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Getting A Clarity About In Vitro Fertilization (IVF)

In vitro fertilization, also identified as IVF, is a prevalent infertility treatment that requires using fertility drugs to spur the progress of multiple eggs. The eggs are recovered from the ovaries using a minute needle. Next, they are treated with sperm and these embryos grow for 3 to 5 days before one or more is installed into the uterus.

Who Can Opt For In Vitro Fertilization (IVF)?

IVF is the most prosperous infertility therapy for nearly all patients, including those with the following like the ovulation problems, fallopian tube collapse, Endometriosis, pelvic adhesion, poor semen attribute, unexplained impotence and extended infertility. It can also be employed to enable pre-implantation genetic examination of embryos. Still, IVF does not make new eggs for victims, and if the uterus is ineffective in instilling and sustaining a pregnancy, IVF cannot resolve that predicament. Assisted reproductive technologies (ART), which involve IVF, involve the use of donor egg, donor sperm and gestational carrier which can win almost all biological infertility restrictions. It can also be used for private people and other non-traditional relationship building.

IVF Success Rates

Age is the basic factor that impacts IVF success rates and when women who are below the age of 35 have roughly a 50/50 probability of owning a baby with their first IVF egg retrieval and consequent embryo transfer. Women who don’t get pregnant following the first IVF cycle, however, have very good odds of getting pregnant on second, third and even more circles of IVF. The price of an IVF cycle differs from place to place. and in most of the cases about half of the victims have a baby on their first cycle, the others want to try a second, third or even more times. The average estimate of cycles per patient is approximately two. Many fertility clinics offer IVF therapy packages that bundle assistance such as multiple IVF cycles or offer rebates on fertility medicines to make therapy more affordable.

What Are The Advantages, Disadvantages, And Risks Of IVF?

IVF is much more prosperous than intrauterine insemination (IUI), another generally used fertility method. Unlike IUI, it can help tackle virtually any type of impotence difficulty. It can also grant access to the genetic examination of embryos. Moreover, IVF has much more inclination to check multiple births through the use of separate embryo transfer (SET). It is also frequently a faster way to get pregnant because the success percentages are more distinguished.

IVF is also an option for those who are looking for more than one child. Here mostly the frozen embryos which are not used to get the first pregnancy can be used in the future attempt to have more children. The disadvantages are that it is a more demanding process than IUI. IVF needs much stronger ovarian stimulation, regular daily monitoring, and egg retrieval system with known sedation anesthesia, laboratory fertilization and embryo growth, normally cryopreservation (freezing) and storage of embryos, and embryo transfer accompanied by progesterone injections or suppositories.

Choices To Make During IVF

Patient circumstances such as age, fertility analysis and family medical history will help to determine if the indications are good enough to try IVF. If outcomes are very poor, it may be relevant to consider the use of donor eggs or sperm. Generally, fertility clinics ask for decisions like evidence of pre-treatment genetic testing of women and men, preimplantation genetic testing (PGT) of the embryo, nature of treatment cycle, number of embryos to transport and number of embryos to freeze.

Reference

If you are looking for best infertility treatment in Delhi, try meeting Dr Nisha Jain, the Best Infertility Doctor in Delhi.

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How Uterine Fibroids Influence Infertility?

Different complex factors can execute a role in influencing your ability to get pregnant and deliver a healthy baby. One possible factor which influences about 20-50% of women of reproductive age is uterine fibroids. If your parents had fibroids, there’s a great chance that you can get impacted too.

There are three major complex types of fibroids that differ based on where they are discovered. It includes the subserosal which is in the outer wall of the uterus (55%) then is Intramural which is discovered in the muscular layers of the uterine wall (40%) and submucosal protrude into the uterine cavity (5%). It is still unclear why fibroids emerge but genetics, hormones, and environmental factors all hopefully play a significant role. The most well-known way your doctor will ascertain if you have fibroids is by evaluating their size, number, and location which is often done through a physical exam and ultrasound. In some circumstances, additional imaging tests such as an MRI may be required.

What Are Uterine Fibroids?

