Dr. Priyankur Roy is a renowned name in the field of Gynae-Endoscopy and Infertility. With several years of theoretical and practical experience Dr. Roy treats his every patient with utmost care and proficiency. Dr. Priyankur Roy provides the best solutions to all kinds of reproductive health issues, with the assistance of advanced technologies and medical apparatus in the most professional and technical approach. From psychiatric support and counseling to artificial conception treatments like IVF, IUI and ICSI, he serves his excellence, proficiency, and care to fulfill thedream of parenthood of thousands of couples.
Women, who are diagnosed with a high-risk pregnancy, deserve very delicate care and a proficient look after. Depending on the risk factors, treatment options for women with high-risk pregnancies vary. Some medical history like High Blood Pressure, Gestational Diabetes, and Genetic Issues ignite the risk during pregnancy. Women, who conceive in their 40s, are very prone to high-risk pregnancy. Women with high-risk pregnancies should consult with a high-risk pregnancy expert in the early phase of pregnancy. Specialized or targeted ultrasound, prenatal cell-free DNA screening, or Invasive genetic screening should be performed to ensure a healthy gestation period and childbirth. In case of high-risk pregnancy, the pregnant woman should follow a proper diet, expert guidance, and regular checkup under an expert gynae. Prenatal care is a must thing in a high risk pregnancy.
IVF is the most known artificial conception method to deal with infertility. It is a treatment in which ovum and sperm from a specific couple are fertilized outside of the body, in vitro. After the formation of embryo, it can be placed in the endometrium wall inside the uterus of the female partner. IVF is the most successful method of artificial conception which helped enormous number of couples, same-sex couples, single mothers (through sperm donation); to enjoy their parenthood.
ICSI shares similarities with conventional IVF. In both methods, the gametes (egg and sperm) are collected from each partner. The method of fertilization is the main difference between these two treatments.
In this process, using a tiny needle (micropipette), a single sperm is injected into the center of the egg. ICSI is applicable in a case of male infertility, like when the sperm count is very low when the sperm cannot move properly or are in other ways abnormal when sperm has been retrieved surgically from the epididymis (MESA/PESA) or the testes, when there are high levels of antibodies in the semen, or when there has been a previous fertilization failure using conventional IVF.
The simplest method of fertility treatment is Intrauterine Insemination (IUI). In this procedure, healthy sperm are placed directly into the uterus. IUI is most commonly used when a man has a low sperm count or decreased sperm motility. However, it can also be preferred in case of Ejaculation dysfunction, Ovulations complications Abnormality of the cervix, and Couples with reduced sperm count or motility. However, IUI is less effective than in comparison to IVF.
Manual stimulation is the usual way of producing sperm for Assisted Reproductive Technology. In some cases, this method cannot be worked due to any medical (azoospermia, low sperm count, low sperm motility, etc.) or religious issues, and then surgical methods can be a savior. The following procedures can be helpful to retrieve sperm:
TESA (Testicular Sperm Aspiration): this is one of the newest sperm retrieval techniques in which sperm cells are extracted from the testicles employing a biopsy.
TESE (Testicular sperm extraction): TESE is a surgical procedure in which a small portion of tissue is removed from the testicles. An extraction is performed from that tissue to collect viable sperm cells, for further procedure.
MESA (Microsurgical Epididymal Sperm Aspiration): MESA is a surgery performed for men who have Vasal or Epididymal Obstruction. Sperm cells are collected from the epididymis through a microsurgery.
Male Infertility is an equal concern in the present day World in comparison to female infertility. According to WHO's report, among couples with infertility, 23% of cases are due to male fertility in India. Some male infertility tests are Scrotal ultrasound, Transrectal ultrasound, Hormone testing, Post-ejaculation urinalysis, Genetic tests, Testicular Biopsy. Surgery, treating infections, antibiotic treatment, treatments for sexual intercourse problems, hormone treatments, and medications, and assisted reproductive technology is the treatment for male infertility.
Egg donation is the donation of eggs by a woman (donor) to another woman (recipient) to help to have a baby. To donate eggs, the donor goes under medications to develop multiple eggs over a single cycle. After the medication period, the eggs are then removed from the abdomen of the donor by placing a needle that is attached to an ultrasound probe through the vaginal tissues. Egg donation is generally associated with a woman who wishes to have a child but cannot get pregnant with her own eggs, or with same-sex couples.
Surrogacy is an assisted medical method in which an agreed woman (the surrogate) carries the embryo and gives birth to a child on behalf of another person or couple (the intended parent/s). The process of surrogacy is complex and you have to follow the legal guidelines. The surrogate mother should be in a healthy state. The surrogate mother is genetically not connected with the child. The genetic components are of the intended parent/s. At present time, Gestational Surrogacy is the only surrogacy method that can be performed, the Traditional Surrogacy method(Pregnant by using her own egg) is no longer in practice.