A healthy baby is a happy baby

A sick baby is every parent’s worst nightmare. A baby could be crying on end and the parent could be clueless about the reason behind it. The best way to help your baby is to observe your baby closely and be well informed about things that could go wrong.

Some physical conditions are especially common during the first couple of weeks after birth. Usually, such symptoms can be taken care of by a well-informed care-giver but if the problem persists, immediate pediatric help must be sought. Some issues that commonly occur in infants are as follows:

  • Abdominal Distension– Most babies’ bellies normally stick out, especially after a large feeding. Between feedings, however, they should feel quite soft. If a child’s abdomen feels swollen and hard, with tendencies of vomiting and irregular bowels, a pediatrician should be involved. Although it could just be due to gas or constipation, it would be wise to eliminate chances of a more serious intestinal problem.
  • Bowel Movements– An infant’s bowels go through many changes in colour and consistency within the first few weeks of birth. Because an infant’s stools are normally soft and runny, it is difficult to assess whether it is suffering from diarrhea or not. This is why factors like the mother’s diet, the infant’s diet, the colour, consistency and frequency of stools- all need to be monitored closely and any anomalies need to be reported to the doctor so that any possible infections or other severe problems can be dealt with.
  • Birth Injuries– It is possible for babies to be injured during birth, especially if labor is particularly long or difficult, or when babies are very large. The injury could range from fractures to lumps or even muscle weaknesses. The involvement of a pediatrician will help the care-giver to understand how to nurse and hold the baby so as to promote healing.
  • Blue Baby– A baby’s limbs, face, tongue and lips may turn slightly blue due to excessive crying or cold. The complexion should return to normal once the baby calms down or is warm enough. However, if the bluish hue persists, especially if accompanied with breathing and feeding difficulties, it could imply that the heart or lungs are not operating properly and the baby is not receiving enough oxygen. Immediate medical attention is essential.
  • Coughing– If the baby drinks very fast or tries to drink water for the first time, he may cough and sputter a bit; but this type of coughing should stop as soon as he adjusts to a familiar feeding routine. This may also be related to how strong or fast a breastfeeding mom’s milk comes down. If the baby coughs persistently or routinely gags during feedings, a pediatric consult is imperative. These symptoms could indicate an underlying problem in the lungs or digestive tract.
  • Jaundice – Many normal, healthy newborns have a yellowish tinge to their skin, which is known as ja It is caused by a build-up of a chemical called bilirubin in the child’s blood. The complexion returns to normal once the liver begins to efficiently do its job of removing the bilirubin from the bloodstream. However, if the yellow hue persists or continues to deepen, it is a cause for concern. Although jaundice is quite treatable, if the bilirubin level is very high and is not treated effectively, it can even lead to nervous system or brain damage in some cases, which is why the condition must be checked for and appropriately treated.

One can never be too careful with a baby. Above mentioned are only few of many problems that could be troubling a baby. Hence, it is important to keep the baby under diligent observation and seek paediatric help without delay or hesitation as neglecting these could lead to bigger issues. A healthy baby is a happy baby and is every parent’s dream come true. We, here at Vibcure, are ready to help you achieve this with our impeccable paediatric services.

Infertility

It is a natural human instinct to want to conceive a child at some point in life. Sometimes, natural conception is hindered due to various reasons. It is of utmost significance for couples to understand what normal fertility is in order to determine when it is time to seek help. Usually, couples achieve pregnancy during the first year of trying. Therefore, infertility has come to be defined as the inability to conceive within twelve months. Approximately 15% of couples are deemed infertile. Fortunately, in this day and age of medical advancements, these impediments cease to hold their form and it is possible for nearly all couples to find a solution to such problems.

Prior to treatment, it is imperative to understand the cause of infertility since that is what directs the line of action. Prime causes include the following:

  • Advancing Maternal Age – Nowadays, women are delaying their pregnancy and it is being observed that advancing maternal age is having adverse effects on egg function. Due to unknown reasons, the number of eggs a female produces decreases rapidly with age. The egg quality, or the likelihood of it getting fertilised also decreases. In fact, advancing age is the most common cause of infertility since most infertile women, who are trying to conceive, lie in the age bracket of early thirties to mid-forties.
  • Ovulation Disorders – Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. There are many disorders that may impact the ability for a woman to ovulate normally. If the menstrual cycles are infrequent or irregular, proper testing needs to be performed to analyse what might be causing a discrepancy in ovulation and subsequently an appropriate treatment option needs to be adopted.
  • Tubal occlusion (blockage) – A history of sexually transmitted infections like chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. When this blockage happens, it causes infertility because the ovulated egg is unable to be fertilized by the sperm or to reach the endometrial cavity. Depending on whether one or two tubes are blocked, an appropriate treatment path is recommended.
  • Male factors affecting sperm function – Male factor infertility has been associated as a contributing factor causing infertility in 40-50% of cases, and as the sole cause for infertility in 15-20% of cases. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures to be performed.
  • Other – Many other factors such as endometriosis, endometrial polyps, uterine fibroids, etc. may also cause infertility. In fact, in some cases the cause of infertility remains unknown even after rigorous testing. Therefore, it is safe to say that this problem is heavily prevalent but not insurmountable.

