Category: Infertility

Dr. Rimmy Singla said there are early warning signals of infertility, which is defined as a failure to conceive after one or more years of sexual exposure without any contraceptive method. Another warning sign is trouble with menstruation. If a woman’s menstrual cycle does not occur on a normal basis. there’s a probability she will not ovulate normally as well. She said three major causes of infertility in women and four in men:-

Female Infertility Problems
1. The most common cause of infertility in women is birth control pill related problems. Dr. Rimmy Singla Says, “After spending several years on the pill, some women have difficulty becoming pregnant.

2. Another major cause is Pelvic infections. There are the host of organisms that do a little damage here and a little there until eventually the damage causes infertility, she said.

3. The third is endometriosis which is called the “career Women’s disease”. Endometriosis is the abnormal accumulation of menstrual tissue in the Pelvic cavity.

Male Infertility reasons:

1. A major cause of infertility among men is a varicocele, which Dr. Raman Singla described as a varicose vein of the testicles. The varicocele causes heat which kills sperm.

2. Another cause is a reduced sperm count due to some outside factors, such as stress.

3. The third major cause of infertility among men is drug-induced. Medication for Hypertension as one and alcohol as another.

4. Sperm production problems are the fourth major cause and may result from trauma to the testicles. Such a problem could be irreversible, however, while the sperm count might not be high enough to result in natural conception through artificial insemination or in vitro fertilization(IVF) pregnancy could be possible.

Dr. Rimmy Singla (renowned IVF Expert) said advancements are being made in the treatment of these and other fertility problems.

Through Laser surgery, surgeons can literally carve out scar tissue, he said, resulting in a permanent cure and in vitro fertilization has resulted in pregnancies for those who would have no chance to have children otherwise.

The number of infertile couples in India is rising rapidly and is estimated to increase from 220 million in 2015 to 244 million in 2020 million. It thus becomes important to understand how the two types of infertility are differently caused and treated.

Primary Infertility:
What does it mean?

When a woman is unable to ever bear a child i.e unable to conceive or carry pregnancy of spontaneous miscarriage or stillbirth.

Secondary Infertility:
After successful natural(unassisted) pregnancy(ies), when a woman is unable to bear a child the next time, i.e unable to conceive or carry a pregnancy to full-term on account of spontaneous miscarriage or stillbirth.

How is it indicated for Primary infertility?

No Success with pregnancy after at least one year of unprotected intercourse.

How is it indicated for Secondary infertility?

Successful pregnancy and childbirth at least once followed by failure in subsequent attempts.

Male Infertility Primary Infertility Causes:

Male Infertility Secondary Infertility Causes:

Female Infertility Primary Infertility Causes:

Female Infertility Secondary Infertility Causes:

• Age-related decline in the health of the womb and the number of eggs.
• Pelvic Infections
• Endometriosis
• Complications from the previous delivery
• Adhesions or tumors in the fallopian tube.
• Unhealthy lifestyle -smoking, alcohol and no exercise.

What are the chances of successful treatment:

• Primary infertility:
  The possibility of irreparable damage in fundamental reproductive components could lend treatment ineffective.

Secondary Infertility:

• May often be medicated with direct and fairly reliable treatments

Psychological struggles in Primary Infertility

• This leads to a sense of hopelessness of bearing a child at all.
• A  fear of missing out on the experience of being a parent in one’s lifetime.

Psychological struggles in secondary infertility

• Societal, parental, and peer pressure of repeated success in pregnancy and childbirth.
• Feeling of guilt of not being able to have more children.
• Being unhappy about not having the desired family size.

Dr. Rimmy Singla, an OB-GYN and IVF Specialist and director of Singla Mediclinic at Mohali, says several conditions can cause secondary infertility like obesity, polycystic ovary syndrome (PCOS), the use of some medications, prior surgery, endometriosis, issues with cervical mucus and the age of both partners.
“Many health conditions can be present without symptoms, until such a time as the couple wishes to become pregnant. If there is an issue within a year of trying in couples less than 35 years of age or after six months in couples older than 35, it’s time to see your Doctor.”

An ovarian cancer finding means that a woman is faced with surgical removal of an ovary due to cancerous tumors. Ovarian cancer is of great anxiety to all women – and teenage girls- because they face the view of being infertile in their major reproductive years.

Potential sign and symptoms of ovarian cancer:

• Abdominal swelling and discomfort
• Bloating
• Persistent indigestion, gas or nausea
• Changes in bowel habits, such as constipation
• Loss of appetite
• Back pain

How Ovarian Cancer Affects a Woman’s Fertility

Chemotherapy drugs and/or radiation treatment used to treat ovarian cancer will have a negative effect on a woman’s future fertility. Treatment for ovarian cancer can also include removal of part or all of a woman’s reproductive organs:

• One or both ovaries
• One or both Fallopian tubes
• The Uterus

All women should know all of their possibilities to preserve their fertility for future family planning.

