"UROGYN" is a joint venture between Urologist, an expert in Male Infertility, Dr. Ashok K. Gupta,MS, DNB-Urol, Mch-Urol and Expert IVF and Surrogacy Specialist. Dr. Surbhi Gupta, MD-G&O in the service of Infertile Couples. In collaboration with various associated specialists like Gynaecologist, Dr. Meenakshi Aggarwal, MD-G&O and Chief Embryologist, Mr.Paritosh K. Sarkar, the centre provides comprehensive services under one roof for complete Evaluation and Treatment of Infertile Male and Female. The centre is unique of its kind in this part of the country. It is accredited by various official and professional bodies and boasts of treating vast number of National and International patients from countries like USA, UK, Australia and Middle East. In addition to Infertility, the centre has two associated wings which provide Urological and Gynaecological services.
Infertility can be due to either male or female factor or both. In 1/3rd cases, cause of infertility lies in husband; in another 1/3rd, infertility is solely due to female factor and in rest 1/3rd cases, a couple could be infertile due to both male and female factors.
In fact, it is very easy. Just go for semen analysis of male partner after abstinence for 48 hrs. In most of the cases, simple test like semen analysis will decide whether cause of infertility lies in husband or wife.
After abstinence for a minimum of 48 hrs, semen sample is to be produced by masturbation in the lab and fresh sample is to be submitted for examination. In case the male partner is unable to masturbate in the lab, there are other methods to procure semen for analysis.
Only an expert Andro-urologists understands the conundrum of ‘Male Factor’ infertility. Unfortunately, there are only a handful number of specialists to deal with massive population of infertile males.
It is failure to ejaculate. Here, spermatogenesis (synthesis of sperms) could be normal, but, the male partner fails to produce semen due to some cause like fear, psychiatric disorder, un-favourable circumstances etc.
Varicocele is excessive number of veins in the vicinity of testis producing a hostile warm environment around the testis which results in poor spermatogenesis.
Not always. In fact, in most of the cases, there is no improvement. Semen parameters improve after varicocele surgery only in properly selected patients of varicocele. However, varicocele surgery is the most time-tested and non-controversial operative procedure offered to infertile males.
mTESE is Micro-surgical Extraction of Testicular Sperms. It is the most advanced procedure for Non-obstructive Azoospermia.
Not, at all. These procedures are done under anaesthesia.
Lawfully, sperms can be preserved and used for Assisted Reproductive Procedures for 5 yrs. However, success with preserved sperms has been documented in labs even after 15 yrs.
Not actually. In most of the cases of ‘Male Factor’ infertility, the exact point of defect in spermatogenesis remains unknown. Since the cause remains undetected, it cannot be treated. Most of the medicines available in the market are just natriceuticals and tonics. Empirical use of fortifying agents is likely to cause some harm rather than doing anything good to the patient. It is very well documented in the literature that semen parameters deteriorate in 1/3rd of patients after starting medicinal treatment; in another 1/3rd, semen quality remains the same and in only rest 1/3rd cases, there may be mild to modest improvement in semen parameters which may not get translated into pregnancy.
Yes; Impotence and Infertility are two separate entities. A person can be potent, but, infertile. And, vice-versa is also true.
There are 2 expert Andro-Urologists at ‘UROGYN’: Dr Ashok K. Gupta, MS-Surg, DNB-Urol, Mch-Urol and Dr Prashant Pradhan, MS-Surg, DNB-Urol. Dr. Ashok K. Gupta carries an experience of 30 yrs in treating infertile males and incidentally he happens to be co-owner of ‘UROGYN’ and husband to IVF specialist, Dr Surbhi Gupta.
In most of the cases, the exact cause of defective semen parameters remains unknown. However, life-style factors are believed to play a significant role.
Before rushing to any infertility clinic or a doctor, first of all get the semen analysis of male partner after abstinence for 48 hrs. In case semen analysis is normal, you need to consultant an IVF specialist in a fertility clinic. But, if semen analysis shows some anomaly, the male partner needs to be evaluated by an Andro-Urologist in a fertility clinic.
Yes; with the availability of modern techniques like TESE/mTESE, ‘Male Factor’ infertility is no more untreatable.
It is absence of sperm in ejaculate.
Actually not; a diagnostic testicular biopsy is obsolete. Biopsy of the testis is best done as an adjunct to TESE / mTESE in a fertility lab having facilities of cryopreservation of germinal tissue.
Varicocele is surgically correctable and the best operation is ‘Microsurgical Varicocelectomy’. Surgery needs to be done only if there are 3 or more than 3 veins of size more than 3mm with venous regurgitation on Valsalva as detected on duplex Doppler ultrasound of scrotum.
TESE is Surgical Extraction of Testicular Sperms. It is the current procedure of choice for treatment of Obstructive Azoospermia.
TESA stands for Aspiration of Testicular Sperms using a fine needle. It is getting obsolete due to unacceptably low success rates. Negative pressure in the syringe used in TESA is supposed to induce apoptosis in sperms resulting in sperm death and failed ICSI.
At ‘UROGYN’, the procedure is done under day-care with short admission for 6 hrs. You can go back to work after taking rest for 24 hrs.
Total cost of TESE / mTESE at ‘UROGYN’ is Rs 40,000/- with no hidden cost or over-heads. In case the procedure yields viable sperms, further freezing does cost additional Rs.10,000/-.
Truly not; sperms preserved after TESE / mTESE can be used for multiple cycles at different points of time.
Donor semen is recommended when all known modalities have ruled out possibility of success with genetically-linked sperm. Before the easy availability of DNA testing, inadvertent use of donor semen to treat ‘Male Factor’ was rampant.
‘UROGYN’ is the only fertility lab in northern India where full time andro-urologist is available and the lab is owned by andro-urologist. Besides this, all other modalities required to treat infertility are available under one roof at ‘UROGYN’.
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136/Pocket F-22, Rohini Sector-3
(Dividing Road Sector-2/3)
Delhi-110 085, INDIA