About Dr.C Geetha Haripriya

Dr. C Geetha Haripriya is a renowned Obstetrician & Gynaecologist and specialist in reproductive medicine and laparoscopic surgery. She is currently Chairperson, Prashanth Multispeciality Hospital, and Medical Director, Prashanth Fertility Research Centre, both of which are located in Chennai.

Dr. Haripriya has vast experience as an Infertility Specialist and has delivered more than 22,000 babies from assisted reproductive techniques. She has successfully performed more than 40,000 laparoscopic and hysteroscopic procedures. She delivered the world's second ICSI (intracytoplasmic sperm injection) quadruplets in 2003 and has also delivered more than 250 surrogate babies to date.

Dr. Geetha Haripriya graduated from Madras Medical College in 1980. After her MBBS, she completed a Diploma in Gynaecology and Obstetrics (DGO) in 1985 and an MD in 1988. She worked for a couple of years in the UK where she gained much experience working in the Department of Minimally Invasive Surgery at Dewsbury District Hospital and in the Department of Reproductive Medicine at St. George’s Hospital, London. She became a Member of the Royal College of Obstetricians and Gynaecologists (MRCOG), London, in 1994, and was later awarded the title of Fellow (FRCOG) in September 2007. She also served as a Consultant at Apollo Hospitals in Chennai between 1996 and 2003.

Dr. Geetha Haripriya has been the recipient of a number of awards and honours for dedicated and meritorious service in her field. She was awarded the Lifetime Achievement Award 2010 by the GOAL Committee in collaboration with Harvard University, USA. She has delivered several lectures in national forums and conducted many workshops in reproductive medicine. She represented India at the international Shape-in-Clinic meetings and Educational Series 2010 in Melbourne, Australia

Semen Cryopreservation

Semen examples are typically delivered by masturbation into a little clean compartment. Examples may be gathered at PFRC Collection Facilities or off – site, gave the Specimen is conveyed to lab inside 45minutes of collection.We have four exceptional accumulation rooms where you can bring your wife alongside you. The atmosphere will be great and agreeable for you to deliver your semen sample.Please contact our staff straightforwardly over telephone if your circumstances require interchange arrangements.

INDICATIONS:Storage of semen should be possible for those patients whose spouses can't be available upon the arrival of egg gathering, for the individuals who need to experience chemotherapy furthermore for thosewho experience issues in creating the semen test,. It can be put away for a long time withperiodical renewal.It is suggested that you have another semen investigation done around 2 years after you treatment or have had an infant. On the off chance that investigation results are acceptable you may wish to stop storage.

SCREENING:To minimize the dangers of viral tainting amid capacity, it is important to have screening tests like semen society, Hepatites B, Hepatites C and HIV ( AIDS) performedprior to storage,.Your pro may have as of now performed those, else we will sort out testing for you.COSTS:Semen solidifying and stockpiling expense data is accessible from PFRC. Costs for Semen examination, solidifying and 6 month to month stockpiling can be gotten from PFRC on solicitation. 

Semen examples are normally created by masturbation into a little clean compartment. Examples may be gathered at PFRC Collection Facilities or off – site, gave the Specimen is conveyed to research center inside 45minutes of accumulation.

We have four unique accumulation rooms where you can bring your wife alongside you. The feel will be great and agreeable for you to deliver your semen test.

Semen examples are generally created by masturbation into a little clean compartment. Examples may be gathered at PFRC Collection Facilities or off – site, gave the Specimen is conveyed to research facility inside 45minutes of accumulation.

We have four exceptional gathering rooms where you can bring your wife alongside you. The climate will be great and agreeable for you to deliver your semen test.

If you don't mind contact our staff specifically over telephone if your circumstances require exchange courses of action.

Capacity of semen should be possible for those patients whose spouses can't be available upon the arrival of egg gathering, for the individuals who need to experience chemotherapy furthermore for the individuals who experience issues in creating the semen test,. It can be put away for a long time with periodical restoration.

It is suggested that you have another semen investigation done around 2 years after you treatment or have had a child. In the event that examination results are agreeable you may wish to stop stockpiling.

To minimize the dangers of viral pollution amid capacity, it is important to have screening tests like semen society, Hepatites B, Hepatites C and HIV ( AIDS) performed preceding capacity .Your expert may have as of now performed those, else we will sort out testing for you.

Semen solidifying and stockpiling charge data is accessible from PFRC.

