Monday, 16 March 2020

How can a woman with a weak uterus get pregnant?

The uterus is a hollow muscular organ situated between the bladder and pelvis in the female body. The eggs that the ovaries produce, travel through the fallopian tube, and, after fertilisation, implant themselves in the lining of the uterus, where it develops into a baby.

A weak uterus, also called the Uterine Prolapse, is caused when the pelvic muscles and ligaments weak and can no longer support the uterus. 

It has been suggested that a prolapsed uterus can cause difficulty in getting pregnant. Previous pregnancy, advancing age with its change in hormones, can cause a prolapse of the uterus. 

However, there have been cases where it has happened, but with careful assessment and with elective caesarean section as the safest mode of child delivery.

This was made possible with the application of a vaginal pessary.  This is a soft removable device that supports the area affected by the prolapse. These can be in the shape of a U, disk, ring or cube.The name is derived from the Greek word, pessarion. 

In the cases referred here, it was inserted inside the pelvis after manual reposition. This was later removed during the 24th week. There has also been one case of in vitro fertilization and embryo transfer pregnancy.

Natural pregnancy, with a prolapsed uterus, is possible but highly risky. But, its management should be individualised based upon patient preference, age and severity of the prolapse.
While a vaginal delivery can be expected, a caesarean section is the safest option.

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Wednesday, 5 February 2020

Need of Counselling before you go with Infertility treatment

Need of the hour for couples

Counseling plays a vital role when it is about treating infertility. Counseling is usually preferred by couples who have been longing for a baby, and it provides the apt guidelines before the treatment. Counseling can be a bridge-building that can evoke the transparency between the doctor and the patient. 


A good counselor will always have the right solutions for all the problems, especially with regard to couples and their infertility issues. Couples need to come together as that would make the situation better for the doctor. The doctor needs to know both sides for the appropriate solution to appear. A good fertility specialist can bring out the solution through counseling within a day. 

Fertility specialists are the right people who could bring out awareness for couples and resolve the issue of infertility. They are the experts with good experience in their field; hence, they can answer all the questions that would be raised by a couple or a transgender person who wishes to have a baby. The fertility specialist can also provide detailed information in connection with the financial and emotional stress which couples would undergo. 

To conceive is a dream that all women would have in their life. Married couples, transgender people, single parents, and couples who have been trying for a long time can reach out to a fertility specialist to get the apt information and guidelines concerning the treatment. Each procedure would be explained accurately and appropriately with regard to the necessary tests such as physical examinations for both the genders, blood tests to know the hormonal variation, pre and post-coital tests for men to evaluate the sperm count and the duration of survival. 

As age plays a significant role with regard to getting pregnant, the fertility specialist can always inform a couple of the right time to conceive. It is always good to reach out to a counselor before the treatment. 


At Smile Baby IVF , the doctor would provide the best solutions and give the appropriate answer to all the questions raised by couples who seek their help.

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Monday, 2 December 2019

Stabilizing emotions and PCOD

Polycystic Ovary Disease or Polycystic Ovary Syndrome is considered to be a hormonal disorder commonly seen in women. Excess of androgen hormone production is one of the signs of PCOS that leads to anovulation. This condition can be associated with obesity and insulin resistance.


Polycystic ovary syndrome can have a significant impact on physical health and mental health. The hormonal differences can lead to anxiety and depression in a lot of women. This can have a direct effect on the quality of life physically, psychologically, and socially. 
  • Physically - disrupts eating and sleeping patterns 
  • Psychologically - reduces motivation and increases the feelings of worthlessness 
  • Socially - affects relationships 
A combination of hectic life and PCOS would make a woman stressful. And it would make a situation difficult or feel threatened to cope up with it. At times stress could be a motivation to work whereas, too much stress could worsen the situation and would make one question their sense of wellbeing. Excess stress would cause health issues, as well. 

Body image
Acne, excess hair growth on the face, weight gain, fertility problems, and hair loss are considered as few symptoms of PCOD. This will have an impact on mood, self-confidence, and body image. These could make a woman self-conscious, reduced self-esteem, and questions confidence level. There could be a drastic change in behaviors such as reducing appetite on purpose, avoiding friends, and lack of interest to socialize. 

