Synopsis
महिला की प्रजनन उम्र
-कैरियर के चलते कई महिलाएं 21 वीं सदी में बच्चे को जन्म देने के निर्णय का टालती हैं। इससे महिला की प्रजनन दर के मुकाबले उसकी उम्र में काफी वृद्धि हुई है। अधिकतर दंपति गर्भावस्था को प्राप्त करने के लिए एआरटी पर निर्भर हंै। अधिक उम्र के बाद भी सही प्रजनन दर डिम्बग्रंथि रिजर्व पर आधारित होती है यानी एक निश्चित उम्र में दोनों अंडाशय में स्वस्थ अंडों की संख्या। अंडों में उर्वरता की कमी, गिरावट, अनियमित चक्र रजोनिवृत्ति का संकेत देता है। अंडों की गुणवत्ता क्षय से प्रजनन क्षमता कम हो जाती है जिसे गर्भधारण करने की क्षमता के रूप में परिभाषित किया गया है।
विषय विशेषज्ञों की तो उनके मुताबिक 20 वर्ष से 35 वर्ष के बीच की आयु गर्भधारण के लिए सबसे बेहतर मानी जाती है। 30 से 40 साल की उम्र में प्रजनन उपचारों के बिना गर्भधारण करने की पूरी संभावना होती है। रजोनिवृत्ति की शुरूआत सभी महिलाओं में अलग-अलग है लेकिन औसतन इसकी उम्र 51 वर्ष मानी गई है।
31 साल की उम्र के बाद महिला की प्रजनन दर में कमी आने लगती है, एक कमी जो 37 साल की उम्र के बाद तेज हो सकती है और नि:संतानता की ओर ले जाती है।
प्राकृतिक और सहायक प्रजनन क्षमता में कमी
-मानव प्रजातियों में औसत मासिक उर्वर दर [ फेकुंडिटी दर ]लगभग 20 फीसदी है। बढ़ती उम्र के साथ ऊपजाऊपन कम हो जाता है। 45 वर्षों के बाद, यदि कोई महिला गर्भावस्था की योजना बना रही है, तो उसे पहले से ही चिकित्सकों के साथ जटिलताएं और आनुवंशिक काउंसलर के साथ आनुवंशिक असामान्यताएं होने के जोखिमों पर चर्चा करनी चाहिए। गर्भधारण के बाद कुछ परीक्षण किए जा सकते हैं जैसे यूएसजी, रक्त परीक्षण, एमनियोसेंटेसिस या सीवीएस (कोरियोनिक विलस सैंपलिंग) जैसे कुछ जन्म दोषों की जांच।
उपचार के विकल्प उपलब्ध हैं
-यदि 45 वर्ष की आयु की महिला बच्चे को जन्म देना चाहती है, तो उसे फर्टिलिटी विशेषज्ञ की मदद लेनी चाहिए। कई अध्ययनों से पता चलता है
कि 40 साल से ऊपर की महिलाओं के लिए ओव्यूलेशन इंडक्शन, आईयूआई के साथ उपचार की सफलता दर प्रति साइकिल जीवित जन्म दर एक प्रतिशत से कम है। ऐसी महिलाओं में आईवीएफ- इन विट्रो फर्टिलाइजेशन सबसे अच्छा विकल्प है क्योंकि इसमें सफलता की संभावना सबसे
ज्यादा होती है। आईवीएफ के अलावा अन्य उपचारों का प्रयास करने से गभार्धान में देरी होगी और दंपति तनावग्रस्त होगा। सुपर ओवुलेशन / आईयूआई की 40 साल से ऊपर की सफलता दर <5 प्रतिशत प्रति चक्र है और आईवीएफ के साथ लगभग 20 फीसदी है।
उचित इनफर्टिलिटी कार्य होना चााहिए।
-ओवेरियन रिजर्व का अनुमान महिला की उम्र से होता है, जिसके बाद यूएसजी के लिए एएफसी, एएमएच स्तर होता है। डिम्बग्रंथि रिजर्व
परीक्षण के आधार पर, स्वयं के अंडे के साथ या अंडे के दान के साथ व आईवीएफ की आवश्यकता के बारे में अनुमान लगाया जा सकता है।
आईवीएफ
