Frequently Asked Questions

In Vitro Fertilization (IVF)

Infertility is a disease of the male or female reproductive system defined by the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. Infertility may occur due to male, female or unexplained factors.

IVF stands for in vitro fertilization. Assisted reproductive technology (ART) involves fertilizing an egg with sperm outside the body. The fertilized egg, or embryo, is then transferred to the woman’s uterus, where it can implant and grow into a baby.

The steps involved in the simple IVF process are:

  • • The stimulation of the ovaries to produce eggs.

  • • Retrieval of the eggs.

  • • Fertilization of the eggs with sperm in a lab, creating an embryo.

  • • Transfer of the resulting embryo(s) into the uterus.

IVF is a suitable treatment for couples trying to conceive naturally for at least one year without success. It can also be used to treat couples with a known cause of Infertility, such as blocked fallopian tubes, endometriosis, or low sperm count.

The age of a woman is a crucial factor in IVF success rates since the chances of a successful pregnancy decrease rapidly after the age of 35, especially for women over 40 years. Also, the risk of miscarriage and congenital disabilities in the child increases after 35 years.

The success rates for IVF vary depending on factors such as the woman’s age, the cause of Infertility, the duration of Infertility, the number of embryos transferred, and past instances of recurrent implantation failure and miscarriages. On average, the success rate for women under 35across a couple of cycles is around 60-70%, which decreases as a woman’s age increases.

Potential risks and complications are associated with IVF, such as ovarian hyperstimulation syndrome (OHSS), multiple pregnancies, ectopic pregnancy, and psychological stress. However, the overall chances of such complications are generally very low and manageable. Most women have thriving and healthy pregnancies after IVF.

No, IVF doesn’t always lead to multiple pregnancies, especially given the advances in technology and treatment protocols. During your consultation, please discuss your desire for a single child with your fertility specialist.

IVF costs vary depending on the patient’s age and medical condition. Cost also varies in different states and cities. Patients can finance the procedure through available EMI options or savings plans.

Unfortunately, insurance policies usually do not cover the expenses of infertility treatments, including IVF. These treatments are typically considered elective and not categorized as medically necessary, resulting in limited or no insurance coverage for IVF costs. However, check with your insurance provider for details and confirmation.

Some alternatives to IVF treatment could be intrauterine insemination (IUI), fertility medications, lifestyle changes to improve fertility, and exploring other assisted reproductive technologies such as donor sperm or egg. However, only experienced fertility specialists can tell you which one amongst them is best suited for you based on the diagnosis of your condition.

Intra Uterine Insemination (IUI)

IUI (intrauterine insemination) is a type of artificial insemination. Sperm that have been washed and concentrated are placed directly inside of your uterus during ovulation. This helps healthy sperm get closer to the egg when it’s released by your ovaries. It’s a common fertility treatment for couples or individuals wishing to conceive.

The semen processing takes approx 45 mins to 1 hour, after submission of the semen sample, which is most often by masturbation. It is preferred that the sample is procured within the hospital premises. After the sample is processed its takes 5-10 min for insemination.

We commonly advise a rest of 10-15 min post insemination in the hospital.

Of Course, there are no restrictions at all after the procedure.

You may commence work the very same day.

Semen can be brought from home, provided you reach the hospital within 30-45 mins of ejaculation. In such conditions, the doctor should be informed, so that a sterile container can be made available prior. The container containing the sample should be kept at body temperature.

On an average the twin pregnancy rate is 20%, of the triplet is 5%, and singleton is 75%, when day 3 embryos (3), are transferred.

Till date, millions of babies have been born across the globe, through this technology and the evidence is backing that there is no statistically significant increase in the incidence of the defects.

The recent evidence is not backing this; however, we advise rest for 2-3 days after which they can carry their routine non-strenuous activity.

Yes, we do have the provision to be done under anesthesia.

Yes, in the case of male factor infertility.

We strictly adhere to the ICMR guidelines. A detailed medical, family history is undertaken along with blood test to assess the physical fitness and for the screening of infectious diseases like HIV, HbsAg, HCV, VDRL.

No, we strictly adhere to the anonymous donor egg program.

Usually, we try to select the donor profile as close as to the recipient. Certain preferences as religion, educational status etc can be catered to.

We select donors who are married and have at least one normal living child.

Usually 2-3 weeks, however, we do have a premium Donor egg program running too, wherein we have pre-screened donors.

Gynaecology

Urinary incontinence, also known as involuntary urination, is the involuntary leakage of urine. It can be a common and distressing problem that can impact quality of life.