Other emotional problems
Anxiety and depression are the major issues for a woman with PCOD. There are more emotional problems, such as lethargy, irritability, and short temper. At times women with PCOD would get irritated for no reason, and this would cause problems in their relationships. The situation gets worse when they feel emotionally insecure; hence, doctors recommend their partners and family members to provide a peaceful realm for them.

Some women with PCOD will have higher insulin resistance, and this would lead to depression. It is always suggested to get support and help on time so that further complications can be avoided. At Smile Baby IVF, doctors help to diagnose and provide effective treatment for PCOS along with the necessary support and proper counseling.

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Tuesday, 19 November 2019

IVF for women over forty

Nowadays, several women are opting for a healthy and stable career before entering motherhood. Raising a child is an expensive affair, the cost comes both in terms of money and time, not to mention the amount of energy required to raise a child. Remember the old adage, “It takes a whole village to raise a child”, that notion is quite accurate today also.


As young working professionals it would be difficult to do all of these things at the same time. This is where IVF comes to help you. IVF enables women to postpone child bearing to an appropriate age in the future. Women can undergo treatment even after 40 and still be able to start a family.

There are many kinds of IVF treatments. However, there is considerable consensus in the medical community that IVF done using frozen eggs is the most effective method. The success rate both in terms of pregnancies as well as healthy births is much better compared to other forms of IVF.

When we further analyze the statistics on use of IVF it is seen that frozen eggs work best when it’s the woman’s own eggs, frozen at a younger age. This comes with twin benefits of higher pregnancy rates and healthier babies. 

In conclusion, IVF enables women to postpone their pregnancy to when they are more settled in life and are financially and professionally independent. However, it is essential for such women to freeze their eggs at their present age in-order to improve the odds of pregnancy and having a healthy baby. However, if you are above forty and have not frozen your eggs when you are young, you still have an excellent chance of both conceiving and giving birth to healthy children through IVF treatment. So, get in touch and we can help you to figure out how to get there.

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Friday, 18 October 2019

Top Five Queries Answered for International Patients Coming to India for IVF.

1. Can I fly after IVF embryo transfer?

Air travel has no impact on pregnancy rates following an IVF cycle.  It is normal to be worried about doing too much too soon after the transfer, but data show pregnancy rates are not lower even on those who went back to regular activity immediately.
2. How often do I need to visit whilst in IVF treatment?

It depends on your individual case and response to the medications, but once stimulation commences most people need scans and blood tests on alternate days for at least 2 weeks. Prior to starting the IVF cycle itself, you are likely to need several visits for clinics, investigations, information sessions etc.

3. Why opt India for IVF treatment?

You can choose hospitals in India for IVF because India is making advancement in medical and health research and gives the best treatment and services as per the requirement and satisfaction in terms of cost, in terms of treatment in terms of other health care services.
 4. Will you provide online consultation?

When it comes to IVF for International Patients, the first step is planning a trip to India. Smile Baby IVF can help you with that. Alternatively, you can have a free online consultation with one of our doctors before making up your mind to plan a trip to India for infertility treatment.

5. Will, it cost high for food and accommodation?

We can help you organize your stay in the city prior and post your treatment if required according to your budget.

At Smile Baby IVF our expert staffs and specialists strive to provide our International Patients with the best treatments and services.

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Monday, 15 July 2019

How Do I Prepare For IVF Treatment?

In 1978, when the first child was born as a result of IVF (in-vitro fertilization) procedure, it was considered a revolution in the field of medical science. IVF treatment has helped thousands of couples in achieving their dreams of becoming parents. Today, IVF has become one of the most common and effective fertility treatments. For some couples, who are trying to conceive through IVF procedure may have diverse doubts and dilemmas. Before IVF treatment, it is crucial that a couple has to be prepared physically and emotionally to accept the child. Here is what you should know about preparing for IVF, physically and emotionally.

