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Ruchi Sharma, a 37-year-old lady, a top executive in an MNC, married for seven years is desperately trying to conceive for the last two years but with no results. All her test reports are apparently normal and she is absolutely
clueless about what has happened to her fertility. In the “initial five years of my marriage, I did not even have the
time to think about pregnancy, let alone the idea of bringing up a baby. Work, meetings, project deadlines were the
only things in my life. When I started thinking about starting my family, it just did not happen. Now, I am gradually
sinking into depression.” Cases like Ruchi’s are not uncommon. Professional and personal opportunities are there for women over the past 30 years encouraging them to postpone motherhood. Majority of 33% high achieving women who are childless at the age of 41-55 did not choose to be childless and would still like to have children. They simply forgot that their biological clock ticks in unison with the
time. According to Dr. K.D.Nayar, chief consultant, Akanksha IVF Centre, New Delhi, who performs more than 500
IVF/ICSI cycles annually, every day sees eight-10 females above the age of 35 who are desperate to conceive and their number is sharply rising
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The desire to have a child is so deeply rooted in our society that inability to bear children burden the couple not only on the physical and financial aspect but also on the emotional front. As if the diagnosis and the treatment weren’t difficult enough, the emotional turmoil surrounding infertility – while perfectly normal is yet another source of anxiety and stress. Most couples experience the struggle in much the same way. It’s a big challenge for
the concerned physicians who are treating the couple as well as for relatives and friends to help them cope with their emotional problems during this difficult period.
What is the definition of infertility?
A couple can be considered as infertile only when after one year of regular, unprotected intercourses
they fail to achieve pregnancy.Initial state of denial or shock – Most couples have tried to conceive
on their own over a period of months or even years, the ultimate diagnosis of infertility usually brings disbelief or
shock for them. According to Dr (Mrs) Poonam Nayar, PhD, Consultant Psychologist at Akanksha IVF Centre in New Delhi, the first question that….
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Infertility Problems Now No More Social Stigma Dr.KD Nayar MD., DGO., Dip. Obst. (Ireland) Chief Consultant Infertility & IVF, Akanksha IVF Centre, Mata Chanan Devi Hospital, New Delhi www.akankshaivfcentre.com, www.ivfspecialistdelhi.com Mob: +91 9810398765 The desire to have an offspring in every couplehas its moorings rooted in from our ancient past. According to the Vedas, it is necessary for every couple to have a child to perpetuate his/her lineage, perform some Samskara, transfer some cultural traditions to next generations for the well-being of family and thereby society. It is a common belief that only if a child performs Samskara after death of an individual which liberates him/her from all bondages and leads him/her to the Heaven. When friends, siblings, and co-workers effortlessly become pregnant and deliver babies who become the centre of their lives and conversations, an infertile woman and her partner often feel defeated and disgusted and sometimes find future in the dark gutter. In true sense, infertility and isolation are soul sisters.The agony of childlessness encompasses all these issues when a couple does not have a child due to reproductive failure or its functional pause in the body system. The social stigma attached to it is the extreme disapproval of, or discontent with, a person on the grounds of characteristics that distinguish them from other fecund couples in a society. It issurprisingly considered as a normal perception andbehavior pattern of the society by which the reaction of others spoils normal identity of the victim leaving him/her to lead a segregated life with low social esteem. As a woman catches age, a number of changes take place in her reproductive system. Inwomen, the cessation of menses i.e., menopause is an obvious sign of aging anda transition period lasts for many years before menopause and this occurs because of distinct and dramatic decline in estrogen production. As women ages, the genetic quality and quantity of their eggs and the efficiency with which their bodies reject genetically damaged embryos both decline, leading to an increased risk of genetic problems in the baby. This triad of declining fertility, declining hormone levels and increasing risk for genetic problems are what we all call “biological clock”. In 80% of the cases the cause of infertility can be directly traced to husband or wife or both the partners and in rest 20% no specific reason found after investigation and evaluation of couple. Loss of fecundity may be a cause for further investigations under specialized professional guidance. These unexplained infertile patients need to be identified specifically which are more common in females above 35 years of age. In men, in the last 30 years, there is 50% increase in number of persons who became fathers above the age of 35. The genetic quality of sperm does decline;motility also declines, leading to an increased risk of genetic problems in offspring above and beyond any contribution by the female. Male fertility and male sex hormone do decline with age. The decline in sex hormones is not as steep or as sudden as with menopause. 1% decline per year in testosterone level after age of 30 years is termed as “Andropause”. The symptoms include decreased libido, erectile dysfunction, loss of muscle mass, weight gain, declining cognitive function and Type II diabetes. Older men are at a higher risk of harbouring a child with Schizophrenia and also risk of having children with Down syndrome. However our society tends to blame the woman as the responsible factor for childlessness. Recent researches suggest that the probability of infertility and its related factors can lie equally with the male partner. Causes of Infertility 20% cases – Unexplained. No specific reason found after investigation & evaluation of couple. 80% cases – Problems can be directly traced to husband or wife or both the partners. Male factor – problem with the quality and quantity of sperms Female factor – problem with ovulation, tubes or uterus. When to Contact Infertility Specialist? If female is <35 years & unable to conceive after 1 year of unprotected intercourse. If female is >35 years & unable to conceive after 6 months of unprotected intercourse. If the couple has have ≥ 2 miscarriages. In India, infertility affects 20 percent couples. Among infertile couples, the problem lies with male partner is 30-40 percent, 30-40 percent of female partner can have some problem, and in 20-30 percent cases both can suffer from some problem. 15 % couples can have more than one cause of infertility, so series of tests and investigations are required and it may take a few months to find out the exact cause of infertility. And above all this, few couples suffer from unexplained infertility where no cause can be traced even after all investigations which bamboozles even biological sciences. With the development of researches in Assisted Reproductive Technology (ART), a new hope has arisen for many couples and barren women/men who had earlier no choice or limited options for treatments like IUI, IVF, ICSI, Egg & Sperm donations, Surgical Sperm donations, Surrogacy services and Pre-implantation Genetic diagnosis.The fear of social dismemberment has been the words of past now. Nevertheless, the financial aspect, mental and moral support with the patient, trained medical consultants, medical risks and many other legal and ethical complications with different techniques are some of the issues that need to be discussed and redressed beforehand properly. In reality, childbirth is pleasurable and memorable event and it can be compared to any of the physiological processes like sleeping, eating, singing etc., ultimately giving support to psychological processes. Couples feel intense joy and pleasure as the baby enters into this world and particularly into your family! Couples feel confident and relaxed, experience an inner strength that emanates from inner beauty – the happiness radiating from that incredible achievement! It is a precious gift that you will cherish entire life; feel socially alleviated and socially gelled up.

