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TESE/TESA for Azoospermia


Infertility may be caused by a number of factors in couples. In males, the underlying causes of infertility may range from testicular damage and endocrine abnormalities to STD and sexual dysfunction. Azoospermia is a condition that leads to infertility in only 1% of men in general and in 15% of infertile men. Despite its low incidence rate, about a million cases of azoospermia per year are presented in India alone. However, sperm retrieval techniques of TESE and TESA, combined with ICSI, have given the gift of parenthood to many distressed couples.


Azoospermia is characterized by complete absence of sperms from the ejaculate. Since the ejaculate looks normal to the common eye, the only way to diagnose azoospermia is through microscopic evaluation. Problems in sperm production (Non- Obstructive Azoospermia) or obstruction to the flow of semen during ejaculation (Obstructive Azoospermia) are the two main causes for absence of sperms in the ejaculate. However disappointing the condition may sound, Assisted Reproductive techniques of TESE – ICSI and TESA – ICSI have revolutionized the treatment for azoospermia.


Both TESE and TESA are methods of sperm retrieval from the Epididymis or Testis. TESE or Testicular Sperm Extraction is a surgical biopsy of the testis whereas TESA or Testicular Sperm Aspiration is performed by inserting a needle in the testis and aspirating fluid and tissue with negative pressure. TESA is a simple, non – surgical procedure that uses a needle to aspirate the testicular fluid while in TESE an incision is made in the scrotum to expose the testes and obtain a piece of testicular tissue. The biopsy/aspirated tissue are then processed in the laboratory and the sperm cells extracted are used for Intra Cytoplasmic Sperm Injection (ICSI) which involves injecting a motile sperm into an occyte under the micromanipulator. Both TESE and TESA have their own advantages and disadvantages. Therefore, it is best to let one’s physician decide which technique is more suitable and will yield good results.

Dr. Nirmal Bhasin, Director – Jannee Fertility Centre, has helped many infertile couples achieve pregnancy through TESE and TESA over the last two decades. 


Being Pregnant After 35- Conceivable with Healthy Women

Being Pregnant After 35- Conceivable with Healthy Women
As the common byword goes-“Age is just a number”. But in context to getting pregnant and having a healthy pregnancy, it actually matters. However, there is nothing to worry about as many women who do get pregnant after age 35 have healthy babies. If you take smart and meaningful steps to boost your health then conceiving after the age of 35 is easily possible.

Risks Factors Associated with Advanced Age
The biological clock is a universal truth, but there’s nothing miraculous about age 35. It’s commonly an age at which different risks become more consultation worthy. For instance:
1. Getting pregnant might takes a long time: As you reach mid- to late 30s, your eggs decline in both quantity and quality. Also, elder women’s eggs aren’t impregnated as conveniently as younger women’s eggs. If you are older than age 35 and haven’t been able to conceive for six months, consult your doctor for the right advice.
2. Higher chances to develop gestational diabetes: This category of diabetes, which arises only during pregnancy, is more prevalent in women of older age. Maintaining optimal blood sugar through right nutrition and physical exercise is important. Occasionally medication is required too. Gestational diabetes can also enhance the risk of premature birth and high blood pressure during pregnancy.
3. Higher risk of pregnancy loss: As you get older, the risk of pregnancy loss — by miscarriage and stillbirth — increases. This is because of pre-existing medical conditions or fetal chromosomal abnormalities. Studies advise that the decline in the quality of your eggs, combined with a higher risk of chronic medical conditions such as high blood pressure and diabetes, could elevate your risk of miscarriage.
4. Your Husband’s Age also becomes a Limiting Factor: Women aged 35 to 39 with likewise aged partners had a conception rate of 29 % according to one study. But, if their male partner was five years older, the success rate declined to 18 %.
Healthy Living to Boost Your Odds of Conception

Though tempting, don’t assume your age is the only reason you’re not conceiving quickly. Lifestyle choices such as smoking, drinking, caffeine consumption, lack of exercise- all contribute to poor fertility health. We have listed a few lifestyle modifications that can help maintain good reproductive health:
• Quit smoking
• Reduce your caffeine consumption
• Keep a check on weight: you should neither be under nor overweight
• Avoid refined sugar, flours and fried food
• Cut down on alcohol consumption

It’s true that these healthy habits can decrease the rate of fertility decline but age-related fertility drops may still happen in the body. Therefore, it’s always good to get fertility tests done after six months of trying. If there are fertility issues found, you will be more likely to have success in treating it sooner than later. If there are no noticeable fertility problems, your fertility expert may advise you to continue trying to conceive naturally for another few months, and come back if you still don’t get pregnant. In addition, when looking at pregnancy success rates for fertility drugs, or for fertility procedures like IUI or IVF, keep in mind that age and cause of infertility matters. Your chances of achieving pregnancy with IUI treatment at age 27 are higher than when you’re 37.
“A word from Jannee Fertility Centre
Try to live a healthy lifestyle, be sure to see your doctor for an overall wellness check, and if you don’t get pregnant after six months of trying, talk to your gynaecologist or IVF specialist.

With Polycystic ovarian syndrome/PCOS: Foods to Evade and Foods to Embrace

PCOS or Polycystic ovarian syndrome is a common complaint, affecting one in 10 women in the US and almost 10 million women throughout the world. Many (not all) women with PCOS have many small, undeveloped follicles on the ovaries that form cysts. Women ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. Women with condition of PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels.

While the precise reason of PCOS is unknown, there are several aspects that are supposed to influence the condition, including genetics, environment and lifestyle. The complaint is also linked to many other health problems, including being overweight; diabetes; issues with insulin resistance, metabolism and glucose tolerance; sleep apnea and cardiovascular disease.


Because a poor diet can affect your weight management and your insulin production and resistance, improving your diet to help manage insulin levels can help control and improve PCOS. Choosing to stick to a balanced, nutritious diet and maintain a healthy weight is an important step to take in your PCOS journey. It can improve the way the body processes glucose and may improve fertility.


Below are some foods you should limit or avoid when you have PCOS:

  • Processed foods such as cakes, cookies, sweetened cereals, overly processed cheeses, and yogurts and ice cream with added sugar.
  • Sugary drinks such as soda, fruit juice, and smoothies.
  • Refined carbohydrates such as white bread, white rice, pasta, and pizza dough.
  • Saturated fats such as red meat or hamburgers.
  • Trans fats such as doughnuts, margarine, biscuits.
  • Excess alcohol such as drinks with bottled mixers or canned cocktails with a lot of sugar.


Choose foods that can lower inflammation in your body and keep your glucose levels in check. The following are foods you should embrace when you have PCOS:

  • High-fiber foods such as black beans, berries, seeds, and whole grains (brown rice, quinoa).
  • Antioxidant-rich foods including fruits, vegetables and whole grains.
  • Unsaturated fats such as nuts, nut butters, avocados, and olive oils.
  • Soy foods such as edamame and tempeh.
  • Seafood such as shrimp and salmon.
  • Lean meats such as chicken.


There is growing evidence that mood disturbances, mostly severe depression, are common in PCOS women , in whom impaired quality of life from body image concerns cause fatigue, sleep disturbance and changes in eating habits. In addition, many PCOS patients report feeling abnormal, unfeminine, and embarrassed due to unwanted hair, often hiding their hair growth and covering their face when talking to others.

Like many health conditions, PCOS responds positively to good lifestyle choices such as exercise and improved diet.  It is always a good idea to eat fewer foods that cause obesity and inflammation in the body, and eat more foods that can reduce inflammation and help maintain a healthy weight.


If you are interested in learning more or being screened for PCOS, please contact us at :, visit our website or call our office at, 91-7508281399, +91-9592670953, Phone: +91-172-4661942


Potential signs and symptoms You may have a Fertility Problem

  • Major symptom of infertility is you are not get pregnant even after frequent intercourse for a year.
  • Menstrual cycle that’s too long -35 days or more.
  • Menstrual cycle that’s too short -less than 21 days).
  • Irregular or absent mensural cycle means that you’re not ovulating.

When you should consult your doctor:

  • AGE- Up to age 35, most doctors recommends trying to get pregnant for at least a year before undergoing any treatment.
  • AGE-between 35- 40-Consult your doctor after six months of trying.
  • Older than 40, Your doctor may start with testing and treatment immediately.

Factors essential to become pregnant:

  • Healthy Ovulation:  Your doctor can help evaluate your menstrual cycles and confirm ovulation.
  • Quality of partner’s- Your doctor will suggests some tests to check the health of your partner’s sperm.
  • You should have regular intercourse during fertile time. Your doctor can guide when you’re most fertile.
  • Fallopian tubes and uterus should be normal.

Risk factors put you at higher risk of pregnancy

  • Age effects the quality & quantity of woman’s egg. This results in difficulty in conception & increase the risk of miscarriage.
  • Can damage cervix, fallopian tubes and also increases the risk of miscarriage and ectopic pregnancy.
  • If you are overweight or underweight it may effect your normal ovulation cycle.
  • Sexually transmitted infections such as chlamydia and gonorrhea may damage the fallopian tubes. Even unprotected intercourse with multiple partners puts you at the risk of a sexually transmitted infection.
  • Heavy alcohol intake.


  • You should maintain a normal weight. 
  • Quit smoking. 
  • Avoid alcohol. 
  • Reduce stress. 
  • Limit caffeine. About one to two cups of 6 to 8 ounces of coffee per day.

Best infertility clinic in Chandigarh Jannee fertility centre will counsel the couple for the same. If you have any query, you can comment below. We will happy to answer it.


Embryo quality- Reason for Failed Fertility Treatment

IVF Doctor talk about embryo quality and how significant it is to the entire process. What, precisely, makes an embryo “good” or “bad”? How do embryologists decide which embryos are the best ones to transfer? Can embryo quality be influenced by the patient?

Answer from Dr. Nirmal Bhasin(Founder Jannee Fertility Centre).  Dr. Nirmal Bhasin, MD, is a clinical embryologist and an IVF/ICSI Specialist. With over 18 years of experience in the field of fertility.

Embryo quality could be assessed by morphological parameters, as well as the timing of the cell division. Morphological parameters include the number of cells, as well as period specificity, division, and others. This grading system is normally used until the embryo reaches the third day of its development.

On day four, the cells within the embryo undergo compaction, which we can also use to determine the embryo’s overall quality. On day five, when the embryo reaches the blastocyst stage, we use a different grading system based on the blastocyst expansion rate, and its hatching status. We measure the inner cell mass and the quality of the trophectoderm. The expansion of the blastocyst can be measured by examining the cavity of the embryo, which could be small, full or expanded; or, if we see the blastocyst expand past – hatch out of – the zona pellucida, which indicates that it reached or is reaching the final stage of its development. The same grading system is used for the trophectoderm, which later on becomes the placenta; we evaluate how many cells it consists of and how compacted the cells are. Evaluating embryos by the timing of the cell division requires a special time-lapse incubator. Using this approach, we are able to record the entirety of the embryo’s development, which gives us data that is then fed into software which can help determine the embryos with the best potential for implantation.


Dr. Nirmal Bhasin Says.” The major reason why an IVF cycle is not successful is embryo quality. Several embryos are not able to implant after transfer to the uterus because they are imperfect in some way. Some embryos that look perfect in the lab may have defects that cause them to die instead of growing. In nearly all cases, it’s not that your uterus has something wrong with it so you can’t carry a baby. The embryo not able to implant because it is not healthy adequate to grow”

Violence on doctors – The new epidemic!

Let us all remember that doctors are healers & no doctor wants to see a patient untreated or succumbing to death.

The increase in violence on doctors is not because of poor health care. In fact the health care has improved in our county with upgradation of technology.
What has degraded our profession?
It’s the approach & mindset of people to get results instantly and lack of patience. Social media & government are also responsible for this distrust.
Critically ill patients used to die earlier also but it was accepted as the law of nature.
The society needs to be sensitised & made aware that medical science does not guarantee immortality.
The patient is the most dissatisfied customer.
Sorry to say that the patient became a customer after medical profession was included in the consumer protection act.
The emotional pattern of the patients relatives is from helplessness to hope & from hope to grief if they lose their loved ones.
In between hope & grief comes “anger”that’s when doctors are beaten up.
Besides doctors are taught to be noble & non violent.
We are already battling illnesses, long duty hours , deprivation from family time…..the list is endless.
And this noble doctor also loses his / her loved ones to death. Have you ever seen a doctor beat up another one ?
We understand that we are not God but we are not Devils either. We just apply our knowledge & experience to treat.Remember Life & Death is nature’s way.
Respect our profession.

Say no to violence against medical fraternity ?

Jannee Fertility Centre protest against attack on doctors
Save the Saviours

Male infertility-boost fertility and sperm quality

Male infertility is on an alarming rise in India due to varying lifestyles, extreme stress, environ-mental and behavioral problems, hormonal imbalances, genetic disorders and psychological issues.

Dr. Nirmal Bhasin Consultant & Director of Jannee Fertility Centre was actively involved in the research on male infertility factors. She is also Vice chairperson ISAR Chandigarh chapter & Executive. member in IMA Chandigarh). Few tips to boost fertility and sperm quality:

Lead a healthy lifestyle: Unhealthy lifestyle practices harm your overall health, including fertility.

    Lose excess weight: Overweightness is related with infertility. If you are infertile and obese, weight loss should be one of your top goals.

    Limit your alcohol intake: Avoid heavy alcohol consumption, as it may reduce testosterone levels and impair semen quality.

