Akanksha IVF Centre

Hi!

I am Dr. K.D. Nayar, senior consultant, New Delhi. This centre is there since 2002 and currently, we are doing almost 1000 IVF surgeries annually with the success rate of around 40%. One year certificate training centre for IUI and IVF training. We are getting patients from India and from abroad who are coming to us to get treated for infertility and especially the cases of failed IVF in other centres.

In our centre, we have one of the most upgraded labs. We have got the time lapse machine from where we can monitor the embryo 24x7 and it helps in selecting the best embryo to be used for embryo transfer which can get implanted. We have laser also available to us which we're using for laser hatching which is also used for embryo transfer. All these techniques have helped us in improving our fertility rate. That is what the patients are looking at the end of the procedure. Besides this, the condition of IVF has also changed over the years. Right now we have many patients who are trying to conceive in later stages of their life because of the professional reasons.

Girls who are busy with their professional commitment, they want to postpone their pregnancy at a later stage. We are freezing their eggs at a younger age and using them at a later stage whenever they want the pregnancy. So the egg freezing is something which is catching up very fast and we are one of the few centres who are capable of doing egg freezing. Besides this, we are also one of the few clinics which is OHS free that is Ovarian Hyperstimulation Syndrome. It is one of the rare complications but it causes a lot of discomfort in the patient. In our centre since the last seven years, we have shifted to such protocols so that we never have even a single case of OHS in our centre.

Another thing which we have started is that we are moving on to 3-course strategy. First is we take out the eggs, fertilize them and can create an embryo. Secondly, freeze the embryo and then we transfer it into the subsequent cycle. There have been recent reports that frozen embryo transfer gives a higher success rate and this is what we are seeing in our patients that frozen embryo transfer has a higher success rate. If you have any queries you can contact me through Lybrate portal anytime you want.

Thank you!

Hi,

I am Dr K D Nair, Senior Consultant, Akansha IVF centre. The centre was established in 2002 and we are there for almost 18 years. Right now we do 700 to 800 IVF cycle every year. We have a success rate of over 40 to 45%. Generally speaking, infertility is affecting 15% of the population. That translate into a huge number considering our population. And whenever the infertile couple comes to us we begin with counseling, history taking and plan investigation according to the need. 30% of the cases are because of the factors in husband, 30% cases are there because of the factors in wife 30% because of the factors both in husband and wife and around 10% remain unexplained. We don’t find any reason. Once we take history to start investigating them. Investigation starts with husband semen analysis. We have to check if he has got he can give a proper semen sample and if the semen sample has normal count mortality as per the WHO 2010 criteria and along with that, we start investigating the wife also.

Look for her general health and especially look for her ovarian reserve by AMH which we are doing for all our patients. Once we have investigated them and decide to go for IVF. The IVF procedure starts from the first or second day of the menstrual cycle. The wife will receive injection for 10 to 12 days and in between, she will come for ovulation monitoring. The ultrasound is done on day 5 day 7 day 9 day 10. By day 10 the follicles are ready. To take them out under a short procedure which is done under anesthesia lasting for around 10 15 minutes. The same day we take husband’ sperms. We ask him to give a semen sample, collect the sperms and wash them and after collecting the eggs we put each egg in a small dish and put the sperms also in this dish so that the sperms can fertilise this egg. And this dish is kept in a controlled atmosphere of CO2 which is incubator.

And after 24 hours we check whether it has been fertilized or not and then follows further growth. Day 1 it becomes 2 cell day 2 it becomes 4 cells like day 3 become 8 cells. Generally, we will have to take most of the embryos to day 5 that is blastocyst because blastocyst gives us a better implantation rate. And after doing embryo transfer which is again a very short procedure lasting for 3 to 4 minutes, it is done without anesthesia. The patient goes and takes some withdrawal sport and we again ask them to come 14 15 days after the embryo transplant to check the pregnancy test. Like this patient which we have shown has come back after 14 days of embryo transfer and today have visited tested positive. Akansha IVF Centre is one of the most advanced centre in Delhi. We have got the facility for doing sperm extraction from husband like Tesa & Tese. We have the facility of doing muside freezing embryo freezing blastocyst freezing.

We have the facility of time-lapse of the embryos. Once we put the embryos in the incubator we can monitor them 24 hours by this time-lapse monitoring. Which gives us a better choice – we can choose the best quality embryo to be transferred. So all these facilities they give us an edge over other centers. Patient can have all these facilities here under one roof. You see there are a lot of IVF centres mushrooming in Delhi. When we started our IVF centre there was 6 or 7 centers in Delhi, now there are more than 100 IVF centres in NCR. It’s good that these centres are catering to the infertile population. But the centre must be working in an achievable way. Should be transparent and patient interest should be always priority. And that is how we are succeeding. The patient who comes here gets attached to us forever. She comes with her first conception, she delivers, she will come back for her second conception and not only this our patients are our biggest brand ambassadors.

They are the one who refer other patient to us and that is our USP of our centre. The patient who is referring other patient to us. Over a period of time we have grown we have developed a big team we can say Dr Minal Dr Sweta Dr Manika and doctor, they are all there with me. We work as a team but all the procedures have to be done under me under my supervision. Patient is always given the best opportunity to conceive. That is our motto that patient should be given the best opportunity to conceive.

Thank you.

Infertility: Causes and Treatment

I am Dr. K.D. Nayar. I’m a senior consultant and head of the department at Akanksha IVF center, Mata Chanan Devi Hospital. This center is there since 2002, more than 15 years. Right now we’re doing almost 700 to 800 IVF cycle every year with the success rate of 40 to 45 percent. Basically, infertility is affecting nearly 15 percent of the population that means one in every six couples is infertile and when we look at the causes of infertility 30 percent is reason because is in the wife, 30 percent is in the husband and 30 percent causes are in both the husband and wife and 10 percent are unexplained. Whenever we get a patient with infertility we have to first investigate them and find out what is the cause of infertility.