About blastocyst Transer

A blastocyst is a fetus that has been produced in the research facility for five or six days after insemination, rather than customary IVF which includes exchanging developing lives to the womb a few days after egg gathering and insemination (this is alluded to as a Day 2 or 3 exchange). 

With a blastocyst exchange, the developing life has progressed to the five or 6-day stage. This implies the incipient organism has partitioned numerous more times into numerous more cells over this period. Blastocysts have a flimsy external shell subsequently conceivably expanding the possibilities of implantation into the uterine cavity. The greater part of the blastocyst contains a liquid depression and it is conceivable to see the cells which will end up being the infant and those which will make up the placenta. While the greater part of prepared eggs will form into a three-day old incipient organism, just maybe 40% of these fetuses will form into a blastocyst. In this way, blastocysts are thought to be a more "select" gathering of incipient organisms with a higher shot of pregnancy.

The 5 or 6 day blastocyst is a considerably more propelled structure than the 3 day old developing life and the genuine point of interest of exchanging blastocysts is the high live conception rate connected with blastocyst exchange.

Why Blastocyst Transfer

Determination of developing lives

We realize that no less than half (or higher in ladies more than 40) of fetuses are not suitable, and large portions of these capture their advancement before the blastocyst stage. An extensive extent of these fetuses have a chromosome or hereditary imperfection and it is trusted that those incipient organisms that neglected to create to the blastocyst would not, in any occasion, have set up a pregnancy. Where there are huge quantities of good quality incipient organisms accessible at the blastocyst organize these can be solidified. CARE Fertility has seen great post defrost survival and pregnancy rates with solidified blastocysts.

Developing lives are exchanged to the perfect spot at the correct time

A few analysts trust that the conditions in the womb may be more ideal for a blastocyst than a day 2/3 developing life as there are marginally contrasting conditions in the fallopian tube and the womb on day 2/3.

Higher pregnancy rate in ladies having Blastocyst Transfer

Information recommends that blastocyst exchange can expand the possibilities of a live conception yet it should be recalled that every couple must be considered freely.

Affirmation of advancement to the blastocyst stage

A few authorities trust that for those patients who have repetitive disappointment of implantation, stretched out society gives a chance to inspect the developing life quality over a more drawn out period. In the event that the incipient organisms capture or get to be divided this may clear up a potential issue.

Particular circumstances where blastocyst exchange is pertinent

Where single developing life exchange is particularly demonstrated (eg. past history of numerous pregnancy, understanding inclination, uterine peculiarity and so on) blastocyst exchange may be an especially helpful alternative.

Broadened society and Blastocys Transfer with Frozen Embryos

A few patients have huge quantities of solidified developing lives and it can hard to know which have the best potential for pregnancy. A choice in these cases is to defrost all incipient organisms and society through to the blastocyst stage to permit the best 1 or 2 fetuses to be supplanted in light of improvement.

The fundamental advantage of the blastocyst move methodology is in the capacity to separate between distinctive incipient organisms as far as their quality and implantation potential. It is fundamental to comprehend that the amplified society procedure doesn't upgrade a developing lives quality in essence, it is essentially a strategy for picking the 'leader' or "runners" from a gathering of fetuses.

Consideration specialists and embryologists will prompt on whether blastocyst exchange is conceivable and this will rely on upon the number and nature of developing lives accessible on day 3.

HITECH IVF – IMSI :

           

                It is also recommended for patients who have already undergone several IVF treatment cycles without success. PRASHANTH FERTILITY RESEARCH CENTRE in chennai has been successfully using the new computerized microscope system that allows infertility specialists to pick the best quality sperms while carrying out the test tube baby procedure of intra-Cytoplasmic sperm transfer (ICSI). 

              Intracytoplasmic Morphological Sperm Injection (IMSI) is a technique where sperm samples are examined under a microscope which is almost 6000 times more powerful than normal ICSI microscopes. Thereby, increasing our rates of implantation and pregnancy afterfertility treatment.

Surrogacy is the Answer for infertility?

Having the capacity to create the supernatural occurrence of life, is that one thing which women sit tight for, every one of their lives. Grasping a child, pulling them near the heart, and listening to the heart beat of somebody who has been there inside them for quite a while. It is an impression that makes a women complete. 

However, there are couples who experience the ill effects of fruitlessness. Truly 10% of the general population in India can't bring forth a youngster, actually. Indeed, even after a great many tests and visits to the specialist, if all you get is negative comments, it is yet characteristic to feel the strings of sadness and gloom.