Whatever the cause of infertility may be, modern day science has a solution for most cases. Procedures like IVF, insemination and third-party reproduction are gaining increasing popularity. Various medications to induce egg development and ovulation are now available. Therefore, educating one’s self about the diverse treatment options and following the right guidance is crucial to overcoming this obstacle and delivering a healthy baby. We, here at Vibcure, are ready to offer you our prompt services and cater to all such needs that will aid you in starting a family.

 

Infertility- The ever rising problem around the world

Infertility refers to the problems faced by couples in conceiving naturally for at least or more than one year having sex without using birth control methods. The reason can be associated with either male or female or both. Recent lifestyle changes, increased work pressure and stress across all verticals of life of a common person has led to reduced fertility among the population in their most fertile period.

Among the females, the major causes of infertility are:

  1. Uterine/ cervical causes
  2. Damaged/Blocked fallopian tubes causes
  3. Ovulation/ hormonal disorder
  4. Age related issues
  5. Unexplained fertility

Similarly among the males, the major causes of infertility are:

  1. Sperm production related problems
  2. Sperm transportation problems
  3. Sexual: Erection and Ejaculation problems
  4. Hormonal problems

Now- a-days, It is possible to treat the cause of infertility among both males and females with the use of highly advanced assisted reproductive techniques. The most popular one include Intra- Uterine Insemination (IUI), In-Vitro Fertilization (IVF), Intra Cytoplasmic Sperm Injection (ICSI), Frozen Egg transfer and Donor’s egg and sperm etc.

In Zambia, with the advancement in corporatization and globalization, the infertility is on increase  among the population. Limited availability of experienced doctors locally has further added to the problem.

Vibcure has identified the requirement of general public in Zambia and in order to provide a better first level consultation to the couples suffering from infertility, has partnered with NOVA IVI, India a leading infertility treatment chain having more than 20 clinics and track record of 17000+ successful pregnancies  to organize infertility clinic at Premium Medical Services, Lusaka. Dr. Jayesh Patel, Infertility expert will be available for consultation on 14th- 15th, April, 2018 at Premium Hospital, Lusaka.

All the interested couples may prebook their appointment by clicking on http://vibcure.com/event-registration.html and for any queries, you may call us at +260 97 9625737or WhatsApp at our centralized line +91 9205115768.  

 

Stem Cell Therapy: Myth and Reality

In the recent years, stem cell therapy has gained much popularity in the area of modern medicine and treatments. Stem cells are cells with the ability to divide for indefinite periods in culture and to give rise to specialized cells. The way stem cell regeneration is used to repair and treat muscle and tissue injuries is nothing short of a revolution. Stem cells have tremendous promise to help us understand and treat a range of diseases, injuries and other health-related conditions. However, there is still a lot to learn about stem cells and research is under way for many other conditions. Also, researchers continue to explore new methods concerning the use of stem cells in medicine. Call it a lack of awareness or apprehension regarding a new research, stem cell therapy has some myths and misconceptions attributed to it which we’re going to bring to an end:

Myth: Stem cells only come from embryos

Reality: No, stem cells are found in every part of our body, irrespective of our age. Embryonic stem cells can be obtained from embryos, but it is not the only source. Adult stem cells can be found in abundance throughout an adult’s body from sources like muscle tissues, organs, bone marrow and fat. However, embryonic stem cells that come from the early embryo do have the potential to produce all the specialised cells of the body and therefore, are the subject of much research.

 Myth: Bone marrow is the best source of stem cells

Reality: Wrong. Bone marrow is one of the sources of stem cells, but not the best one. Research on stem cells extracted from the bone marrow has been going on from decades and much has been derived, but that doesn’t mean that it is the best source. Actually, bone marrow contains a number of different kinds of stem cells, one of which is called mesenchymal stem cells. These cells have the capability to become different types of tissues (blood vessels, muscle tissue, etc.) and are capable of communicating with other cells, thus giving the illusion that bone marrow is the best source.

Myth: There is a risk of rejection with stem cell therapy

Reality: This is the most common myth associated with stem cell therapy, and is untrue. When a patient’s stem cells are derived from his own body (such as fat tissue), there is no risk of rejection. In fact, studies thus far have indicated no safety issues with fat-derived stem cells from the same body. Because they are your own cells, the risk of rejection is eliminated.

