We welcome you to one of the most leading Infertility Center in India with Dr Sunita Tandulwadkar.
Creating Happiness is our aim which we aspire for all our patients. Our entire team works with tremendous passion, dedication, love and team spirit for just this goal of making your dreams come true and hence create happiness in your life.
We are a dedicated center to address women's health issues pertaining to areas like Fibroids, Myomas, Infertility, Polycystic Ovaries, Endometriosis, Pelvic Infections and Repeated Pregnancy Losses. By using the latest innovations and technologies in diagnosis and therapy most of these conditions are aptly treated by us.
Dr. Sunita Tandulwadkar has been providing dedicated services in the area of women's health with specialty in the management of infertility and laparoscopic surgery for the past two decades.
She offers the best infertility services for men and women not only in India but all over the globe. She has a complete range of Assisted Reproductive Technologies (ART) for specific infertility diagnosis at Ruby Hall.
We Love Dr. Sunita
She is an ESHRE certified Senior Clinical Embryologist - 1st Indian to clear the exam held at London in 2013. She is known for her skills and high success rates.
She is the one who started the trend of Laparoscopic Hysterectomy & all Advanced Endoscopic Surgeries in the city of Pune since 1995.
She is a devoted staff and is with the team since past 20 years.
Ruby Hall IVF & Endoscopy Centre has been providing dedicated services in the area of women's health with specialty in the management of Infertility and Laparoscopic Surgery for the past decade.
We offer Infertility services for men and women. We have a complete range of Assisted Reproductive Technologies (ART) for specific Infertility diagnosis.
Patients who come to Our Centre are given an individual treatment programme directed by our Fertility Specialist. We provide solutions for reproductive problems.
We also offer a complete range of medical services to maintain gynaecological well-being throughout the phases of pregnancy.
Fibroids are the most common benign mass of uterus and can lead to infertility. Removal of fibroids by Keyhole surgery is a day care procedure and can enhance the chances of conception.
Endometriosis is the implantation of endometrial cells out side the uterine cavity. Severity of the disease can vary from minimal to most severe frozen pelvis. Endometriosis can cause difficulty in conception by distorting anatomy, damage to eggs and reduced implantation chances of the embryos. These patients need to be treated at an infertility centre specialized for endometriosis.
Some fibroids grow inside the uterine cavity and can better deal by hysteroscopy than laparoscopy. Removal of such a submucous fibroids helps in correction of cavity and implantation hence the reproduction. All hysteroscopic procedure is day care and does not need any cuts on abdomen.
Congenital septum or adhesions bands in side the uterine cavity can be removed hysteroscopically.
In ART, Fertilization of gamets (eggs and sperms) is performed either by inseminating sperms around eggs or injecting each eggs with a sperm in the IVF lab. Obviously, one needs excellent in house embryologist and stat-of-the-art laboratory to perform this successfully.
It involves stimulation of the female partner to produce more number of eggs at a time. When majority of these eggs mature, ovum-pick-up (OPU) is scheduled. OPU is a day care procedure which is done under sedation. The eggs retrieved are cultured for 3-4 hours before proceeding IVF with washed sperms. Calculated number of sperms are released in the vicinity of the eggs and fertilization occurs naturally with one sperm entering the egg to form an embryo.
ICSI is a highly specialized laboratory procedure developed to help infertile couples with seminal problems. The term 'Intracytoplasmic Sperm Injection" refers to the direct injection of a single sperm into a mature egg of the female. The sperms are magnified 400 times and are then selected based on their normal morphology before injecting in the egg.
IMSI is the latest technology in the field of Assisted Reproductive Techniques. Ruby Hall IVF & Endoscopy Center, Pune is one of the very few ART centers all over the world to be equipped to perform IMSI. Currently, the sperm is magnified only 400 times. IMSI enables us to magnify the sperm as high as 7200 times. This high magnification allows the embryologists to select a morphologically normal sperm. IMSI thereby improves the pregnancy outcomes and reduces abortion rates.
A blastocyst is an embryo that has developed in culture for at least five days after fertilization and then is transferred in the female womb. This is a more physiological approach since it is known that under in-vivo conditions the embryos reach the uterine cavity around the end of the sixth day following fertilization. This also allows at times for natural selection of best quality embryo as only the better quality, genetically normal embryo will grow to this stage.
