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Hope Fertility Center | Personalized Treatment Plans

Our doctors focus on understanding the root cause of your infertility problem and designing a specific treatment plan that is tailored to your needs. This includes understanding your medical history, lifestyle, endocrine characteristics, detailed sperm analysis, and ultrasound exams. Our stimulation program is totally personalized according to your hormonal levels, and the dose will change during each treatment. This ensures that we can collect the maximum number of mature oocytes. In the same way, the scientists and technicians of our embryology laboratory will choose the most suitable medium and laboratory techniques and tools to ensure the healthy development of your embryos.

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Control Ovarian Hyper Stimulation

Controlled ovarian hyperstimulation is a technique used in infertility treatment by assisted reproduction involving the use of fertility medications to induce ovulation by multiple ovarian follicles. In the fertility center in Nepal/IVF Nepal, these multiple follicles can be taken out by oocyte retrieval (egg collection) for use in in vitro fertilisation (IVF), or be given time to ovulate. This results to the ovulation of a larger-than-normal number of eggs, generally in the sense of at least two also known as superovulation. Controlled ovarian nyperstimuiation (COH) involves the administration of oral and/or injectable medications to induce ovulation in the anovulatory infertile patient, and superovulation in the ovulatory infertile patient. The different types of medication and protocols for COH are reviewed. Pregnancy rates are higher with the injectable medications, follicle stimulation hormone (FSH) and human menopausal gonadotrpins (hMG), than oral medications; however, injectable medications have a higher risk of multiple gestations, ovarian hyperstimulation syndrome, cost and monitoring.

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Sperm Cyropreservation

Sperm freezing is the method of freezing and preserving sperm for future use. Men are able to freeze their sperm for use in their own treatment in the future or to donate for someone else's reproduction health and infertility treatment. Donated sperm usually has to be quarantined for three or six months ... Sperm freezing is the method of freezing and preserving sperm for future use. Men are able to freeze their sperm for use in their own future treatment or to donate to someone else's reproduction health and infertility treatment. Donated sperm usually has to be quarantined for three or six months and screened for infections before it can be used by a recipient. The length of quarantine is dependent upon the type of screening tests that fertility center in Nepal/IVF Nepal carries out. Treatment with frozen sperm is just as successful as treatment using fresh sperm.

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Selective Fetal Reduction

People in the field of reproductive health and family planning became aware of the risks that carry in multiple pregnancies for the mother and for the fetuses as well. So, in the mid-1980s, Selective Fetal Reduction was developed. But in the history of reproductive health and IVF Nepal/fertility center in Nepal, Dr. Swasti Sharma is the first one to become a specialist in Selective Fetal Reduction. Selective Fetal reduction is used when a mother is carrying an unsafe or undesirable number of fetuses in a multiple pregnancy, which are common in infertility treatment and medically-assisted pregnancies, in order to reduce the number of fetuses to a number that is relatively safe for the mother and the remaining fetuses.

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REI: (Reproductive endocrinology and infertility)

Reproductive endocrinology and infertility (REI) is a surgical subspecialty of obstetrics and gynecology that is related to reproductive medicine addressing hormonal functioning as it pertains to reproductive health as well as the issue of infertility. REI specialists primarily focus on the infertility treatment; reproductive endocrinologists are trained to also test and treat hormonal dysfunctions in females and males outside infertility. Couples having difficulty conceiving a child can now look to the Reproductive endocrinologist. For the first time in the history of IVF Nepal/fertility center in Nepal, Dr. Swasti Sharma has introduced REI service. She is trained in evaluating the problems that can interfere with conception and has in depth knowledge of the treatments for fixing these problems.

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Personalized Treatment Plans

Our doctors focus on understanding the root cause of your infertility problem and designing a specific treatment plan that is tailored to your needs. This includes understanding your medical history, lifestyle, endocrine characteristics, detailed sperm analysis, and ultrasound exams.

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What kinds of fertility tests are performed?

