Guru kipra jagrati hospital established the year 2003, has soon attained the status of being listed as one of the best and prestigious medical care facility of Allahabad.

The hospital is centrally located and is equipped with state of the art medical and surgical facilities.

Besides, catering to all Medical, Surgical, Pediatric, Gynecological and Obstetrical problems the hospital has the super specialty Orthopedic Unit, which is successfully performing knee and hip replacements.

Dialysis and our state of the art intensive care unit (NICU, PICU, MICU and ICCU) have successfully saved many a life of critically ill patients.

Our ultramodern operation theatres besides being well equipped also have hepa filters and laminar airflow.

To continue in this tradition of excellence our next venture is “Jagrati Test Tube Baby Centre” coming up in a bid to offer a ray of hope and plenty of smiles to childless couples.

Besides ART (Artificial Reproductive Techniques), “Fertility Enhancing Laparoscopic and Hysteroscopic Surgery” is being done along with routine Diagnostic Laparoscopy and Hysteroscopy.

The infertility unit will be run by a team of specialists headed by FOGSI president, ART specialist and renowned Ultrasonologist Dr. Narendra Malhotra, infertility and ART expert of international fame Dr. Jaideep Malhotra, well known Obstetrician and Gynocologist of eastern UP Dr. Manjula Pandey infertility expert Dr. Andaleeb Agarwal and Dr. Kavita Agarwal.

Infertility is a social stigma causing a lot of stress, frustration and sadness. But in this scientific era most of these cases can have a happy ending, if each couple is treated properly, so that the causes of infertility is found out and corrected.

Initial Appointment
Since Infertility is the problem of the couple, both husband and wife should come together for their initial consultation.

What is Infertility?
The inability to conceive after one year of unprotected intercourse.

Is infertility a woman’s problem?
No, Infertility is the couple’s problem.
35% due to female factor
35% due to male factor
Rest due to unexplained infertility

When should you see a doctor?
If you have not been able to conceive after one year of unprotected inter course, you must see a doctor.

However, if you are over 30 years, have painful periods, irregular cycles, history of miscarriages or your partner has a known low sperm count, you may seek medical advice earlier.

What is the best period to have a baby?
The best period to have a baby is between 20-30 years.

Which are the fertile days of the month for the woman?
The day you start your periods is “Day 1”. A woman ovulates around day 14, if the cycle is of 28 days i.e. the egg is released from the ovary on the 14 days prior to beginning of the next menstrual period.

The egg is viable for 24 hours i.e. fertile period.

Regular menstruation does not necessarily mean regular ovulation.

What is the viability period of sperm?
Sperm is viable for 48 hours.

What is the recommended frequency of sexual intercourse, if you wish to conceive?
In order to conceive, sexual intercourse is advisable every alternate day during the fertile period i.e. day 10 to day 20 because a woman may not ovulate exactly on “Day 14”.

How do you begin the treatment of infertility?
Since infertility is the problem of the couple, both need to be investigated and treated simultaneously.



Problems can occur in:-

Male
1. Inability to produce adequate
2. Impotence
3. Inhibited ejaculation or retrograde ejaculation i.e. ejaculated is forced backward into the bladder.
4. Failure of tested to descend into the scrotum.
5. Physical injuries which damage sperm producing structures.
6. Antibodies against sperm found in male or female.

Female
1. Inability to produce eggs.
2. Blocked fallopian tubes.
3. Fibroma, adhesions.
4. Uterine anomalies e.g. Bi or unicornuate uterus, arcuate uterus, mullerian agenesis.
5. Infections e.g. Tuberculosis.
6. Endometriosis.
7. Hormonal disturbances e.g. Thyroid-Hypo or Hyper activity, Prolactin, Diabetes.
8. Cervical factors.
9. Antisperm antibodies.

What is the basic test to be performed?

Husband
• Semen analysis
• Hormone assay & ASA
• Testicular FNAC if the man is found to be “azoospermic” i.e. no sperms found in the semen.