-अंडे को हटाने और उन्हें लैब में पुरुष साथी के शुक्राणु के साथ निषेचित करने और फिर परिणामस्वरूप भ्रूण को गर्भाशय में स्थानांतरित करने की प्रक्रिया आईवीएफ है। हालांकि, आईवीएफ के साथ भी गर्भधारण करने की संभावना बढ़ती उम्र 40 साल से कम और इससे अधिक और 45 वर्ष से कम की उम्र में काफी कम है, खासकर जब महिला अपने ही अंडों से गर्भ धारण करने की कोशिश कर रही हो। एक महिला में 45 वर्ष से कम उम्र में यदि आईवीएफ उसके स्वयं के अंडे के साथ काम नहीं करता है, तो महिला दाता अंडे के साथ आईवीएफ करवा सकती है। डिंब दान चक्र में, अंडों को दूसरी महिला से प्राप्त किया जाता है, जो छोटी (20-30 वर्ष की आयु) है और साथी के शुक्राणु के साथ निषेचित होती है और परिणामस्वरूप भ्रूण वापस महिला के गर्भाशय में डाला जाता है।
दाता अंडे के साथ आईवीएफ के माध्यम से गभार्धान की संभावना बहुत अधिक है। जबकि दाता महिला को डिम्बाणुजन कोशिका या ऊसाइट पुनर्प्राप्ति के लिए हार्मोनल इंजेक्शन दिया जाता है, प्राप्तकर्ता महिला को निषेचित अंडे यानी भ्रूण प्राप्त करने के लिए उसके गर्भाशय को तैयार करने के लिए हार्मोनल थेरेपी दी जाती है।
अतिरिक्त भ्रूण भविष्य में उपयोग के लिए क्रायोप्रेसिव हो सकते हैं। आईवीएफ से जन्म लेने वाले बच्चे का जन्म दाता के अंडे के साथ होता है, लेकिन यह माता से आनुवंशिक रूप से संबंधित नहीं होगा, केवल पिता और दाता महिला के साथ ही होगा।
सुरक्षा
– 45 साल की उम्र में गर्भावस्था एक उच्च जोखिम गर्भावस्था है। एआरटी की योजना बनाने से पहले कार्डियोलॉजिस्ट फिटनेस अनिवार्य रूप से लिया जाता
है। संपूर्ण गर्भावस्था में नजदीकी निगरानी की आवश्यकता होती है। पहले से मौजूद स्वास्थ्य समस्याओं के कारण गर्भावस्था जटिल हो सकती है। उदाहरण के लिए, गर्भावस्था के दौरान 45 साल की उम्र में महिला में उच्च रक्तचाप और मधुमेह के विकास का तीन गुना अधिक जोखिम होता है।
वृद्ध महिलाओं में भी गर्भपात, प्रसव पूर्व जन्म और प्लेसेंटा प्रिविया, अचानक होने की दर अधिक होती है। लंबे समय तक प्रसव और सीजेरियन सेक्शन की संभावना अधिक होती है। जन्मजात असामान्यताओं के साथ एक बच्चा होने की संभावना बढ़ जाती है जब एक महिला अपने स्वयं के अंडे का उपयोग ओडी चक्रों की तुलना में करती है जहां अंडा दाता की उम्र बहुत कम होती है।
ऊसाइट क्रायोप्रेजर्वेशन
-यदि एक महिला 40 की उम्र तक प्रसव में देरी करना चाहती है, तो उसे प्रजनन सुरक्षा के कुछ तरीकों पर विचार करना चाहिए। ेर से मां बनने के लिए जैसे कि एग फ्रीजिंग तकनीक अपनाना। ऊसाइट फ्रीजिंग की सफलता अच्छी तरह से स्थापित है। जो महिला को गर्भावस्था को स्थगित करने का अवसर देती है। मसलन कैरियर, चिकित्सकीय कारण, कैंसर या सामाजिक कारण से मां नहीं बनना चाहती हो।
कई अध्ययनों से यह साबित हुआ है कि बांझपन की समस्या उम्र बढ़ने से संबंधित जर्म सेल के बिगड़ने के कारण होती है, हालांकि अधिकांश बुजुर्ग महिलाओं में गर्भाशय पूरी तरह कार्यात्मक रहता है। इसलिए बाद में 45 साल की उम्र में भी एक महिला अपने जैविक बच्चे को पा सकती है।
निष्कर्ष
वैज्ञानिक प्रगति के चलते आईवीएफ से गर्भावस्था को प्राप्त करने और पितृत्व का आनंद लेने के लिए 45 वर्ष की महिला के लिए भी बहुत अच्छे
अवसर हैं।
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Irregular Periods An irregular period is an alarming situation for your rep...
