past 12 years, India helped thousands of couples to have children but the recent turn of events has put the practice under the scanner. Tightening of laws is suggested by activists and doctors to make the process transparent. India now has only the guidelines the Indian Council for Medical Research (ICMR) released in 2002.

The Assisted Reproductive Technology (Regulation)Bill, 2013, it seeks to address issues like how many pregnancies can be allowed for a surrogate mother, the age of the mother and due compensation to be paid to her. The bill will also provide a framework for letting foreigners use Indian surrogate mothers.

In 2012, an Australian couple left behind one of the twins born to an Indian surrogate mother because they could not afford to bring up two children back home. Earlier in 2010, a German couple, Jan Balaz and Susan Lohle, had to wait for two years before they could take their twin babies home. Their twin sons, Nikolas and Leonard, were trapped in a citizenship limbo ever since an Indian surrogate mother gave birth to them in February 2008. The boys were refused passports by their parents` homeland because German nationality is determined by the birth mother. The issue was finally settled after a prolonged court battle.

According to a 2012 study by the Confederation of Indian Industry (CII), an estimated 10,000 foreign couples visit India for reproductive services and nearly 30 percent are either single or gay. In earlier versions - in 2008 and 2010 - the bill relied on contract law to establish a relationship between the commissioning parents and the clinic. In the current version, the bill states that a professional surrogate will be hired by a government-recognized ART Bank and not private fertility clinics, which is the current practice. The compensation, as per the 2013 draft, will be a private negotiation between the surrogate mother and commissioning parents.

-       The Bill addresses all issues pertaining to ethics in commercial surrogacy.
-       The Bill is only to help infertile couples and should act as a deterrent to commercial surrogacy.

The CII study estimated that nearly 10,000 foreign couples visit India for reproductive services and nearly 30% are either single or homosexual.
-        However, the Surrogacy Bill will disqualify homosexual couples, foreign single individuals and couples in live-in relationships from having children through surrogate mothers in India. The law also imposes age restrictions on surrogate mothers.
-        Homosexuals and foreign single individuals are barred from seeking surrogacy assistance in India.
-       Other than this, many restrictions imposed are not encouraging for business.

In earlier versions—in 2008 and 2010—the ART Bill relied on contract law to establish a relationship between the commissioning parents and the clinic. In the current version, the Bill states that a professional surrogate will be hired by a government-recognized ART Bank and not private fertility clinics, the current practice.
-         The compensation, as per the 2013 draft, will be a private negotiation between the surrogate mother and commissioning parents. Currently, IVF clinics decide the amount and pay the surrogate mother a portion. 

Last year, Home Ministry laid down certain norms on surrogacy as an immediate attempt to define the contours ofsurrogacy activities in India,
-        Home Ministry lays down conditions for grant of visa to foreign couples commissioning surrogacy in India
-        Home Ministry has already announced that it will not give tourist visas to foreigner nationals coming to India for commissioning surrogacy, of which several cases have been reported.
-        In order to ensure that the surrogate mother’s interests are protected, the Ministry said, such a visa may only be granted if certain conditions are fulfilled — the foreign man and woman must be duly married for at least two years.
-         The Ministry will also insist that the Indian embassy or Foreign Ministry of the country concerned enclose an acknowledgement, along with the visa application, that the country recognises surrogacy and that the child/children to be born to the commissioning couple through the Indian surrogate mother will be permitted entry into their country as a biological child/children of the couple.
-        Besides, the couple should produce a duly notarised agreement between the applicant couple and the prospective Indian surrogate mother. The Ministry has informed the Indian missions abroad that the commissioning couple needs to be told that they must obtain “exit” permission from the Foreign Regional Registration Offices before leaving India for their return journey.

Dr Neeraj Pahlajani

Obstetrician & IVF Specialist
(MS, DNB, FMAS, DRM - Germany)
MBBS - Lady Harding Medical College - New Delhi
MS - Obstetrics and Gynecology (PGI - Rohtak)
DNB - Obstetrics and Gynecology
FMAS - World Association of Laparoscopic Surgeons
DRM - Diploma in Reproductive Medicine (Germany)
Fellow in IVF & Embryology – (USA)
---------------------------------------------------------------------------------
Pahlajani Test Tube Baby Centre
(Mata Laxmi Nursing Home)
Anupam Nagar, Near T.V. Tower, Raipur (Chhattisgarh) India
Phone:  +91- 771- 4052967, +91- 771- 4053285 Mobile:  +91- 9873083334, +91- 9329630455
Email - contact@raipurivf.com

Visit Our Websites







Thursday 6 November 2014

Cross Border Surrogacy


Cross-border legal and ethical problems has recently become a concern for Indian surrogacy sector especially after a Thai surrogate mother bore twins and the Australian parents took the healthy child and left the one with Down syndrome behind in Thailand.