Uterine fibroids are non-cancerous tumors in nature that happen in the muscle tissue of the uterus. Women normally have more than one fibroid and they fluctuate in size and location. Their dimension is often defined by fruit, like the size of a grapefruit. They can alter both the size and shape of the uterus and harm the cervix. Obviously, it’s the size and position that frequently influence whether you encounter symptoms and experience Infertility and need treatment.

Can Fibroids Cause Infertility?

It’s a complicated issue and surveys suggest that about 5-10% of women suffering infertility have fibroids and as discussed in the above paragraphs it is their size and location which may generate problems.

Fibroids which are greater than 6 centimeters in diameter and those stationed inside the uterine cavity are instances of conditions where fibroids may impair your ability to get pregnant and produce a healthy baby.

Studies reveal that in most circumstances, it is only submucosal fibroids which project into the uterus that may impair fertility. There are anomalies including large fibroids that block the openings of fallopian tubes into the uterus. Most ladies who have fibroids will not face impotence as a consequence. If there are difficulties, a woman and her partner should find out if there are other determinants connected prior to seeking therapy for fibroids. Your fertility expert can decide whether fibroids may be a problem and whether any surgery is needed.

How Do Fibroids Cause Infertility?

Uterine fibroids can influence your fertility in several ways based on how their size and position shifts your uterus, cervix or fallopian tubes. Examples include fallopian tubes that can be blocked by fibroids which makes it challenging or impossible for a fertilized egg to implant, variations in the shape of the cervix can alter the number of sperm that can penetrate the uterus, changes in the appearance of the uterus can conflict with the progress of the sperm or embryo.

Moreover, fibroids can influence the thickness of the uterine lining and even the blood flow to the uterine cavity can also be altered. This can reduce the capacity of an embryo to implant in the uterine wall or develop.

Treatment For Uterine Fibroids

Treatment for fibroids should be based on the severity of your symptoms and whether there may be other solutions for your infertility. There are many different treatment options. Like only surgery, often minimally invasive, can reduce any given fibroid forever. Other procedures include the use of ultrasound, electrical energy, embolization or medications which can often make a given fibroid smaller, but seldom only briefly. Moreover, new fibroids may grow after therapy. There is also a controversy over whether surgery will improve your fertility.

If you are attempting to enhance your fertility vs. reducing symptoms, analysis to date only recommends surgery for submucosal fibroids as it does happen in increased fertility and live birth rates.

Reference

If you are looking for Uterine fibroid treatment which is impacting your fertility, try meeting Dr. Nisha Jain, the best Gynecologist in Delhi for the best possible outcome.

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Battling Out Urinary Tract Infection In Women Population

Urinary Tract Infection or UTI is a well-known infection that happens in the body. It can touch any part of the urinary system and the infection can affect the ureters, kidney, urethra, and bladder. The kidneys eliminate waste and filter the blood. They allow the body to pass urine through the urethra at last and the process involved is known as urination. The upper urinary tract consists of the kidney and the uterus whereas the lower urinary tract includes the bladder and also the urethra. UTI can be caused by the action of bacteria. There can be different names that are concerning the place the infection occurs like bladder infection is termed as Cystitis, urethra infection as Urethritis and Kidney infection is known as Pyelonephritis.

Women: Mostly Prone To Urinary Tract Infection

Women are more likely to face this problem and the reason behind this is nothing but anatomical. The urethra in women is shorter than the men have and it is also near the anus. Thus, it becomes easier for the bacteria to get transferred to the urinary bladder. Oestrogen level that drops after menopause in women can often contribute to this problem. Kidney stone or prostate problems can cause UTI. Pregnant women have a greater risk to have this problem. It can harm the health of the fetus as well as the mother. This type of women is often tested for bacteremia and antibiotics are given to cure the problem.

Some Common Causes Infection

People with a problematic immunity system like the patients of diabetes might develop this problem. People who have a catheter to pass the urine might also face this problem. UTI is a problem that accompanies a lot of symptoms. Let's check some of the early signs. Discomfort along with pain while urinating can be felt. A burning sensation accompanies the process of urination. Feel of urgency in urination can be felt. A small amount of urine passes although a strong urge has been felt. Pain can be felt in rectum among the men and for women, pain occurs in the pubic bone. People without these problems can also have Urinary Tract Infection. Infants, on the other hand, might face fever, chills, fussiness and also poor feeding. Adults too might face the problem without any sort of indications. In those cases, it becomes really difficult to diagnose the problem.