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An interesting article on the challenging cases encountered at AKANKSHA IVF CENTRE, appeared in the monthly magazine ‘SANDESH’. The article delt in detail on the social stigma that affects women due to the tag of Infertility & how the latest techniques available at AKANKSHA IVF CENTRE have been able to help several such patients, whose cases were considered formidable.

Dr. KD Nayar has been infusing a lot of new and latest technologies at par with the best in the world today, which has made AKANKSHA IVF CENTRE a leading centre for offering support and cure to patients of infertility from far and wide. No wonder AKANKSHA IVF CENTRE is conducting more that 500 IVF cycles every year with excellent success rates.

we have enclosed below the scans of the articles as they have appeared in the above magazine.

– The Akanksha IVF Centre Team.

Conference was held in kanpur 5th & 6th October on National conference on infertility

Dr KD Nayar attends ASRM Conference at San Diego California USA.

The 68th Annual Conference of the prestegious American Society of Reproductive Medicine (ASRM) was held at San Diego, California, USA on the 20th to 24th October 2012. The prestegious conference showcased the latest technologies the world over, in the field of infertility & reproductive technologies. Dr KD Nayar visited USA for attending the conference during these dates. The five day conference was spread across a wide range of sessions from Robotic Surgeries, Scientific Programmes, Interactive Sessions, Round table Luncheons,Lecture Sessions, Poster presentations, Exhibitions, etc. The conference was a good platform to interact on a wide range of topics of interest in the field of IVF & Reproductive Technologies.

This is in tune with continued upgradation of the technologies currently being employed at Akanksha IVF Centre, for the benefit of our patients coming to our centre with lot of positive hope & belief.

Akanksha IVF Centre remains commited to offering the best technologies available across the world today to our eteemed & valuable patients.

Below are a few photographs of Dr KD Nayar at the conference.

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Dr KD Nayar at OSAKA, JAPAN to attend ASPIRE 2012 Conference.

The prestegious ASPIRE Conference (Asia Pacific Initiative On Reproduction) for the year 2012 was held at OSAKA JAPAN from 31st August 2012 to 02nd September 2012. Since its inception in 2001, the ASPIRE platform has continued to initiate new projects and events to raise awareness of infertility and ART and to improve the quality of infertility-related services in the Asia-Pacific region.

In continuation with keeping updated with the latest technologies showcased across the world in the filed of IVF & Artificial Reproductive Technologies today, Dr. KD Nayar was in OSAKA, JAPAN to attend this prestegious conference. Enclosed below are a few photographs of the above visit to Japan.

The AKANKSHA IVF CENTRE TEAM.

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Academic Program-4th Infertility Update on 30th Sept 2012.

The 4th Infertility update will be organized by the team of AKANKSHA IVF CENTRE on the 30th September 2012 (Sunday) at IMA Janakpuri, Medico House, D-26, Institutional Area, Janakpuri, New Delhi. The event will provide a lot of insight into the latest trends & technologies in the ever evolving field of Inferility management

Following will be the academic program for the ready reference of the participating delegates:

Article on AKANKSHA IVF Centre in ‘Sandesh’ Magazine.

An interesting article on the challenging cases encountered at AKANKSHA IVFCENTRE, appeared in the monthly magazine ‘SANDESH’. The article delt in details on the social stigma that affectes women due to the tag of Infertility & how the latest techniques available at AKANKSHA IVF CENTRE have been able to help several such patients, whose cases were considered formidable.

Dr. KD Nayar has been infusing a lot of new and latest technologies at par with the best in the world today, which has made AKANKSHA IVF CENTRE a leading centre for offering support and cure to patients of infertility from far and wide. No wonder AKANKSHA IVF CENTRE is conducting more that 500 IVF cycles every year with excellent success rates.

we have enclosed below the scans of the articles as they have appeared in the above magazine.

The Akanksha IVF Centre Team.

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Article in ‘Women’s Era’ magazine by Dr. KD Nayar.

Infertility is a problem which is believed and estimated to affect close to 15% – 20% of the populations in our country. The impact of infertility comes with a load of a lot of emotional distress as well, which is often compounded by social factors. The society tends to blame the woman on impulse as the responsible factor for childlessness. However data suggestes that the probability of infertility related factors can lie equally with the male partner.

Dr. K.D.Nayar recently wrote an article in the prestegious magazine, “Woman’s Era”, which appeared in the July 2012 (First) edition. The article was titles, “From HeartbreakTo Hope. The Emotional Aspects Of Infertility.” The articles has recieved a lot of appreciation for the contents and the emotional factors related to infertility.

Please find below the copy of the article, which we hope you will find interesting.

The Akanksha IVF Centre Team.