Myth: Stem cell therapy cures heart disease

Reality: At present, no. However, clinical research trials indicate that the process of injecting a heart with the patient’s own stem cells can offer several other restorative benefits such as: improved blood flow in the heart, enhanced intake and use of oxygen, and improvement in the ability to perform physical activity.

Myth: Stem cells can cure many diseases

Reality: Contrary to popular belief, this is not true. The most well-established and widely used stem cell treatment is the transplantation of blood stem cells to treat diseases, and conditions of the blood and immune system, or to restore the blood system after treatments for specific cancers. Also, since the 70’s, skin stem cells have been used to grow skin grafts for patients with severe burns on very large areas of the body. These are some of the most commonly used and well established stem cell treatments. Research is underway for more.

Myth: Adult stem cells are only found in adults

Reality: As plausible as it sounds, this is not the case. There are three different types of stem cells: embryonic stem cells, induced pluripotent stem cells, and tissue specific stem cells. It’s the tissue stem cells that are often called “adult” stem cells, but these “adult” stem cells are found in people of all ages. Even babies have adult stem cells.

Myth: Stem cell research leads to cloning of humans

Reality: Could things get any more farfetched? Cloning of a human being is illegal. Period. However, some countries do allow therapeutic cloning for the purposes of studying a disease. In this technique, scientists isolate embryonic stem cells from a cloned blastocyst (early stage embryo) but do not transfer the blastocyst into a womb.

Now that some of the common misconceptions regarding stem cell therapy are cleared up, we hope that our readers have developed a fair idea about how this works. If you’re considering going for a stem cell treatment, you now know what to look out for.

 

 

Planning a surrogacy in India? A glance at the newly passed bill

The Union Cabinet of India recently approved the Surrogacy (Regulatory) Bill, 2016 which will be introduced in the next session of the Parliament. The bill has put a ban on commercial surrogacy in India.

Why did the need for such a Bill arise?

In 2012, a Japanese couple got divorced before their surrogate child was delivered by an Indian mother. In another incident, an Australian couple arbitrarily chose one of the twins delivered by the surrogate while abandoning the other. Israel refused to grant nationality to a child born from surrogacy in India. Domestically, Indian celebrities have used surrogacy for having a third child after having two biological children or just for the sake of convenience.

This bill is the government’s effort to allow surrogacy only where necessary. It aims at prohibiting potential exploitation of the surrogate mothers especially rural and tribal women. It promises to ensure that the parentage of children born from surrogacy is legal and transparent.

Key points of the Bill.

  1. Only Indian couples who are childless and heterosexual and have been legally married for at least 5 years can opt for surrogacy provided one of them has medically certified fertility issues. The age of the female should be between 23-50 years and the male between 26-55 years. A couple can have only one child from surrogacy.
  2. Foreigners, Non-Resident Indians, Overseas citizen of India card holders, single parents, unmarried couples, live-in partners and homosexuals cannot commission surrogacy in India.
  3. The surrogate mother should be married, have a healthy child of her own, should be a close relative (not necessarily a blood relative) of the commissioning couple and should do it for altruistic reasons. A woman can be a surrogate only once in her lifetime.
  4. The surrogate child will have the same rights as that of a biological child.
  5. Assisted Reproductive Technology (ART) Clinics will have to be registered and maintain records of surrogacy for at least 25 years.
  6. Any violation i.e. commercial surrogacy, exploitation of the surrogate mother, selling/import of embryo, abandoning the surrogate child will be punishable by a jail term of at least 10 years and a fine of upto 10 lakh.
  7. Surrogacy regulation board will be set up at both Central and State-level.

What are the pitfalls of this bill?

  1. It will result in a sharp decline in revenue from surrogacy, IVF and related services from international patients. For international patients India has been a surrogacy destination for several reasons like affordability, convenience and quality of doctors. A 2012 report deems it to be a $400 million industry.
  2. Surrogacy is the last resort adopted by infertile couples who dream of having a child with genetic link. This bill will add to their woes as finding a surrogate who will do it for empathy is unlikely, confidentiality will be an issue as the deal will be within the family and there is a chance that the biological mother and child may form a bond in the future. Also the oppressed women in the family will be forced to be surrogates.
  3. Surrogacy fetches much more money for women willing to rent their wombs than they can ever earn from their daily wages which makes education of children, a house and livelihood affordable for them. These women in a way are asserting their rights over their wombs. This bill violates a woman’s fundamental right to livelihood. The gap between demand and supply will lead to the rise of a black market, thereby further victimization and exploitation of these poor women.
  4. This bill is reflective of patriarchal Indian mindset that a woman if fertile should bear a child herself, it reinforces traditional values by making marriage a prerequisite, also hints that the government is not open to accepting homosexuality and equal rights for all.