2022
Infertility Problems Irregular Periods
Reasons of Irregular Periods
Irregular Periods: Know what are the possible reasons of Irregular periods? ...
2022
Irregular Periods Infertility Problems
When is the best time of the month to try for a baby?
Almost every woman at some point of time in her life wants to become a mother....
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Irregular Periods Infertility Problems
What causes abdominal pain during your period ?
Pain during periods is clinically called Dysmenorrhea and found in almost 30% ...
2022
Irregular Periods Infertility Problems
Home Remedies to Relieve Stomach Pain during Periods
Menstrual cramps: An overview Menstrual cramps (dysmenorrhea) or stomach pa...
2022
Irregular Periods Infertility Problems
Irregular Menses : Causes, Symptoms and Treatment
Irregular Menses Menstruation is the period of month when the uterus sheds ...
2022
What is In Vitro Fertilization
n Vitro Fertilization (IVF): What is it and Who should opt for it Infertili...
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Infertility Problems Male Infertility
What is Necrozoospermia & how it can be treated using IVF?
Necrozoospermia is the medical term that describes presence of dead sperms in ...
2022
How to overcome miscarriage?
How to overcome miscarriage? The suffering a couple goes through after a misca...
2022
Unknown causes of a miscarriage
Every new mother wishes and does her best to keep her child healthy and safe. ...
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Miscarriage: Symptoms, Causes, Treatment and Prevention
Miscarriage is defined as a failed intrauterine pregnancy which ends before 20...
2022
Infertility Problems Male Infertility
Oligospermia: Symptoms, Causes and Treatment
Oligospermia Oligospermia is one of the infertility problems in males that ...
2022
What are the Types of Miscarriage
Miscarriages are unfortunate events where the foetus dies before 20th week of ...
2022
கருச்சிதைவின் அறிகுறிகள், காரணங்கள் மற்றும் நோயறிதலை அறிந்துகொள்வோம்
கருச்சிதைவு ஏற்படுவது அரிதா�...
2022
Recurrent miscarriage: Causes, tests and treatment
Introduction Recurrent miscarriage is 3 or more successive Pregnancy failur...
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Infertility Problems Ovarian Cyst
Ovarian Cyst: Causes, Symptoms And Treatment
What is an ovarian cyst? Ovarian cysts are fluid filled sacs in or on the s...
2022
Infertility Problems Ovarian Cyst
What is Ovarian Hyper stimulation Syndrome(OHSS)?
on April 07, 2020 OHSS – WORRISOME BUT NOT AT PRESENT TIMES IN VITRO F...
2022
Infertility Problems Male Infertility
Low sperm count: Causes, Symptoms and Treatment
Due to various lifestyle issues and many other known and unknown causes, there...
2022
Infertility Problems Ovarian Cyst
Ovarian Cysts: All You Need to Know
Ovarian cyst is the fluid filled sac in ovary. This is one among the most comm...
2022
Infertility Problems Premature Ovarian failure
Premature Ovarian Failure : Causes, Symptoms and Treatment
Premature Ovarian Failure Premature ovarian failure is a condition in which...
2022
What are the Complications of Pcod?
PCOD, the polycystic ovarian disease is the most common endocrine problem infe...
2022
PCOD Management: Living With PCOD and Tips to Manage it
PCOD Management Polycystic Ovary Syndrome which is commonly known as PCOS o...
2022
Infertility Problems Male Infertility
How to Increase Sperm Count
Healthy sperms are an important factor in male fertility. Sperm count is refer...
2022
Common Myths About PCOD Busted
PCOD, Polycystic ovarian syndrome disease or polycystic ovarian syndrome is a ...
20
How does PCOD affects fertility
PCOS and PCOD are used interchangeably but they do have some differences, howe...
2022
Polycystic Ovarian Disease (Pcod): What Is Pcod?
The full form of PCOD is Polycystic Ovarian Disease. This is also known as Pol...
2022
PCOD Treatment Cost
“PCOD is like the classic story of a number of blind men, each able to touch...