An evaluation of fertility should begin with a review of the medical histories of both the female and male partners. After that, both partners will undergo a physical exam, including a gynecological exam and pelvic ultrasound for the woman. The man will undergo a semen analysis, and the woman will undergo a hormone screening. Additionally, a woman's tubal patency (whether the fallopian tubes are open or blocked) and uterine cavity may be examined. प्रजनन क्षमताको मूल्यांकन दुबै दम्पतिको चिकित्सा इतिहासको एक समीक्षा संग शुरू हुन्छ। त्यस पछि, दुबैको एक शारीरिक परीक्षा, एक स्त्री रोग परीक्षा र महिला को लागी पेल्विक अल्ट्रासाउन्ड गराइन्छ। पुरुषको वीर्य विश्लेषण हुनेछ, र महिलाको हर्मोन स्क्रीनिंग हुनेछ। यसको अतिरिक्त, महिला को ट्यूबल पेटेंसी (फैलोपियन ट्यूबहरु खुला वा अवरुद्ध छन् भनेर हेर्ने) र uterine cavity को जांच गरिन्छ।

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What is the difference between ICSI and IVF?

Two of the most common fertility treatments are in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). The main difference between IVF and ICSI is how the sperm fertilizes the egg. During IVF, eggs, and sperm (including some) are placed in a Petri dish to self-fertilize. In ICSI, a sperm is injected directly into the egg. ICSI may be better for you if you have sperm-related infertility. This is because ICSI is the most popular and effective male infertility treatment because sperm receive additional help. Therefore, a doctor may recommend ICSI if a man has (1) low sperm count (2) abnormal shape or motility of sperm, or (3) semen is surgically removed. (for example, if you have had a vasectomy). IVF is one of the most effective and commonly used fertility treatments and is suitable for a wide range of subjects and fertility problems. Therefore, there are different types of IVF for different ages and conditions. इन विट्रो निषेचन (IVF) र intracytoplasmic शुक्राणु इंजेक्शन (ICSI) सबैभन्दा सामान्य प्रजनन उपचार को दुई बिधि हुन्। IVF र ICSI को बीच मुख्य भिन्नता शुक्राणु कसरी अण्डालाई निषेचित गर्दछ भन्ने कुरामा निर्भर हुन्छ। IVF को समयमा, अण्डा र शुक्राणु एक पेट्री डिशमा आत्म निषेचन (self-fertilize) को लागि राखिन्छ। ICSI मा, शुक्राणु सीधै अण्डा मा इंजेक्ट गरिन्छ। यदि तपाइँमा शुक्राणु सम्बन्धी बांझोपन छ भने ICSI तपाइँको लागी राम्रो हुन सक्छ। ICSI सबैभन्दा लोकप्रिय र प्रभावी पुरुष बांझोपन उपचार हो किनभने यो बिधि द्वारा शुक्राणुले अतिरिक्त मद्दत प्राप्त गर्दछ। तसर्थ, डाक्टर ICSI को निम्न अवस्थामा सिफारिश गर्दछ यदि एक पुरुषमा (१) कम शुक्राणु गणना छ (२) असामान्य आकार वा शुक्राणु को गतिशीलता छ, वा (३) वीर्य शल्य चिकित्साबाट हटाइएको छ। (उदाहरण को लागी, यदि तपाइँले पुरुष बन्ध्याकरण गर्नु भएको छ)। IVF सबैभन्दा प्रभावी र सामान्यतया प्रयोग गरिने प्रजनन उपचार हो र प्रजनन समस्याहरुको एक विस्तृत श्रृंखला को लागी उपयुक्त हुन्छ। विभिन्न उमेर र अवस्थाको लागी IVF को विभिन्न प्रकारहरु हुन्छन्।

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What is IVF process?

The IVF process can be understood with the help of certain steps explained below. • Ovarian stimulation: the fertility specialist controls the timing of the egg's release. Your doctor will make sure your LH and FSH hormone levels and other conditions are normal or not. The doctor will monitor the eggs produced to see if it is appropriate or not. • Egg retrieval: In this step, eggs are retrieved from the female's ovary with a needle under light sedation. In addition, the eggs are placed in a container with nutrient media and placed in the incubator. • Fertilization: This is the next step in IVF called fertilization, in which the male sperm are removed and placed with the egg in an incubator to form embryos. In ICSI (Intro Cytoplasmic Sperm Injection), however, the most active sperm are individually selected and fertilized with an egg and then placed in a special incubator. The process is then monitored so that a healthy embryo can develop. • Embryo Transfer: This is the final step in which the healthiest embryo is transferred. First, the doctor examines to select a healthy embryo. The embryo is transferred with the help of small plastic tubes.

