Convent Road, Srikakulam Archives

Removing Adenomyosis While Preserving Uterine Health

If you have severe menstrual pain and experience heavy bleeding, a specialized surgical procedure called adenomyomectomy, which removes adenomyosis (where the endometrial tissue grows inside the uterine wall), may be the right choice for you. This surgery is intended to relieve the symptoms while preserving the uterus for future pregnancy.

Who Can Benefit from Adenomyomectomy?

Suffer severe pelvic pain and heavy menstrual bleeding.
Have concerns about fertility and want to conceive naturally post-treatment.
Have not responded to medications or hormonal therapy but still have symptoms.
Desire a uterus-sparing alternative to hysterectomy.

How is Adenomyomectomy Performed?

Pre-Surgical Evaluation

Pelvic ultrasound or MRI to assess adenomyosis severity.
Blood tests to check for anemia caused by excessive bleeding.
Fertility assessment if conception is a future goal.

Surgical Procedure

Laparoscopic Adenomyomectomy (Minimally Invasive Approach)

Small incisions are made for a laparoscope (camera-assisted surgery).
The affected adenomyotic tissue is carefully excised while preserving the uterus.
Benefits: Faster recovery, minimal scarring, and reduced post-surgical discomfort.

Open Adenomyomectomy (Laparotomy) – For Extensive Adenomyosis

A larger abdominal incision is made for deeper adenomyosis cases.
Suitable for diffuse adenomyosis affecting a significant portion of the uterus.
Required when minimally invasive surgery is not feasible.

Post-Surgery Recovery & Care

Laparoscopic Recovery: 2-3 weeks with minimal downtime.
Laparotomy Recovery: 4-6 weeks depending on the extent of surgery.
Follow-up ultrasound or MRI to monitor healing and uterine integrity.
Pregnancy planning guidance for women aiming to conceive post-surgery.

Benefits of Adenomyomectomy Surgery

Relieves Chronic Pain & Heavy Bleeding – Significantly improves quality of life.
Preserves the Uterus – Unlike hysterectomy, allowing future pregnancies.
Enhances Fertility – Improves implantation potential and pregnancy outcomes.
Minimally Invasive Options Available – Faster healing with laparoscopic techniques.

Why Choose Our Hospital for Adenomyomectomy?

Expert Gynecological Surgeons – Specializing in uterus-preserving procedures.
Advanced Laparoscopic & Open Surgery Options – Tailored to each patient’s needs.
Personalized Fertility Planning – Post-surgical support for conception.
State-of-the-Art Surgical Facilities – Ensuring precision and patient safety.

Preimplantation Genetic Screening

Ensuring Healthy Embryos for Successful Pregnancy

Preimplantation Genetic Screening (PGS) is a new reproductive technology that is used to screen the embryos for chromosomal abnormality before implantation. It is performed to ensure maximum chances of a successful pregnancy while reducing the likelihood of genetic disorders and failure of implantation.

Who Should Apply Preimplantation Genetic Screening?

PGS is best suited for individuals and couples who:

Experience recurrent miscarriages – Usually linked with chromosomal abnormalities.
Are of advanced maternal age (35+ years) – Genetic disorders are more likely.
Have experienced repeated IVF failure – PGS increases embryo selection.
Want to reduce risk of genetic disease – Detects chromosomal aneuploidies (e.g., Down syndrome, Turner syndrome).
Are planning single embryo transfer (SET) – Offers guarantee that healthiest embryo is chosen.

The Step-by-Step Process of Preimplantation Genetic Screening:

1. IVF & Embryo Development

Eggs are retrieved, fertilized in a laboratory, and developed into embryos (Day 3 or Day 5).
Genetic analysis is done only on the healthy embryos.

2. Embryo Biopsy – Cell Removal for Testing

A small number of cells are removed from every embryo gently without harming its development.
It is performed on Day 5 or Day 6 when the embryos are at the blastocyst stage.

3. Genetic Analysis – Screening for Chromosomal Abnormalities

The cells are retrieved and are studied with detailed chromosomal screening using newer genetic tests (Next-Generation Sequencing, Array CGH, or PCR-based testing).
Identifies missing, excess, or abnormal chromosomes.

4. Embryo Selection & Freezing

Normal chromosomally healthy embryos are transferred.
The remaining healthy embryos can be frozen for future use.

5. Embryo Transfer – Placing the Best Embryo

One good-quality embryo is placed in the uterus.
It is painless and non-surgical.

6. Pregnancy Test & Follow-Up

Pregnancy test is conducted 10-14 days post-transfer.
Early pregnancy is closely monitored and cared for.

Benefits of Preimplantation Genetic Screening:

Increases IVF Success Rates – Improves implantation and pregnancy rate.
Reduces the Risk of Genetic Disorders – Screens for chromosomal abnormalities.
Reduces Miscarriage Rate – Prevents chromosomally defective pregnancies.
Promotes Single Embryo Transfer (SET) – Lowers multiple pregnancy risk.
Improves Family Planning – Allows couples to make informed reproductive choices.