Wife
• Hormone assay
   Day 2 FSH, LH, Prolactin, E2
   Day 21 Progesterone
• Tubal patency tests, Sonosalpingography, Hysterosalpingography
• Ultrasound for follicular monitoring and to detect other anatomical cause for infertility.
• Laparoscopy and Hysteroscopy

All tests not be done in all couples. They are performed “as needed”.



Treatment Options:-

1. Surgical corrections by laparoscopy and hysteroscopy of treatable cause e.g. adhesions, bands, corneal block of fallopian tubes etc.
2. Intrauterine insemination (IUI):- It is a simple procedure done in the female. Before this, ovulation is induced by certain drugs. Then at the appropriate time, we place washed semen in the uterus through a fine catheter. But this is useful only if at least one of the fallopian tubes of the female partner is patient.

• Intrauterine insemination is done in cases of –
• Cervical mucus incompatibility
• Low sperm survival
• High semen viscosity
• Poor sperm morphology
• Impotence or premature ejaculation
• Elevated ASA

3. In vitro fertilization (IVF-ET) (test tube baby):- In this procedure the ovaries are stimulated by fertility enhancing drugs and the woman’s eggs (oocytes) are fertilized outside her body. The oocytes are aspirated under anesthesia through the vagina. The semen’s is processed to harvest the best sperms. The egg & sperm are then incubated together. The embryos are transferred into the uterus at the appropriate time.

IVF is need for patients where both fallopian tubes are blocked, absent or irreparably diseased, failure of several attempts of IUI.

4. Intracytoplasmic sperm injection (ICSI):- In this procedure eggs are retrieved as an IVF from the female and under a microscope each egg is injected with a single sperm isolated from the male partner’s semen.

The sperm prepared for microinjection is injected through a micropipette into the cytoplasm of the oocyte.

The main indication of this technique is severe male factor of infertility, immunological and unexplained infertility.

5. Adoption



Facilities Available

1. 24 Hours Emergency
2. Antenatal Feto-Maternal Medicine

Total Antenatal Care
• Antenatal Bookings, Fetal Heart Monitors
• Antenatal Exercise Advice & Diet Advice by Nutritionist
• Fully Equipped Labour Room with Fetal Monitor

Fetal Monitoring (Cardiotocography)
• Non Stress Test (NST), Contraction Stress Test (CST)
• Labour Monitoring, Acoustic Stimulation Test (FAST), Visual Acoustic Stimulation Test (VAST)

3. Sonography

Diagnostic Ultrasonography
• Abdominal Sonography with Digital Technology Machine Liver 4-D Ultrasound
• Trans Vaginal Ultrasound for Follicle Monitoring, Infertility, Gynaec Problems, Problems Early Pregnancy and Interventional procedures.

Color Doppler for sonosalpingography, Infertility, Tumours, Malignancy, I.U.G.R. & Color Angiography

4. Endoscopic Surgery

Operative Laparoscopy-For infertility & Tubeligation, Fibrold, OC Cysts and Hysterectomy.
Tubal blocks, Endometriosis, Adhesiolysis.
Diagnostic Operative Hysteroscopy for Septum, Polyps, Cornual Blocks in tubes.

5. Gyn. Operations

Fully Equipped Operation Theatre for All Obstetric and Gynaec Operations.

6. Infertility

Facilities for full Investigations for Male and Female Infertility and Treatment for Infertility.

• Post Coital Test Semen Analysis
• Tube Test by Ultrasound A.I.H. Sperm Washing and Intra Uterine Insemination. SIFT, GIFT, Infertility Lab with Centrifuge and Incubators, Microscopes, Laminar Flow, Embryology & Cryo Freezing Flow, Embryology & Sperm Banking.
• I.V.F.E.T., MICROMANIPULATION & I.C.S.E., TESA, MESA, PESA

7. Neonatology

Well Baby Clinic
• Abdominal Sonography with Digital Technology Machine Live 4-D Ultrasound.
• Baby Health Checkup by Experts.

Photo-Therapy Units. For Treatment of Neonatal Jaudice.
Baby Incubator for Preterm Babies and Neonatal Intensive Care Unit with Facility of Ventilator.