The way forward

There should be regulatory laws for proper contracts, insurance, healthy pregnancies and registration of surrogates; DNA tests, elimination of middlemen; nationality, rights, abandonment and abuse of surrogate children rather than a ban which will kill surrogacy in India.

Second Opinion-What, how and why?

Second opinion is when people (patients or their relatives, friends), seek advice and counselling from a doctor or medical specialist other than the one he/ she is currently in consultation with to get another point of view. While the term ‘second opinion’ maybe new but it has been in practice for very long. It helps the seeker feel more comfortable and empowered to make the decisions about their healthcare treatment. The consulting physician may confirm your diagnosis or treatment or recommend an alternative diagnosis or treatment plan.

When should I go for the second opinion?

There is no defined situation when the patient should go for second opinion. As a practice, one should always resort for a second opinion in case of any doubts about the diagnosis, recommended treatment plan or if one wants to compare the outcome of the treatment plan offered by the treating doctor.

What situations/ disease demand a second opinion?

Generally, patients seek second opinion when

  • Treatment options are risky, costly or complicated
  • Where the patient has been recommended a major surgery or diagnosed with a life threatening condition
  • Doctor is uncertain about patient’s condition or treatment
  • When patient is not sure about the treatment options given by your doctor

What is required of me when I opt for availing the second opinion services?

In order to provide the patient with a second opinion, following will be required by the doctor/ medical specialist:

  • Current diagnosis i.e. treating doctor’s prescriptions, MRI Scan, ultrasound reports, any other diagnostic tests, medication, list of medicines
  • Details of medical treatment taken in the past
  • Brief history of the patient including allergies
  • Any other information which may be necessary

Will I know which doctor will provide the second opinion? How will the second opinion be provided?

Yes, on submission of your request, our care team will get in touch with you with the best available specialists for your treatment. Once you chose and finalize the specialist, you will receive a PDF format opinion via email.

Should I share my second opinion with my current doctor?

It is recommended to share the second opinion with your treating doctor. Doctor will be happy to learn that you have taken active part in your health concerns and would be willing to review their peer’s opinion on the case

Can I request for a consultation for my friend or a family member?

Yes. In fact, friends or family members requesting for a second opinion is often the case. You will have to share with us all the medical records including doctor’s prescription, tests, all available reports.

For any support on second opinion services, please feel free to write to us with your details at care@vibcure.com or call us at +91 9205 1157 68

Medical Tourism India

  1. Why should I travel to India?

For a country with the size and diversity of India, it is an ominous task to lend it a mere description. India is one of the oldest civilizations in the world, has always been a well-known tourist destination and as a matter of fact is the one of most visited and sought after tourist destinations in the world. Owing to its scenic beauty, the grandeur of its architecture, cultural history, wonderful beaches and scrumptious cuisine, India has always struck a chord with one and all whilst being massively popular amongst tourists. Due to its strategic location, nestled in the South-Asian peninsula, and the wide array of cultures and the kaleidoscopic diversity of people, it makes for the perfect amalgamation of Eastern and Western cultures. Furthermore, in recent times, India has also become one of the most sought after places for medical value travel and the preferred choice for a wide range of medical procedures thus gaining prominence as one of the leading medical value travel destinations in the world today.

2  Why India for treatment?

India has come leaps and bounds from its heydays and now specializes in providing state-of-the-art medical technology and services and the infrastructure. The hospitals are now world class with excellent equipment and top-notch facilities. Traditionally, India had been receiving medical travelers from only a handful of countries but with its increased advances in finest facilities for medical and wellness services, it’s become a favored destination for medical value travel all across the globe. This can be illustrated with the help of this statistic:  Back in 2004, India played host to approximately 1,50,000 medical travelers. This number shot up to an incredible 33% by the year 2008 as the number of tourist’s seeking medical attention swelled to about 2,00,000. As per wide estimates, by the end of 2015, India had approximately half a million inbound medical travelers which goes to show how far medical value travel has come in India.

The reason for its popularity stems from the fact that its quality matches those of esteemed western hospitals and medical facilities at a fraction of their cost. Furthermore, most hospitals and clinics have certified doctors who are not only well versed in English but also are members of the organizations as per their respective specializations.

Another edge India provides is when it comes to cosmetic surgeries like dental treatments, scar treatments, breast augmentations, tummy tucks, facelifts etc which are not only not covered by insurance but are also extremely cost prohibitive abroad.  This works in favor of India as it’s vast pool of specialized doctors, dentists and surgeons offer top notch services at much affordable costs. India also offers unconventional treatments and rejuvenation options like Yoga, Naturopathy, and Ayurveda, which no other country has to offer thus adding further appeal.