Egg cryopreservation is recommended in:
1. Young girls with cancer before chemotherapy,
2. Aging woman not yet planning pregnancy as still unmarried, or not yet interested in marriage. Embryo Cryopreservation: Married women with cancer, prior to chemotherapy.
A small hole is made in the zona pellucida, using a micromanipulation, thereby facilitating for zona hatching to occur. Zona hatching is where the blastocyst (D-5 embryo) gets rid of the surrounding zona pellucida to be able to implant in the uterus. Zona hatching is related to increased rates of clinical pregnancy and multiple pregnancy in women with previous repeated ART failure or frozen-thawed embryos.
It refers to genetic profiling of embryos prior to implantation (as a form of embryo profiling), and sometimes even of oocytes prior to fertilization. Here a genetic material from an Ovum or Embryo is taken and studied before embryo transfer. PGD can potentially be used
1. to select embryos to be without a genetic disorder
2. to have increased chances of successful pregnancy
3. to match a sibling in HLA type in order to be a donor
4. to have less cancer predisposition
5. Various Genetic diseases where it can be used are
Cystic Fibrosis, Beta-Thalassemia, Sickle Cell Disease and Spinal Muscular Atrophy (Type 1) Myotonic Mystrophy, Huntington's Disease and Charcot-Marie-Tooth Disease; Fragile X Syndrome, Haemophilia A and Duchenne Muscular Dystrophy.
PESA (Percutaneous Epididymal Sperm Aspiration) - This is a non-invasive method of sperm recovery and has excellent potential for patients who have had a vasectomy and do not wish to undergo reversal, or patients who have had an attempted reversal which has failed. In percutaneous epididymal sperm aspiration sperm are aspirated through a fine needle that is placed into the epididymis. TESA (Testicular Sperm Aspiration) - This is a surgical sperm retrieval procedure used in fertility treatment for men who have no sperm in their ejaculate. The extraction of sperm is achieved through a fine needle inserted into the testes. Where this is not successful, then a microsurgical testicular biopsy is done. Testicular Biopsy - The removal of small testicular tissue from men with very poor sperm production and the isolation of sperm for ICSI. Vas Epididymis Exploration - Exploratory surgery to check for blockage of sperm flow.
Sometimes, the couple may have to resort to the donor program (either the eggs, sperms or the embryos) as the best possible option for conception. This treatment is advised to the couples wherein one or both the partners have a higher probability of transmitting a genetic disorder to their children or in cases where the sperms or eggs produced are extremely low in quality.
Donor egg is an option for couples whose eggs no longer fertilize and produce healthy embryos. Egg quality generally declines with advancing female age but it can occur at any age. Ovarian reserve is a measure of "egg quality" and is evaluated during the infertility workup. Other candidates for donor egg include women who may have been born with absent ovaries (rare) or those whose ovaries were damaged by cancer chemotherapy or radiation. Donor eggs may also be used in cases of unexplained infertility and severe endometriosis or ovaries destroyed due to ovarian disease like endometriosis/ tuberculosis.
The couple may opt for the donor sperm when the male partner is sterile (testicular failure) and therefore unable to provide a sperm sample for IVF or ICSI. In other instances, the couple may look to use a sperm donor in order to avoid passing on a genetic disease or disorder that is carried by the male sperm.
When a couple is facing with infertility problems, embryo donation can be an excellent choice.
Issues that typically cause a couple to consider embryo donation include:
• Poor sperm production and count
• Problems with egg development and ovulation
• Attempts at other types of ART have been unsuccessful
• High risk of passing on genetic disorders but are unable to pursue PGD
Other fertility treatments are not financially feasible
Surrogacy can easily be defined as the process whereby another woman carries the child of infertile couple to term. Upon birth, the child is handed over to the couple, with the gestational carrier giving up any legal rights she may have to the child. There are a variety of reasons why a couple may choose to use a surrogate carrier. Women who have absent uterus, diseased uterus or surgically removed for any other cause are advised for surrogacy. Even the women with medical diseases like heart or renal disease or uncontrolled diabetes mellitus who are unable to take the load of pregnancy can go for surrogacy.
Egg, sperms or embryo donation programmes and surrogacy is legal in India. The couple has to consent for the same and carries all legal rights on the children out of such a programmes. The legal contract has to be done between couple and surrogate.
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