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Reproductive Endocrinology And Infertility (REI)

Reproductive Endocrinology And Infertility (REI)

Overview

Reproductive Endocrinology and Infertility (REI) is a subspecialty of obstetrics and gynaecology wherein physicians train in various aspects of reproductive medicine including how to address hormonal functioning as it pertains to reproduction and non-fertility related conditions.

What kind of doctor is a Reproductive Endocrinologist?

After completing a residency in Obstetrics and Gynaecology, Reproductive Endocrinologists undergo three years of specialty training in Reproductive Endocrinology and Infertility. Reproductive Endocrinologists are trained and qualified to evaluate and handle complex medical issues involving the endocrine and reproductive systems, including menopause and metabolic bone disorders and infertility.

Reproductive Endocrinologists can treat adolescent girls and women of all ages and are trained to deal with:
  • Hormonal / endocrine disorders
  • Menstrual problems
  • Infertility
  • Menopause and perimenopausal issues
  • Metabolic bone health issues including osteoporosis and osteopenia

Why should we travel to Mumbai over other cities in India or world?

Mumbai not only a city that gives the advantage of world class healthcare services at a fraction of cost, it is also known as one of the most vibrant and safe cities. Mumbai is well connected to all major cities in the world. Home to global multinationals, the city already has many foreign nationals working here. The city in general and staff at Kokilaben Hospital are culturally sensitised to the needs international visitors.

Medical conditions addressed at CREF

Reproductive Endocrinology

  • Amenorrhea (no menstrual periods)
  • M.l irregularities
  • Polycystic Ovary Syndrome (PCOS)
  • Hirsutism (excess hair, Acne)
  • Hyperprolactinemia
  • Thyroid disorders
  • Reproductive Tract abnormalities
  • Pubertal disorders
  • Adolescent gynaecology
  • Recurrent Pregnancy loss / miscarriage
  • Gonadal dysgenesis (including Turner's syndrome)
  • Disorders or Sexual Development (DSDs)
  • Congenital Adrenal Hyperplasia
  • Premature menopause

Midlife Health Care

  • Perimenopause
  • Menopause

Bone Health

  • Bone Health and Metabolic Bone Disorders - including Osteopenia and Osteoporosis

Adolescent Gynecology

This is an emerging subspecialty that addresses a spectrum of gynaecologic problems that are unique to the adolescent population, and involve skills that are different from those utilized for the adult population. Presentation of common gynaecologic problems in adolescents, evaluation and assessment techniques, therapeutic management, and specific health measures require a comprehensive understanding of embryology, hormonal physiology, anatomy, and how certain conditions impact their future sexual and reproductive functioning.

What is expected in the initial workup consultation in the Assisted Fertility Clinic?

  • Detailed review of complete past patient history, symptom evaluation, medical examination, investigation discussion, screening tests to establish reproductive health and infertility evaluation to reach an accurate diagnosis and decide the treatment options
  • Pre-treatment advice and counselling
  • Pre-treatment tests including hormonal analysis, screening for infections, routine health tests for surgical and anaesthesia fitness (if required), tubal assessment (hysterosalpingography, sonosalpingography) if required; uterine tissue biopsy (if required) and lapro-hysteroscopy for females. For men, semen analysis, advanced spermiogram and semen culture (if required).
  • Ultrasonography

What is Intrauterine Insemination (IUI)?

IUI involves collection of semen by emission occurring other than during intercourse (usually by masturbation), processing semen and transferring it directly into the uterus with the help of a catheter.

What is In-vitro fertilization (IVF)?

It is commonly known as test tube baby. IVF is the most widely practised assisted conception in the world with the first IVF baby born in 1978. IVF means fertilization of an ovum (egg) outside the body and then transferring the embryo(s) into the uterus of the woman. An egg is exposed to 50,000 to 100,000 sperms in a test tube to assist fertilization.

Do you offer ICSI procedure?

Yes, Intracytoplasmic sperm injection i.e. ICSI, a higher technique to IVF with better pregnancy results is available. Further, consultation with the infertility specialist for indication of this treatment is advised.

What are the risks involved in IVF/ICSI treatment?

The risks are multiple pregnancy, ovarian hyperstimulation syndrome (OHSS), ectopic (abnormal site) pregnancy, bleeding, infection and anaesthesia risk

Is there any physical risk to me during egg collection procedure?

With vaginal route ultrasound guided egg collection, you may be rest assured that this procedure is certainly no more risky than a properly performed laparoscopy. The test- tube baby treatment is a relatively very safe procedure.

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