2022
Infertility Problems Uterine Fibroids
Uterine Fibroids: Causes, Symptoms and Treatment
Uterine Fibroids Are you suffering from heavy menstrual periods? Does your ...
2022
Infertility Problems Uterine Fibroids
Uterine Polyps: Causes, Symptoms, Treatment
Uterine Polyps Uterus or womb is the part of a woman’s reproductive syste...
2022
Polycystic Ovarian Disease (PCOD): Causes, Symptoms and Treatment
PCOD Polycystic ovary disease (PCOD) is the number of symptoms on account o...
2022
PCOS Awareness Month – Everything You Need to Know about PCOS and its Prevention
September 1 denotes the beginning of the PCOS (Polycystic ovary condition) min...
2022
Yes PCOS can affect a Woman’s Fertility- Dr. Rinoy Sreedharan
Polycystic Ovarian Syndrome (PCOS) is the most common hormonal endocrine disor...
2022
Polycystic Ovary Syndrome (PCOS): Causes, Symptoms and Treatment
It is very important to monitor the women having PCOS since females with these...
2022
PCOS Diet Plan
Most women who have PCOS are found to be insulin resistant. This means your bo...
2022
Polycystic Ovary Syndrome (Pcos): What Is Pcos?
Experts at Indira IVF know that 30-40% of women who come to us are diagnosed w...
2022
5 Easy-to-follow Tips for Losing Weight with PCOS Condition
Weight loss in PCOS? Well, losing weight any day is a tough task and it get...
2022
How to Treat PCOS Naturally
How to Treat PCOS Naturally? Proper diagnosis Dr. Runu Kumari, Chief IVF...
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PCOS/PCOD Do’s and Don’ts
PCOS DO’s AND DON’Ts PCOD is a complicated problem faced by women these...
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PCOD Diet Chart and Exercise for Weight Loss
PCOD Diet – Introduction PCOS or Polycystic Ovary Syndrome is a very comm...
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PCOS Treatment Cost in India
PCOS Cost – Overview Polycystic Ovarian Syndrome or PCOS is the by-produc...
2022
Types of PCOS – What are PCOS Symptoms and Treatment
THERE ARE 4 TYPES OF PCOS In this section, we will cover different types of...
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Infertility Problems Fallopian Tube
Can Pregnancy Occur With One Ovary And One Fallopian Tube ?
on April 08, 2020 Uterus is connected to two ovaries by a pair of muscular ...
2022
What Causes Thyroids: How To Control Thyroid During Pregnancy
You cannot afford to underestimate the effects of thyroid on the most basic fu...
2022
लेट नाइट तक मोबाईल चलाना कर सकता है निःसंतान – मेलाटोनिन हार्मोन
मेलाटोनिन हार्मोन की कमी से फ�...
2022
पहली संतान के बाद pregnancy में दिक्कत सैकेण्डरी इनफर्टिलिटी के लक्षण
एक बच्चे के जन्म के बाद या पहल�...
2022
Exercising during Pregnancy
A pregnancy once achieved under an IVF treatment needs the same care and preca...
2022
Accidents and Pregnancy
Accidents and Pregnancy Sometimes, pregnant women may find themselves in co...
2022
Coronavirus During Pregnancy: Frequently Asked Questions for Pregnant Patients
By Dr. Vipin Chandra, Chief of Clinical & Lab Operations – Indira IVF on...
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Stress During Pregnancy
How to deal with Stress during Pregnancy? Doctors across the World share th...
2022
How can i increase the chance of Having a Healthy Pregnancy
Author Name: Dr. Youmee kiroung sherpa || Mentor Name: Dr. Urmila Sharma on Ap...
2022
Can I get a healthy pregnancy at 45?
Author Name: Dr. Shikha Mukhija || Mentor Name: Dr. Kanika Kalyani on April 27...
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What Are The tips And Tricks To Get Pregnant At 40 ?
Author Name: Dr. Sonali Gupta || Mentor Name: Dr. Rinoy Sreedharan on April 27...
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What is a Multiple Pregnancy?
Often, people going under an IVF treatment conceive multiple children. This ca...
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What Food to Avoid During pregnancy ?
Pregnancy is one of the most exciting moment of a woman’s life. Though it is...
2022
Ectopic Pregnancy: Symptoms, Causes and Treatment
Ectopic pregnancy is rare but is very dangerous. An ectopic pregnancy is when ...