Finally, with several JCI (Joint Commissions International) accredited healthcare providers, India is one of the leading countries in the world when it comes to accreditations. Additionally, many hospitals have JACHO (Joint Commission on Accreditation of Healthcare Organizations) and ISO (International Organization for Standardization) besides having affiliations with Western medical groups and facilities. The Indian government has also been very supportive in providing the necessary infrastructure and facilities to both public and the private medical sectors in India so as to maintain its world-class status, thus further adding to its lure and credibility.

3. Why should medical treatment be bundled with Tourism?

Besides the gamut of benefits medical value travel offers namely affordable health care, shorter waiting times, state-of-the-art infrastructure etc to name a few, there are other factors as well which drive people to opt for medical value travel. It’s safe to say, medical tourism is more often than not, as much about tourism as it’s about medicine. When you’re recuperating after undergoing cosmetic procedures or be it any other surgery, there’s no better place to recover than within scenic views of the beach from the confines of your resort or marveling at archaeological wonders to calm your senses; all this while being attended to by professional masseurs and physiotherapists.

Additionally, there’s no better time to discover a new country and its various locales for the accompanying family members as well. Go embark on that safari or indulge in that shopping spree, medical travel caters to one and all. Affiliated institutions make adequate arrangements and ensure all manner of getaways following an operation.

Moreover, those not opting to go for intrusive surgeries have all the more reason to be cheerful. Cosmetic procedures like dentistry can be very expensive in their home country so one has the option not only to undergo the procedure abroad but also club related activities like exams and other minor cosmetic surgeries together while having a nice and refreshing vacation which still work out to be much cheaper.

4 How can Vibcure help?

Every institution would try to market itself as the best in the country and might even try to mislead you with the information provided on their website concerning the treatment procedures or facilities. Seeking medical treatment in a new place can, therefore, be very daunting and confusing especially if you have never been to that place. At Vibcure, we understand the challenge in identifying the right doctor and the right hospital for your treatment, especially as someone living outside India.

India has increasingly become an emerging hub for highly qualified medical practitioners in the field of medicine. The country has been put on the global map because of its array of world-class doctors and surgeons and top-notch medical facilities. Vibcure is one of India’s leading medical value travel companies and we are absolutely committed to providing the best possible service so that you deal with only the very best in the business. We specialize in connecting you the best hospitals and renowned medical practitioners so you can sit back and relax.  We at Vibcure have affiliations and connections with highly skilled and qualified doctors in the field of medicine and also have partnerships with the most advanced and modern clinics and hospitals in India so that you’re assured of the highest levels of medical care. Besides this, India also has a less cumbersome medical tourism process than other countries, thus making it the preferred choice for those who want to seek medical treatment abroad sans all the hassles involved in the same.

At Vibcure, we follow the highest degree of standards and ethics when it comes to international patient care protocol. We take care of all travel and accommodation needs including flights, transfers, visas, hotels so that you don’t have to worry about anything else.  We also assist you in speedy recovery by introducing you to the best possible doctors and arranging for all possible necessary appointments. We at Vibcure believe your post-treatment is of utmost importance and make sure you’re at ease, nestled within the comforts of some of our exclusive handpicked luxury hotels for your recovery. Apart from catering to your medical needs, Vibcure also prioritizes your personal wellbeing by giving you a tour of the lovely historical places, beaches, museums, all across India so that you feel rejuvenated after the treatment. With so many advantages provided by Vibcure, we have a clear edge over other tour operators or for that matter even hospitals or clinics. No wonder we are chosen as the preferred Health Care Facilitator and Medical Tour Operator in India by many foreign patients.

IVF – What, how and when?

What is IVF?

IVF or “in vitro (in glass) fertilization” is a procedure where human sperm and egg are brought together and they are made to fertilize artificially outside the body. Once the egg and sperm have fertilized and embryo has begun to form, it is placed back to mother’s uterus. The first successful birth through IVF procedure was in 1978. As of 2012, it was estimated that around 5 million children had been born worldwide using IVF and other assisted reproductive techniques.

Number of days required for an IVF treatment

The length of treatment varies with every patient. It largely depends on the success of each stage of treatment and how the body reacts to the hormonal and other medications. The overall process takes around a month or more. It takes around three to five weeks of constant monitoring.

Factors affecting the success rate

Age is the leading cause of infertility and age of the mother is a critical factor in deciding the IVF treatment and chances of it being successful. Reproductive history also is an important factor in deciding the success rate along with the biomarkers such as Antral Follicle Count, Anti Mullerian Hormone and Semen quality. IVF has been successful in infertility treatment due to causes which include low sperm count, irregular menstrual cycle, weaker sperm count and blocked fallopian tubes

Treatment

Preparation for Egg Retrieval

IVF comprises of a multi-step process which is called ‘cycle.’ It begins with diagnosis and then actual line of treatment is decided. Primarily, it begins with administrations of medicine for suppressing the ovarian function. It involves daily injections and regular clinical visits for testing. It prepared the female’s body for later accelerated egg production which is done by hormone injections. Regular tests are needed to decide optimum time for egg retrieval. Testing may involve blood test or ultrasound. Patients can learn to inject themselves but would require a visit for testing. The time frame is maximum up to two weeks.