• Egg Freezing
• Embryo Freezing
• Egg donors
• Surrogacy

The Compassionate Infertility Doctor

It is significant to work with a compassionate infertility doctor having more than 13 years of clinical diagnostic and successful treatment experience.

Dr. Rimmy Singla  (MBBS, DGO, FICOG, MRCOG, Dip. Reproductive Med. (Germany)
Director cum Incharge –Ivy test Tube Baby Center, Ivy Hospital, Mohali
Senior Consultant Laparoscopic Gynaecologist & Obstetrician, IVF& Infertility Specialist.

Dr. Rimmi Singla(Singla Mediclinic) at IVY Hospital Mohali is well experienced Gynaecologist & Laparoscopic Surgeon specialized in  IVF, high-risk pregnancy, gynaecology problems,  General Gynaecology & laparoscopic surgery Doctor in Mohali and is known for his work. Book your Appointment today!Need help growing your family? Contact us today to begin the next stage of your life!

Call at our given number to schedule your consultation with Dr. Rimmy Singla – or – email

Dr. Raman Singla : +91-9815550124

Dr. Rimmy Singla : +91-9815500448

Medical Coordinator : +91-9915310869

Executive:- +91-9815507974

Email: [email protected]

Singla Mediclinic, SAS Nagar, in association with Ivy Test Tube Baby Centre, recently organised a CME on various aspects of gynaecology. The CME was themed on Ferticon-2019. Punjab Health Minister Balbir SIngh Sidhu inaugurated the CME while Avneet Kaur, Director, Health & Family Welfare, was guest of honour. Around 200 gynaecologists from seven states attended the seminar.

Dr. Rimmi Singla shed some light on the truths and facts of this condition in men that is not widely discussed.

Erectile Dysfunction(ED) is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance, ED affects men emotionally as well.

Patients feel shame and embarrassment. Patient trust that this condition is part of ageing or an illness and are unaware of treatment options. They are also reluctant to talk about their sexual concerns. And some time doctor also do not want to hurt the patient’s ego or infringe on his privacy.

Risk of ED?

Many risk factors can contribute to ED, including:

• Lifestyle factors such as physical inactivity, obesity, use of tabacco, alcohol or certain prescribed or recreational medication.
• Emotional factors, such as performance anxiety, depression and relationship issues.
• Patient with diabetes mellitus, cardiovascular diseases such as hypertension or hyperlipidaemia(high levels of lipids in the blood) and previous trauma.

How is an ED patient’s mental health affected?

There is a two way connection between psychological well-being  and ED. Depression can lead to ED and vice-versa. To complicate things, both can be related to other psychosocial problems such as relationships and past experience. Erectile Dysfunction/ ED can also lead to other emotional stresses and burdens such as low self-esteem, performance anxiety, frustration and anger.

Dr. Rimmi Singla(Singla Mediclinic) best doctor to treat male infertility, lists these physical problems as potential causes of erectile dysfunction:

• Heart disease
• Clogged blood vessels (atherosclerosis)
• High cholesterol
• High blood pressure
• Diabetes
• Obesity
• Metabolic syndrome — a problem relating to increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
• Certain prescription medications
• Tobacco use
• Development of scar tissue inside the penis
• Alcoholism and other forms of substance abuse
• Sleep disorders
• Treatments for prostate cancer or enlarged prostate
• Surgical procedure or injuries that affect the pelvic area or spinal cord

Best ways to treat Erectile Dysfunction(ED):

The treatment his male infertility doctor recommends will be largely based on the reason he’s having difficulty with erections. The primary cause (there usually is one) will be recognized and treated. If that doesn’t correct the erectile dysfunction, his doctor may prescribe medication or pumps as treatment. Male infertility expert Dr. Rimmy Singla said, “A patient’s psychological and emotional health and medical history must be explored and addressed.

Stem cell therapy offers a best solution for men with ED because of various reasons including penile tissue injury and diabetes, among others. Male infertility experts are advocating the efficiency of stem cells, being able to duplicate themselves, in naturally regenerating and repairing body cells, substituting damaged ones, and restoring tissues that have been damaged.

If you’re one those who suffer in silence, now is the time really to do something about it. Innovative Stem Cell Therapy is highly effective, minimally-invasive and safe for the treatment of Erectile Dysfunction.  Consult your trusted male infertility expert if the problem becomes a pain, Dr. Rimmy Singla (Male infertility expert) definitely can walk you through your most optimum treatment options.