Generally speaking 5 percent of the patients land up in the IVF cycle. In a IVF cycle, before starting IVF cycle we have to check the husband’s profile, husband’s seminal traces, whether the husband got any problem in ejaculation or erection. He must be able to produce a normal semen sample. Once we have the husband’s profile then we will investigate along with that we investigate the wife and then we start the IVF treatment.
IVF treatment, basically we give injection to the wife, around 10 to 12 days to produce more number of eggs. We monitor her with ultrasound; see how the follicles are growing. Once the eggs are ready we take out this eggs through a very small procedure through vagina only, no cuts. We take out the eggs at the same time we take the husband’s semen, put them together in a dish, fertilize it. All this process is being done in our IVF labs.

If the husband’s semen count or motility is poor then we can catch hold of one sperm individually and inject into egg itself this is called ICSI. Once we have mixed these sperms and eggs, we leave it in the incubator and observe the further process of fertilization. We check next day they become two cell, day two they should become four cell and so on, they’re growing.

Generally speaking, we like to take them to day five when they become blastocyst and then we have the transfer. Embryo transfer is also a very simple procedure, done without anesthesia. It hardly take 3 to 4 minutes. So, that will be the most vital step in the procedure and patient has to be reassured that there is no pain limitation. There is no obligation to the patient, there is no side effect to the patients general health. Once we do embryo transfer there after 15 days we check whether this embryo is implanted or not. That is a brief summary of the ideal procedure IVF or ICSI which we are doing generally in our center.

You can contact me through lybrate. Our whole team is there to help you in your endeavor to achieve pregnancy.
 

Here are some tips to manage PCOD

Tips and Treatments for PCOD
I’m Dr. K.D. Nayyar Infertility Specialist and the Senior Consultant and Head of Department at Akanksha IVF Centre.
One of the most common causes present in these days is Polycystic Ovarian Disease which is prevalent in almost 8 to 10 percent of the population.
Polycystic Ovarian Disease is affecting whole spectrum of women right from puberty till middle ages even post menstrual stage. And younger women, they are more worried about their menstrual disturbances, ovulation problem, the infertility problem, the sexual health and the older women are more worried about their metabolic problems, the pregnancy complications, and the chances of developing type-2 diabetes, the cardiovascular risk and the quality of life.

Whenever you have a woman with polycystic ovarian disease, you need a multi specialist input like, you need to have a gynaecologist, you do need to have a endocrinologist, a nutrition specialist, a psychologist, ultra-sonographer, all of them can combine and give their inputs in looking after these women.
The younger woman is too much worried about the acne, the excessive hair. They are advised to avoid certain types of food which can increase their sugar like, chocolates, which is a common thing among the younger age group, and they are advised to eat lot of green vegetables, tomatoes and meat products. The idea is they should not gain too much of weight. A reduction of 5 percent of the weight, help their menstrual cycle and ovulation.

Older age group who are looking for infertility treatment, they can start with simple oral medication, which has been there for a long time and if they don’t respond with this oral medication, they can either go for indictable colonography and if that doesn’t help they may go for laparoscopic ovarian drilling and there are lot of achievement available in your market these days. One has to choose the right type of achievement, it can be, by forming N- Acetyl Cysteine and it can be Dexamethasone it can be the only cases of hyperchlonaemia. And there are other lot of antioxidants available in the market but one has to choose the right combination.
The idea is that women should have an ovulation which should result in pregnancy and a healthy baby.

These women who have Polycystic Ovarian Disease even after the delivery they should be followed up for the blood sugar level and it will provide regularly they should be monitored because there is always a risk of type-2 diabetes developing in this group so one has to be careful that this need a monitoring for the rest of their life.

All such women who are suffering from Polycystic Ovarian Disease, they are advised to contact me on lybrate on their website or mobile app or they can come to me directly at my clinic.
 

I’m Dr K.D Nayyar. I’m the senior consultant and head of the department, Akansha IVF Centre. This centre originated from the last 15 years. We have grown over a period of time and the main aim of this centre is to look after an infertile couple.

Infertility is growing every day, increasing number of patients. It is because the couples are not getting worried about infertility. Previously they never used to come out with their problem. But now they have become more perceptive and even an average middle class, lower middle class think of going for treatment for infertility. Generally speaking 12 to 15% of couples have infertility issues.

When you look at the causes of infertility, the important issue is either it can be a problem in the husband or problem in the wife or many times it can be a problem in both of them. Generally speaking, 40% problem is of the husband, 40 % time there will be a wife, 10% time it is combined both of them husband and wife and 10% we cannot find any reason and we label them s unexplainable infertility.

Coming to male infertility, the male person is responsible for 20 to 25% of the cases and in another 25 to 30% of the cases the male is the contributing factor. So if you look at it male infertility is responsible for nearly 50% of infertility.

At Akansha IVF Centre we are regularly doing the semen analysis and we are doing Sperm Fragmentation Test with the head of sperm media. At our centre, all these facilities are existing under one group. The whole team consists of a neurologist, embryologist, infertility specialist for taking out dreamer sperms. All the infertile couples should approach Akansha IVF Center for all their problems because infertility put a lot of stress on the couples. They cannot keep on going from living their life like that and it is always better to identify and approach a centre which can look after their problem. This is to inform all the couples to approach lybrate for finding out the proper IVF centre where they probably can be tackled.

They can approach lybrate at the website. They can approach directly to me to my clinic.