Egg Retrieval

Process of ripening is done with the help of medications. Egg retrieval is performed as an outpatient process and must occur within 36 hours of medication. The eggs are retrieved with a needle in mild or full anesthesia. After recovery patient is discharged until the embryo has reached blastocyst stage i.e. when it is ready for transfer.

Sperm Collection

The sperm is collected on the same day as egg retrieval and IVF also is performed the same day. Majority of times, the egg and sperm combine naturally after sperm is introduced to the egg. It may also require intracytoplasmic sperm injection (ICSI), a process where a single sperm is chosen and is introduced directly into the egg via injection to assist in fertilization.

Embryo Transfer

The embryo is transferred to the uterus usually 3-5 days after the egg has been retrieved. It is transferred via a tube through vagina into the cervix and uterus. As a process 2-3 embryos are transferred, the number of which is ascertained as per mother’s age among other factors. After the transfers, patient usually requires bed rest for a few hours.

Post procedure

After the procedure, patients are advised to get the left over healthy embryos freezed. Embryo freezing is a process, wherein embryos can be stored and can be used for future procedures, saving both time and money. Pregnancy testing begins after two weeks and is done twice within the first month.

Recuperative Period

The process can be strenuous on mother’s body and the ovaries maybe enlarged. Mothers should avoid physical activities. Patients can safely return to their home after a successful transfer.

Other Factors

  • Because of transfer of multiple embryos in a single IVF procedure, there is a risk of multiple pregnancies
  • There is 2-5% risk of ectopic pregnancy i.e. when the embryo attaches to the fallopian tubes
  • Success rate varies greatly from patient to patient and are dependent on a number of factors, age of the women playing a major role in it

FREQUENTLY ASKED QUESTIONS

Will I have twins or triplets?

There is a chance however, the number of embryos transferred is limited as per age and condition to help prevent that occurrence.

What is the probability of getting pregnant at different ages?

Live birth rates as per a published report of 2012 shows the following data

Age       <35: 46.7%

Age   35-37: 37.8%

Age   38-40: 29.7%

Age   41-42: 19.8%

Age       >45: 8.60%

How many visits are generally required for an IVF cycle to be carried out?

You may have to visit the clinic 8-10 times over a period 4 weeks.

For how many days do I have to stay at the hospital?

Since, IVF is a day care process, you are not required to stay overnight at a clinic.

Is there any maximum age for performing an IVF procedure?

There is no defined guidelines as such. However, different clinic may have different parameters.

What is the cost of performing an IVF in case the current cycle fails?

The cost of each cycle remains the same. However, if you have opted to get your unused embryos freezed, the cost may reduce up to half.

Can I select the sex of the child?

Pre-natal sex determination is banned and is illegal in India

Are the medications and investigations included in the price?

No, it varies greatly from patient to patient. The clinic will counsel you before the treatment about the related cost and its offerings.

Can I give my preferences while I chose a donor?

Yes, you can give your requirement and preference for the donor in terms of his physical characteristic, health, race, ethnicity, education and family background.

Still have some queries? Feel free to write us at care@vibcure.com or call at +91 9205 1157 68

Implication of currency ban on medical tourists in India

There is no doubt that the new move of demonetization of the Indian currency with denomination 500 and 1,000 as initiated by Prime Minister Narendra Modi from 09th November, 2016 will definitely usher in good changes to the country in the long run. The move, though good in its intent is bound to have a few unprecedented issues in terms of unavailability of cash to meet the daily requirements and limited preparedness of the banks and other financial institutions in dealing with the sudden flux of people.

Apart from the citizens of the country the worst affected are the foreigners who are in the country for tourism and medical requirements because of unavailability of local bank accounts, limit on withdrawal/ conversion of old currency and difficulty in arranging the recommendation letter for larger conversions. Managing in the country has become a difficult ordeal as paying for petty expenses with credit/ debit cards attracts monstrous charges. However, for tourists and medical traveler’s requirements, government of India has said that they won’t suffer as there are many kiosks set up at airports to aid any needs. These places are specially set up to meet the tourists need especially those who are arriving in India as medical tourists.

Effect of the demonetization on medical travelers is not very severe on those who are arriving at airports directly, however it affects those who are already in the country. The government hospitals will accept the old notes of Rs 500 and Rs 1000 denominations but what about private hospitals and other requirements like food and basic necessities, there does not seem to be a definitive answer on the solution for these.