Risks & Considerations

Not a Guaranteed Outcome of Pregnancy – PGS only improves embryo selection and not implantation.
Rare Chances of Damage to the Embryo – While minimal, there is always the slightest chance of affecting embryo viability.

Why Medcy IVF Hospital for PGS Treatment?

Genetic Testing Lab of International Standards – Accurate and reliable embryo screening.
Experts in Fertility & Genetics – to provide precise embryo selection.
Personalized Fertility Plans – According to your medical and genetic background.
Detailed IVF & PGS Integration – Seamless treatment experience with highest success rates.

Tubal Testing

Assessing Fallopian Tube Function for Successful Conception

Tubal Testing is a medical examination that tests for patency (openness) and functionality of fallopian tubes. Obstruction or destruction of tubes can prevent normal conception, so tubal testing is significant in women with infertility.

Who Should Have Tubal Testing?

Women who should be tested for tubals are those who:
Have been having difficulty conceiving for more than one year.
Are a history of ectopic pregnancy, endometriosis, or pelvic infections.
Have a history of past abdominal or pelvic surgery that may have damaged the fallopian tubes
Have a history of sexually transmitted infections (STIs) which result in tubal scarring.

What are the Types of Tubal Testing:

1. Hysterosalpingography (HSG) – X-ray Imaging of the Fallopian Tubes

A dye is injected into the uterus and fallopian tubes.
X-ray imaging reveals blockage, tubal failure, or uterine disease.
Rapid, minimally invasive, and gives instantaneous results.

2. Sonohysterography (Saline Infusion Sonogram – SIS)

A saline infusion is placed within the uterus under ultrasound guidance.
Sees obstructions and abnormalities in the uterine and fallopian tubes.
Less painful than HSG with no radiation exposure.

3. Hysterosalpingo-Contrast Sonography (HyCoSy)

Utilizes ultrasound and contrast fluid to test tubal patency.
Used as a substitute for women allergic to iodine dye in HSG.
Offers a real-time, radiation-free imaging procedure.

4. Laparoscopy with Chromopertubation – Surgical Evaluation

Procedure under anesthesia.
Small camera is inserted via the navel and abdomen to visualize the fallopian tubes.
Fluid or dye is instilled to check for obstruction and adhesions.
Ideal for suspected endometriosis or wide pelvic scarring.

What to Expect During Tubal Examination?

Initial Consultation & Review of Medical History – A specialist in fertility discusses your symptoms and medical history.

Choosing the Right Test – Depending on your specific case and needs.

Procedure Day – The procedure takes place in a hospital or clinic setting.
Results & What’s Next – The doctor explains the results and what the best treatments are if needed.

Results Interpretation

Normal & Open Tubes – Demonstrates how conception can naturally occur.
Partial or Complete Blockage – May need additional intervention like tubal surgery or In vitro fertilization (IVF).
Tubal Scarring or Damage – IVF or tubal repair surgery are the treatment solutions.

Significance of Tubal Test?

Identifies the Cause of Infertility – Helps identify whether tubal issues are responsible for causing infertility.
Helps Treatment Options – Facilitates customized fertility planning.
Boosts IVF & Fertility Success Rates – Ensures the best route to conception.

Why Choose Medcy IVF for Tubal Testing?

State-of-the-Art Diagnostic Machinery – Assured accurate and precise evaluation.
Expert Fertility Specialists – Customized evaluation and fertility planning.
Minimally Invasive & Safe Treatments – Patient comfort and safety assured.
Full-Service Fertility Solutions – From diagnosis to state-of-the-art treatment solutions.

Convent Road, Srikakulam

Dr. Mrudula Karri

Endometriosis Surgery

Removing Endometriosis to Relieve Pain and Improve Fertility

Endometriosis surgery is a specialized procedure designed to remove endometrial-like tissue growing outside the uterus, which can cause chronic pain, heavy periods, and infertility. This surgery aims to relieve symptoms, restore reproductive function, and enhance the quality of life.

Who Can Benefit from Endometriosis Surgery?

Experience chronic pelvic pain or painful periods (dysmenorrhea) unrelieved by medication.
Have endometriosis-related infertility affecting natural conception.
Suffer from pain during intercourse (dyspareunia) or bowel movements.
Have endometriotic cysts (endometriomas) in the ovaries.
Have severe endometriosis (stage 3 or 4) that impacts surrounding organs.

Types of Endometriosis Surgery

Laparoscopic Endometriosis Excision (Minimally Invasive)
- A laparoscope (tiny camera) is inserted through small incisions.
- Endometrial tissue is precisely excised (cut out) without damaging healthy structures.
- Ideal for mild to moderate endometriosis with quick recovery and minimal scarring.
Ablative Surgery (Burning or Laser Removal)
- Endometrial implants are burned off using laser or cautery.
- Less effective than excision, as deeper lesions may not be completely removed.
Laparotomy (Open Surgery) – For Severe Cases
- Required for extensive endometriosis affecting the bowel, bladder, or other organs.
- Larger abdominal incision provides better access to deeply infiltrated endometriotic tissue.
Hysterectomy (For Severe, Non-Treatable Endometriosis)
- Involves the removal of the uterus, with or without ovaries.
- Considered when all other treatments have failed, and symptoms are severe.