Surrogacy is having another woman bear a child for someone else. Surrogacy in India and its increasing popularity has increased the movement of couples towards the country for assistance. However, the thriving business comes with risks of to devious online brokers, questionable private clinics, thriving underground market.

Why cross-border arrangements are risky?

In different countries, laws are different even medical practices, customs or codes of ethics. Looking at the positive aspects of surrogacy, it empowers women to choose whether to participate and gain financial compensation for their valued service. Surrogacy also permits otherwise childless men and women to have children.

In vitro fertilization is fertilization in a laboratory by mixing sperm with eggs surgically removed from an ovary followed by uterine implantation. IVF in Raipur offers assistance to the couples with egg donation, IUI and other fertility techniques.

Most common are two types of “traditional surrogacy” where the surrogate is the biological mother and the sperm is from the intended father or a donor. The other four types are “gestational surrogacy” where the surrogate is unrelated to the baby with the egg coming from the intended mother or donor, and the sperm is from the intended father or donor. When both the egg and sperm are from donors, the baby is genetically unrelated to the surrogate, the intended mother or the intended father. In addition, the actual parentage is often undisclosed or unknown.

Australia and the United States, relevant laws vary by state or province and type of surrogacy. For example, while New Jersey, Pennsylvania and Virginia permit altruistic surrogacy and Arizona, Michigan and Nebraska forbid surrogacy— California, Connecticut and Massachusetts are surrogate-friendly, making them magnets for couples from other places with stringent anti-surrogacy laws.

How to go about surrogacy in India?

Generally, the couples considering surrogacy option are not sure how to go about the process, from where to start or who to consult. They might find it difficult to list down authentic surrogacy clinics from the list of numerous faux and dead links all over the internet which might lead them nowhere. For them, there are few things they should consider before selecting a particular clinic.

1.      Ensure that you establish a direct contact with the doctor and not through any agencies.
2.    Read the success stories of the particular clinic you are considering for surrogacy assistance.
3.    Find out whether the doctor writes blogs for the patients.
4.    Try to resolve your queries and question everything before deciding. (Ask about how surrogate would be arranged? Egg donation process?)
5.     Calculate the cost and compare it with other clinics.

Dr Neeraj Pahlajani

Obstetrician & IVF Specialist
(MS, DNB, FMAS, DRM - Germany)
MBBS - Lady Harding Medical College - New Delhi
MS - Obstetrics and Gynecology (PGI - Rohtak)
DNB - Obstetrics and Gynecology
FMAS - World Association of Laparoscopic Surgeons
DRM - Diploma in Reproductive Medicine (Germany)
Fellow in IVF & Embryology – (USA)
---------------------------------------------------------------------------------
Pahlajani Test Tube Baby Centre
(Mata Laxmi Nursing Home)
Anupam Nagar, Near T.V. Tower, Raipur (Chhattisgarh) India
Phone:  +91- 771- 4052967, +91- 771- 4053285 Mobile:  +91- 9770997645, +91- 9329630455
Email - contact@raipurivf.com

Visit Our Websites



Monday 3 November 2014

Who Should Opt for Surrogacy?


1. In Vitro Fertilisation IVF in Raipur


When a woman fails to conceive a baby due to some reasons, she requires the help of another woman, who carries her baby in her uterus through the process called surrogacy. The carrier woman is known as a surrogate and she has to undergo In Vitro Fertilisation (IVF) in order to place the fertilized egg into the surrogate's uterus. Before opting for surrogacy in India, couples are screened for,

a) Congenital absence of uterus (Mullerian agenesis)

b) Surgical removal of the uterus (hysterectomy) due to cancer, severe hemorrhage in Caesarian section or a ruptured uterus.