The best approach in the current scenario is to walk up to the banks or post offices directly and exchange old notes with new series. Also as there is a limit for exchanging notes and in interest of saving time, it is advisable to use older notes for all medical necessities at Government hospitals and use debit/ credit cards at private hospitals. New currency note should be used in the most judicious manner due to its limited availability.

Here are answers to some of the common questions which would be there in every medical tourist’s mind.

  • What are the things to be kept in mind while getting the currency notes exchanged to Indian currency?

Traveler should avoid getting the currency converted in the home country as the new notes are in limited supply and he might get older notes which are no longer tenable. Secondly, if you are getting the currency exchanged in India, please check for the new currency and take it in smaller denominations for convenience.

  • Are foreign currencies (like USD, AED, SGD etc.) acceptable in the hospitals for the treatment and to meet other expenditures?

Yes, common currencies like USD, SGD, AED are widely accepted in India in majority of hospitals and hotels. While you may not be able to pay for your petty expenses with foreign currencies it is advisable to pay for larger sum with acceptable currencies like USD.

  • Is there any exception to tourists with regard to the new series High denomination notes announcement?

No. Even if you are in India on a medical tourist visa, banks will exchange money as per pre-announced rules.

  • How to manage the needs with just Rs.4000 per day for the next couple of days?

Cash in hand of new series is only for basic necessities. Get the old notes exchanged or spend them in the Government healthcare centers. Use balances in bank accounts to pay rest of the requirements by electronic mode of payments like mobile wallets, SWIFT transfer, credit cards or traveler’s cheques.

  • What to do when I don’t have a bank account in India?

In order to exchange money from a bank, a bank account is not required. You just have to furnish your ID proof that is passport along with a letter from the hospitals in India granting permission in writing to exchange notes using their bank account for reference purpose.

  • Where can I get the old noted exchanged?

Exchange facility is made available by Reserve Bank of India (RBI) at all Issue Offices of RBI, Regional Rural Banks (RRBs), and Co-operative banks, branches of commercial banks or at any Sub-post offices or Head post offices.

  • Is there any specific bank for non-Indian to go to for exchanging notes?

No, you can approach any bank and any branch to get your note exchanged. For exchange of notes, only valid Identity proof and permission in writing from the account holder (friends/ relatives) is required.

  • Can I withdraw from ATM?

Yes, you can use your international debit/ credit cards to withdraw cash from ATMs once they are functional. However, the maximum limit per day is Rs. 2,000 up to 18th November and thereafter Rs. 4,000 per day. Note that these ATM transactions will get charged from your country’s bank.

  • What is the time frame to exchange old notes?

Irrespective of whether you a resident or non-resident of India the maximum time limit for exchanging old notes is 30th Dec 2016

Those who fail to exchange notes before 30th Dec 2016 will have the opportunity to convert this through specified Offices of RBI by furnishing necessary documents as specified by Reserve Bank of India.

  • Apart from Government hospitals where else can I use OHD notes?

OHD notes can be used to purchase bus tickets at government bus stands for travelling in State PSUs and State Government buses, it can be used to purchase train tickets in railway stations and air tickets at airports within 72 hours of announcements.

  • Is it possible to deposit the exchange value to my NRO account?

Yes, it is possible to deposit OHD bank notes to your NRO account within the deadlines.

  • Being a foreign tourist is there any easy way to exchange these notes as soon as I reach India on 10th Nov 2016?

Yes, you can get the OHD notes or even foreign currencies with exchange for new Indian High denomination currencies at the airport exchange. This is possible only at the discretion of presenting proof of purchasing OHD notes. And the maximum limit for getting the cash converted at airports on arrival is INR 5,000 for foreigners and Indians alike.

  • What relationship proofs can a foreigner submit in order to convert OHD notes with the help of a relative/ friends’ account in banks?

Along with the bank account details and a written permission from relatives or friends, the foreigner will have to submit a passport copy and furnish original passport and tourist Visa for verification.

 

Alternatives to IVF

Since the pioneering conception of the first in vitro fertilisation (IVF) baby in 1977, the treatment mode has been a boon to a multitude of infertility patients. Transfer of fertilised product of mature egg and healthy sperm into the uterus has made life easier for patients as well as clinicians. Nonetheless, the inhibitions of patients leading to lacunae in their case-study along with the sheer popularity of this procedure has been driving couples to resort to despite that there are other simpler, safer and economic assisted reproductive techniques (ARTs) available to enhance one’s chances of conception.

Alternatives to IVF

  1. Fertility Drugs

Fertility Drugs may be prescribed to women with slight hormonal imbalances. Disruption in hormonal levels result in irregular ovulation associated with polycystic ovary syndrome (PCOS), obesity, hyper/ hypo-thyroidism or eating disorders. Hormonal manipulation can help restore the follicle stimulating hormone (FSH) levels to stimulate egg production.

Doctors may prescribe fertility drugs to male partners also in order to improve sperm quality or quantity.