Urinal incontinence is an under-reported problem that’s common among women of various age groups. While it may be common, it’s not normal or something you can ignore. Ask your doctor about viable treatments for urinal incontinence.

Vaginal discharge is your body’s cleansing mechanism. It is normal to have clear or milky discharge, but in case you notice a variation in the color, odour or volume (unusually high), it may be a sign of infection. Rush to your doctor for immediate evaluation.

Heavy bleeding during periods is the woman’s worst nightmare. Not only do you have to double up on pads, but you are constantly concerned about leaving blood stains on your seat. All of this makes that time of the month unbearable for you. If you can relate, you must address this issue in your Gynecologist’s presence. There could be an underlying health issue or the onset of menopause or a bigger issue in the making. Speak up as soon as you get a chance to see your doctor.

Your lifestyle has a considerable influence on your periods. Poor diet and taking a lot of stress can delay your period by several days or even a month. Other reasons may include polycystic ovarian syndrome for which your Gynecologist may prescribe birth control pills.

Low libido is one of the underlying causes behind the drop in sexual desire. This may be because of hormonal imbalance or medication or perhaps you are approaching menopause. However, you are not doomed. You can revive your sex life with a few lifestyle changes, and in this case, talking to your doctor about how you feel is the best way out.

Today, birth control options are greater in number as well as safer than ever. With multiple options, you are free to opt for a birth control measure that suits your situation. Who else can give you the best advice than your Gynecologist?

Whether or not it’s your first time, getting your Gynecologist’s advice can help you avoid a lot of complications, such as miscarriage. Based on the evaluation, your doctor will tell you if your reproductive system is healthy enough to bear a baby.

The opinions on this may vary from one Gynecologist to another. Although pubic hair breeds healthy bacteria and keeps the bad ones at bay, removing them for the sake of aesthetics is acceptable. But how frequent is too frequent? Your Gynecologist can answer this better.

Yeast infection causes itching and redness on and/or around the vagina. The longer you put up with infection without having it treated, the worse it gets, and the more will you want to scratch the itch.

Neonatal Intensive Care Unit (NICU)

• Newborn babies who need intensive medical care are often put in a special area of the hospital called the neonatal intensive care unit (NICU). The NICU has advanced technology and trained healthcare professionals to give special care for the tiniest patients.

Paediatrician with experienced in NICU working handling Premature Low birth weight and extremely low birth weight babies along with staff manages NICU. Each baby has one or more primary nurses. The primary nurse may not actually take care of your baby every day, but he/ She will coordinate your baby’s care until discharge

All NICUs care for babies who need special help, but different NICUs offer different levels of care. The first hour of life for a very low birth weight baby is often called "the golden hour" because it's so important to a premature baby's future. The level of care that a baby receives in the first hour of life will determine how that baby does for the rest of its life

  • • NICU are having 3 Levels – Level I , Level II , Level III

  • • We at our hospital have Level III NICU.

Make sure that pediatric nutritionists are part of the NICU care team and that their practice reflects the latest understanding of infant nutrition. best nutritional resources for your infant, which includes breast milk.Breast milk is by far the best nutrition for premature babiesBreast milk has been shown to increase the IQ of babies as well as their ultimate neurologic outcome. It's been shown to decrease the risk of a very serious bowel infection.

O2, High flow oximeters, C-PAP, Ventilators help managing respiratory problems.

As a parent in the NICU, you are not a visitor. You are a partner in care and the most important member of your baby's health care team. Our goal is to include you in the care of your baby as much as possible. We encourage you to ask questions and stay as long as you want. We encourage you to be present during shift change report because we value your input during the process. You know your baby better than anyone else.

Orthopaedics

An orthopaedic trauma surgeon is a doctor who specializes in the treatment of complex injuries and diseases that affect the musculoskeletal system. The most common forms of injury are fractures, dislocations, and amputation which can be treated by orthopaedic surgeon.

The symptoms of orthopaedic conditions range from a mild ache to sudden, sharp pain. Common symptoms include joint pain, arthritis, and muscle soreness.

Spinal stenosis is a narrowing of the spinal canal, which can cause pain in your back, neck, and/or hips. It’s also called spondylolisthesis.

Cartilage is a flexible, connective tissue that aids in the articulation of bones. It provides cushioning and protection for bones while they are moving.