Care Or Treatment

UTI can be kept at control by having loads of water. A report suggests that cranberries or more specifically cranberry juice are extremely good to control this problem. Generally, a urinary tract infection can be best treated with antibiotics so that it does not spread to the kidneys. Patients are always advised to finish their prescribed antibiotics, although a person might face that the symptoms have disappeared already. Not completing a course of antibiotics can result in the infection to return. The symptoms of a bladder infection generally disappear within one to two days right after starting antibiotics. If a kidney infection becomes severe then treatment can be done in the hospitals. In a few cases often surgery can be helpful to ease the condition. Urinary tract infection treatment can be done in various ways. But natural remedies can be effective as a treatment. It has the least side effects and cures the problem of the root itself.

Reference

Dr. Nisha Jain is the best Gynecologist in Delhi-NCR, who has been treating various women for several complex urinary tract infections. She holds a rich experience in Gynecology, and this makes her highly recommendable in Delhi and surrounding areas.

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Pregnancy: The Best Phase Of A Woman’s Life

Pregnancy is one of the beautiful processes of bringing a new life into the world. So, as the weeks pass, the pregnant body starts changing and working extra hard to cope, so it makes sense to take extra care of yourself and avoid unnecessary risks, especially in the first trimester. But don't be alarmed by the multitude of scare stories you mat hear. In reality, there is no reason why, with a bit of extra care and some common-sense lifestyle changes, you can't sail through your pregnancy without putting either your baby or yourself in danger.

Ways To Ensure An Easy Journey During Your Pregnancy

Want to enjoy your journey of pregnancy then you need to take special care on certain issues which needs to be put in check

Smoking: You and your partner need to give up smoking, as the week's process. It is risky for the fetus developing, and one should also know that even passive smoking is dangerous to the fetus. So, smoking in pregnancy has been linked to premature birth and low-birth-weight babies and babies developing respiratory illnesses and it increases the risk of cot death.

Alcohol: Drinking alcohol can harm your baby. Usually, it has no safe limit, so it is best to stop drinking altogether. If you do drink alcohol during pregnancy the Department of Health advice is to limit yourself to one or two standard units of alcohol once or twice a week (one standard pub measure of wine, half a pint of cider, beer or lager) and NEVER binge drink (more than five standard measures).

Caffeine: The consumption of caffeine should be limited over 200mg of caffeine a day can increase the risk of low birth weight babies and miscarriage. There are certain food products such as peanuts, under-cooked eggs, and blue-vein or molded-ripened crust cheeses that can be very hazardous to the fetus.

Toxoplasmosis: There is a natural parasite that lives in unpasteurized milk and cheeses, undercooked meat, soil-grown vegetables, etc. There is only a problem if women become infected with it for the first time while you are pregnant and can cause miscarriage, birth defects, and stillbirth. There are several foods listed above, wear gloves to change cat litter, do the gardening or if lambing. Always cook meat thoroughly and wash all fruit and vegetables. Prescription and over-the-counter medicines: One of the best things is to avoid all drugs during the first 3 months, unless they are for a pre-existing medical condition, such as asthma, and have been prescribed by your GP.

Abdominal X-Rays: The x-rays are used in radiation, which can harm your baby so they must only be used in situations where your condition is life-threatening. Dental x-rays are considered safe, but you must always tell your dentist you are pregnant.

Chickenpox And Other Viral Diseases: Most adults have had chickenpox in childhood and are therefore immune to the disease. In case the person gets caught of chickenpox during pregnancy there is a risk to both mother and baby. Viral diseases such as measles and slap cheek syndrome may affect your pregnancy and your unborn baby so always seek immediate medical advice if you have had contact with these.

Reference

Dr. Nisha Jain is the best gynecologist in Delhi and has expertise in performing Minimally Invasive Surgery (MAS) and handling sterility and high-risk pregnancy circumstances, along with an excellent academic record. if you are looking for any valuable advice and treatment during pregnancy feel free to talk to her.