First, the patient's body must be ready for pregnancy and here are some of the steps that may help you prepare for IVF treatment.

best ivf treatment in bangalore

Pre- IVF screening- 

Before going through the IVF process, it is important to understand the cause of infertility and to address it. For that, the couple needs to undergo medical fertility tests such as Ovarian Reserve Testing, Semen analysis, Uterine cavity exam and others. Depending on these tests and the patient's health condition, the final IVF treatment approach is decided.

How to do work out during IVF?

Some changes in lifestyle and habits can add to the chances of a successful IVF. Most patients are recommended not to take bed rest, but to do regular physical exercises. It should be noted that too much exercises can also affect in a negative way. So, it is paramount to follow the instructions given by the IVF specialist. Focus on the low impact exercises and also do not work more than four hours a day. Fertility massages and practicing Yoga are also beneficial.

Diet I should follow during IVF

During an IVF, it is important to follow a healthy and balanced diet. Including some food to your diet supports IVF procedure.
  • Eat dark green leafy vegetables
  • Berries
  • Green Apple and Pears
  • Choose lean proteins
  • Legumes such as beans, peas, and lentils
  • Eat only low-fat dairy products

What habits should I change?

 If you have smoking and drinking habits, please quit. These habits can drastically affect the quality of eggs and decrease the chances of success.

What else should I know?

Apart from diet and physical activities, there are other things that you should know:
  • Reduce your stress level
  • Take vitamin supplements
  • Getting enough sleep is important
  • Think before planning a holiday
Beyond all these things there is another point that must be taken care of, i.e., choosing an excellent reproductive endocrinologist. Finding an experienced and efficient doctor is inevitable because a doctor accompanies and supports you medically and emotionally on this IVF journey.

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Wednesday, 27 February 2019

Treatment For Recurrent Abortions

Recurrent pregnancy loss (RPL) (also referred to as recurrent miscarriage or habitual abortion) is the spontaneous loss of at least 2 consecutive pregnancies in a nulliparous woman, or loss of 3 consecutive pregnancies in a woman who has experienced a live birth (prior to 20 weeks from the last menstrual period). The term Spontaneous is defined as “without medical or mechanical means to terminate a pregnancy before the foetus is sufficiently developed to survive.” Epidemiologic studies have revealed that almost 20-25% of all recognized pregnancies end in miscarriage, less than 5% of women will experience two consecutive miscarriages and only 1% experience three or more.

Above and beyond the fact being a medical issue, it is also a serious, disturbing psychological condition.  This condition can make the woman miserable and awfully drained of hope. Women report not only a mournful process, with all its stages, but a collision on feelings of guilt and doubts. Their self-esteem can become shoddier with each loss. However, the good news is that under medical supervision, most women who have experienced recurrent abortions go on to become happy mothers.

recurrent abortions in bangalore

What Causes Recurrent Miscarriages?

Increasing paternal age or maternal age, chromosomal abnormalities and multiparty or repeated pregnancies are the main risk factors of recurrent abortions. Several factors are held responsible for the recurrent miscarriages. But sometimes the cause is unknown as well. As sad as it is, one miscarriage does increase the chances of a subsequent miscarriage. Please keep in mind that these causes are not common.

Uterine conditions: About 3 in 100 females worldwide are born with a defect in the shape, size or structure of the uterus.  A septate uterus is the most common congenital uterine abnormality. Uterus is divided into two internally by a band of muscle or tissue called septum and can cause repeated miscarriages.

Cervical conditions: Cervical conditions such as weak cervix or cervical incompetence is the next common condition which means that a woman's cervix begins to dilate too early in pregnancy. Cervical incompetence can lead to miscarriages or preterm deliveries

Genetic or chromosomal disorders: Chromosomal disorders are also responsible for repetitive abortions.  
  • Translocations: Robertsonian translocation effects acrocentric chromosomes in either of the partners can cause infertility or recurrent abortions.
  • Aneuploidy: It's estimated that aneuploidies are the most common cause of miscarriages before the tenth week of pregnancy. This is a condition in which a cell has an abnormal number of chromosomes.