    Get enough folate: Studies indicate that a low intake of folate may impair semen quality.

    Get adequate sleep: Getting adequate sleep is vital to maintaining your health. Restricted or excessive sleep has also been linked to poor semen quality.

    Snack on walnuts: Eating a lot of antioxidant-rich foods, such as walnuts, seems to benefit fertility.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter, YouTube for the latest blog on fertility issues

Blog Tags #ivf, IVF treatment



Key Factors to Boost your Fertility

Dr. Nirmal bhasin (IVF Doctor Chandigarh) suggest great insight on lifestyle behaviors that can increase fertility. From exercise to vitamin consumption, there are plenty of opportunities to increase fertility and maximize the chances of pregnancy!

You Should take enough Omega-6

Eating A Healthy Nutritious Diet

Don’t take much Caffeine

Quit Smoking




Getting Enough Vitamin D
Finding Ways to Relieve Stress &  Plenty of Sleep

Doing Lighter Exercises


So, couples who are trying to conceive should keep their faith and seek advice from a professional instead of giving in to the whims and fancies of the society and cultural taboos.

When You and Your Baby Need Special Care- Gestational Diabetes

Your Doctor told you that you have gestational diabetes. This doesn’t mean that you did anything wrong. And it doesn’t mean that your baby will be born with diabetes. But it does mean that you need to take special care of yourself, so you and your baby stay healthy.


What Is Gestational Diabetes?

Gestational diabetes is a special kind of diabetes that happens only during pregnancy (gestation). Changes that occur in your body while you’re pregnant cause your blood sugar to be too high. Gestational diabetes is more likely in women who:

  • Are overweight.
  • Are older than 25 years of age.
  • Have had gestational diabetes in the past. •Have a family history of diabetes.
  • Have had a baby who weighed more than 9 pounds at birth.

Your body turns the food you eat into blood sugar. This sugar goes into your blood-stream. Your body then releases a substance called insulin to help your body use blood sugar. Blood sugar is used as energy for both you and your baby.Blood sugar goes to your baby through the umbilical cord from the placenta (special tissue that connects the mother and baby). Your baby uses this sugar to grow. But the placenta also makes hormones that can change the way insulin works in your body.

Too Much Blood Sugar Affects You and Your Baby If your body can’t use insulin properly, your blood sugar level gets too high. Then too much blood sugar goes to your baby. This can cause problems for both you and your baby.


Risks to You

If you don’t control your blood sugar, you are more likely to have these problems:

  • You may have high blood pressure. High blood pressure during pregnancy can lead to a condition called preeclampsia. This is a danger to your health. It could mean that your baby will have to be delivered early.
  • You may have more infections. High blood sugar makes you more likely to have bladder, kidney, and vaginal infections.
  • You may be uncomfortable or short of breath. High blood sugar can cause too much fluid around the baby. This is called polyhydramnios. Your abdomen gets big and pushes on your lungs.
  • Your delivery may be harder, and recovery may take longer. If your blood sugar stays too high, your baby can grow too large. A large baby might cause injury to you during birth. In some cases, that might cause the baby to be delivered by cesarean section (C-section). This means making a cut (incision) in your abdomen and uterus. Needing a C-section is one of the most common risks of gestational diabetes.


Risks to Your Baby

If you don’t control your blood sugar, your baby is more likely to have these problems:

  • Your baby can grow too large. This is called macrosomia. This can make it hard for your baby to come through your vagina without injuring the baby’s arms and shoulders.
  • Your baby’s organs may not be fully developed before birth. If your baby’s lungs are affected, he or she may have trouble breathing (respiratory distress syndrome). If your baby’s liver is affected, he or she may have yellowing of the skin and eyes (jaundice) after birth.
  • Your baby’s blood sugar may be low after birth. If your blood sugar is too high, your baby makes extra insulin. The baby still makes extra insulin right after birth. Then he or she may have to be treated for low blood sugar.
  • Your baby could be stillborn. This is not very common, but your baby could die before birth if your blood sugar stays high for too long.

Controlling Blood Sugar Helps Prevent Problems You can lower your blood sugar by eating right and exercising. You might also need to take insulin or oral medications. If you keep your blood sugar in control, the risks to you and your baby are the same as for a normal pregnancy.

Eating Right

Eating the right foods is the main way to control your blood sugar. You need to eat a variety of foods from each food group every day. To help you with changes that may be needed in your diet, you will likely work with a registered dietitian (an expert on food and nutrition). The dietitian can help you understand how specific foods affect your blood sugar. He or she can also teach you the skills you need to plan healthy, balanced meals.



Protein is digested slowly, so it helps keep your blood sugar stable. Your baby also needs protein to have strong bones and muscles.

  • Eat lean meats, poultry, and fish. (Ask your healthcare provider about what kinds of fish are safe to eat while you are pregnant.) Foods such as eggs, tofu, and nuts contain protein as well.
  • Bake or broil. Remove the skin from fish and poultry, and trim

fat off meat before cooking. Avoid frying. Also, avoid gravy, batter, and sweet sauces.



Most vegetables don’t raise your blood sugar. They are rich in vitamins and high in fiber.

  • Eat plenty of fresh vegetables. Good choices include spinach, broccoli, cauliflower, kale, and eggplant.
  • Limit starchy vegetables such as corn, potatoes, yams, peas, and beans. These are more likely to raise your blood sugar.
  • Choose frozen and canned vegetables that are low in sugar, fat, and sodium.



Whole Grains

Whole grains contain fiber and important vitamins. But they also raise blood sugar if you eat too much at one time.

  • Choose foods such as whole-wheat pasta, bread, tortillas, brown rice, and oatmeal.
  • Limit processed grains such as white rice and white bread.
  • Toast or bake. Don’t add sugar or jam.


Milk and Yogurt

Milk and yogurt are rich in calcium and protein. But they also contain sugar, even if they’re not sweetened. They raise blood sugar fast.

  • Choose only low- or non-fat milk and yogurt products when you include them in meals.
  • Limit milk or yogurt at breakfast. At the first meal of the day, they may make your blood sugar rise too high.


Fruit is high in fiber and vitamins, especially A and C. But fruit also has lots of natural sugar, which quickly turns into blood sugar.

  • Eat fresh fruit such as apples, bananas, oranges, and berries. Dried fruit is a good choice as well.
  • Limit canned and frozen fruit. These often have added sugar.
  • Don’t drink fruit juice. All types of fruit juices are high in sugar.



Fat does not raise blood sugar. But fat is high in calories. Eating too much fat can make you gain weight too fast. This can make your blood sugar harder to control.

  • Use vegetable fats (oils). Choose canola, olive, sunflower, safflower, or peanut oil.
  • Avoid frying. Soften onions and garlic in water. Toast tortillas. Brown meat under the broiler.

For You and Your Baby The health of you and your baby depends

on how well you control your blood sugar. To do this, follow your meal plan every day. See your  Doctor regularly. And, if you’re asked to do so, check your blood sugar at home. Doing all of these things helps make sure you and your baby stay healthy.


Understanding Miscarriage (Coping with the Loss)

When a Miscarriage Happens
Miscarriage is the unplanned end of a pregnancy before the baby can live outside the womb. When a miscarriage happens, you’re likely to have a wide range of feelings. Each woman responds in her own way.

No One is to Blame
Know that you did not cause this to happen. Miscarriage is very common. It occurs most often with a first pregnancy, but it can happen with any pregnancy. Miscarriage usually takes place during the first 10 weeks after conception. It may happen at this early stage because something about the pregnancy itself is not right.

What You Feel Is Okay
No one can tell you how to respond to your miscarriage. If you have been trying to have a child, this loss may feel over-whelming. Perhaps this was an unplanned pregnancy. That doesn’t mean you won’t feel loss. Or you may have children already. But that doesn’t mean you won’t feel loss. On the other hand, you may be ready to get on with your life. You know yourself best. It’s okay to feel whatever you feel.

The Future
Still Holds Promise
Miscarriage is a sudden, unexpected change. It can catch you unprepared. But now is not the time to make big decisions. Wait until you’re feeling better, then think about what’s ahead. Having a miscarriage does not need to change all your plans. You can try again—if you want to. Chances are good that you’ll have a healthy pregnancy. And if you change your mind and don’t want to get pregnant, that’s okay too.

A Time of Many Emotions
On first learning about the miscarriage, you may be numb or in shock. Then you may feel disbelief, anger, sadness—perhaps a hint of relief. These are all normal responses. Allow yourself to accept how you feel. Only then can you begin to move on. But know that you may have strong emotions, which can last for hours, days, or even weeks.
“I cried for my lost baby and for myself. I can’t describe it, but some-thing changed in me that day.”

A Sense of Loss
No matter what you thought about being pregnant, having a miscarriage may cause a sense of loss. You may feel as if something is missing. Some women are unsettled and struggle for answers. It’s okay if you can’t describe how you feel. At first, it may be enough just to look inside yourself and feel your emotions.

Events Trigger Feelings
People, places, and events can trigger feelings. Triggers are personal. Yours may not be the same as someone else’s. During the next few weeks, you may notice frequent triggers. They tend to lessen as time goes by. But sometimes an event, such as a baby shower, will trigger feelings months or years later. Although not everyone may understand, it’s okay to choose not to attend such events.

Partner’s Note
Men grieve too. You may be feeling sad, helpless, or frustrated. When you’re struggling with your own feelings, knowing how to help your partner may be hard. But do your best to provide support. Listen without feeling as if you have to stop her pain. It will help your partner work through her grief. “Spending time together helped. We talked about what we wanted as a couple.”

Be good to yourself
What do you need to feel better? You may want to be protected or to have private time. Perhaps you’ll want to take a few days off work. It’s okay to put your needs first right now. Take care of your body and try to relax. Do what you can to pick up your spirits. If there are people who should know about the miscarriage, tell them when you and your partner are ready.

Take Care of Your Body
Due to the recent changes in your body, you may feel a little tired or even worn out. Help yourself be healthy.

Relax Your Mind
At first, you may feel like your mind’s going in circles. When you’re awake, the miscarriage may be all you can think about. When you are asleep, you may dream you’re still pregnant. Relax your mind by doing things you like.

Telling Other People
People who knew about the pregnancy will need to be told about the miscarriage. Start with the family member or friend you’re closest to. If you like, ask this person to pass on the news to others. If you have a child who knew, explain that the baby will not be coming. Be honest, but choose what and how much to say according to the age of your child.

Partner’s Note Help your partner gain some distance from this loss. If she agrees, tell people for her. That way she won’t have to keep repeating the news. Start with your parents. Let them know how you both are doing and say that she will talk with them when she feels better. You may also want to tell someone at her workplace. That way, anyone who needs to know can be told before she returns.

During a Miscarriage
No two miscarriages are alike. Because of this, your doctor will talk with you about what’s best for your recovery. If you’re in good health, your body may be allowed to miscarry on its own. But depending on the miscarriage, having a D&C (dilation and curettage) may be best. This simple procedure returns the uterus to its state before pregnancy. Some women begin to miscarry and then have a D&C if pain or bleeding becomes a concern.

If Your Body Miscarries
As your body miscarries, you may pass both blood and tissue. Follow up with your doctor as often as he or she suggests. This may be by phone or at office visits. To prevent infection, do not use tampons or place anything in your vagina at this time.

When to Call the Doctor
• Call your doctor if you have any of the following
• Severe Pain
• Bleeding that soaks a new sanitary pad each hour
• Fever or chills
• Vaginal Discharge that has a bad odor

Normal Bleeding Pattern
Most miscarriages start with bleeding. Blood flow may increase with time and the amount of cramping. At some point, your cramps may get very strong. This is normal. Cramping widens the passage (cervix) that any tissue from the uterus must pass through to leave your body. After the tissue passes, pain and bleeding should start to lessen. Depending on how far along the pregnancy was, bleeding may last 3 to 7 days.
Tissue Samples
Your doctor may ask for a sample of the tissue for lab testing. This is to make sure that the cells being shed from your body are normal. You can collect a small amount of tissue in a baggie or plastic container.

If You Have a D&C
You may have a D&C if you are bleeding heavily, are in severe pain, or if all the tissue does not pass from your uterus. In most cases, a D&C is over in minutes. It may be done in your doctor’s office or at a hospital.

Normal Bleeding Pattern
Most miscarriages start with bleeding. Blood flow may increase with time and the amount of cramping. At some point, your cramps may get very strong. This is normal. Cramping widens the passage (cervix) that any tissue from the uterus must pass through to leave your body. After the tissue passes, pain and bleeding should start to lessen. Depending on how far along the pregnancy was, bleeding may last 3 to 7 days.

Understanding the Procedure
If you will be more at ease, your partner may be able to stay with you during the procedure. When you arrive, you may be given medications to help you relax. These might reduce your control of your emotions, causing you to cry. Before the D&C, an anesthetic may be applied to the cervix, or you may be given anesthesia to help you sleep. Then your doctor widens the cervix and removes the tissue and blood lining the uterus. The tissue is sent for lab tests.

Going Home
After resting briefly, you should be able to go home. You may be given medications to reduce pain or the risk of infection. Take the medications as directed, and be sure to follow up with your doctor in about 2 weeks.

Explaining Miscarriage
Why did it happen? Every woman who has a miscarriage wants to know. Sometimes there’s a problem with the baby or the uterus. Other factors, such as illness, may also play a role. But many times, the cause of a miscarriage never becomes clear. What doctors do know is that miscarriage has nothing to do with normal daily living. This pregnancy was not lost because of something that you did.