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Bacterial Vaginosis (BV) Is The Most Common Vaginal Infection In Women

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Menorrhagia Is The Name Given To Heavy And Prolonged Menstrual Periods

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Uterine Fibroids Are Noncancerous, Or Benign, Tumors

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Heavy Bleeding Is Sign Of Uterine Fibroids

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Week 4 Miscarriage Is Called A Chemical Pregnancy

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Epidural Block: A Way To Restrict Pain During Birth

The commitment of delivering a baby lives up to its honor. Labor is challenging, and painful, work. To make the action more proper, women have a few alternatives for pain release, including epidurals and spinal blocks. It has been observed that around 50% of women giving birth at hospitals use epidural blocks.

How Are Epidural Block And Spinal Block Different?

Epidural block is the most frequently used form of pain release during labor. It blends analgesic and anesthetic pain relievers, which are offered by a tube in your back. The medicine prevents pain signs before they can get to the brain. Once you’ve taken the injection, you’ll lose some action below the waistline, but you’ll be conscious and able to push when the time arrives.

In the event of Spinal block, it too paralyzes the victim from the waist down, but the medicine is delivered via a shot into the fluid encompassing the spinal cord. It works speedily, but the impact lasts for an hour or two.

Combined Spinal-Epidural Block Treatment

Now there are even instances when both the events are combined This alternative offers the advantages of both types of anesthesia. It goes to work instantly. The pain medicine lasts for a more prolonged period than a spinal block alone. Both, when consolidated, make labor a less severe and unpleasant experience, but they’re not risk-free. These medicines can have side consequences, such as low blood pressure, itching, and headache. Though uncommon, some side effects connected with epidurals can be severe.

What Are The Common Side Effects Observed?

Itching

Well-known side effects range from itching to pain while urinating. Medications utilized in an epidural include opioids that can cause skin itching. A change in prescription can alleviate this sign. The doctor may also provide you with medicine to reduce the itching. Opioid pain relievers can seldom make the individual feel sick in her stomach.

Fever

Women who get an epidural often experience a fever. About 23 percent of women who get an epidural experience illness, analyzed to about 7 percent of women who don’t get an epidural. The exact cause for the spike in temperature is unexplored.

Soreness

After your child is born, your spine might seem sore, but the response should only last for several days. Back pain is also a natural side effect of pregnancy, as the burden of your belly puts additional strain on your back. Sometimes it’s difficult to tell whether the condition of your soreness is the epidural or residual stress from the added load of pregnancy.

Low Blood Pressure

Around 14% women who get an epidural block sense a drop in blood pressure, although it’s normally not serious. An epidural block strikes nerve fiber that control muscle withdrawals inside the blood vessels. This induces the blood vessels to recline, lowering blood pressure. If the blood pressure falls too low, it can alter blood flow to your baby. To diminish this risk, most women get intravenous (IV) fluids before the epidural is set. Moreover, your blood pressure will also be monitored during labor. You’ll get medicine to fix it if required.

Complication While Urinating

After an epidural, the nerves that assist you to know when your bladder is enough will be numb. Therefore, you may have a catheter embedded to remove your bladder for you. You should recover bladder control once the epidural wears off.

Reference

If you are looking for epidurals in relieving pain during labor try meeting DR Nisha Jain the best gynaecologist in Delhi

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Discussing The Early Pregnancy Loss & It’s Consequences

Miscarriage (early pregnancy loss) is an irrational and often traumatic time. Along with undergoing enormous grief over the loss of your baby, there are mechanical consequences of a miscarriage and often bond gets impacted too. While nothing can eradicate the loss, there are actions you can practice in both the short- and long-term to assist you to move toward healing and recovery.

The Emotional Destruction Associated With Early Pregnancy Loss

Initially, the emotional consequences of a miscarriage can be overwhelming. While everybody will treat impairment negatively, the range of sentiments can include grief, hopelessness, sorrow, sin, guilt, anger, jealousy and intense sentiments of isolation etc.

