Dr. Jyoti Gupta did her MBBS from Lady Hardinge Medical College, New Delhi
Hospital: AMRITDHARA my Hospital
City: Karnal
Qualification: M.B.B.S.,D.G.O., IVF Specialist,
Dr. Jyoti Gupta did her MBBS from Lady Hardinge Medical College, New Delhi and DGO from Safdarjung Hospital in 1984. She is in Private practice since then. Her main field of interest is Infertility and Reproductive Endocrinology. She was the pioneer of starting modern Infertility treatment in Karnal, and first IUI baby of Karnal was born in our Hospital in1999. Hysteroscopy and Laparoscopy was added in 2005 and now IVF is being done since Feb 2010. Her dream is to provide complete world class Infertility treatment to the people of Karnal at very low affordable price. Infertility is growing at a fast pace in our society, not only in urban areas but also in the suburbs and rural areas. The main causes being changing lifestyle,consumption of unhealthy food with chemical additives causing hormonal changes in both males and females We at AMRITDHARA, my Hospital, realised it 20 years back and our Amrit IVF Centre is dedicated to treatment of infertile couples providing complete treatment including ARTs (IUI, IVF, ICSI) and laparoscopic surgery under one roof by a team of specialists with a vast experience of more than 10 years and trying to give them joy of parenthood.
Amrit fertility Clinic has been dedicated to the treatment of infertile couples for the last 20 years now and so far we have “produced” about 2000 babies as a result of various treatments that we offer. Our first IUI baby was born more than 20 years back. We have improved since then, added more facilities, kept abreast with newer technologies, and our ART results today are as good as any of the best centres in India. Amrit IVF Centre, to provide the facility of IVF and other advanced ARTs was started in Jan 2010. Though a very new centre, it has given excellent results, an unbelievable 100% pregnancy in its very first batch. This goes to show the excellent quality of our Lab & equipment (from Trivector India, the leaders in IVF technology) and also the complete dedication & commitment of our team to give best possible results for our patients of Infertility. Soon after, the facility of ICSI was added on in order to meet the need of many patients for this service. A state of art micromanipulator from Nikon was installed in July 2010. very soon after that, we realized the need of cryopreservation, and the facilities of vitrification also. Techniques What is Assisted Reproductive Technology (ART) Any medical technique that attempts to obtain a pregnancy by means other than by intercourse is defined as Assisted Reproductive Technology. The various methods are: Intra Uterine Insemination (IUI): IUI or AIH (Artificial Insemination Husband) is the first line of treatment in Infertility and can be used to treat both male and female factor causing infertility. In this method, the processed semen ( Containing Isolated Quality Sperm ) is placed directly in the uterus, thereby increasing the chances of pregnancy. IUI can be done in a natural cycle, however to get better results, it is usually preceded by ovulation induction/Ovarian stimulation using appropriate fertility enhancing drugs. Its main indications are poor sperm count in males and unexplained infertility. This procedure is useful only when at least one of the fallopian tubes is patent and the woman has a minimal ovarian reserve. This process is also used for using donor sperms, when its called AID (Artificial Insemination Donor), when the male partener has total azoospermia or severe Oligozzospermia, which is not treatable and ICSI is not possible/affordable. In Vitro Fertilization (IVF) and Embryo Transfer (ET): Commonly known as ‘Test Tube Baby’ IVF involves fertilization of an ovum with sperm outside the body and consequently transfer of the fertilized ovum (embryo) into the uterus of the woman. IVF is probably the most widely practiced assisted conception procedure in the world. It is totally an OPD procedure and does not need admission at any step. Its main indications are: Blocked Fallopian Tubes Poor Sperm Count (Oligo or Asthenozoospermia <5million/ml) Endometriosis Unexplained Infertility Premature Ovarian failure Genetic disease in the couple’s family Steps involved in IVF Procedure: FIRST VISIT- Counselling of the couple regarding the procedure,the best treament suitable for them, the protocols and their chances of success. PRELIMINARY INVESTIGATIONS- Blood tests, X-ray, ECG, Hormone tests, Ultrasound, Hysteroscopy and Semen tests. Final PROCESS OF IVF: Ovarian stimulation by hormonal injections to produce multiple eggs Monitoring of the response by ultrasound scans and blood tests Egg retrieval with the help of a needle under local/general anesthesia Fertilization of the eggs in laboratory Transfer of the resulting embryo(s) into the uterus of the woman Blood test performed 15 days after embryo transfer, to assess the establishment of pregnancy. If the treatment procedure is successful, one or more of the embryos will implant in the uterus and pregnancy will result, just as it happens in the natural process of conception. Intra Cytoplasmic Sperm Injection (ICSI): ICSI is the technological breakthrough in the field of IVF, which is used to overcome the inability of sperm to fertilize an egg. Its main indications include obstructive azoospermia, severe oligozoospermia & failed IVF. In this technique a sperm is directly injected into the cytoplasm of an egg in order to achieve fertilization. The steps involved in ICSI procedure are exactly the same as for IVF, except that fertilization is achieved with the help of a micromanipulator. In some cases where there is a complete absence of sperm in the ejaculate, sperm can be retrieved from the testis / epididymis and used for ICSI. The testicular/epididymal sperm retrieval techniques are: PESA (Percutaneous Epididymal Sperm Aspiration), MESA (Microsurgical Epididymal Sperm Aspiration), TESA (Testicular Sperm Aspiration), TESE ((Testicular Sperm Extraction). In case of non obstructive azoospermic we can use donor semen procured from ART Cryobank after patient’s consent. IVF using Donor Oocyte (Eggs): Women who are unable to produce their own eggs