The most important things you can do if your partner is having trouble with ED are:

See a doctor/specialist — His doctor will be able to get to the bottom of why he’s having trouble with erections and help him come up with a treatment plan.

Be supportive emotionally: Avoid making any negative remarks about it or blaming him if you don’t conceive right away. ED is not something men can usually help on their own, and it’s not their fault if they get it.

Have Patience — when you’re prepared to have a baby and it isn’t happening as fast as you want can be a challenge. When a problem like ED pitches a wrench in your fertility plans, it’s easy to become disheartened. Have a deep breath and remember that ED can always be treated!

Are you struggling with azoospermia? Is this complaint affecting numerous aspects of your life?
Men who don’t have sperm in their semen have a complaint called azoospermia. Azoospermia is the condition as a complete absence of sperm from the ejaculate for at least separates centrifuged semen samples. Azoospermia is also one of the most severe reasons for infertility in men.

Types of azoospermia:

Obstructive azoospermia – happens in 40% of the cases, when there is an obstruction in the ductal system; it stops the sperm to mix with the rest of the ejaculatory fluid
Non-obstructive azoospermia – found in 60% of cases and is produced by a problem in sperm production. This type is often the result of hormonal imbalances.

What Cause it?
The causes of azoospermia are divided into two categories: problems related to sperm production and problems with its transportation.
• An infection in your reproductive tract, like epididymitis and urethritis
• A childhood sickness such as viral orchitis, which causes swelling of one or both testicles
• A groin injury
• Chemotherapy and radiation treatments for cancer
• Genetic conditions, such as Klinefelter’s syndrome
• An obstruction in the tubes that carry sperm
• A vasectomy
• Reversing ejaculation, when semen goes into your bladder in its place of out of your penis

Stem Cell Treatment Therapy for Azoospermia

The revolutionary stem cell treatment offers significant results in certain cases of Azoospermia.
Stem cells are the body’s repair mechanism, having the ability to regenerate and the capability to develop limitless into different types of cells, such as germ cells (that undergo meiosis, which followed by cellular differentiation into mature gametes – sperm).
Stem cell treatment, also recognized as regenerative medicine, promotes the reparative response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. The stem cell therapy for azoospermia consists in, among other procedures, several stem cell injections.
This recreating property of stem cells is applied to the treatment of degenerative diseases. Due to their universal presence & perfect regenerative capacity, stem cells have the potential to heal chronic diseases involving.

Benefits of azoospermia stem cell treatment

• Stem cells can regenerate develop limitless into germ cells
• Stem cell therapy has a low risk of complications.

Don’t lose your hope! Find out everything about the azoospermia treatment from male infertility expert Dr. Rimmy Singla(Singla Mediclinic Mohali)
Singla Mediclinic offers the best stem cell treatment for male and female infertility in Mohali, India at affordable cost with better care. Reach us and avail the best.

“Why is it so easy for other people to get pregnant, but not us?” If you have fertility problems, that thought has likely crossed your mind more than once. The truth is, it’s NOT always easy. Millions of couples seek help for fertility problems each year. The good news is there are many reasons to be hopeful.

What Is Infertility?

Infertility is often defined as not being able to conceive after 6 months to a year of regular, unprotected sex. It may be caused by fertility problems with one—or often both—partners. In some cases, the cause is unknown. There are many myths about infertility.

Facts About Fertility Problems

• Infertility is a couples problem. Fertility problems are just as common in men as they are in women. It’s also common to find factors that decrease fertility in both partners.
• Infertility is a medical condition. Fertility problems are not “in your head.” They are caused by problems in the reproductive system.

• When to seek treatment depends on your age. Couples in which the woman is 35 or older should seek assistance if they’re unable to conceive after 6 months of well-timed, unprotected sex.
• Getting pregnant is not always easy. Even under the best conditions, most couples have less than a 25% chance of conceiving each month. Chances are even lower for women older than 38.
• Adopting a baby will not help you get pregnant. The pregnancy rate is the same whether you adopt a baby or not.

• Fertility problems also happen to couples who’ve already had a child. Secondary infertility is a common problem for couples who’ve already conceived. It can be caused by a variety of factors.

Working on Other Factors that Affect Fertility

Certain lifestyle and health habits can affect fertility. Be sure to talk with your fertility specialist about these issues. You may be able to make some simple changes to improve your chances of conception. Keep in mind, though, that it can take time for healthy changes to improve your fertility.