Many find it hard to speak about their failure and it has been noted that early pregnancy loss happens in at least 10 percent of fertilization episodes. While acknowledging that many other parents meet miscarriage won’t eradicate your spontaneous pain, it may help you sense more satisfied sharing your story and help you sustain the loss over the long duration.

The Visible Outcome Of Miscarriage

After the initial pain of miscarriage, there’s the physical aftermath to fight with as well. The extent of your body’s repair depends on how far onward you were before productivity loss. Since miscarriage happens before 20 weeks of pregnancy, this can vary considerably. Some know they’re expecting as soon as they drop their period. An early malfunction soon after is often indicated by beginning menstruation again. Others may miscarry in the first two months, some without understanding they were expecting.

Beyond this short time frame, an early pregnancy loss will demand medical treatment. Your doctor will likely give you medicines either orally or vaginally to help your body pass any remaining tissues. The passage can be painful and extremely emotional. Your doctor will also want to attend a follow-up ultrasound to assure that all tissues have reached to avoid any complexities. This process can be destructive and strongly reconsider having our partner or other loved ones there for assistance.

Some Short-Term Measures To Fight Out Pregnancy Loss

Immediately after a miscarriage, you’ll need to take care of yourself while also allowing yourself to mourn. Beneath are just some of the steps you may need to examine. Allow yourself to display your sensations, miscarriage is like squandering a preferred one, which originates with a roller coaster of emotions fluctuating from grief to desperation. Nevertheless, unlike other sorts of deaths, the mistake can begin about a different type of anger.

You may feel resentful about not taking the chance to serve your baby outside of the womb. The feeling of anger at other pregnancies happening around you also makes you feel vulnerable. It’s crucial that you reveal all of your activities. It’s natural to feel this way and a regular part of the grieving method. Don’t feel embarrassed to regret it.

Miscarriage isn’t unusual, so there are many in-person and online assistance groups ready for this type of loss. While your friends and family will constantly be there for you, it can further help to unite with others who have gone over the precise same failure. If you’re religiously turned, it may also assist to converse with a spiritual leader or visit group devotions events. A grief mentor can help you steer your pregnancy loss and help you recover more completely. Depending on your requirements, you might also go to couples counseling with your companion.

Reference

If you have been suffering from miscarriage issues earlier and are trying for conception, you can Consult Dr Nisha Jain, the best gynecologist in Delhi.

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Talking About Amenorrhea In Women

The absence of menses is referred to as amenorrhea and it happens in women of reproductive age. It can be primary or secondary when diagnosed. Women who have never menstruated are classified as primary. Secondary is caused by other factors such as in women who have menstruated and then do not for 3 or more cycles. The type of treatment given for amenorrhea treatment is dependent upon the cause. A variety of conditions can cause primary amenorrhea. An absence of reproductive organs can cause it. A little obstruction in the genital track can be the reason. Chromosomal abnormalities usually occur with diseases such as Turner's Syndrome can be the cause. Some of them are pituitary lesions, hypothalamic lesions etc. could be the cause menses absence.

What Is Secondary Amenorrhea?

Secondary amenorrhea is often caused by pregnancy. PCOD or Polycystic Ovarian Disorder can also be the cause. Other causes can be absence of ovulation, thyroid disorders, taking oral contraceptives, various medications, any chronic illness, excessive physical exercise, autoimmune ovarian failure, premature menopause and adrenal disease such as Cushing's Syndrome. Symptoms can include discharge from the nipples, excessive hair growth on the face or weight gain which could be an indicator for Cushing's Syndrome or hyperthyroidism. Some other symptoms could include weight loss that could be associated with Anorexia Nervosa or hyperthyroidism. Loss of menses itself is an indicator. This disorder is an external manifestation of a major hormonal imbalance in the system. Diagnosis is aimed at finding the underlying cause of it. A thorough detailed medical review is required to accurately assess one's health along with a thorough physical examination. In case of amenorrhea symptoms of puberty should be looked for. In secondary amenorrhea pregnancy is ruled out. A hormonal panel should be done to assess thyroid hormones and prolactin levels. After reviewing blood panels if there are high levels of luteinizing hormone or follicle stimulating hormone these could suggest that the ovaries are failing or there is evidence of PCOD.