What Does Not Cause Miscarriage
Plenty of myths and old wives’ tales try to explain the cause of miscarriage. But, they are fiction—not fact. None of the following activities causes miscarriage:

• Carrying groceries
• Lifting a small child
• Wearing high heels
• Working outside the home
• Being a vegetarian
• Eating spicy food
• Having sex
• Having a Pap Smear
• Colouring your hair
• Vacuuming

Possible Causes
Miscarriage is common, but finding its cause may not be easy. If a cause can be found, it’s likely to be a problem with the baby or the structure of the uterus. Other factors cause miscarriage, but they are less common.

Problems with the Baby
Any of the following problems with the baby can cause a miscarriage:

• There is a problem with the baby’s chromosomes (genes that carry the information needed for life).

• The placenta or the umbilical code may be damaged.

• Problems with the Uterus or Cervix

Any of these problems with the uterus or cervix can cause a miscarriage:

• The Uterus may be divide have a septum), or have fibroids, adhesions, or endometriosis.

• The lining of the uterus may be too thin for the fertilized egg to implant.

• The cervix may be too weak to support the weight of a pregnancy.

Other Factors
Any of the following factors can cause a miscarriage:
• A serious illness, such as lupus or German measles, can affect a pregnancy.
• A bad injury, perhaps dusing a car accident, could put the pregnancy at risk.
• Exposure to toxins or radiation can harm a pregnancy.

If You Want to Try Again You’ve been pregnant, so you know that chances
are very good it can happen again—if you want it to. The choice belongs to you and your partner. For most women, miscarriage happens only once. If you’ve had two or more, special tests may be done to help find and correct the problem. If you want to try again, do so when you’re ready. It is likely that your next pregnancy will be healthy.

Special Tests
If you go on to have repeat miscarriages, your doctor may want to run a few tests. In certain cases, special tests can pinpoint the cause of miscarriage. Some causes, such as problems with the uterus, can often be corrected. If you have a general health problem, finding ways to control it may be all that’s needed.

Prepare for the Future
After the first miscarriage, most couples go on to have a healthy pregnancy. You can give a future baby the best start by eating a balanced diet. To help prevent problems during your next pregnancy, avoid actions that may place the baby at risk. While you are pregnant, stay away from the following:
• Smoking
• Drinking alcohol
• Using drugs
• Spending time in hot tubs and saunas

Moving Ahead
A miscarriage does not have to mean the end of your dreams. Try to think of it as a temporary setback. Most women who try again have healthy pregnancies. Just give yourself a chance to recover and regain your strength. Consult the OBGYN who specialized in high risk pregnancies.

Self-Care for Common Pregnancy Issues

During pregnancy, your body goes through many changes. You can take care of some common symptoms yourself. But if any become severe, be sure to contact your Doctor.

Fluid Retention

  • Puffy legs, ankles, and feet are a sign that your body is holding too much fluid. This can lead to swelling. To deal with this:
  • Put your feet up when you sit down. Lie down on your left side.
  • Wear comfortable shoes. Don’t wear socks or stockings with elastic tops.
  • Ask your DOCTOR how much water you should drink each day.

Morning Sickness

  • Nausea or vomiting may occur anytime. To ease symptoms:
  • Keep unsalted crackers by your bed. Eat a few before standing up.
  • Eat small amounts of food often, before you feel hungry. If solid food makes you sick, drink low-sugar juices, shakes, and soups.
  • If fluids bother you, try eating solid foods that have a high water content, such as fresh fruits and vegetables.
  • Eat food high in protein. These include nuts, cheese, milk, eggs, and chicken. Also eat complex carbohydrates, such as whole-grain pasta, potatoes, and most fruit.


Heartburn and Indigestion

  • You may feel a burning between the ribs or notice a sour or bitter fluid in your throat or mouth. Some women have gas, hiccups, and bloating. To feel a little better:
  • Don’t eat for at least 2 hours before bed.
  • Sleep with your head raised about 6 inches. Eat small meals more often. Eat slowly. Stay away from spicy, acidic, and fried.
  • foods, chocolate, and processed meat.
  • Don’t bend or lie down right after eating.


  • These are inflamed, swollen veins in or around the anus. You may have itching, soreness, pain, or bleeding at the opening of the anus. To help treat or prevent hemorrhoids:
  • Try not to get constipated. See the section on “Constipation” for tips.
  • Keep your weight within the range advised by your DOCTOR. Excess weight can make hemorrhoids worse.
  • Ask your DOCTOR about using over-the-counter creams or pads.
  • Apply an ice pack (cold pack or bag of ice wrapped in a thin towel) to the area. Never put ice directly on the skin.
  • Soak in a warm (not hot) bath a few times a day.

Take Extra Precautions

Talk with your Doctor before using any medications.

 Back Problems

  • If you have back pain, try the following:
  • Wear low-heeled shoes with arch support. In bed, lie on your side and bend your
  • When resting, support your body. Place a pillow behind your back, between your legs, and under your belly.
  • When sitting, don’t cross your legs. Sit on a firm chair with a straight back and armrests.
  • If you’ve been sitting for an hour, get up to walk and stretch.
  • Don’t stand for long periods of time. If you must, rest one foot on a low stool or ledge.
  • Avoid lifting heavy loads. Get help instead. Don’t stretch to reach things up high.
  • Stand on a low, steady stool.
  • Try a warm (not hot) bath or shower.


  • This problem occurs when stools are hard and painful to pass. To help treat or prevent constipation:
  • Use the bathroom when you feel the urge. Eat foods high in fiber.
  • Good choices include fruits, vegetables, and whole grains. Limit or avoid high-fat and refined foods.
  • Drink plenty of fluids (unless told otherwise). Get daily exercise.
  • Ask your Doctor about stool softeners.


When to Call Your Doctor Call your Doctor right away if you have:

  • A fever of 100.4?F (38?C) or higher.
  • Severe nausea or vomiting (can’t keep food or liquids down).
  • Vaginal spotting or bleeding without any pain.
  • Heavy or persistent bleeding with belly pain or cramping.
  • Pain or burning feeling while urinating. EVision problems (such as seeing spots or
  • flashing lights).
  • A headache that doesn’t go away. EIncreased swelling, especially in your
  • hands or face.
  • Not felt your baby move more than 10 times in 2 hours and it’s after your 28th week.
  • A sudden gush or steady flow of green, yellow, or clear water from your vagina.
  • Labor pains before 37 weeks. Dizzy spells or fainting.
  • Rapid weight gain or weight loss.


Tests During Pregnancy

  • Your Doctor will want you to have certain tests. This is normal. Results of the tests help your Doctor better understand and manage your health and that of your baby. Common tests include:
  • Ultrasound to show how your baby is developing and to look for certain problems. A small device is moved over your stomach. It sends pictures of your baby to a video screen.
  • Blood glucose screening to check the amount of glucose (sugar) in your blood. This helps find gestational diabetes (diabetes that occurs during pregnancy due to changes in the body).
  • For the screening, you drink a sugary liquid and a blood sample is taken an hour later.
  • Testing of blood, cells, and fluid to compare blood types of you and your baby, as well as to screen for genetic problems and birth defects.


Create Healthy Habits Along with visits to your Doctor, you can take action at home. To feel your best, make healthy eating choices and get active each day.


Eating for Two

Eating for two is about eating healthier, not eating a lot more. Your weight before getting pregnant affects how much you should gain during pregnancy. If you’re of normal weight, you only need an extra 300 calories or so a day. This is about the number of calories in a small meal or hearty snack. If you’re underweight, you may need more than 300 extra calories, and if you’re overweight, you may need less than that.


Getting Enough Exercise

Daily activity can help you feel good in both body and mind. Exercise tones and strengthens muscles. It helps to improve mood, too. Talk with your Doctor to find out which types of exercise may be best for you. Also ask about prenatal exercise classes. In general:

  • Warm up and cool down at each session. Know when to slow down. Can you talk? If
  • not, you’re working too hard.
  • After the first trimester, don’t exercise while lying flat on your back.
  • Discuss All Drugs with Your Doctor To protect your growing baby, don’t take any medication, drug, or supplement without first talking to your Doctor. Be clear: even occasional use of marijuana, cocaine, methamphetamine, or heroin can be very harmful—even deadly— to your baby.


Stop Smoking

If you or your partner smokes, now’s a great time to quit. Smoking or breathing in secondhand smoke can increase the risk of:

  • Miscarriage (losing the baby)
  • Preterm labor (going into labor before 37 weeks of pregnancy)
  • Low birth weight of the baby.
  • Stillbirth (showing no signs of life at birth)
  • Infant mortality (baby dies as an infant)
  • Sudden infant death syndrome (SIDS).


Pause on Drinking Alcohol

  • Avoid drinking alcohol during pregnancy.
  • Alcohol can lead to some very serious problems for your baby, including:
  • Stunted growth, deformities, and poor muscle control.
  • Mental retardation.
  • Learning, behavior, and social problems later in life.


Limit Caffeine

  • Limit or avoid caffeine to help prevent side effects. Caffeine can:
  • Affect your appetite and mood. Keep you awake.
  • Raise blood pressure.

Facts About Fertility Problems

Infertility is a couples problem. Fertility problems are just as common in men as they are in women. It’s also common to find factors that decrease fertility in both partners. Infertility is a medical condition. Fertility problems are not “in your head.” They are caused by problems in the reproductive system. When to seek  Fertility treatment depends on your age. Couples in which the woman is 35 or older should seek assistance if they’re unable to conceive after 6 months of well-timed, unprotected sex. Getting pregnant is not always easy. Even under the best conditions, most couples have less than a 25% chance of conceiving each month. Chances are even lower for women older than 38. Adopting a baby will not help you get pregnant. The pregnancy rate is the same whether you adopt a baby or not. Fertility problems also happen to couples who’ve already had a child. Secondary infertility is a common problem for couples who’ve already conceived. It can be caused by a variety of factors.

Obstacles to Pregnancy   The path to pregnancy is not always smooth. Female age, hormones, sperm problems, and the health of your reproductive system can all become obstacles to pregnancy. Keep in mind that it’s common for both partners to have factors that decrease fertility. And sometimes the cause is unknown. So try to avoid feeling guilty or placing blame. Instead, share the challenge and support each other.

Age  Age is a major factor in female fertility. As a woman ages, the quantity and quality of her eggs decline. This becomes apparent by around age 35 and speeds up after the age of 38. A man makes sperm throughout his life. So age in men is not as much of a factor. However, many problems can affect sperm regardless of a man’s age.

Problems with Sperm: Health or lifestyle factors can lower the number of sperm (sperm count) in a man’s ejaculate. Even if the sperm count is normal, a man may produce sperm that don’t function properly. These may not be able to make the journey through the woman’s reproductive tract. Or, they may not be able to fertilize an egg.

Problems with Ovulation  Ovulation problems are a common cause of infertility. In some cases, an imbalance of hormones can prevent eggs from maturing. Hormone problems can also prevent eggs from being released by the ovaries.

Problems with Fertilization  A blockage in the male or female reproductive tract can prevent fertilization. Or, sperm may be unable to swim through the cervical mucus. And even if sperm do reach an egg, they may not be able to penetrate the egg’s covering.

Problems with Implantation  After fertilization, an embryo may not be able to implant in the uterus. This is often due to problems with the lining of the uterus. It can also result from problems with the size or shape of the uterus.

Keeping a Positive Attitude  Dealing with fertility problems can be exhausting. But if you feel discouraged or depressed, remember that you’re not alone. Keep sharing your feelings with your partner. Take advantage of help from your doctor, family, or support groups. And remember that no matter what happens, you and your partner can still look forward to a rewarding life together.

Coping with Your Feelings  Trying to cope with fertility problems is a challenge you probably never expected. So it’s natural to find yourself having strong feelings at times. You may feel guilty, angry, or sad. You might start to resent other couples with children. Or you may simply be tired of having to “schedule sex.” Recognize that these feelings are not only common, they’re completely normal. Just don’t let them take over your life. Keep things in perspective. And don’t be afraid to ask for support if you need it.

Dealing with Social Situations  Over time, it’s likely that some people may unintentionally offend you with comments or questions. Although this can be upsetting, just remember they probably have no idea what it feels like to be in your shoes. It may help to explain your situation. But if you don’t want to talk about it, you don’t have to. If nothing else, tactfully changing the subject can help ease the situation.

Getting Support If your stress and anxiety feel overwhelming, it often helps to share your feelings with someone. This could be your partner, a family member, or a friend. It could also be your doctor. Another option is to ask your Best IVF doctor about joining a support group for couples dealing with fertility problems. Being in a support group can help keep you from feeling alone. You can also learn from the experiences of others.

Nurturing Your Relationship  Fertility problems can strain even the best relationships. That’s why supporting each other now is more important than ever. Be careful not to assign blame or lash out in anger. Instead, listen to each other. Share your feelings. And make time for intimacy and romance. Even little things, like a weekend vacation, can go a long way toward easing your stress.

Thinking Things Over  If you’ve been through a long period of treatment, consider taking a break to think things over. Just a month off can help relieve some of the pressure you may be feeling. You might also use this time to reevaluate your goals or agree on a date to stop treatment. Deciding on a time to stop can be very difficult. But many couples find that setting a deadline helps them regain a sense of control. It can also give you a fresh outlook on other alternatives.