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Why IVF?

IVF is often recommended when a woman's fallopian tubes are blocked, sperm parameters are very bad, and all other fertility treatments have failed. Poor semen quality and/or quantity, problems with ovulation, and problems with sperm interaction are other problems that can prevent couples from having children naturally. IVF helps with this problem. Specific conditions for which a patient may require IVF include: Tubal blockage or failed tubal reversal Endometriosis Cervical factor Pelvic adhesions Male factor Unexplained infertility/failed conventional therapy Genetic testing (PGD) for inheritable diseases. जब कुनै महिला को फैलोपियन ट्यूब अवरुद्ध छन्, शुक्राणु मापदण्डहरु धेरै खराब छन्, र अन्य सबै प्रजनन उपचार असफल भएको छ भने यस्तो अवस्थामा प्रायः IVF सिफारिश गरिन्छ । खराब वीर्य गुणस्तर र/वा मात्रा, ovulation संग समस्याहरु, र शुक्राणु अन्तरक्रिया संग समस्याहरु यस्ता समस्याहरु हुन् जसले दम्पतिलाई स्वाभाविक रूपबाट गर्भधारण गर्नलाई रोक्न सक्छ। IVF यस्ता समस्याको हल गर्ने एउटा प्रबिधि हो। अन्य अवस्था जहां IVF को आवश्यकता पर्न सक्छ: -Tubal blockage or failed tubal reversal -Endometriosis -Cervical (ग्रीवा) कारक -पेल्विक adhesions -पुरुष कारक -अस्पष्ट बांझोपन/असफल परम्परागत थेरापी - वंशानुगत रोगहरु को लागी आनुवंशिक (Genetic) परीक्षण (PGD).

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What is IVF?

This is a non-surgical process where an egg is fertilized by sperm outside the uterus in a laboratory. It is also known as a test tube baby. यो एक बिना शल्यक्रिया द्वारा गरिने प्रक्रिया हो जहाँ एउटा अण्डा प्रयोगशालामा गर्भाशय बाहिर शुक्राणु द्वारा निषेचित गरिन्छ। यो टेस्ट ट्यूब बेबीको रूप मा पनि बुझिन्छ।

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What is IUI process?

IUI stands for Intrauterine Insemination. This is one of the popular techniques of ART (Assisted Reproductive Technology). During this process, processed (washed) sperm is used and inserted directly into the woman's uterus. This process corresponds to the natural ovulation cycle. IUI को मतलब Intrauterine Insemination हो। यो ART (सहायक प्रजनन टेक्नोलोजी) को लोकप्रिय प्रविधिहरु मध्ये एक हो। यस प्रक्रियाको दौरान, प्रशोधन (धोईएको) शुक्राणु को उपयोग गरीन्छ र सीधै महिला को गर्भाशय मा सम्मिलित गरिन्छ। यो प्रक्रिया प्राकृतिक ovulation चक्रको अनुरुप हुन्छ।

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Does age have any role on fertility? के प्रजनन मा उमेरको भूमिका छ?

Age affects your ability to conceive and have a healthy baby. Age is the most important factor affecting a woman's fertility. For men, the decline in fertility due to age is often more subtle but still occurs. A woman's fertility begins to decline in her early thirties, and this decline increases after age 35. उमेरले पक्कै पनि गर्भधारण गर्ने र एक स्वस्थ बच्चा जन्माउने क्षमतालाई प्रभावित गर्दछ। उमेर एक महिला को प्रजनन क्षमता लाई प्रभावित गर्ने सबैभन्दा महत्त्वपूर्ण कारक हो। पुरुषहरुको लागी, उमेरको कारण प्रजनन मा गिरावट अक्सर अधिक सूक्ष्म हुन्छ तर असर नै गर्दैन भन्न मिल्दैन। महिलाको प्रजनन क्षमता प्रारम्भिक ३० उमेरबाट गिरावट शुरू हुन्छ र यो गिरावट ३५ बर्ष पछि बढ्छ।

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When should you seek medical help for infertility? बांझोपनको लागी चिकित्सा सहायता कहिले लिनुपर्छ?

