Ratnamamba Road, Vijayawada Archives

Adenomyomectomy Surgery

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.

IVF & ICSI

Maximizing Conception Success with Advanced IVF & ICSI

In Vitro Fertilization (IVF) and Intracytoplasmic Sperm Injection (ICSI) are the most effective assisted reproductive technologies (ART) for infertile couples.
IVF and ICSI give hope to childless couples with severe male or female infertility, recurrent pregnancy loss, or idiopathic infertility.

Who is Most Likely to Benefit from IVF/ICSI?

They are helpful in:

Blocked or Faulty Fallopian Tubes – Blocking conception.
Severe Male Factor Infertility – Low sperm count, decreased motility, or abnormal morphology.
Unexplained Infertility – When other fertility treatments have failed.
Endometriosis – Uterine lining condition.
Advanced Maternal Age – Women with reduced ovarian reserve.
PCOS & Ovulatory Disorders – When ovulation induction and IUI fail.
Genetic Disorders – Couples requiring Preimplantation Genetic Testing (PGT) to avoid genetic disease.
Repeated Pregnancy Loss – To optimize implantation chances through embryo selection.

The IVF Treatment Process: Step-by-Step

1. Ovarian Stimulation – Egg Maxing

Hormonal injections trigger the ovaries to release multiple eggs.
Daily ultrasound checks and blood tests track follicle growth.

2. Egg Retrieval (Oocyte Retrieval) – Collecting Mature Eggs

A simple surgical procedure under light anaesthesia.
The eggs are collected using a fine ultrasound-guided needle.

3. Sperm Collection & Preparation

An optimised frozen or fresh sperm sample is received.
High-motility sperm are selected to fertilize.

4. Fertilization Process

IVF: Eggs and sperm are left together in a laboratory dish for spontaneous fertilization.
ICSI: One normal sperm is inserted into each egg individually.

5. Embryo Culture & Monitoring

Fertilized embryos are cultured in a specially controlled lab environment for 3-5 days.
Only the healthiest are selected to be transferred.

6. Embryo Transfer – Uterus Implantation

A healthy embryo is inserted in the womb by means of a thin catheter.
A very rapid, painless procedure without anaesthesia.

7. Luteal Phase Support & Pregnancy Test

Hormonal drugs to aid implantation.
The pregnancy test 10-14 days after the embryo transfer.

Success Rates of IVF & ICSI

IVF Success Rates: 40-50% per cycle (medical history and age dependent).
ICSI Success Rates: Same as IVF but more appropriate for severe male infertility.
Higher Success with PGT: Preimplantation Genetic Testing is a way to improve the quality of embryo selection and implantation chances.

Risks & Considerations

Increased risk of Multiple Pregnancies – if more than one embryo is transferred.
Avoidable, rare syndrome of Ovarian Hyperstimulation Syndrome (OHSS) due to hormone stimulation.
Time, planning required – Emotional & Financial Implications.

Why Choose Medcy IVF Hospital for IVF/ICSI Treatment?

High success rates with best reproductive technologies – Expert Fertility Specialists.
State-of-the-Art Laboratory Facilities – Cutting-edge embryology and genetic testing.
Individualized Fertility Plans – Personalized treatment programs for optimal outcomes.
Holistic Care – Counselling, nutrition, and holistic fertility treatment.

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.

Oocyte Donation

Helping Women Achieve Motherhood Through Oocyte Donation

Oocyte Donation or Egg Donation is a fertility treatment that enables women with diminished ovarian reserve or genetic disorders to conceive using donated eggs. This procedure offers hope to those who cannot produce viable eggs but still wish to experience pregnancy and childbirth.

Who Needs Oocyte Donation?

Oocyte Donation is an effective option for women who:

Have Poor or Diminished Ovarian Reserve – Due to age, premature ovarian failure, or menopause.
Suffer from Genetic Disorders – To prevent hereditary conditions from passing to the child.
Have Experienced Repeated IVF Failures – Due to poor egg quality or low ovarian response.
Have Undergone Ovarian Removal or Chemotherapy – That affects egg production.
Same-Sex Male Couples & Single Fathers – Using a gestational surrogate with donor eggs.

The Oocyte Donation Process: Step-by-Step

Recipient Screening & Preparation
- Medical evaluation, hormonal assessment, and uterine health check.
- Synchronization of the recipient’s menstrual cycle with the donor’s cycle.
Selection of a Suitable Egg Donor
- Donors are thoroughly screened for genetic, medical, and psychological health.
- Options include anonymous or known donors, depending on patient preference.
Ovarian Stimulation & Egg Retrieval from Donor
- The donor undergoes controlled ovarian stimulation with fertility medications.
- Mature eggs are retrieved through a minimally invasive procedure.
Fertilization with Partner’s Sperm
- Eggs are fertilized using IVF or ICSI in the lab.
- High-quality embryos are cultured and monitored for development.
Embryo Transfer to the Recipient’s Uterus
- The best-quality embryo is transferred into the recipient’s uterus.
- A simple, painless procedure requiring no anesthesia.
Luteal Support & Pregnancy Checkup
- Hormonal medications support implantation and pregnancy.
- A pregnancy check is conducted 10-14 days after embryo transfer.