Looking Ahead  There’s no single answer for fertility problems. But the more you know, the easier it is to deal with the challenges. Take time to learn all you can about your options. Share your thoughts and feelings with your partner. And be sure to talk with your doctor when you have questions. With patience and support, you can improve your chances of success.

IVF- Hope for couples struggling to conceive

Infertility is a source of pain the world over, but in many places the awful stigma attached to childlessness makes it even harder to bear. IVF is accessible as a primary treatment for infertility in women over age 40 or it was too late to conceive naturally. IVF can be chosen if you have certain health issues. IVF may be an decision if you or your partner has:

  • Fallopian tube damage or blockage. Fallopian tube blockage makes it hard for an egg to be fertilized or for an embryo to travel to the uterus.
  • Ovulation disorders. Uncertainty ovulation is uncommon or absent, fewer eggs are existing for fertilization.
  • Premature ovarian failure. Premature ovarian failure is the damage of normal ovarian function before age 40. If your ovaries fail, they don’t develop normal quantities of the hormone estrogen or have eggs to release regularly.
  • Endometriosis. Endometriosis occurs when the uterine tissue implants and produces outside of the uterus — often affecting the function of the ovaries, uterus and fallopian tubes.
  • Uterine fibroids. Fibroids are kind tumours in the partition of the uterus and are common in women in their 30s and 40s. Fibroids can restrict with establishment of the fertilized egg.
  • Previous tubal sterilization or removal. If you’ve tubal ligation — a type of cleansing 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. Minimum sperm concentration, weak movement of sperm (poor mobility), or irregularities in sperm size and shape can make it difficult for sperm to fertilize an egg. If semen anomalies are found, your partner might need to see a specialist to determine if there are correctable problems or underlying health concerns.
  • Unexplained infertility. Unexplained infertility means no reason of infertility has been found despite assessment for common causes.
  • A genetic disorder. If you or your partner is at danger of passing on a genetic disorder to your child, you may be candidates for preimplantation genetic diagnosis — a procedure that involves IVF. Embryos that don’t contain recognized problems can be moved to the uterus.
  • Fertility protection for cancer or other health conditions. If you’re about to start cancer treatment — such as radiation or chemotherapy — that could damage your fertility, IVF for fertility protection may be an option. Women can have eggs collected from their ovaries and frozen in an unfertilized state for later use.

Health experts estimates that nearly 60 per cent women over 35 have trouble conceiving naturally. says IVF Specialist Dr. Nirmal Bhasin who advises women in their 30s to get pregnant as soon as they can.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Who have been struggling to conceive, says Dr. Nirmal Bhasin

When it comes to careers, most youngsters are not willing to risk anything and give it their all often at the cost of their health. Not only are health issues becoming more common, but they are also getting severe with each passing year. Dr. Nirmal Bhasin Director Jannee Fertility centre chandigarh, attributes this to the sedentary lifestyle that has become a norm for most people between the age groups of 20 and 35. “Junk food has become the staple diet for the youth of today. As a result obesity is a very common phenomenon these days. Many people do not realise that weight gain aggravates many health issues that lead to infertility. Male infertility as a result of excessive smoking, alcohol and lack of exercise.

  • Fortunately, along with the increase in health issues, advancement in the world of medicine to have been keeping pace with the growing health problems. “It was easier to tackle the issues related to conception than it was a few years back in 1990, the success rate for IVF treatments was a more 10 percent whereas now it almost 70-80 percent. Awareness regarding such treatments has gone up considerably and people come to us earlier which helps us detect the problem and tackle it before the condition of the patient worsens.” Says Dr. Nirmal Bhasin. Other Reasons You’re Not Getting Pregnant are Blocked fallopian tubes, Irregular cycles, Fibroids, Endometriosis, Polycystic Ovary Syndrome, Age. Below are the major hindrances which are acting as a roadblock in your way of conceiving or getting pregnant:-
  • Being on the wrong side of the weighing scale
  • Sleeping pattern
  • Tight undergarments
  • Stress
  • Unhealthy lifestyle
  • Pollution
  • Excess or too-little sex
  • Too much of lubricants
  • Urination right after sex
  • PCOS(Polycystic Ovarian Syndrome)
  • Irregular periods
  • Irregular ovulation
  • Problem in the fallopian tube
  • Endometriosis
  • Quality and quantity of eggs that are produced in a women’s body
  • Poor quality or quantity of a man’s sperm
  • Cervical mucus(Cervical mucus facilitates the transportation and movement of sperm towards the eggs)
  • Low progesterone level
  • Unexplained infertility
  • Combination infertility

The good news is that we provide best infertility treatments in Chandigarh for PCOS and other infertile patients.

Readers! Please like, comment and share this valuable information.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues.

IUI Treatment Centre In India

Intrauterine insemination(IUI) is performed with the partner’s sperm or donor sperm.
The outcome of IUI is that the sperm will swim into the fallopian tube and fertilize the egg there, resulting in normal pregnancy. There are many best IUI treatment centre In India to offer the best treatment.
Indications for IUI?
Intrauterine insemination is used often in couples who have:
• Impotency in male partner
• Ejaculation problems
• Inadequate sperm count
• Low sperm mobility
• Women who need donor sperm to get pregnant
• Cervical factor infertility

Procedure For women

• If no fertility drugs are used then IUI can be performed between day 12 and 16 of your monthly cycle. On day one of the period, blood tests and urine tests are done to identify when the ovulation will start.
• If fertility drugs are used for stimulation, vaginal ultrasound scans are done to track the development of eggs. As soon as the egg is mature, an H.C.G hormone injection is given to stimulate the release of the egg. The best quality sperm is selected and inserted through a catheter into the uterus.

For men
o A sperm sample will be taken on the day of the treatment.
o The sperm is washed to remove the fluid surrounding them and mobile sperms are separated from immobile ones.
o Rapidly moving sperm is placed in a small catheter and inserted into the uterus.
o If donated or cryo-preserved sperm is used then it is removed from the storage, thawed and prepared in the same way.
A success rate of IUI
It depends on several factors:

? The success rate is 20% higher in the couple who undergo IUI procedure every month before pregnancy.
? It also depends on the age of female
? Reasons for infertility
? Fertility drugs are used or not
IUI is a less invasive and less expensive procedure, but the pregnancy rate is lower than that from IVF. It must be noted that this treatment must only be performed by the best IUI treatment centre in India under the supervision of skilled doctors in the state of the art clinics to avoid risks associated with it.
It is important to know that all the above factors may be reducing your chances of getting pregnant. If you and your partner are not succeeding despite regularly trying for conception for more than a year then consulting the experts at Chandigarh IVF can cater to the issues being faced.
You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues.
Categories BlogTags #fertilitycamp, #freeconsultation, cost of IVF in India, IVF treatment clinics, Low Cost of IVF in India

All About ICSI – Does it improve your chances of having a baby?

Intracytoplasmic sperm injection is an assisted reproductive technology (ART) used in the treatment of sperm-related infertility problems. ICSI Treatment Center Chandigarh is available to offer treatment to the patients looking for the same. The technology was introduced in 1992.
ICSI is used to improve fertilization phase of in vitro fertilization (IVF) by injecting a single sperm into the matured egg for fertilization. The fertilized egg is then placed in the woman’s uterus for normal growth.
This procedure is commonly used to overcome male infertility issues.
How is it performed?
For the Female:

Take drugs to stimulate ovulation
Eggs are collected and injected with your partner’s (or donor’s) sperm
Fertilized eggs are transferred to your womb after 2-3 days
Pregnancy test on a set date.

For the Male:

Sperm collection and their examination under a microscope. If quality is determined to be fine and it can be collected on the same day as the egg from the female, proceed to step 2. Otherwise, call for donor sperms.
Sperm collection from the epididymis or testicles
Injection of sperms into the collected eggs, and a chance of fertilization!

On the day of the procedure:

The specialized pipette is used to hold the mature egg.
A single sperm is immobilized and picked up using a delicate, sharp and hollow needle.
the needle is carefully inserted through the shell of the egg into the cytoplasm.
Sperm is injected into the cytoplasm and the needle is removed.
Eggs are checked the next day for confirmation of normal fertilization.

if the sperm count is zero:

In cases of vasectomy, the sperm can be retrieved from the testicles (testicular sperm extraction or TESA) or epididymis (percutaneous epididymal sperm aspiration or PESA).
However, if the sperm count is zero for any other reason, consider Donor Insemination or In-vitro fertilization.”

Once the process is complete and fertilization is successful, the embryo is transferred to woman’s uterus. The fertility specialist at ICSI treatment centres in Chandigarh uses transvaginal ultrasound and blood tests for determination of implantation and pregnancy.
Success rates
Pregnancy rate is higher for IVF procedures with ICSI than for IVF without ICSI. The success rates vary according to

Every individual case
The ICSI technique used
Skills of the doctor or specialist
Overall quality of the laboratory
Quality of the eggs

Affordable IVF Treatment! Our team of experienced specialist fertility doctor #Dr. Nirmal Bhasin will help you in your fertility issue. High Success Rate. Are you ready to take the next step? Get an Appointment +91-7508281399, +91-9592670953

Best Infertility Clinic

A groundbreaking health team is aiming to bring joy to even more childless couples.
The team at Jannee Fertility centre said,” Our Mission is to serve the people of India and bring happiness to couples in their tough journey, and achieve their dreams.”
There are a number of different Assisted Reproductive Techniques that have become quite popular. In Vitro Fertilisation (IVF) has helped many couples with severe infertility problems to have a baby.

Our Patients are generally found us by getting recommendations from other couples or our reputed brand name(Jannee Fertility Centre) that they have heard of. Without beating around the bush, we know that cost is an important factor. But there is more to medical treatment than cost.
Success Rate:- Our Clinic has a high Sucess rate and as well as good infrastructure. Facilities & services offered by Jannee Clinic really matters to the patient.
we follow a total transparency policy and keep the couple updated about each procedure and how the patient is responding, test results and
complications if any. When decisions are to be made regarding which course of treatment to follow the couple are allowed to have the final say in this matter.
Whether it be a cause within the female partner or male partner or an unknown cause, you would find solutions to any infertility related
the problem here at Janner Fertility centre.

Medical Examination and best infertility evaluation.
We request a semen analysis as part of baseline investigation and evaluate the tubes if necessary in the female partner as part of our preliminary
investigation. Baseline hormonal profile (FSH, LH, Thyroid profile, Prolactin, AMH etc.) is also evaluated if required. The results of the evaluation
and analysis decide the most appropriate strategy and nature of the treatment to be undertaken.

We wish you all success in achieving a pregnancy.

Embryo Adoption

It is among the latest methods of family building, which combines assisted reproductive technology with adoption. So instead of adopting a baby infertile couples can instead adopt an embryo.
Infertility Specialist Dr. Nirmal Bhasin, “Technology in Infertility treatment has allowed us to freeze embryos.” In other words, embryos can be adopted years after they were made.

There are also better techniques available to allow women, even those who have undergone menopause to carry a child. “Within two weeks we can ensure, with tablets and an injection every day, that the women’s endometrium- the inner lining of the uterus -is thick enough to sustain a pregnancy as per Dr. Nirmal Bhasin.
If you adopt an embryo, the whole world sees you pregnant. You don’t have to publicize that it was someone’s egg and sperm. The law says that you are the biological mother as you have delivered the child. Moreover, you get to feel the baby kick, you go through labour as well as breastfeeding.
When a couple comes up for infertility treatment, the doctor treats her medically to harvest the maximum number of eggs. Then we create many embryos per couple on the presumption that a couple may need to undergo many cycles to get pregnant. Many get pregnant in the first attempt and instead of throwing their other embryos, they allow us to donate them.
Where Do you Get Embryos From?
During IVF Cycles, young women often produce many eggs and therefore embryos. The supernumerary embryos are stored in liquid nitrogen at minus 196degree Celsius. if the parent gets pregnant they often agree to donate their embryos to the infertile couple.
Embryo donation is usually treated as a closed adoption. There is no contact between the donating couple and the recipients. The recipient’s couple is under no obligation to inform the obstetrician that the pregnancy has been achieved through embryo adoption.
Unlike in traditional adoption, there is no legal process. The couple “biologically adopts” the embryo. For the infertile couple, embryo adoption offers the unique opportunity to experience pregnancy.
It is not Surrogacy:
In surrogacy, a woman carries the child of the infertile couple. In embryo adoption, the child that the couple carries is the child they will Parent.

If you and your partner are not succeeding despite regularly trying for conception for more than a year then consulting the experts at Chandigarh IVF can cater to the issues being faced.
Dear readers! If you like this post and could relate to it then leave a comment below and share it with others.
You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues.
Categories BlogTags #ivf, IVF treatment

Stress and infertility

  • Does Stress causes Infertility?
  • How can you deal with the stress of infertility?
  • Does managing stress improve infertility?

All the above questions lead towards infertility. Stress play an important role in causing infertility like those who were most stressed were 20% less likely to attain fertilization success.

  • High level of stress hormone halts ovulating and are therefore incapable to conceive.
  • High points of the hormone cortisol are linked to stress which outcomes in infertility.
  • The main reason of male infertility is sperm anomalies, with low sperm creation.
  • Researcher initiate that men who experienced two or more stressful life actions in the past year had a lower ratio of sperm motility.

How to overcome stress?

  • Massage may decrease infertility stress for some women’s.
  • Learning relaxation techniques and stress management plans.
  • Eat Healthy and exercise daily and remembering how to be good to yourself.
  • Before choosing any of these methods, however, check with your infertility specialist to be sure they are appropriate for you and will not restrict with your treatment.