In general, it is recommended to consult a doctor if the couple is unable to conceive for more than a year. But it's not always like this. If a woman has irregular periods, endometriosis, or polycystic ovary syndrome, or if one of the partners has a history of sexually transmitted diseases, it makes sense to seek help immediately. In addition, it is recommended that women over 35 years of age consult after six months of trials. If your family has a history of menopause or primary ovarian failure (also known as premature ovarian failure), it is recommended that you speak with your doctor as soon as possible. If you are 39 or 40 years old and starting to get pregnant, now is the time to see your doctor. सामान्यतया, यदि कुनै दम्पती एक बर्ष भन्दा बढी समय सम्म पनि गर्भधारण गर्न असमर्थ भएको छ भने त्यो अवस्थामा चिकित्सक कहां जानु जरुरी हुन्छ। यसको अतिरिक्त निम्न अवस्थामा पनि चिकित्सकको सल्लाह आवश्यक हुन्छः -यदि एक महिलाको अनियमित महिनावारी छ -endometriosis, वा polycystic ovary syndrome छ - यदि दम्पति मध्य कुनै एकमा (sexually transmitted diseases) यौन संचारित रोगहरुको इतिहास छ - यदि महिला ३५ बर्ष भन्दा माथि हुनुहुन्छ र छ महिना प्रयास गर्दा पनि गर्भधारण गर्नसक्नु भएको छैन - यदि तपाइँको परिवारमा रजोनिवृत्ति (menopause) वा प्राथमिक डिम्बग्रंथि विफलता (premature ovarian failure) को एक इतिहास छ - यदि तपाइँ ४० बर्षको हुनुहुन्छ र गर्भवती हुन चाहनुहुन्छ।

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What is infertility?

It is a condition of the reproductive system in which couples cannot conceive even after more than a year without the use of contraceptives. यो प्रजनन प्रणाली को एक अवस्था हो जसमा दम्पतिहरु गर्भ निरोधकको उपयोग बिना एक बर्ष भन्दा बढी पछि पनि गर्भधारण गर्न सक्दैनन्।

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Dr. Niraj Shrestha ( https://hopefd.com.np) - Consultant Radiologist

Dr. Niraj Shrestha is a leading practitioner with more than 10+ years of experience as a Consultant Radiologist, with previous experience as Lecturer at Gandaki Medical college (T.U.), & consultant Radiologist at Manmohan Memorial Eastern Regional Community Hospital.

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Dr. Swasti Sharma is a reputed fertility specialist of Nepal with more than 12 years of experience with a specialization in in-vitro fertilization services. She has been extensively trained in some of the best institutes in Nepal, India, and abroad. Her training includes extensive work in comprehensive abortion care, advanced life support in obstetrics, medical abortion, and maternity mortality. Over the years she has treated more than 5000 patients and succeeded in more than 2500 IVF services. She is also recognized as an efficient embryologist, selective fetal reduction, chromosomal analyst, and many other fertility services rarely available in Nepal. She has also worked in many reputed institutes of Nepal and abroad such as Alka hospital, Venus Hospital, Kist medical college, Paropakar maternity hospital, Shankarpur hospital & Nobel hospital as a Fertility specialist.

Dr. Swasti Sharma is a reputed fertility specialist of Nepal with more than 12 years of experience with a specialization in in-vitro fertilization services. She has been extensively trained in some of the best institutes in Nepal, India, and abroad. Her training includes extensive work in comprehensive abortion care, advanced life support in obstetrics, medical abortion, and maternity mortality. Over the years she has treated more than 5000 patients and succeeded in more than 2500 IVF services. She is also recognized as an efficient embryologist, selective fetal reduction, chromosomal analyst, and many other fertility services rarely available in Nepal. She has also worked in many reputed institutes of Nepal and abroad such as Alka hospital, Venus Hospital, Kist medical college, Paropakar maternity hospital, Shankarpur hospital & Nobel hospital as a Fertility specialist.