Some Of The Conventional Treatment Options

Conventional treatment options depend on the age, causative factor, desire for children and psychological condition of the patient. There is substitution therapy and stimulation therapy. Substitution therapy includes treatment with cyclic estrogen or an estrogen-progesterone blend in case of ovarian failure. This is good for younger patients but is also good for patients over 40 who have psychological factors to take into consideration. Stimulation therapy is used in the case of pituitary failure where the ovaries are stimulated with human gonadotrophins or non-steroidal products such as Clomiphene Citrate. Removal or treatment of the thyroid or adrenal glands may help to reestablish ovarian function. For more permanent amenorrhea treatment that does not only mask the symptoms it is important to think about the primary cause of why hormones are out of balance and work toward balancing them. Taking a natural approach to treating both the primary and secondary symptoms will offer relief that is lasting. These methods work so well because they stimulate the ovaries and the pituitary glands and regulate them as well as menstruation. They will induce menses and regulate the length of the menstrual cycle as well as the entire endocrine axis offering results that will last.

Reference

Meet Dr. Nisha Jain, and get the best treatment for amenorrhea. She can meet at her clinic, which is the best gynecological clinic in Delhi-NCR

Content Source : https://drnishajaingynecologist.home.blog/2020/01/22/talking-about-amenorrhea-in-women/

How Is Infertility Impacting The Women Population?

Infertility has become a quite common for women in India in today’s era. Numerous women have no symptoms. Many times, females don't have any reason or sign to suspect that they might be infertile. However, the basic problem starts when a couple tries pregnancy, and is more disheartening when they fail to conceive after year of repeated attempts. Thus, an expert recommends that females who are trying conceive for over a year without getting any success should consult the best gynecologist. It is recommended for women who are over the age of 35 years should visit a gynecologist in six months, if they're having a problem to conceive. Remember, infertility problems increase with age.

Some Common Signs Of Infertility Are As Discussed

There are some common infertility signs and symptoms which are frequently connected with other basic conditions. For example, about 10% of untreated chlamydia cases result in PID (Pelvic Inflammatory Disease), which blocks the Fallopian tubes, and creates problem in conceiving. There are various conditions that can add to infertility in females. The signs and symptoms of each can change significantly. In case, you're worried about your health, it's important to consult your gynecologist.

Let's Take A Look At The Common Signs Of Infertility In Females

1. Irregular Menstrual Cycle: Usually a normal menstrual cycle is 28 days in women. However, within a couple days of that can be viewed as fine, as long as those cycles are predictable and steady. For an instance, a woman who has a 33-day cycle in one month, then a 32-day cycle the following month, and then a 35-day menstrual cycle in the third month, is likely having normal periods. But if a female is having cycles that differ so significantly that she can't even keep a track of when her period may arrive is encountering irregular menstrual cycles. This can be identified with hormonal imbalance, or to PCOS (Polycystic Ovarian Syndrome). Both of these things can cause infertility.

2. Having No Periods: It is very much normal for females to have an off month sometimes in their life. Anxiety or heavy physical exercises can make your period vanish temporary. But in case you missed periods twice or for months, it's important to visit the best gynecologist in Mumbai West for full check-up.

3. Heavy or Painful Periods: Many females have to face cramps issue while they're having their periods. However, there are many cases painful periods that affect your life might be an indication of endometriosis.

4. Hormone Fluctuations Symptoms: Hormone fluctuations is very common in females, and could be potential reason behind their infertility. Visit gynecologists in Rohini, Delhi, if you're having these issues: Facial hair growth; Excess weight gain; Hair thinning problem; Skin problems; Reduced sexual-drive

5. Pain During Sexual Intercourse: there are some women who have encountered painful intercourse their whole lives, so they have a wrong assumption that it's normal. However, it's not normal at all. It is either identified with hormone problems, endometriosis, or to other hidden issues that might be causing infertility.

Reference

Dr. Nisha Jain is the best gynecologist in Delhi-NCR. She can be consulted for infertility in women of any age.

Content Source : https://drnishajaingynecologist.blogspot.com/2020/01/how-is-infertility-impacting-women.html