Common Fertility Drugs

For women

Clomiphene – It modulates the level of estrogen receptors which in turn tricks the brain into producing increased FSH and the brain is stimulated to produce more eggs.

Bromocriptine and Cabergoline – These drugs are suggested to females suffering from hyperprolactinemia or high prolactin levels which prevent ovulation.

Gonadotropins – The other alternative is direct administration of gonadotropins which would stimulate single or multiple ovulations.

For Men

Human chorionic gonadotropin (hCG) – hCG injections are usually administered for up to a period of six months to boost testosterone levels and consequently, sperm production. In certain cases, human menopausal gonadotropin (hMG) or recombinant human follicle stimulating hormone (rhFSH) may be administered in combination with hCG when the latter is not effective alone.

Gonadotropin releasing hormone (GnRH) – This treatment is opted in case of males suffering from hypothalamic disease which causes hypogonadotropic hypogonadism.

  • Risk/ Side effects

For Women

Side Effects – Nausea, heat flashes, mood swings, mild depression, headache, breast tenderness, blurred vision, thick and dry cervical mucus, ovarian cysts

Risk – Since most of the fertility drugs target at inducing multiple ovulations, the chances of multiple conceptions also increase and so does the probability of accompanying complications like miscarriage or premature delivery.

For Men

Side Effects – Problems with vision, breast enlargement/ tenderness, weight gain, nausea, acne, changes in sex drive

2. Intra-Uterine Insemination (IUI)

It is an artificial insemination procedure suggested for couples with poor sperm motility in males or cervical mucus problems in females. It is also opted by potential single mothers or same sex female couples to get pregnant with a donor sperm.

  • Procedure

The method involves semen testing and washing of sperms for selection of quality sperms free of seminal fluid and other chemicals. Washing also boosts sperm activity, hence enhancing the chances of pregnancy. Ovulation would be monitored in females to ensure the reproductive health of egg as well as uterus. Finally, sperm is injected into the uterus in conjunction with timing of female ovulation.

  • Enhancing the chances of conception

IUI regimen comprising of with two inseminations per cycle

Usage of frozen sperm for insemination

Combination of the regimen with administration of ovulation-inducing fertility drugs

  • Risks/ Side effects

Side effects – Mild cramping/pain, sexually transmitted disease (STD) / infection (very rare)

Risks – Side effects of IUI are very limited except in cases where the procedure is implemented in combination with fertility drugs, hence risks and side effects associated with the drugs may be observed.

3. Gamete intrafallopian transfer (GIFT)

GIFT is a subtle variation of IUI, varying in terms of location of injection of sperm and egg mixture. Following induction of ovulation using fertility drugs, the combination of eggs and sperms are delivered via a catheter into the fallopian tubes. The fertilisation occurs in vivo unlike IVF where fertilised embryo is placed into the uterus.

  • Risks/ Side effects

Side effects – Reaction to anaesthesia, side effects associated with fertility drugs,

Risks – Multiple pregnancies, complications associated with pregnancy like miscarriage and ectopic pregnancy

4. Surgery

Surgery may be considered in patients with diagnosed clinical conditions or anatomical abnormalities.  Not only does it enhances the probability of conception, but also relieves the patient of pain associated with the disease. Reversal of sterilisation procedures may also be achieved via laparoscopic or microsurgical treatments.

  • For Women

Conditions like fibroids, endometriosis or scarring associated with the uterine tissue may be surgically treated to overcome fertility problems in women

  • For Men

Surgical treatment of varicocele (abnormal enlargement of scrotal veins) in males may also resolve conception issues for a couple.

  • Risks/ Side effects

The decision of surgery should be made only after consulting with a fertility specialist with regard to factors like invasiveness, recovery and cost of procedure.

5. In vitro maturation (IVM)

IVM is a recent, improvised version of IVF wherein eggs are collected from ovary in the immature state and conditioned to maturity in vitro. It is preferred to conventional IVF as it does not require a prolonged usage of fertility drugs, hence eliminating the risks of multiple pregnancies and hormone-related side effects. It is not only a safer and cheaper alternative but also customises the approach of treatment for each individual. After collection and induced maturation, intracytoplasmic sperm injection (ICSI) may be carried out for fertilisation followed by transfer of fertilised embryos to the uterus.

  • Risks/ Side effects

Side effects – Reaction to anaesthesia (Since the technique is recent, very few IVM cases have been studied and more investigation is required for assessment of its safety and risks)

Any of the ARTs including IVF must be selected after intensive consultation with a specialist as the selected mode of treatment varies from individual to individual. The pros and cons of each procedure should be well assessed to ensure a healthy life for both parents and child. Apart from the above listed procedures, one may also opt for adoption which is not only a way for fulfilment of one’s wish for a child but also a contribution to society as a whole.