It is not always that donor eggs or sperms are used. The IVF clinics in Chandigarh have all these procedures available and the procedures are done in a sterile fully equipped laboratory. So, couples who are trying to conceive should keep their faith and seek advice from a professional instead of giving in to the whims and fancies of the society and cultural taboos.

Do You understand your Fertility Health?

Fertility Facts About Men and Women
One in 10 healthy couples of reproductive ages will experience fertility problems.
For Healthy Women, fertility peaks in their mid-20s. From age 35, the fertility decline speeds up.
Women under 30 have about 25% chance of getting pregnant naturally each cycle, that chance drops to 20% for women over 30. By 40, the chance of getting pregnant naturally each month is just 5%.

Out of every 100 couples trying for a baby, 80 to 90 will get pregnant within 1 Year. The rest will take longer or may need help to conceive.

Boost your fertility:

  • Eat Well- Make sure to include enough protein, iron, zinc , vitamin C , vitamin D in your Diet.
  • Think before Drinking -alcohol consumption decreases ability to get pregnant.
  • Watch your weight -excess body fat can lead to an overproduction of certain hormones and disrupt ovulation.
  • Quit smoking: Cigarette toxins not only damage a woman’s eggs but interfere with implantation process.
  • Take time to relax – As your stress level increase, your chances of getting pregnant decrease.

Infertility Causes:

  • Ovulation Disorder
  • Low sperm count and poor sperm health
  • PCOS
  • Obesity
  • Unexplained infertility

Infertility Treatment:

  • IVF
  • Surrogacy
  • ICSI
  • Artificial insemination

There is no harm in trying these methods to encourage fertility. But if you don’t get pregnant within the suggested time frame, then it’s time to seek help from a fertility specialist.

Lifestyle Risks for infertility

Diet/Exercise: Diet and exercise can help contribute to maintaining a healthy weight. Which plays an essential role for conception. Because both over and underweight can lead to hormonal imbalances whereby fertility may be impaired.

Smoking: Tabaco smoke contains approximately 4000 harmful chemicals. That can impair egg cell development and disrupt hormone production. In addition, inhaling the toxins can leads to problem with the implantation of fertilized eggs in the uterus.

Alcohol: Regular alcohol consumption can lead to hormone imbalances. In women it leads to delayed egg maturation and disturbed menstrual cycles and in men it can lead to a decreased sperm quality and count.

Chemicals: Due to their chemical makeup everyday items such as sunscreens, beauty products plastic containers fragrances and pesticides may have an impact on your fertility by altering your body’s hormone balance.

Medications: Consult with your doctor about any medications that you are taking. Both prescription and over the counter as some of them may be reducing your and your partner’s fertility levels Antibiotics for example can affect a man’s sperm production.

Sleep: Women with low levels of melatonin and serotonin often display more difficulty conceiving due to shorter period of time between the ovulation and menstruation Aim for seven to nine hours of sleep every day.

it is important to know that all the above factors may be reducing your chances of getting pregnant. If you and your partner are not succeeding despite regularly trying for conception for more than a year then consulting the experts at Chandigarh IVF can cater the issues being faced.

Dear readers! If you like this post and could relate to it then leave a comment below and share it with others.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter, YouTube for the latest blog on fertility issues

Blog Tags #ivf, IVF treatment

Infertility & Depression

Thinking about infertility All day long Racked with Guilt Feeling worthless or Ashamed Persistent Feelings of sadness, Feeling Socially Isolated, Not Enjoying Activities, You Once did Frequently feeling Anxious experiencing panic attacks, quickly become frustrated or angry trouble in concentrating or remembering things, relationship is suffering, Struggling with sexual performances Appetite issues Sleeping Disorders.

Research shows that, as a group, women with fertility complications are as concerned and depressed as women with cancer, heart disease, or HIV. One cause may be that the physical difficulties of fertility treatments, including blood tests, pills, ultrasounds, egg retrievals, daily hormone injections and surgery, can be a cause of pressure and emotional confusion.

Also, humanity often fails to identify the pain caused by infertility, so people struggling to conceive tend to hide their grief, which only increases feelings of shame and separation.

If anyone being treated for infertility and are feeling signs of depression, talk with infertility Specialist. She can refer you to a therapist who focuses in cognitive behavioural therapy as well as a psychiatrist who can support if essential. For many couples, short-term psychotherapy is effective in helping to resolve feelings of depression, particularly when combined with self-care plans such as relaxation methods to remove pointless stress, meditation and exercise. Give yourself consent to grieve, don’t feel remorseful about avoiding baby attentive events and keep in mind that for most people, infertility is a temporary crisis.

Motherhood calling: Infertility treatment

Infertility affects one in every four couples in the developing country. The World Health Organization now recognises infertility as disease as it leads to high burden on the couples. trying to achieve and maintain a desired pregnancy.
Infertility treatment Varies from patient to patient as some fertility problems are more easily treatable to as compare to others. They may be classified into three category:

To boost the ovulation in females and sperm count/ function in males.

In case of blocked Fallopian tubes. fibroids, endometriosis. Etc.

This Involves Placing the Male partners sperms inside the uterus of the female.
Assisted Reproductive Technology (ART)
In this, the process of sexual intercourse is bypassed and fertilization of the oocytes occurs in laboratory environment. ART treatment and their indications are as follows:
1. In vitro fertilization(IVF) /test tube baby:
Procedure followed when medication and IUI have failed, blocked Fallopian tubes, unexplained infertility.

2. Intracytoplasmic sperm injection (ICSI):
Used When the Sperms are immotile/extremely low in number unexplained infertility

3 Egg donation:
When Woman is of advanced age: has premature ovarian failure
Poor egg quality: Career of Inheritable disease was expose to chemotherapy
Sperm donation: Used if man does not produce viable sperms has inheritable disease
Embryo donation: When both partners are infertile and still want to experience Pregnancy
Surrogacy: If the woman uterus is damaged / removed recurrent miscarriage.
Cryo-preservation (freezing) of embryos and/or gametes.
Basic fertility tests and counseling by a fertility specialist can help a patient decide which treatment option is best for them. Around 15 – 30% couples may conceive with fertility drugs alone while others may need to more invasive and expensive procedures such as IUI, IVF and ICSI .

Stress is the root cause of infertility

The cause might lie with the male, the female or both

Life is moving at a fast pace in today’s time. Ambition. work and personal relationships consume most of our physical and emotional energy. All this leads to lifestyle changes and increase in the stress level. Moreover the stress level is at its peak at the reproductive age. This is one of the main reasons behind infertility and this translates into a vicious circle, where the taboo and sorrow of childlessness leads to more stress.

According to World Health Organization (WHO). Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse”.

The cause of infertility lies with one or both the partners. In 40% cases there is an issue with the male while in another 30% cases, its with the female.
In the remaining cases both the male and the female might be responsible for Infertility or there might be no cause that can be identified.

Common causes of male infertility include:

  • Hormonal Imbalances
  • Sperm production problems
  • Blockage of sperm transport
  • Erection and ejaculation problems

Common causes of female infertility include:

  • Problems with egg formation/release
  • Tubal blockage
  • Defect in uterus

Female infertility

Understanding Infertility- means when you are trying to get pregnant, with frequent intercourse for at least a year and no success. Female infertility, male infertility or a combination of the two affects millions of couples in the India.

About one -third of time female factors are responsible for infertility and one -third of time male factors are responsible. For rest of the cases either the cause is unknown or the combination of both.

It is not very easy to diagnose female infertility. But by knowing the cause of infertility, many options are available for a successful treatment in India.

Symptoms of Female Infertility

  • Major symptom of infertility is you are not get pregnant even after frequent intercourse for a year.
  • Menstrual cycle that’s too long -35 days or more.
  • Menstrual cycle that’s too short -less than 21 days).
  • Irregular or absent mensural cycle means that you’re not ovulating.

When you should consult your doctor:

  • AGE- Up to age 35, most doctors recommends trying to get pregnant for at least a year before undergoing any treatment.
  • AGE-between 35- 40-Consult your doctor after six months of trying.
  • Older than 40, Your doctor may start with testing and treatment immediately.

Factors essential to become pregnant:

  • Healthy Ovulation:  Your doctor can help evaluate your menstrual cycles and confirm ovulation.
  • Quality of partner’s- Your doctor will suggests some tests to check the health of your partner’s sperm.
  • You should have regular intercourse during fertile time. Your doctor can guide when you’re most fertile.
  • Fallopian tubes and uterus should be normal.

Risk factors put you at higher risk of pregnancy

  • Age. Age effects the quality & quantity of woman’s egg. This results in difficulty in conception & increase the risk of miscarriage.
  • Smoking. Can damage cervix, fallopian tubes and also increases the risk of miscarriage and ectopic pregnancy.
  • Weight.  If you are overweight or underweight it may effect your normal ovulation cycle.
  • Sexually transmitted infections such as chlamydia and gonorrhea may damage the fallopian tubes. Even unprotected intercourse with multiple partners puts you at the risk of a sexually transmitted infection.
  • Heavy alcohol intake.


  • You should maintain a normal weight. 
  • Quit smoking. 
  • Avoid alcohol. 
  • Reduce stress. 
  • Limit caffeine. About one to two cups of 6 to 8 ounces of coffee per day.

Best infertility clinic in Chandigarh Jannee fertility centre will counsel the couple for the same. If you have any query, you can comment below. We will happy to answer it.

IVF Myths and Reality, you Need to Know

Female Fertility and age

  • Myth: You don’t have to worry about female fertility beginning to fall until age 35
  • Reality: Female fertility is declining by age 28 or earlier.


IVF and Female Age:

  • Myth: IVF is for women who have left it too late.
  • Reality: most women who have IVF started trying for a baby in their early 30s.


Male Biological Clock:

  • Myth: age does not affect male fertility.
  • Reality: Male fertility shows significant decline by the late 30s


The Fertility equation:

  • MYTH: Fertility issues are a female problem.
  • Reality: Male fertility problems are as common as female ones.


IVF Only Solution:

Myth: IVF is the only solution for all infertility problems.

Reality: IVF is one of the treatment options available for infertility amongst basket of options. People have conceived merely losing weight by modifying lifestyle as well as timing intercourse with awareness of fertility window. these are other options like induction of ovulation with the help of medicine and intrauterine insemination (IUI) etc. also available. Jannee Chandigarh IVF Centre wants to fulfil your Dream of parenthood.


IVF Risk Factors

  • MYTH: IVF is Associated with lots of risk factors.
  • Reality: Not true. With newer methods of stimulation protocol the risk factors associated with IVF are negligible. Even the chances of multiple pregnancies can be decreased by following single embryo transfer policy especially in young women.


After Family Planning operation:

  • Myth: After family planning operations, it is not possible to conceive again?
  • Reality: One can conceive even after family planning procedure with IVF Technology.


Infertility, like any other medical condition is not brought upon an individual by choice, but happens due to several reason and strictly requires medical help. Dealing with infertility is challenging and exhausting. Jannee Fertility Centre, the best IVF centre in Chandigarh and Best Infertility Clinic in Chandigarh is here to help provide best infertility treatments.

Intra Uterine Insemination/IUI treatment in India

IUI is a fertility treatment that uses a catheter to place a number of washed sperms directly into the uterus. The goal of IUI is to increase the number of sperms that reach the fallopian tubes and subsequently increase the chance of fertilization.

Why is IUI done ?

i. Unexplained infertility
ii. Low sperm count
iii. Decreased sperm motility
iv. Requirement of donor sperm
v. A hostile cervical condition, such as thick cervical mucus.
vi. Cervical scar tissue from past procedures.
vii. Endometriosis
viii. Ejaculation dysfunction

How it is done?

Semen Sample is collected and washed in the laboratory.

Catheter is inserted through cervix into uterus and washed semen sample is inseminated.

fertilization may occur.

What accomplishment frequency for IUI can be mentioned?

i. It depends upon case range sign, wife’s age, media, technique used and comfort of catheter way at fertilization & motile sperm count. Everything matters.
ii. Achievement rate does not exceed natural fertility rate. Decent units quote a success rate from 10% to 20% per cycle.

What are contraindications to IUI

i. Blocked tubes, major tube pathology
ii. Genital tract infection in either wife or husband
iii. Severe irregularity in semen parameters (low count < 5 million in pre-wash sample, asthenospermia, severe pteridosperm)
iv. Genetic reason for above poor semen parameters
v. Wife’s age advanced
vi. Multiple aetiologies/co-existing factors for infertility
vii. Multiple, previous failures of IUI.

At jannee fertility centre we assist people grow families in accomplishing positive outcomes by giving patients cutting edge benefits. Your fulfilment is our top need. We endeavour to make the procedure of ripeness examination and treatment a positive way. Our vision is to become a Best IUI Treatment centre in India.

Male Infertility Causes And Treatment Options

Infertility has become the talk of the nation with a sharp increase by 30% in infertility cases in the last six years. World Health Organization recognizes infertility as a disease as it impairs the physical, mental, emotional and social abilities of couples affected by it. Contrary to popular belief, infertility is not restricted to urban areas and women alone. It’s a widespread problem which affects both men and women alike. In this blog we will be focusing on male infertility, treatment for which is available at Mohali IVF centre.