There are numerous indications that clue you towards fruitlessness. Both the men and the women in the relationship may be the reasons for fruitlessness. Despite the fact that there are numerous cures and solutions for this issue, the measure of time and the tolerance that it requires, is a considerable amount. Furthermore, the cash that goes into it is a subject that is through and through distinctive.

Surrogacy is a technique through which couples choose when the various trusts are lost. It is technique through which another women conveys and brings forth an infant for the couple who need to have a tyke. Be that as it may, is surrogacy the main answer for barrenness? There are components that should be considered before you at last turn to surrogacy.

It is additionally entirely hard to control the achievement rate for surrogacy. Numerous variables are included, for example, the surrogate's capacity to get pregnant, the age of the egg contributor, and the accomplishment of strategies, for example, IUI (intrauterine insemination) and IVF (In vitro treatment). The age of the women who gives the egg is a critical element that influences the shots of pregnancy.

There are additionally different dangers included with this plan of getting a tyke. Soundness of the mother and the child, exchanging of interminable infections are among the numerous threats. Being sincerely joined and disconnected is another issue that family’s men age.

On the off chance that you at long last get a tyke through surrogacy, ensure you pick the right women who might be fit for having a protected, solid pregnancy and conception, and with whom you have a relationship of trust

INFERTILITY

Causes of infertility
As per statistics, it is fount that, out of all infertile couple, 30 % will have female factors, 30% will have male factors and 40% will have both factors for infertility meaning to say that both partners have to be evaluated simultaneously. infertility

Female factors for infertility 
Common causes of female infertility are grouped into. 
Group I Hormonal Changes
FSH
LH
Prolactin
TSH
The hormones secreted by a gland in the brain & any alteration in their levels influences the ovulation, endometrial receptivity and embryo implantation.
Group II Ovarian factors
Infrequent ovulation as in polycystic ovaries, Premature ovarian failure where the egg count is depleted prematurely at an young age Endometriosis – where there is blood clots in the ovaries
Group III Tubal factors
By nature, the egg which is released from the ovary is fertilized by the sperm which took place in the fallopian tube which is present on both sides of uterus. This embryo then travels to the uterus to get embedded there in 4 – 5 days.So at least one tube should be patient for natural conception.

There fallopian tubes can be blocked as a result of infection (pelvic inflammation disease) or there can be adhesions around the tube as in endometriosis of pelvic tuberculosis which prevents the tube from moving freely and picking up the eggs from the ovary.fertility treatment process

Group IV

The common uterine factors for infertility are
1. Fibroid uterus which prevents the embryo from implanting (or) it can cause abortion by increasing uterine contractions
2. Adenomyosis - A condition in which there are blood cystic in the muscle of the uterus.
3. Intrauterine adhesions
It occurs due to Tuberculous infection of the uterus or due to repeated trauma in the form of D&C.Where the inner layer of uterus (ie) the endometrium is thin and adherent to each other.
So there is no place in the uterine cavity for the embryo to implant,
4. Septate uterus - Uterus is usually formed by fusion of two mullerian ducts (genital precursors) from both sides and by resorption of the middle septum. If this resorption doesn't take place completely, it results in septate / sub septate uterus.
Septate uterus

This septum prevents embryo implantation and also causeabortion

Causes of Male factor infertility 1. Hormonal Changes - FSH, LH, TSH, Prolactin, Testosterone are the hormones that control sperm production and also influence sexual function of male. Any alterations in it will affect the sperm count / motility / Sexual function.
2. Varicocele – It is a condition of dilated veins in the scrotum. As a result the basal temperature of scrotum is increased affecting the sperm production. Surgically treating the varicocele improves the semen parameters a lot.
3. Medical conditions like long standing Diabetics, decreased thyroid levels, increased prolaction levels.
4. H/o mumps / chicken pox / measles in childhood and H/o trauma to scrotum / Any Hernia or Hydrocele surgery etc.
5. H/o Smoking / alcohol consumption - It has been proved scientifically that having more than 2 cups of coffee a day can alter sperm functions. Then thick of smoking and alcohol!!
More over it takes 75 days for a sperm to mature completely. So anything dexterous in that 2 months can produce changein sperm parameters.
So stopping alcohol consumption (or) cessation of smoking for a week or so during treatment will not given much results;
6. Block in the passage between the testis and the external genitalia which can be differentiated by hormones and scan
7. Working on laptops by keeping them on our lap. It emits radiations as well as heat which is detrimented to the sperm.