Success Rates of Egg Donation

50-70% per cycle – Higher success rates than standard IVF in women.
Increased Chances with PGT – Genetic screening ensures the healthiest embryo selection.
Multiple Cycles May Be Needed – For optimal pregnancy outcomes.

Benefits of Oocyte Donation

Higher Pregnancy Rates – Especially for women over 40.
Eliminates Genetic Risks – Avoids passing hereditary diseases.
Allows Motherhood Despite Age or Health Conditions – Enables pregnancy when natural conception isn’t possible.
Provides the Full Pregnancy Experience – Unlike surrogacy, the recipient carries the baby herself.

Risks & Considerations

Emotional & Psychological Aspects – Counselling is recommended to prepare for treatment.
Ethical & Legal Considerations – Vary depending on donor anonymity and local regulations.

Why Choose Medcy IVF Hospital for Egg Donation?

Comprehensive Donor Screening – Ensuring high-quality, healthy eggs.
Experienced Fertility Specialists – High success rates with personalized care.
Advanced Lab Facilities – Cutting-edge IVF and embryo selection techniques.
Holistic Patient Support – Emotional, psychological, and medical guidance throughout the journey.

Ratnamamba Road, Vijayawada

Dr. V Padmaja

Dr V Padmaja is a Infertility Specialist and Gynecologist in Vijayawada with Special interest in Reproductive Endocrinology and physiology, Medical statistics, AI in medicie, ART, USG, high risk pregnancy, PCOS, Endometriosis, AuB clinic, Periconeptional clinics, well woman clinics, cancer screeings, menopause. Professional Memberships : FOGSI, IMA, IMS, PCOS society India, ISAR, ISOPARB. Recipient of Dr.Rama memorial Gold medal in Obstetrics & Gynocolgy MBBS, MD in AIIMS-New Delhi in Obstetrics & Gynocolgy

Dr. T Raga Samhitha

Dr T Raga Samhita is Practicing a Fertility Specialist & Gynecologist in Vijayawada with Special Interest in Fertility Treatments and Laproscopic surgeries. After MS OBGYN she completed post Doctoral Fellowship in Reproductive medicine & Surgery in Hyderabad Genesis. And has presented in various state and National level conferences.

Intrauterine Insemination (IUI)

Intrauterine Insemination (IUI) is a low-profile fertility therapy that increases the chances of getting pregnant through the transfer of specially prepared semen directly into the uterus at the moment of ovulation. It is less costly and less invasive than in vitro fertilization (IVF) and therefore one of the first choices for many couples.

Who is an Ideal Candidate for Intrauterine insemination (IUI)?

IUI is suitable for individuals suffering from:

Unexplained Infertility – When a specific cause of infertility cannot be identified.
Mild Male Factor Infertility – Low sperm count or motility issues.
Cervical Factor Infertility – Hostile cervical mucus that prevents sperm from reaching the egg.
Ovulation Disorders – PCOS or other disorders requiring ovulation induction.
Mild Endometriosis – When IUI and fertility medication are combined.
Use of Donor Sperm – For single women or lesbian couples using donor sperm.

Intrauterine insemination (IUI) Treatment: Step-by-Step Procedure

1. Initial Consultation & Diagnosis

Assessment of medical history, fertility testing, and hormone testing.
Ultrasound checks for testing ovarian function and uterine well-being.
Semen test to assess male fertility.

2. Ovulation Monitoring & Induction (if necessary)

Natural observation of ovulation or induction with fertility medication.
Ultrasound and blood work determine best time for insemination.

3. Sperm Preparation & Washing

Receipt of semen sample from donor or partner.
Sperm washing procedure removes non-motile sperm and debris, and a concentrated sample of highly motile sperm is retained.

4. Procedure for Insemination

A thin, sterile catheter is used to place the sperm inside the uterus directly.
The process is quick, painless, and does not involve anesthesia.
Patients lie down for a few minutes after which they resume normal activities.

5. Follow-up after IUI & Pregnancy Test

Patients are advised to wait 10-14 days before getting a pregnancy test.
Hormonal support may be provided to maximize chances of implantation.

IUI Success Rates

10-20% per cycle in mild infertility.
Higher success rates (20-25%) when combined with ovulation induction.
Up to a number of cycles may be required (usually up to 3-6 for optimal results).

Risks & Factors

Mild Discomfort or Cramping – Temporary side effects of the procedure.
Risk of Multiple Pregnancy – Slightly higher when fertility medications are used.
Lower Success in Severe Infertility Situations – IVF might be a favorable choice in such a situation.

Why Choose Medcy IVF Hospital for IUI Treatment?

Trained Fertility Specialists – Customized IUI treatment plans for optimal results.
State-of-the-Art Lab Infrastructure – Optimal sperm processing and increased success.
Treatment Approach to the Needs of Each Individual – Cycles customized as per individual needs.

Economical & Non-Surgical – Cost-effective and hassle-free approach before choosing IVF.

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.