Best infertility clinic in Chandigarh

Causes of Male Infertility:

The underlying cause behind male infertility is usually genetic and/or lifestyle. Some of the common causes of male infertility are:-

  1. Varicocele – Enlarged veins in the testicles
  2. Undescended testicle- When one or both testicles fail to move into the scrotum before birth
  3. Infection in the testicle or prostate
  4. Genetic Abnormalities such as Down’s syndrome, Klinfelter’s syndrome, etc.
  5. Erectile dysfunction or impotence- it occurs when a man is unable to develop or maintain an erection.
  6. Testosterone levels- Low levels of male sex hormone (testosterone) may also be responsible for infertility in men.
  7. Low Libido or Sex Drive
  8. Low Sperm count-Sperm count is the number or concentration of sperm cells in a given amount of semen.
  9. Low Sperm motility- The ability of sperm to swim is an essential function of healthy sperm cells. Low motility of sperms usually doesn’t allow them to reach and fertilize the egg in uterus/ tubes of the female.

Best infertility clinic in Chandigarh

Risk factors linked to male infertility:

  1. Smoking
  2. Drinking alcohol
  3. Aging
  4. Infections
  5. Being overweight
  6. Exposure to environmental toxins
  7. Overheating the testicles
  8. Having medical conditions, including tumors and chronic illnesses
  9. Taking medication or undergoing chemotherapy for cancer

How can male infertility be prevented?                                

Male infertility caused by genetic problems or illness can’t be prevented but there are some lifestyle changes which can help in reducing chances of infertility such as avoiding- drugs, excessive alcohol intake, smoking, unprotected sex, tight-fitting underwear, etc.

Best infertility clinic in Chandigarh and Mohali

Treatment options to treat male infertility

Artificial insemination

If the sperm count is low, then artificial insemination is a good option. In this procedure, semen sample is processed and then placed in the uterus or fallopian tubes of female partner.

In vitro fertilisation

Another option to treat male infertility is In-vitro fertilisation. In this procedure, the sperms and eggs are fertilized in a laboratory and then the fertilized egg is placed in the uterus of female partner. IVF treatment in Chandigarh is available at affordable cost.

Donor sperms can be used to help facilitate conception, in case, tests reveals that there is no sperm production. In this procedure, donor sperms are obtained from a sperm bank and placed inside the uterus or fallopian tubes of female partner through artificial insemination or after fertilization through IVF.

Intra Cytoplasmic Sperm Injection

ICSI is used to improve fertilization phase of in vitro fertilization (IVF) by injecting a single sperm into the matured egg for fertilization. The fertilized egg is then placed in the woman’s uterus for normal growth.

This procedure is commonly used to overcome male infertility issues of low sperm count and motility.


In countries like India, infertility is usually associated with a woman and is even stigmatized. However, medical statistics show that both genders are equally a part of this problem. It is now known that 40% of infertility cases are due to problems in the females, 40% due to problems in males, 10% cases due to both and in 10% cases the problem is unidentified. Keeping these figures in mind, it’s important to see infertility as a neutral problem without putting the burden on any one gender. Best infertility clinic in Chandigarh will counsel the couple for the same.

If you have any query, you can comment below. We will happy to answer it.

Do Cervical and Endometrial Polyps Affect Fertility In Women?

Uterine polyps are the lesions and masses of the uterine wall (endometrium) whereas Cervical polyps are small, elongated growths of tissue that protrude into the passageway through the cervix.


In the general population, the prevalence of uterine or endometrial polyp is 10% and about 2 to 5% of women are affected with cervical polyps.


Usually, polyps are almost benign (noncancerous) and polyps on the cervix do not cause any symptoms.  Women in their 40s and 50s,  who have more than one child are most commonly affected with polyps.   The main reasons for the occurrence of polyps are due to an increase in estrogen hormone, chronic inflammation of the cervix, vagina, or uterus, and clogged blood vessels.

Do Cervical and Endometrial Polyps Affect Fertility In Women?

Most cervical polyps do not cause any noticeable symptoms. However, some polyps may bleed between menstrual periods or after intercourse, and become infected, causing a pus-like vaginal discharge.


Dr. Nirmal Bhasin, Director of Jannee fertility center, saysYou should immediately consult a gynecologist once you experience a white or yellow mucus discharge from Vagina, or abnormally heavy periods.”

Also, vaginal bleeding or spotting may occur:

  • After sexual intercourse
  • Between periods
  • After menopause
  • After douching

In rare cases, some of these symptoms may represent early signs of cancer. Therefore, removing them with surgery can help to reduce this risk.


Do Cervical and Endometrial Polyps affect Fertility?


Uterine polyps occur in the endometrium, the tissue that lines the uterine walls, which can affect fertility by lowering the chances of implantation of a fertilized egg. Polyps may even enhance the risk of miscarriage in women undergoing In-vitro fertilization.

Do Cervical and Endometrial Polyps Affect Fertility In Women?


At  Jannee, one of the best IVF centers in Chandigarh, if our doctors suspect uterine polyps, they might perform one of the following diagnostic procedures:


Transvaginal ultrasound- It is performed to see a polyp or identify a uterine polyp as a region of thickened endometrial tissue. Other related procedures are known as Hysterosonography or Sonohysterography.


Hysteroscopy- In this procedure, a flexible, thin, and lighted telescope (hysteroscope) is passed through the vagina and cervix into the uterus to examine the endometrial cavity.


Endometrial biopsy– Here, a suction catheter is put inside the uterus to collect a tissue specimen for lab testing. It is generally performed to confirm Uterine polyps, but sometimes this biopsy examination might also miss the polyp.


Although most uterine polyps are benign in nature, some precancerous changes of the uterus or uterine cancers may appear as uterine polyps. Therefore, a doctor will likely recommend examination of a tissue sample for lab analysis to confirm uterine cancer.


Usually, small polyps might resolve on their own, so no treatment is advised unless a patient is at risk of uterine cancer.


Some hormonal medications may be prescribed as a short-term solution to minimize symptoms of the polyp, because, symptoms typically may recur once the medication is stopped.


Hysteroscopy may be performed for the surgical removal of polyps from the uterine cavity. The removed polyp should be sent to a lab examination to confirm cancerous cells.


Always remember, uterine polyps might be associated with infertility. After effective treatment of polyps, all doors of Assisted Reproductive Technology open for the patient. Depending on the Reproductive history of the couple they may undergo IUI, IVF, ICSI or Surrogacy to start a family.


If you are also experiencing any of related symptoms of uterine polyps and unable to have children, then you may visit Jannee fertility center. Here, the surgical removal of the polyps is performed by our team of doctors led by Dr. Nirmal Bhasin who has several years of experience in the field of infertility.

Book your appointment today for an expert consultation.

How is Diabetes linked to Male Fertility?

Most people are well aware of the effects of diabetes on heart, kidney, eyes, digestion, and nerves. However, many of us do not know that it can have a negative impact on fertility as well. Many fertility treatments are there for infertile couples. IVF technology has resulted in higher success rates. You can get the best fertility treatment at Chandigarh IVF centres.

Common causes of male infertility which are linked to diabetes

Common causes of male infertility which are linked to diabetes-

Men can experience following infertility issues due to high glucose levels.

Erectile dysfunction –

One of the well-known risk factors for developing erectile dysfunction is diabetes. We all know that high blood glucose level affects the nerves and blood vessels throughout the body. Blood vessels and nerves present in the penis also get affected. It causes damage to the nerves which results in decreased sensation and arousal. Decreased blood flow to the penis may cause difficulty in achieving or maintaining firm erections.

Retarded and retrograde ejaculation –

Damaged nerves in the penis may lead to ejaculation problems. Retarded ejaculation is difficulty in achieving ejaculation which may occur due to lack of nerve sensitivity. Retrograde ejaculation is another problem which may result due to damaged nerves. It occurs when nerves fail to control the urinary bladder muscles from closing at the point of ejaculation. Due to this, semen enters the bladder instead of exiting through the penis.

If there is a problem in conception via intercourse, then assisted reproduction technology (ART) such as IVF can help in treating infertility. Cost of IVF in Chandigarh is affordable. So if you are looking for low-cost IVF treatment, then you can go there.

Chandigarh IVF centres

Reduced sperm quality –

Research has shown that diabetes may lead to reduced sperm quality. Semen volume, motility, and DNA integrity- all can get hampered with diabetes. Hormonal abnormalities like low testosterone levels, which are common in diabetic men, may also decrease libido and worsen erectile dysfunction.

No doubt, the treatments, including IVF in Chandigarh, are available for an infertile diabetic male. Yet, tight control of blood sugar levels is the best management of diabetes. You can manage diabetes to some extent by making some lifestyle changes such as daily exercise, eating low glycemic index containing foods, oral hypoglycemic agents, insulin and regular follow up with your doctor.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Basic Infertility Work-Up of an Infertile Couple

Couples often don’t know what to expect when they meet with their fertility specialist for the initial consult. Your doctor will recommend a diagnostic plan or infertility work-up to you. Infertility workup involves a counselling session, followed by a series of comprehensive & detailed tests which are essential to determine causes of infertility. This helps to decide which treatment option would be the most suitable for a particular couple. Mohali IVF centres pay special attention on the initial workup for an infertile couple and help them to select right kind of fertility treatment.


Male work up-



A man can expect to be queried about his family history. He will be asked whether he has ever undergone genital or prostate surgery, if he finds it difficult to achieve an erection, the nature of job he is doing, whether his job involves exposure to dangerous chemicals and if he is suffering from any chronic health problem.


Physical exam-

Physical exam of the genitals and prostate is then done to check for any abnormalities that are affecting the sperm production or release.


Blood tests-

Your doctor will recommend a series of blood tests to screen for conditions that might be affecting your fertility. These tests may include hormonal levels, sugar levels, viral markers, etc.


Semen analysis-
To determine the quality & quantity of sperm, semen analysis is done. It also helps to detect any morphological abnormalities in the semen sample.


Female work up-



A woman can expect to be questioned about her medical and menstrual history. This may include questions about regularity of menstrual cycle, abdominal surgeries, prior conceptions/miscarriages, any kind of gynaecological ailment such as endometriosis/ pelvic inflammatory disease, etc.


Physical Examination & Ultrasound-

The doctor will perform a physical exam during which he or she will do a pelvic exam and look for certain characteristics such as excess hair growth. The physician may also examine your breasts to see whether they leak any fluid or not.


Blood tests-
Fertility assessment also involves a series of tests which include thyroid gland function, prolactin levels, sugar levels, etc


Day three assessment-
Between the second and fourth day of your period, a hormone assessment test is done. This cluster of tests is done to check hormone levels such as FSH, LH and E2 hormones.


Mid-luteal progesterone level-

If the results of day three assessment are normal, and your doctor is still in doubt whether you are ovulating or not, then he will recommend an additional blood test to measure progesterone levels as well.


Other tests-

If neither egg nor sperm production appears to be the problem, then it is possible that your partner’s sperms are running into a roadblock in the fallopian tube. If this is the case, then there are three different types of tests which can be used to determine absence/blockage of tubes. These tests include hysterosalpingogram (HSG), Sono histogram (SHSG) and diagnostic laparoscopy.


What happens after a work-up?

Fertility specialist will help you zero down on the most suitable infertility treatment according to your work-up. Many patients achieve a pregnancy just by taking medication which boosts egg and sperm production in both the partners. However, others may need to undergo more invasive and expensive procedures like IUI, IVF and ICSI as they are commonly used for unexplained infertility. There are some fertility centres in India where you can get low-cost IVF treatment.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Cervical Cancer – Causes, Symptoms, Risk and Treatment

Breast and Cervical cancer are the two most common types of cancers affecting women. Cervical cancer occurs when abnormal cells develop and spread in the cervix. Most cervical cancer cases are triggered by a type of virus. When found early, cervical cancer is highly curable. At Mohali IVF Centres every woman is counseled about the prevalence and prevention of cervical cancer.

Symptoms of Cervical Cancer

In early stages, when the cervical cells become abnormal, signs may not be observed. But when cancer progresses, then you may experience following signs and symptoms-

•    Unusual vaginal discharge
•    Vaginal bleeding between periods
•    Bleeding after menopause
•    Bleeding or pain during sex


Causes of Cervical Cancer

The human papillomavirus (HPV) is a large group of viruses that cause Cervical Cancer in Women. The HPV detected today could have been acquired years ago. The cervix, vagina, and vulva can get infected from several different types of HPV.

Who Is at Risk for HPV?

HPV is so common that most people who have ever had sex — both women and men — will get the virus at some point in life. It’s possible to carry the infection even if it has been years since you had sex. Even though condoms can lower your risk of getting HPV, but they do not fully protect against the virus. HPV can also cause cancers of the vulva, vagina, and penis. HPV are also linked to anal and oral cancers in both male and female.

The risk is also higher in infected women who:

•    Smoke
•    Have many children
•    Use birth control pills for a long time
•    Are HIV positive or have a weakened immune system

One-fourth of the global cervical cancer cases are reported in India every year. In addition, an estimated 74,000 Indian women die annually from the disease. Many Indian women lack both awareness about the disease and access to prevention and treatment facilities.


Cervical Cancer Detection and Treatment

The Pap test is one of the great success stories in early detection. Sometimes, abnormal cervical cells can be observed, before cancer appears. So they can be treated before cancer develops. So, it is better to go for a Pap test after every three years, once you reach the age of 21 years. Women of higher age and at higher risk need to get the test done every year. Pap smear test is available at Jannee Fertility Centre at a very nominal price.