2022
Ectopic Pregnancy : Cost, Causes and Risk
Ectopic Pregnancy Causes- Introduction From the time of fertilization till ...
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Pregnancy Exercise
At Indira IVF, we advocate regular exercise for pregnant women. Exercising is ...
2022
Menopause: Causes, Symptoms and Treatment
Introduction – Menopause The menopause also referred to as the climacteri...
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Top 10 Pregnancy Myths Busted
Since the dawn of time, pregnancy has fascinated, as much as it questions. And...
2022
Planning a Aregnancy
Advice To conceive a healthy baby, both the partners should adopt a healthy...
2022
Multiple pregnancies: causes, symptoms, and types
What is multiple pregnancy? Multiple pregnancies result in multiple births....
2022
Pregnancy in COVID-19: What are the Risks?
Is the infection more dangerous for the mother and her baby? What are the r...
2022
What is Ectopic Pregnancy? Signs And Treatment
What is Ectopic Pregnancy? It is the condition when a fertilized egg does n...
2022
Myths and Facts About COVID-19 And Pregnancy
Coronavirus (CoV) belongs to a virus family that can cause illness ranging fro...
2022
A negative pregnancy test even after missing a period
Missed period negative pregnancy Test Almost fifty percent of women get neg...
2022
Infertility Problems Irregular Periods
Possible Causes for a Missed Period with a Negative Pregnancy Test
Pregnancy tests have progressed a lot. As things change with time, earlier, wo...
2022
Infertility Problems Male Infertility
Which Nuts are good for Healthy Sperm?
Do you want to conceive a child soon? Here’s what to put on your plate to ha...
2022
Infertility Problems Male Infertility
How to Increase Sperm Count
Healthy sperms are an important factor in male fertility. Sperm count is refer...
2022
Infertility Problems Male Infertility
Foods Increase Sperm Count
Foods to increase sperm count Our fertility experts know that sperm count i...
2022
Infertility Problems Male Infertility
How to Increase Sperm Count
Healthy sperms are an important factor in male fertility. Sperm count is refer...
2022
Infertility Problems Male Infertility
Oocyte / Sperm Cryopreservation
Gone are the days when females, after completion of their graduation, would ge...
2022
Infertility Problems Male Infertility
How to Increase Sperm Count
Healthy sperms are an important factor in male fertility. Sperm count is refer...
2022
Infertility Problems Male Infertility
How to Increase Sperm Count
Healthy sperms are an important factor in male fertility. Sperm count is refer...
2022
Infertility Problems Male Infertility
How to Increase Sperm Count
Healthy sperms are an important factor in male fertility. Sperm count is refer...
2022
Infertility Problems Male Infertility
Sperm Wash Techniques
By Evelyn Stephen, Embryologist on January 27, 2020 In addition to spermato...
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Infertility Problems Male Infertility
Brief Insight of Sperm Donation Program
Dr. Shyam N Gupta, Emb. Rahul Overview Sperm Donation can be a better HO...
2022
Infertility Problems Male Infertility
How does IVF help Male Infertility
What is Male Infertility? Male infertility is the lack of ability to genera...
2022
IVF Pregnancy with PCOS and Endometriosis
Introduction – PCOS and Endometriosis There are numerous reasons and part...
2022
HCG Levels – 10 Things you need to know
Human chorionic gonadotropin (hCG) ,also known as pregnancy hormone, is produc...
2022
Infertility Problems Male Infertility
Men’s Guide to Fertility
Men’s Guide to Fertility Men are seen to less open about the infertility ...
2022
Do Masturbation And Nightfall Affect My Fertility Potential?
Infertility is inability to conceive after 1 year or more with regular unprote...
2022
Tubal Infection : Causes, Symptoms and Treatment
Tubal Infection Tubal Infection, also known as Fallopian Tube Infection, is...
2022
Infertility Problems Male Infertility
Does Obesity Cause Infertility in Males
How Are Obesity And Male infertility Related? Male Infertility and Obesity ...
2022
Be Positive Mothers-to-be!
A positive mind attracts happiness and relief. Especially if one is going throug...
2022
Infertility Problems Male Infertility
The Male Infertility Stigma
Male Infertility Stigma – Introduction Whenever we are talking about the ...
2022
Reproduction at advance maternal age and Maternal Health
Introduction: Advanced maternal age is said to be once a female gets pregnant...