Smoking, alcohol, and drugs     

Smoking can affect estrogen levels and decrease egg production in women. Men who smoke may have lowered sperm count. Excessive alcohol or drug use can also decrease fertility in both men and women.

Weight problems           

Being overweight or underweight can affect hormone levels. In women, this can impair ovulation. In men, obesity can decrease sperm count.

Medications, supplements, and herbal remedies            

Some medications, supplements, and herbal remedies can affect hormone levels in men and women. They can also affect the quantity and quality of sperm. Be sure to tell your IVF Doctor about any substances you take.

Testicular heat 

A man’s testicles are normally a few degrees cooler than the rest of his body. When the testicles are too warm, sperm production may decline. Try to avoid excess heat from things like hot tubs and saunas.

Chemical exposure        

Certain chemicals can affect hormone levels.  Talk with your infertility expert if you’re regularly exposed to strong chemicals. You should also ask about lubricants used during sex. Some types can be toxic to sperm.

Sexually transmitted diseases  

Sexually transmitted diseases (STDs) such as chlamydia can scar the reproductive organs in both men and women. If you’ve had an STD, be sure to tell your infertility expert.

Other factors   

Excessive exercise can decrease hormone production. It can also cause irregular menstruation in women. Ongoing stress is another factor that may affect fertility and cause ovulation problems.

Considering IVF? At Singla Mediclinic we understand how personal and daunting fertility treatments may seem, which is why we are pleased to offer a personalized best IVF Treatment in Mohali and Chandigarh.

Need help growing your family? Contact us today to begin the next stage of your life! call : +91-9815500448

Research shows at least 1 in 10 females of reproductive age meet measures for the diagnosis of polycystic ovarian syndrome (PCOS), and many of them first progress signs in adolescence. The implications of this disease cover beyond the noticeable physical signs of increased body hair, acne and irregular menstrual cycles to include long-term risks of cardiometabolic disease and infertility.

Sensitive, multidisciplinary care at the Singla Mediclinic Evening PCOS Clinic

“We’re impending diagnosis and treatment from the Infertility perspective,” says Dr. Rimmi Singla (Senior Consultant Laparoscopic Gynaecologist & Obstetrician, IVF& Infertility Specialist)Director cum In charge –Ivy test Tube Baby Center, Ivy Hospital, Mohali.

An emphasis on nutrition is central since two-thirds of patients are overweight. “The importance is on a healthy diet — favoring vegetables, fruits, whole grains, and lean meats, decreasing sugar and junk foods — and working portion control as well as regular physical exercise,” Dr. Rimmi Singla says. It is now well documented that even in the nonappearance of obesity, women with PCOS are at increased risk of metabolic problems that can lead to infertility & cardiac disease. Thus, another significant factor of clinical care includes periodic screening for metabolic complications and age-appropriate treatment and preventive strategies. Unnecessary hair growth on face and body, carried on by excess androgen is a main concern for girls with PCOS. While moderating hormones through oral contraceptives, spironolactone, and metformin can decrease hair growth, they do not remove hair already on the face, chest, abdomen and back.

Woman/Girls with PCOS can suffer from low self-confidence as well as nervousness and depression due to the frustrating physical symptoms, excess weight, and long-term concerns for fertility and health.

To help minimal the effects of PCOS, try to:

• Maintain a healthy weight. Reduce loss can reduce insulin and androgen levels and may reinstate ovulation. Ask your doctor about a weight-control program, and meet frequently with a dietitian for help in reaching weight-loss goals.
• Eat less carbohydrates. Low-fat, high-carbohydrate diets might increase insulin levels. Your doctor can guide you about a low-carbohydrate diet if you have PCOS. Choose complex carbohydrates, which increase your blood sugar levels more slowly.
• Be energetic. Workout helps lower blood sugar levels. Patient of  PCOS, joining in a regular exercise program may treat or even prevent insulin resistance and help you keep your weight under control and avoid emerging diabetes.

Finding it hard to see a doctor during the day. Visit our, evening clinic for the treatment of PCOS , treatment of recurrent miscarriage, Infertility on every Wednesday and Thursday at  #2747, sector 70 from 4pm to 6:30pm.
Let us solve your problem with our expertise. Dr. Rimmi Singla is a renowned and an eminent Gynaecologist, Infertility Specialist, laparoscopic surgeon. For queries contact on 9815500448 and 9815507974

You can also visit our website http://infertilitychandigarh.com and follow us on Google Plus, Instagram Facebook, Twitter and YouTube for the latest blog on fertility issues.

Categories  #ivf, IVF treatment, #ICSI,#IUI, #Surgical – Azoospermia / #TESA, #PESA, #MESA, #Micro #TESA, #Stem Cell Therapy