Treatment of patients suffering from this cancer may include one or more of the following:

•    Surgery
•    Radiation
•    Chemotherapy


Prevention is Better than Cure

Cervical cancer may be prevented by undergoing the regular Pap-Smear test and getting vaccinated against the disease. Vaccines are now available against HPV and are generally given in three doses over a six-month period. The vaccines are effective at preventing infections with the two types of HPV that cause 70% of cervical cancers. However, it must be remembered that the vaccines are only used to prevent, not treat, HPV infection. If they are administered before an individual becomes sexually active, they become most effective. So, it is better for females of 9 to 45 years old to get vaccinated against the cervical cancer virus.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Cancer – It Cannot Take Parenthood Away

Cancer has become a wide-spread disease, affecting a large section of the youth as well. However, over the last few decades there has been tremendous improvement in cure rates after cancer treatment.


Fertility of patients, undergoing cancer treatment, at or before reproductive age, gets compromised in all cases. So, diagnosis of cancer is very intimidating to any person who is young and childless. In case of a woman diagnosed with cancer, the disease is usually associated with diminished fertility potential. This adds to the distress of the patient and her entire family. Recent advances in treatment and supportive care have increased survival rates in such patients but with high risk complications, one of them being infertility.


Chemotherapy and/or radiotherapy can severely damage the epithelium of the ovary. Unlike men, women have only a finite number of eggs in their ovaries which mature one by one every month. With age, this reserve of eggs diminishes and cancer therapy further speeds up this process. These therapies can cause ovarian damage that can lead to:

•    Genetic damage to oocytes (eggs)
•    Ovarian failure
•    Early menopause
•    Premature Ovarian Failure (POF)
•    Other reproductive problems.


Fertility preservation strategies are the only hope for parenthood in future for cancer survivors. Best IVF centres in Chandigarh counsel cancer patients about fertility preservation strategies as early as possible before treatment starts.


Fertility Preservation Options:

Treatment choice for a female’s fertility preservation/protection would depend on factors such as:

•    patient’s age
•    ovarian reserve
•    cancer type
•    cancer therapy dose & duration, etc


Treatment options available are:

1.    Embryo Cryopreservation – Fertilization of female’s oocytes through IVF or ICSI and then freezing the resultant embryos through vitrification.

2.    Cryopreservation of Unfertilized Oocytes – May be employed if the cancer patient is unmarried, or have religious/ethical objections to embryo freezing.

3.    Ovarian Transposition – To physically move the ovaries out of the pelvis through surgical techniques.

4.    Ovarian Suppression – using hormones to decrease toxic effects of chemo/radio therapy on ovaries.

5.    Ovarian Tissue Cryopreservation & Transplantation – most suitable for girls who haven’t attained puberty, women with ovarian cysts and endometriosis.


Fertility preservation methods are still applied infrequently as many methods are still at experimental stage or can be performed only at registered centers.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Endometriosis – Symptoms, Risk Factors and Treatment

Endometriosis is a disease associated with pelvic pain and infertility. Endometriosis is a benign condition in which the tissue that normally forms the lining of the uterus (called endometrium) grows outside the uterus. Usually, this tissue occurs in Peritoneum, Ovaries, Fallopian Tubes, bladder, intestines, rectum & Cul-de-sac(The space behind the uterus).


Endometriosis affects about 1 in 10 women and is usually diagnosed in a woman’s 30s and 40s. This disease can cause pain, irregular bleeding, and infertility issues.


How does Endometriosis cause Problems?


Endometriosis implants react to changes in estrogen, a female hormone. It may develop and bleed like uterine lining does during menstrual cycle. The Breakdown and bleeding of this tissue every month also can cause scar tissue called adhesions to form. Bleeding, inflammation and scarring can cause pain before and during Period days.


Symptoms of Endometriosis

What are the Symptoms of Endometriosis?

    • The most common symptom of endometriosis is Painful periods (dysmenorrhea). You may have moderate to severe Pelvic pain and cramping may start before your period and extend several days into your period. You may also have lower back and abdominal pain.


    • Painful intercourse:- Pain during or after sex is common in those who have endometriosis.


    • Pain with bowel movements or urination:- You’re most likely to experience these symptoms during your period.


    • Excessive bleeding:- You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).


    • Infertility:- Endometriosis is first diagnosed in some women who are seeking treatment for infertility.


  • Other symptoms:- You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.


Who is at risk to have endometriosis?


Women with certain forms of congenital uterine abnormality which obstruct normal outflow of menstrual bleeding are at risk to have endometriosis. The risk of developing endometriosis is high in women in which there is an early onset of first mense and those who have a problem of frequent menstrual cycles. Endometriosis mostly occurs in those women who have never had given birth to a child. Pregnancy has a protective effect. Women having a family history of endometriosis in her mother, sister, or daughter is also at high risk of getting this health problem.


How is Endometriosis diagnosed?


  1. 1. Pelvic examination
  2. 2. Ultrasound
  3. 3. Laparoscopy
  4. 4. Magnetic resonance imaging (MRI)

Does endometriosis cause infertility?


Endometriosis is strongly associated with infertility. About 30% to 50% of infertile women have endometriosis and is usually at a more severe stage as compared to fertile women. Numerous research data support the conclusion that endometriosis decrease fertility. You can discuss this in detail at best infertility clinic at Chandigarh.


How does endometriosis cause infertility?


Two major theories have been proposed to explain how endometriosis leads to infertility.


  • Abnormal anatomic relationship between the tube and the ovaryWhen endometriosis is proceeded from moderate to more severe stage, then the ovary becomes wrapped around or bound by adhesions. In a similar way, the neighboring fallopian tube gets often twisted or sometimes blocked. When the anatomy becomes so distorted, the egg now can no longer be picked up easily by the fallopian tube.


  • Excessive production of inflammatory chemicals


There are some specialized white blood cells in the pelvis that are shown to produce a number of inflammatory chemicals which are designed to reduce the growth of endometriosis. Unfortunately, these chemicals create a “hostile” environment in the pelvis and research has shown that these chemicals impair the normal functions of the ovary, tube, or the uterine lining and affects the survival of sperm, egg, and embryos as well.


Which treatment is right for me?


Treatment for endometriosis depends on some conditions such as how severe your symptoms are, whether you want to have children or not, ultrasound examination of the pelvis, the extent of the disease. If you have any surgical treatment in the past, then this will also be considered before giving any treatment. Jannee fertility centre provides the best treatment options.


With long standing infertility and advanced disease where there are extensive endometriosis lesions, severe scarring (adhesions), and/or the ovaries are completely immobilized and the tubes are destroyed beyond repair, treatment with hormonal birth controls for 6-8 weeks followed immediately by in-vitro fertilization is more appropriate and effective.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 


Infertility – Grave Social Stigma

Infertility is a very common problem and is estimated that 1 in every 6 couples will not be able to have a child worldwide, hence affecting 80 million people around the world. It is a major negative life event which has adverse effects on a couple’s subjective well-being. It is defined as the inability to conceive after 12 months of unprotected intercourse. The understanding of the causes of infertility has made enormous progress during the past few decades. In parallel, a number of treatments have successfully treated many infertile couples at one of the best IVF centre in Chandigarh.

Infertility – Grave Social StigmaThe number of couples seeking medical help for infertility is probably lower than the number experiencing it. This may depend to a considerable extent on:

  • The lack of knowledge about success rates and chances to become parents.
  • The costs associated with assisted reproductive technologies.
  • Ethical, religious and personal beliefs.
  • Mass-media descriptions of `extreme’ rather than `normal’ cases.
  • The issue of infertility being surrounded by taboos in countries like India.

Infertility and Social Pressure:

Even a healthy, fertile couple may take one year of regular intercourse to achieve pregnancy. However, in India, social pressure on couples to conceive soon after marriage is very high. For many couples it is often difficult to address this problem openly, and this lack of openness stifles their chances to identify a solution. On the other hand, many anxious couples who fail to conceive after 3-4 months of trying come to infertility specialists out of ignorance and family pressure. When newly-wed couples end up at fertility centres it is usually out of fear of stigma of infertility. At many Chandigarh IVF centres these couples are given counselling and reassurance that they will conceive in the near future and that they don’t need treatment. However, there are certain patients with a tubal block, low sperm count and conditions like polycystic ovarian syndrome and endometriosis who need medical intervention to help them have a child.

Who faces the brunt?

Infertility is a source of distress for couples as societal norms and perceived religious dictums may equate infertility with failure on a personal, interpersonal, emotional or social level. Women bear the brunt of these societal perceptions in most of the cases. Psychologically, the infertile woman exhibits significantly higher psychopathology in the form of tension, hostility, anxiety, depression, self-blame and suicidal ideation. There is documentary evidence that women experiencing infertility are punished with physical violence for their failure. Women are verbally or physically abused in their own homes, deprived of their inheritance, sent back to their parents, ostracized, looked down upon by society, or even have their marriage dissolved or terminated if they are unable to conceive


Role of religion and superstitions:

Knowledge about infertility is inadequate and there are a number of misconceptions regarding infertility in India. The ignorant people may believe that evil forces are the cause of infertility. These misconceptions eventually lead to practices ranging from conducting “havans” to sacrifices in extreme cases. In certain parts of India infertile women are thought to be possessed by evil spirits. Throughout much of the world, there is an association between male fertility and masculinity. There is a misconception that if a man is infertile, he is probably impotent. This stigma often prevents men from seeking evaluation. People also have a belief that fertility treatment means that the woman conceives by donor sperms and eggs. In fact, in a lot of cases, the first step towards fertility treatment is scheduling a well-timed intercourse. Additionally, there is a religious bias against adoption. In-vitro fertilisation is available to varying degrees, but there are religious constraints on the use of donor sperm and, to a lesser degree, on donor eggs in many locations.


To sum up, the issue of social misery for infertile couples is very high in the country. Infertility is a treatable condition and couples should seek advice at the right time. On the other hand, society should lend a helping hand to such couples instead of accusing them. The inability to have children results in social and cultural exclusion which just adds to the frustration and helplessness of a couple.


For most infertile couples, the solution is usually achieved after the right diagnosis. For women with problems like PCOD and endometriosis and men with mild male factor problems, Intra-Uterine Insemination may be the treatment option. For patients with tubal blockage and very low sperm count, the treatment option is In-Vitro Fertilisation with or without Intra-Cytoplasmic Sperm Injection. It is not always that donor eggs or sperms are used. The IVF clinics in Chandigarh have all these procedures available and the procedures are done in a sterile fully equipped laboratory. So, couples who are trying to conceive should keep their faith and seek advice from a professional instead of giving in to the whims and fancies of the society and cultural taboos.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Low-Cost IVF- It’s Pros and Cons

Since the first test tube baby was born in the year 1978, in vitro fertilization (IVF) treatment has been developed and improved to benefit millions of people who experi¬ence childlessness. It is estimated that the number of IVF infants in the world (including intracytoplasmic sperm injection- ICSI) has now surpassed five million. A lot of IVF clinics in Chandigarh have also given the joy of parenthood to many Indians and NRIs.

Despite the development of in vitro fertilization (IVF) more than 30 years ago, the cost of treatment remains high. Furthermore, over the years, more sophisticated technologies and expensive medications have been introduced, making IVF increasingly inaccessible despite the increasing need. Globally, the option to undergo IVF is only available to a privileged few. However, low-cost IVF treatment in Chandigarh has given hope to many couples struggling with infertility.

The high cost of IVF treatment is the main barrier that prevents many from benefiting from this technology to help them conceive. Although the cost of IVF treatment is variable among different countries, it is generally an expensive treatment in most parts of the world. Fortunately cost of IVF in Chandigarh is not too high, especially at our clinic-Jannee Fertility Centre.

The high price tag for IVF treatment is largely due to Investigations, Medications (mainly for Ovulation Induction) and Laboratorial equipment. In recent years, there has been growing interest in exploring strategies to reduce the cost of IVF treatment, which would allow the service to be provided in low-resource settings.

Before understanding the cost involved in IVF/ Test-Tube Baby, we need to take an overview of the procedure. The IVF procedure involves fertilizing an egg outside the body, in a laboratory dish, and then implanting it in a woman’s uterus. The main steps in IVF are:

• Step 1: Investigations
• Step 2: Ovulation induction
• Step 3: Egg retrieval
• Step 4: Fertilization
• Step 5: Embryo transfer and Implantation

There is a growing need for low cost IVF treatment in Chandigarh to provide infertility care in a low resource economy like ours. It will increase both the Affordability and Accessibility. Low-cost IVF can be provided by the following means-
• Reducing biochemical monitoring costs- by taking adequate medical history, Avoiding duplicate and unnecessary investigations, etc.
• Reducing drug dose (e.g. low-stimulation protocols) – E.g. Natural Cycle IVF, Mini-IVF, Kato Protocol, Shanghai Protocol,etc
• Reducing laboratory costs (not applicable to already established IVF labs)- Simplified Culture System developed by Walking Egg Foundation.

Many test-tube baby clinics are providing low-cost IVF by employing method of low drug dose or low-stimulation protocols. There are many advantages of Low Stimulation Protocol such as Shortening of stimulation time, Reducing the amount of GnRH used, reducing the chances of Ovarian Hyper Stimulation Syndrome & Multiple Pregnancies. Thus, the total cost of treatment and risk would be reduced.

Advantages & Disadvantages of LSP

However, these low drug-dose protocols come with certain disadvantages too like Lower oocyte yield, Fewer number of embryos retrieved, Lower pregnancy rates per IVF cycle. So, the patient may need to undergo more treatment cycles due to the lower pregnancy rate of these protocols. Hence, even though the current trend for the development of low-cost IVF in India is very encouraging, further research is needed to decide the clinical and cost effectiveness of Low Stimulation Protocols before Low Cost IVF may be provided.