2022
Treat IVF Doctor as Your Best Friend
“A friend in need is a friend indeed” is an old and popular axiom which ap...
2022
Diet Plan for Lactating Mothers: What to eat while breastfeeding?
You know breast milk is the best food for your baby, but what about your own n...
2022
Infertility Problems Male Infertility
Male Infertility Causes
Male Infertility Causes – Introduction Infertility is defined as, when a ...
2022
All You Need to Know About Ovulation
Many couples are trying to conceive but are not able to do so because of a lac...
2022
Infertility Problems Male Infertility
Male Infertility
MALE INFERTILITY – Overview If you are facing male infertility you are no...
2022
Indira IVF – A Ray OF Hope For Infertile Couples
The present scenario totally contradicts the social taboo that deems a woman t...
2022
Infertility Problems Male Infertility
Male Fertility Conditions
Sperm is also an important factor in conceiving a baby. Many people in India a...
2022
Hyperthyroidism Symptoms Causes and Treatment
Hyperthyroidism Symptoms Causes and Treatment Thyroid dysfunction is quite ...
2022
Move towards Motherhood
A few simple steps that can bring woman miles closer to becoming a mother are:...
2022
7 things You Must Discuss with Gynaecologist
With female friends or people close to us, we can share everything without wor...
2022
An A TO Z Guide to Premenstrual Syndrome (PMS), Its Symptoms & Treatment
What is Premenstrual Syndrome? Premenstrual syndrome, commonly known as PMS...
2022
All you need to know about Cesarean section C-section birth
What is C section? The Cesarean section, also known as C-section birth, is ...
2022
Yoga and conception
Dr. Santosh Gaur (IVF specialist, INDIRA IVF BANGALORE) explained “In Today�...
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Happiness is now in budget
India has emerged as a health hub for medical tourism. Many complicated health...
2022
Hands that serve are holier than lips that pray
“Hands that serve are holier than lips that pray.” The above saying exp...
2022
How to Find the Best IVF Doctor
The first question that infertile patients ask their family doctors and physic...
2022
9 days towards 9 months
A couple after facing all odds finally come knocking the door of medicine and ...
2022
Can i become pregnant while my tubes are tied?
Pregnancy is one of the most important phases in women’s life and is conside...
2022
Right food for To-Be Mommies
Pregnancy Food Chart 1. The right amount of all the pro...
2022
ನಿಮಗೆ ಹುಟ್ಟಲಿರುವ ಮಗುವನ್ನು ಅರ್ಥಮಾಡಿಕೊಳ್ಳುವುದು: ಗರ್ಭದಲ್ಲಿ ಮಗು ಹೇಗೆ ಬೆಳೆಯುತ್ತದೆ!
ವೀರ್ಯವು ಮೊಟ್ಟೆಯನ್ನು ಭೇಟಿಮಾಡ�...
2022
Cesarean Section Vs Natural Birth
Surrogacy centers in Delhi and Infertility centers in Pune state that there ar...
2022
Infertility issues for Late Marriage couples – Indira IVF
Gone are the days when men and women used to marry in their 20s. At least in b...
2022
I’m 45, What are my chances of getting pregnant ?
Female Reproductive ageing Due to postponement of child bearing in the 21st...
2022
NOW IVF is in Your Budget – 0% Interest Rate IVF Loan
There is a good news for infertile couples. Couples who wish to adopt IVF tech...
The Benefits of a Good IVF Doctors
IVF Doctors There is no doubt that it is highly necessary to opt for a good...
2018
क्यों होता है महिलाओं में बांझपन जाने कारण और उपचार पद्धतिया
एक दम्पती को नि:संतान के रूप म�...
एचसीजी प्रेगेन्सी टेस्ट (IVF के बाद प्रेगनेंसी टेस्ट)
बीटा एचसीजी क्या है? -बीटा एच�...
ಗರ್ಭಪಾತದ ಲಕ್ಷಣಗಳು, ಕಾರಣಗಳು ಮತ್ತು ರೋಗನಿರ್ಣಯವನ್ನು ತಿಳಿಯಿರಿ
ಗರ್ಭಪಾತವಾಗುವುದು ಅಪರೂಪದ ವಿದ್�...
Tools to help you plan better
Get quick understanding of your fertility cycle and accordingly make a schedule to track it