Endocrine disorders: hyperthyroidism and Hypothyroidism can result in untimely loss of pregnancy or recurrent miscarriages. Uncontrolled Type 1 and Type 2 diabetes can lead to miscarriages. Anti-thyroid antibodies (antibody directed against the thyroid gland) are also concerned with recurrent miscarriages

Thrombophilia: Thrombophilia (also known as hypercoagulability) is an inherited or acquired disorder that increases a person's risk of developing thrombosis (abnormal “blood clotting”).

Immune factors: Poorer maternal immune tolerance for the foetus is another factor causing abortion
Antiphospholipid syndrome(APS): This is an autoimmune disease and this syndrome causes tiny blood clots to obstruct the blood supply to the placenta. 

Ovarian factors: The vulnerability to miscarriage increases with an increasing age due to diminished ovarian reserve (DOR) and the poor quality of maternal eggs they become vulnerable to miscarriages.  It's not unusual to be concerned about your pregnancy if you have polycystic ovary syndrome (PCOS). 

Lifestyle factors: smoking or consuming alcohol, Excessive exposure to toxins can also cause recurrent miscarriages

Infection: Many infections such as listeriosis, Salmonella infections, ureaplasma, toxoplasmosis and viral infections (measles, rubella, herpes, cytomegalovirus) etc. are also among the notorious causes of miscarriages.

Treatment for Recurrent Abortions 

Counselling:  The primary objective of Abortion counselling is to empower the woman.  They will be advised to curb rigorous activities and exercises.   Many women have higher levels of anxiety and depression for up to a year after a miscarriage and some even experience post-traumatic stress disorder (PTSD).

Treatment for recurrent abortion is suggested according to the cause determined.

Blood-thinning medicines:
Women with clotting or autoimmune (thrombophilia) disorders may be treated with low-dose aspirin and heparin. During pregnancy, these medicines can be taken to lower the risk of miscarriage. Always consult with your gynecologist before using these medicines because they increase the chances of severe bleeding problems (such as ulcers).

Endocrine problems: 
The abnormal blood sugar levels, an over- or underactive thyroid gland, or high levels of the hormone prolactin can improve the chances of having a healthy, full-term pregnancy.

Genetic screening:
When one or both the parents has a suspected rearrangement (translocation) of their chromosomes their blood can be studied (karyotyped) to confirm if they have a translocation. The doctor might recommend genetic counselling if a chromosomal aberration is found. Despite the fact that many couples with translocations can conceive a healthy pregnancy naturally, your doctor may also suggest fertility treatments (depending on your individual needs), such as in vitro fertilization (IVF). During IVF, they can be screened (preimplantation genetic screening) which allows embryos without translocations to be selected to increase the chance of a healthy pregnancy.

Lifestyle choices: Quitting smoking and illicit drug use will tremendously lower the risk for miscarriage. Limiting caffeine and alcohol intake may also help. Obesity has been linked with increased risk of miscarriage, so healthy weight loss might also help pregnancy outcomes. There is no proof clinically that anxiety, stress or depression causes RPL. 

Surgery: surgery is recommended for uterine abnormalities (like septum), some fibroids (benign tumors), endometriosis and scar tissue.  Hysteroscopic metroplasty is a type of reconstructive surgery which enables a doctor to correct an erratically shaped uterus. Laparoscopy is used to get rid of fibroids, endometrial growths and pelvic adhesions, which can lead to miscarriage.

recurrent abortions in bangalore

Smile Baby IVF is a renowned infertility treatment centre at lingarajapuram, Bangalore known for providing affordable treatment for infertility and low cost IVF India. Dr. Mangala Devi K R is a practicing Obstetrician, Gynaecologist and Infertility specialist in Hennur, having above 11 years experience who can be consulted for hysterectomy, gynec issues, ivf treatment in Bangalore, infertility treatment, IUI,cesarian section, delivery, ART and Habitual abortions in India. For treatment for recurrent abortions in Bangalore,    Book appointment online or contact in phone with the Infertility specialist in Hennur, who provides quality infertility treatments in Karnataka.

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