2. A woman whose uterus is malformed (unicornuate uterus, T shaped uterus, bicornuate uterus with rudimentary horn) or damaged uterus (T.B of the endometrium, severe Asherman’s Syndrome) or at high risk of rupture, (previous uterine surgeries for rupture uterus or fibroid uterus) and is unable to carry pregnancy to term can also be recommended IVF surrogacy.

3. Women who have repeated miscarriages or have repeated failed IVF cycles may be advised IVF surrogacy in view of unexplained factors which could be responsible for failed implantation and early pregnancy wastage.

4. Women who suffer from medical problems like diabetes, cardio-vascular disorders, or kidney diseases like chronic nephritis, whose long term prospect for health is good but pregnancy would be life threatening.

5. Woman with Rh incompatibility.

Is Surrogacy for you?

For some couples opting for surrogacy is a very straight forward decision, while, for others there are lots of things to be considered and thought about before taking the decision. There are lots of complex issues involved. It is an emotional roller coaster ride for the couple, the families and friends. It is a decision where the 'right' and the 'wrong' are very individual things. An infertility specialist or a counselor can help the couple seeing things in the right perspective. Other options such as, adoption or further infertility treatment can also be considered.

Traditional Surrogacy

1. Sometimes, the intended mother fail to produce mature eggs, that is, ovaries do not produce normal follicles due to ovulatory dysfunction. In such situations, the IUI procedure is followed on surrogate mother. In this procedure, the infertility specialist will transfer sperm that is taken from the biological father and will subsequently transfer that sperm into the surrogate's uterus so that fertilization may take place naturally.

2. A traditional surrogate will undergo insemination at the time of her natural ovulation, occasionally necessitating medication prescribed by her doctor to make sure that she does ovulate.

3. The child will have a genetic link to his father, since the father's sperm was used in creating the baby. There is no genetic link to the intended mother; which is a primary difference between traditional and gestational surrogacy.

4. Therefore, with traditional surrogacy, the surrogate is also the biological mother of the child. This type of surrogacy is typically only used if the biological mother's egg and/or the biological father's sperm are unable to be used.

5. Generally, people over the age of 50 or women who are unable to use their own eggs use traditional surrogacy since the option frees the intended parents from age-related limitations.


In gestational surrogacy, the egg and sperm of the intended parents are used to form an embryo through a process called in vitro fertilization and later it is transferred in surrogate’s uterus to carry it for pregnancy. In most of the cases, it will take between three and five days for the embryos to develop in the laboratory prior to transferring them to the surrogate. Then, once the embryo has successfully been placed into the surrogate's uterus, the surrogate will carry the embryo through the pregnancy term until its birth.

1. With gestational surrogacy, the surrogate's eggs are not used at all. Therefore, the child will not be related to the surrogate biologically.

2. It allows a couple to have a biologically related child by using a surrogate as the carrier for the couple's embryo.

3. The aid of a gestational surrogate is needed when a woman is unable to conceive naturally or through fertility treatments.

4. This option is explored after fertility drugs or in-vitro fertilization have proven unsuccessful, or if either party has irregularities in their reproductive organs that complicate conception.

5. The rate of success when using in vitro fertilization will depend upon several factors such as the age and health of the biological mother who is providing the eggs.

6. The process of gestational surrogacy can take several years including the amount of time to find an adequate surrogate, extraction of viable eggs and sperm can take several weeks from intended parents, preparation of surrogate for pregnancy with a hormone regimen that can take several months, implanting the embryos and additional nine months for the gestational surrogate to carry the baby.

Dr Neeraj Pahlajani

Obstetrician & IVF Specialist
(MS, DNB, FMAS, DRM - Germany)
MBBS - Lady Harding Medical College - New Delhi
MS - Obstetrics and Gynecology (PGI - Rohtak)
DNB - Obstetrics and Gynecology
FMAS - World Association of Laparoscopic Surgeons
DRM - Diploma in Reproductive Medicine (Germany)
Fellow in IVF & Embryology – (USA)
---------------------------------------------------------------------------------
Pahlajani Test Tube Baby Centre
(Mata Laxmi Nursing Home)
Anupam Nagar, Near T.V. Tower, Raipur (Chhattisgarh) India
Phone:  +91- 771- 4052967, +91- 771- 4053285 Mobile:  +91- 9770997645, +91- 9329630455
Email - contact@raipurivf.com

Visit Our Websites