Recent discoveries should prompt international organizations to enhance their support in bringing this effective service to the people in need of IVF treatment in areas with limited resources. With continued sup¬port for further research and service development, millions of people troubled by sub-fertility can be offered help by IVF clinics in Chandigarh. Those that are financially disadvantaged will not have to accept the fate and bear the sorrow of childlessness.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Twin Pregnancy through Oocyte Donation in a Woman of Advanced Reproductive Age


With advances in Assisted Reproductive Technologies (ART) a greater number of women are deciding to have a child and become a mother in their later years. Natural fertility rates decline with age, becoming dramatically apparent in women in their 40s and 50s. By the time of the perimenopause, pregnancy rarely occurs.

Oocyte donation is an integral part of modern assisted reproductive care and has been used as an aid for conception for young women with premature ovarian failure (POF). Currently, it is also being used to overcome the age-related decline in fertility.  A number of IVF treatment clinics use oocyte donation which reverses the age-related decline in implantation and birth rates in older women and restores pregnancy potential.

However, one of the principle concerns regarding this process is the incidence of obstetric and neonatal complications in older patients.

The Case

A 56-year-old woman a case of primary fertility and menopausal for 15 years and had undergone 7 IVF cycles at various clinics with no success reported to our clinic.

The woman was counseled about the success rate and age-related pregnancy complications during her first visit.

In her second visit with her husband extensive pre-cycle screening was done which included medical screening such as complete blood count, biochemistry, thyroid profile, fasting blood glucose, glucose tolerance test (GTT), urinalysis, chest X-ray, coagulation parameters, PAP smear, and treadmill with echocardiography.

The reproductive screening was done which included transvaginal ultrasound, endometrial biopsy, and mock embryo transfer. The patient was also screened for Human Immunodeficiency Virus (HIV), venereal diseases, Hepatitis B (HBsAg) and Hepatitis C virus (HCV). Preconceptual and psychosocial counseling was also given.

When all the test reports were normal then she was first given practice hormone replacement cycle of estrogen and progesterone. She was regularly monitored for endometrial thickness via transvaginal ultrasounds. An optimum 10.5mm of thickness was achieved on day 14 of the cycle. She was then given 100 IU/ml progesterone.

In the next cycle, she was given hormone replacement therapy with the same dose as in practice cycle. A young donor about 26 years of age was screened for oocyte donation for the patient.

7 viable eggs were retrieved from the donor and the husband’s sperm was injected using Intracytoplasmic Sperm Injection (ICSI). When the 7 eggs fertilized and cleaved, 3 embryos were transferred.

Positive serum and urinary beta human chorionic gonadotrophin (hCG) diagnosed pregnancy after 14 days of embryo transfer. Progesterone pessary was given daily for the first 16 weeks of pregnancy. Also, estradiol valerate was given for endometrial regeneration for up to 16 weeks of pregnancy.

An ultrasound scan confirmed twin pregnancy. She delivered a female baby weighing 2.33 kg and a male baby weighing 2.65 kg through caesarean section at 30 weeks gestation.


Oocyte and embryo donation is an established standard of practice for the treatment of age-related infertility and is associated with high rates of pregnancy success. Prior to oocyte donation, adoption was the only way for couples to attain parenthood. Thanks to the advancement in technology now oocyte donation and low cost of IVF in India is a mode of therapy not only for infertile women but also for the ones who are at high risk for passing on genetic disorders.

However, obstetrical events and outcomes associated with advanced reproductive age can’t be overlooked. Women of advanced reproductive age considering oocyte or embryo donation should undergo complete medical testing.

Though oocyte donation–IVF has given hope and happiness to millions of couples across the globe yet the post conception complications both physical and emotional cannot be ignored at a high maternal age.

In summary, IVF±ICSI using oocyte donation is highly successful. Increased pregnancy rate and a number of stimulated cycles required for pregnancy are important figures which can be used to inform women seeking pregnancy via IVF and oocyte donation. Although it is reassuring to postmenopausal women that their chances of conceiving and having a baby are excellent, it is also important that IVF treatment clinics counsel the patient about the higher rates of minor and major complications involved.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

Diminished Ovarian Reserve – What You Need to Know

Ovarian reserve can be defined as the quality and the quantity of the oocytes (eggs) in the ovaries. Diminished Ovarian Reserve (DOR) is defined as reduced capacity of the ovaries to produce oocytes (eggs). The oocytes produced by a woman with DOR are usually of poorer quality as compared to those produced by females with good ovarian reserve. Couples who are unable to conceive and plan to consult a fertility clinic must be tested for the female partner’s ovarian reserve. IVF clinics in Chandigarh conduct this test when a patient initially comes for a consultation.

Age of the female is the one of the most important factors in determining the quality and quantity of oocytes produced in an IVF cycle. This directly affects the chances of pregnancy. As a woman grows older, her ovarian reserve and her ability to conceive decrease both in natural cycle and assisted reproductive techniques cycle.

Decline in the ovarian reserve may put a woman at risk of poor performance in assisted reproductive techniques like IUI, IVF (test-tube baby). The most severe form of Diminished Ovarian Reserve (DOR) is represented by Premature Ovarian Failure (POF – Early Menopause) in young females.

Nowadays, with the increase in success rates of cancer treatment in children and in young women, the incidence of POF is rapidly rising. Age is considered to be the main cause of reduced ovarian reserve in a woman over 40 years of age, but as it is known, a premature reduction of ovarian reserve can also occur in young age. POF can occur spontaneously which is primary POF, or can be secondary to the consequence of chemotherapy, radiation, or surgery. Primary POF is because of unknown reasons in about 90% of cases.

Diminished Ovarian Reserve


  1. Cigarette smoking
  2. Hypothyroidism (Increased TSH)
  3. Diabetes Mellitus
  4. Rheumatoid Arthritis
  5. Ovarian Surgeries
  6. Chemotherapy
  7. Infections like Herpes and Mumps


Most of the women with DOR have normal menstruation at the time of diagnosis. However, some may experience decreased menstrual flow or delayed cycles. Ultimately, DOR may result into early menopause or POF. Such patients may present with symptoms of flushing and sweats, depressive mood, and vaginal dryness.

Ovarian Reserve may be diagnosed based on:-

  • Absence of periods for more than 3 months
  • High levels of Follicle Stimulating Hormone (FSH)
  • Low estrogen levels
  • Low AMH level
  • Low Antral Follicle Count (immature eggs count in ovary) through Ultrasound

The assessment of ovarian reserve has an important role in the management of patients with infertility. Clinically, the patient’s age and menstrual cycle pattern give a fair idea about the patient’s ovarian reserve.


The only method of achieving pregnancy in DOR patients is by means of assisted reproductive techniques like – Artificial Insemination (IUI), In Vitro Fertilization (IVF), and In Vitro Fertilization with Donor Eggs. Women with severely DOR or POF benefit best by donor oocyte program.

To conclude, it is always wise to predict the patients likely to have a compromised ovarian reserve and provide proper counseling about the available options. A heartwarming emotional support by the treating doctor at Test Tube Baby clinics in Chandigarh provides miraculous psychological benefit to the patients.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues.

Polycystic Ovarian Syndrome – Infertility Issue That is Little Understood

Polycystic Ovarian Syndrome (PCOS) is an extremely common disorder affecting 4 to 12 percent women of reproductive age. Though patients have varied symptoms, the main symptoms of the disease are Hyperandrogenism (excessive level of male hormone) and Chronic Anovulation (absence of ovulation). PCOS may lead to infertility in many women for which we are providing best infertility treatment in Chandigarh.

Early diagnosis of PCOS is important as it has been linked to an increased risk for developing several medical issues including infertility, insulin resistance, type 2 diabetes, high blood cholesterol, high blood pressure, and heart diseases.

Polycystic Ovarian Syndrome – Infertility Issue That is Little Understood

Symptoms of PCOS

  • Weight gain or obesity, yet there are others who may be very lean.
  • Irregular Periods or No Periods at all
  • Multiple cysts on ovaries in a “string of pearls” pattern.
  • High testosterone levels cause Hirsutism (excessive hair growth), male-pattern baldness and acne.
  • Acanthosis nigricans– a brown to black, velvety hyperpigmentation of the skin mainly over the skin folds.


Some of the other Risk Factors associated with PCOS:

  • Diabetes
  • High Blood Pressure or Hypertension
  • 4 to 7 times higher risk of Heart Attacks
  • High Blood Cholesterol
  • Sleep Apnea
  • Risk of Endometrial Cancer
  • Higher rate of Miscarriages
  • Higher risk of Gestational Diabetes
  • Obesity which can lead to low self-esteem and depression
  • Liver Diseases


The infertility rate with Polycystic Ovaries is very high as high levels of the male hormone (testosterone) prevent the ovaries from releasing an egg every month. The women with PCOS usually have difficulty getting pregnant and require treatment to improve chances for pregnancy. So, many patients with PCOS may land up in fertility clinics to improve their chances of conception. Many couples living in north India and abroad opt for Chandigarh IVF centres for the treatment.

Diagnosis of PCOS

  • Medical History

The doctor will gather information about your family and past medical history. This includes questions about your menstrual cycle details, weight changes, sleep pattern, and pregnancy history or infertility.

  • Physical Examination

The doctor will measure your blood pressure, BMI (body mass index), and waist size. You will also be examined for abnormal hair growth, skin discoloration, acne, skin tags and Alopecia.

  • Blood Tests

Blood tests are done to check the testosterone and androgen (male hormones) levels, Thyroid Stimulation Hormone (TSH) to check for overactive/underactive thyroid, DHEA, and fasting glucose.

  • Vaginal Ultrasound

This test uses sound waves to examine your ovaries for multiple cysts and check the endometrial lining.

Treatment for PCOS

There is no specific cure for PCOS. The only way out is through proper management of the condition and lifestyle modifications. The treatment for PCOS will vary from woman to woman, depending on specific symptoms.

The main treatment options are:

  • Weight Management
  • Healthy Diet and Exercise
  • Birth control Pills
  • Type 2 Diabetes Medication
  • Injectable Gonadotropins
  • IVF or Test Tube Baby


Can I conceive with PCOS?

The great majority of women with polycystic ovarian syndrome will be able to conceive with minimal treatment. However, some PCOS patients will require treatments such as IVF and ICSI-IVF to achieve parenthood. The good news is that we provide best infertility treatments in Chandigarh for PCOS and other infertile patients.

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You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues.

Surrogacy: All You Need to Know About it


One out of every six couples faces infertility and this can be devastating to accept. The physical and emotional loss of not being able to carry your own baby can be hard to overcome. Though there are many known causes of infertility, here we will address the problem of absent/damaged uterus, recurrent miscarriages and implantation failures (failed IVF). All the aforementioned cases are treatable only through surrogacy as the female partner’s uterus cannot carry a baby.  Surrogacy in India has become a prevalent treatment option and is being offered by many fertility clinics.


Surrogacy has given countless couples the opportunity to build their family. So, let us understand what surrogacy is.

What is Surrogacy?

Surrogacy is a process that helps couples to start a family when they otherwise could not due to various factors such as medical conditions, age or hormonal imbalance. Surrogacy is an agreement signed between a woman and a couple who wants to have a child of their own. It means to rent the womb to carry and deliver the baby for someone else.


There are two types of surrogacy – traditional and gestational.


In this process, the woman is artificially inseminated with the father’s sperm. Then she carries and delivers the baby for the parents. A traditional surrogate is genetically related to the child because her egg was used in the process.



In this process, the woman carries and delivers the baby for the parents and is not genetically related to the child. The egg and sperm are taken from the intended parents. Donor sperms and eggs may also be used if needed. The eggs are artificially fertilized by sperm through IVF and then implanted in the uterus of the surrogate.


Why Opt for Surrogacy?

Couples can opt for surrogacy due to several reasons, such as malformation or infection in the woman’s womb, absence or removal of the womb by hysterectomy, recurring miscarriages, conditions that make pregnancy risky and repeated failure of assisted reproductive techniques.


surrogacy in India

How to Find a Surrogate?

There are a number of ways to find a surrogate mother:

  • Family/Friends – You can request a relative or a friend to be a surrogate for you. This has its benefits and challenges
  • Licensed Surrogacy Agency

    The agency not only helps to find a good surrogate mother but will also take care of the legal and medical arrangements throughout the process. It will also collect fee that is processed through you to the surrogate, such as paying for her medical expenses.


How to Choose a Surrogate?

According to the experts, it is important to make sure that surrogate mother:

  • Is healthy and ideally between 21 to 40 years old.
  • Has given birth to a healthy baby before.
  • Should pass a psychological screening by a mental health professional.
  • Signs a contract about her role and responsibilities in the pregnancy.


The legal process allows surrogacy only for childless couples who have been married for at least 5 years. Surrogacy process and IVF in India makes it possible for parents to have a child that possesses genes from one or both parents, but it can also lead to many emotional and psychological ups and downs for the future parents.


Readers! If you like this post, please share this valuable information with others as well.


There is still some debate about using a surrogate mother to have a baby. The legal process is also tricky because it varies. Even so, whether it’s because of fertility problems or other reasons, surrogacy is an option for you and your partner.


Readers! If you like this post, please share this valuable information with others as well.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues.


IVF Chandigarh

IVF Chandigarh