How is Endometriosis Surgery Performed?

Pre-Surgical Evaluation
- Pelvic ultrasound or MRI to assess the severity and location of endometrial lesions.
- Hormonal and fertility assessments if pregnancy is a concern.
- Discussion of fertility-preserving techniques if needed.
Surgical Procedure
- Anesthesia is administered to ensure a pain-free experience.
- Endometriosis lesions are removed or destroyed based on the severity.
- Any adhesions or scar tissue affecting organ movement are released.
Post-Surgery Recovery & Follow-Up
- Laparoscopic Recovery: 1-2 weeks with mild discomfort.
- Laparotomy Recovery: 4-6 weeks depending on surgical complexity.
- Hormonal therapy may be recommended post-surgery to prevent recurrence.
- Follow-up evaluations ensure effective symptom relief and fertility support.

Benefits of Endometriosis Surgery

Reduces Chronic Pelvic Pain – Providing long-term relief.
Improves Fertility – Increasing chances of natural conception.
Enhances Quality of Life – Resolving painful periods and daily discomfort.
Minimally Invasive Options Available – Faster recovery and reduced complications.

Why Choose Our Hospital for Endometriosis Surgery?

Expert Endometriosis Specialists – Skilled in advanced excision and laparoscopic techniques.
Comprehensive Fertility Care – Supporting conception after endometriosis treatment.
Personalized Pain Management Plans – Tailored to individual patient needs.
State-of-the-Art Surgical Facilities – Equipped for minimally invasive and complex surgeries.

Fertility Preservation

Fertility Preservation is a clinical process that enables a person to preserve his or her reproductive capability for a future pregnancy. It is most suited for an individual who is considering postponing parenthood because of medical, personal, or job-related reasons.

Who Should Do Preservation of Fertility?

Preservation of Fertility is suited for:

Cancer Patients Receiving Treatment – Chemotherapy and radiation may affect fertility.
Women With Decreasing Ovarian Reserve – For patients with premature ovarian failure.
Individuals Planning Delayed Childbearing – Professional, personal, or social.
Patients with Autoimmune Disorders – Diseases such as lupus that may impact reproductive capability.
Gender Transitioning Individuals – Maintaining fertility prior to hormone therapy or surgery.

Preservation of Fertility Methods

1. Egg Freezing (Oocyte Cryopreservation)

Mature eggs are removed and frozen for potential future use.
Best suited for women who prefer delaying childbirth.

2. Sperm Freezing (Sperm Cryopreservation)

Semen samples are taken and frozen for future use in fertility procedures.
Most common in men with cancer or those in the military.

3. Embryo Freezing (Embryo Cryopreservation)

Fertilized embryos are frozen and preserved to be used in the future.
Most suitable for couples who will be having IVF in the future.

4. Ovarian Tissue Freezing

Ovarian tissue is surgically removed and frozen.
Helpful in young patients with cancer who cannot have eggs recovered.

5. Freezing Testicular Tissue

A decision of fertility preservation for prepubertal males who are to undergo medical treatments with a possible effect on sperm production.

Preservation of Fertility Step by Step Procedure

1. Initial Consultation & Fertility Testing

Evaluation of medical history and fertility tests (AMH, semen test, ultrasound).
Consultation on the optimal preservation method based on individual needs.

2. Ovarian Stimulation (For Egg & Embryo Cryopreservation)

Hormonal injection stimulating the ovaries to release more than one egg.
Close observation by ultrasound and lab tests.

3. Egg or Sperm Harvesting

Egg Harvest: Minimal surgery while under light sedation.
Sperm Harvest: Semen collection without intrusion.

4. Storage & Freezing

Rapid Freezing with Vitrification to avoid the formation of ice crystals.
Ultra-low-temperature cryogenic storage tanks store the samples.

5. Future Treatment & Fertility Restoration

Thawed frozen eggs, sperm, or embryos are used whenever needed for IVF treatment.

Success Rates of Preservation of Fertility

Egg Freezing Success: More than 90% survival rate with our current vitrification.
Sperm Freezing Success: Sperm can be frozen for decades without diminishment.
Embryo Transfer Success: Similar pregnancy rates compared to fresh embryos.

Preservation of Fertility Benefits:

Extends Reproductive Potential – Ensures future pregnancy.
Protects Fertility from Medical Treatment – Particularly in patients with cancer.
Preserves Genetic Material – Offers future reproductive assurance.
Facilitates LGBTQ+ Family Formation – Assists individuals undergoing gender transition.

Complications & Issues

No Assured Pregnancy – Fertility is based on individual circumstances.
Storage Cost for Long-Term – There is an annual charge on frozen specimens.
Side Effects of Hormonal Stimulation – Very mild side effects such as bloating or mood shift.

Why Medcy IVF Hospital for Fertility Preservation?

Latest Cryopreservation Technology – Maximum guarantee of survival rates.
Highly Experienced Fertility Experts – Customized treatment protocols.
Safe & Long-Term Storage – Advanced cryogenic storehouses.
Comprehensive Fertility Care – From preservation to conception assistance.