Tendonitis is a common term indicating inflammation of the tendon. It can occur in any tendon, including those found in the shoulder, elbow, wrist, knee, or ankle, and can be treated by an Orthopedic Doctor in Aastha Multispeciality Hospital Tendonitis can be the result of overuse, trauma, or other causes and it typically affects adults.

Degenerative disk disease is an age-related condition that occurs as our spinal disks degenerate and cause pain. Our Orthopedic Doctor in Aastha Multispeciality Hospitalhelps patients with this condition to best manage their symptoms as the degeneration cannot be reversed

Arthroscopic surgery is a minimally invasive surgical technique in which the surgeon enters through one or two small incisions and performs surgery on a joint. Our Orthopedic Doctor in Aastha Multispeciality Hospitalspecializes in arthroscopic procedures done as a diagnostic procedure, typically used to investigate the cause of arthritis or pain, and as a therapeutic procedure, Like meniscal repair meniscectomy. ACL Reconstruction loose body removed Chondroplasty.

Arthroscopic surgery is a minimally invasive surgical technique in which the surgeon enters through one or two small incisions and performs surgery on a joint. Our Orthopedic Doctor in Aastha Multispeciality Hospitalspecializes in arthroscopic procedures done as a diagnostic procedure, typically used to investigate the cause of arthritis or pain, and as a therapeutic procedure, Like meniscal repair meniscectomy. ACL Reconstruction loose body removed Chondroplasty.

Internal fixation is a surgical procedure in which an instrument or device is used to hold the bone fragments together. The most common instruments used by our Orthopedic Doctor in Aastha Multispeciality Hospitalare metallic plates and screws, but other types of fixation devices can be used.

Robotic Knee Replacement

Returning to work a week after robotic knee replacement is generally not recommended, depending on job demands and individual recovery. As per orthopedic surgeons, joint replacements require proper healing and physical therapy to regain mobility and strength. Early return to work might hinder recovery and increase the risk of complications like infection or prosthetic issues.

Yes, robotic knee replacement typically costs more than traditional knee replacement. But then, the higher cost is due to advanced technology and precision tools used in robotic surgery. robotic-assisted procedures can increase costs ONLY by 10-20%. But then, most of the patients report faster recovery and very less pain; plus it has better long-term outcomes.

You may be able to cross your legs after a robotic knee replacement, though outcomes vary from person to person depending on their previous knee condition, body type and other body ailments. Post-surgery flexibility depends on factors such as individual recovery, physical therapy, and pre-existing conditions.

Robotic knee replacement surgery uses a robotic arm to assist the surgeon in removing damaged tissue and replacing it with an artificial joint. The robot helps ensure precise alignment, which can improve recovery and implant longevity. The procedure typically takes about 1 to 2 hours and is about 20min longer time then conventional replacement.

During robotic knee replacement surgery, most patients experience minimal pain due to anesthesia and pain management techniques. After surgery, pain levels vary but are generally mild to moderate. Pain typically decreases over the following weeks, with most people returning to normal activities within 6 to 12 weeks.

Around 90% of people report significant pain relief and improved function within three to six months of robotic knee replacement. Full recovery can take up to a year, so follow your doctor’s advice for best results and to avoid complications.

Given below are the conditions that the surgery can treat according to a knee pain specialist in Aastha Multispeciality Hospital:

Osteoarthritis
Osteoarthritis is the most prevalent form of arthritis in the knee. It is a degenerative disease that results due to wear and tear of the cartilage in the joints. Due to this, bones become thick, the joints’ surface becomes rougher, and the knee movement is restricted.
Rheumatoid arthritis
In rheumatoid arthritis, the synovial membrane that envelopes the knee joint starts to swell. It is an autoimmune disease, and also known as inflammatory arthritis, as it causes severe pain and stiffness in the knee.
Post-traumatic arthritis
The symptoms of post-traumatic arthritis are generally the same as Osteoarthritis. It is characterized by damage to the knee’s cartilage that takes place due to a traumatic injury.

What you will be able to do include walking, climbing stairs, and light gardening. Most patients regain 90% of their knee function in three to six months. Studies show that about 80% of people can resume low-impact sports, like swimming or cycling, after recovery. Pain typically decreases significantly, with over 70% of patients reporting improved quality of life within a year.

Aastha Multispeciality Hospital is a renowned hospital for knee replacement surgery in Mandi. Dr. Arun Chandel is exceptionally talented who treats his patient compassionately. He performs surgery with precision and care, and he has a great clinical success record. So if you’re in need of the best knee replacement surgeon in Mandi , you can book your appointment.