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Pre Implantation Genetic Testing - A boon for couples with genetic issues. Most patients undergoing IVF will read around the subject and from time to time we get enquries about Pre-implantation Genetic testing (PGT). PGT includes 2 procedures, viz. PGS - Preimplantation Genetic Screening and PGD - Preimplantation Genetic diagnosis. These terms are used interchangeably but they are actually different procedures. We at Cocoon Fertility recently introduced the PGD-PGS services at our Thane facility and this was inaugurated by our brand ambassador Soha Ali Khan Pataudi. This article aims to explain this advance of science. Preimplantation genetic testing is a method of identifying a genetic defect in an embryo before it is implanted back in the womb at embryo transfer. This helps us separate embryos with a known or suspected, gene problem (PGD) or abnormal number of chromosomes (PGS) from the normal ones. Transferring back a PGT selected healthy embryo increases the chances of having a healthy baby. To be able to do PGT a cell is removed from the embryo in a process called 'embryo biopsy'. During an embryo biopsy typically about 3-8 cells are removed from each day 5 embryo (a blastocyst), and are sent for testing for PGS or PGD as required in that particular case. The embryo is usually frozen and implanted later as the test results take a few weeks to come back. " We have recently procured the latest in IVF lasers the Hamilton Thorne - Lykos, this is a fantastic addition to our state of art IVF lab. Embryo biopsies can now be done with greater precision" said Dr Rajalaxmi Walavalkar, IVF Consultant at Cocoon Fertility. What is PGD - preimplantation genetic diagnosis? PGD is used when dealing with couples with a family history of a serious or deadly disease who worry about passing it on to their offspring. It is generally recommended in cases of single gene disorders, like breast cancer, sickle cell anemia, cystic fibrosis etc. Dr Anagha Karkhanis, IVF Counsultant at Cocoon Fertility added "PGD can be used to identify over 1,500 inherited single gene disorders and is 98 percent accurate identifying affected and unaffected embryos." What is PGS or preimplantation genetic screening? PGS checks whether the cells in an embryo contain the normal number of chromosomes, which is 46. The embryo is usually biopsied on day 5 (blastocyst stage). Embryos with a normal number of chromosomes are "euploid" and those with an abnormal number are "aneuploid." PGS allows for a embryo with normal chromosomes to be transferred into the uterus. Risk of aneuploid embryos increases with the age of the woman. An abnormal embryo is almost always likely to fail to give a healthy pregnancy. The risks of miscarriage, fetal death later in pregnancy, stillbirth or a baby with abnormalities are all raised in aneuploid embryos. PGS also helps in severe male factor infertility and in couples with previous recurrent miscarriages. PGT cannot be offered as blanket treatment for all. Certain genetic abnormalities can manifest at a later stage of development. A genetic condition called mosaicism may exist. Mosaicism is when abnormal cells may coexist in an otherwise normal embryo and vice versa leading to test results that do not accurately reflect the chromosome status of the embryo. A critical analysis of the case is needed before PGT can be undertaken. One also needs to consider that, in theory, the embryo biopsy and freezing may cause embryo damage, though in experienced hands this risk is low. In its' report on PGT the ASRM ( American Society of Reproductive medicine says, "No single test, however, can accurately predict the risk of all defects in a child, and many birth defects, such as those related to environmental and toxic exposures and those that are random and unexplained, are not genetically based and may not be detected with genetic screening." Before you finally decide to go ahead with PGT there is one other factor that you must consider. PGT does not replace prenatal testing. PGT allows for diagnosis before implantation. "Prenatal testing is a part of standard routine pregnancy care and is recommended despite the fact that PGT had been done." , explained Dr Rajalaxmi Walavalkar. Prenatal testing like Nuchal Translucency scan, chorionic villus sampling or amniocentesis reconfirms the diagnosis where diagnosis remains uncertain. Dr Anagha Karkhanis, added "It is also important to understand that PGT is not and cannot be used for sex selection or family balancing". Pre-natal sex selection is a punishable offence. PGD is indeed a boon for couples faced with risk of genetic diseases in their offspring. If you feel you are the right candidate for PGT, meet up with the expert and understand the procedure before going ahead. Cocoon Fertility - +912271237070 Email - firstname.lastname@example.org Website - http://www.cocoonfertility.com Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
Possible to avoid genetic defects in IVF with PGD technology at Cocoon Fertility Brand ambassador Soha Ali Khan took a tour of Cocoon Fertility's clinical and laboratory facilities in Thane. She also posed with babies conceived through assisted reproductive technologies, at Cocoon Fertility, along with its doctors Dr Anagha Karkhanis and Dr Rajalaxmi Walavalkar. Cocoon Fertility was incepted in 2013, with the promise of a safe, truthful, ethical and empathetic experience for to-be parents. It offers a complete range of Assisted Reproductive Technology (ART) services, all under one roof. This includes In Vitro Fertilizaton (IVF), Intracytoplasmic Sperm Injection (ICSI), Embryo Freezing (Vitrification) and Frozen Embryo Transfer (FET), PICSI (Physiological Intra Cytoplasmic Sperm Injection), Intra Uterine Insemination (IUI), and male procedures like PESA/ TESA, to name a few. Soha Ali Khan was thoroughly impressed with the range of equipment and state-of-the-art technologies available, to help couples who are denied natural parenthood. She said, "This is my first visit to any fertility lab. I am happy to know that couples facing infertility issues have so many options today; thanks to responsible IVF centres like Cocoon Fertility. I was also happy to note that, Dr Anagha, Dr Rajalaxmi and I share a common educational background in the UK. Its a rigorous training ground and prepares you well for challenges ahead." Dr Rajalaxmi Walavalkar, Consultant, IVF and Reproductive Surgery at Cocoon Fertility added, "We are especially excited today. We are happy to announce the start of Pre-Implantation Genetic Services at our Thane Centre. Our lab here is now fully licensed for offering PGD / PGS services in Thane. This offers complete range of solutions for couples wanting to avoid genetic disease in their offspring and for couples who have had recurrent miscarriages and IVF failures.We are also delighted to introduce Lykos IVF laser at our centre to help in PGD-PGS." Preimplantation genetic testing is a technique used to identify genetic defects in embryos created through in vitro fertilization (IVF) before pregnancy. Preimplantation genetic diagnosis (PGD) refers specifically to when one parent or both, has a known genetic abnormality and testing is performed on an embryo to determine if it also carries a genetic abnormality. Dr Anagha Karkhanis, Director of Cocoon Fertility added, "PGD begins with the normal process of IVF that includes egg retrieval and fertilization with sperm in a laboratory. Over the next three days the embryo will divide into eight cells. First, one or two cells are removed from the embryo. The cells are then evaluated to determine if the inheritance of a problematic gene is present in the embryo.Once the PGD procedure has been performed and embryos free of genetic problems have been identified, the embryo will be placed back in the uterus, and implantation will be attempted," explained Dr Anagha Karkhanis." With this new technology, women aged 35 and over, carriers of sex-linked genetic disorders, carriers of single gene disorders, those with known chromosomal disorders, women experiencing recurring pregnancy loss and women with recurrent failed fertility treatment can benefit. Cocoon Fertility Centres will be coming soon to Versova, Vashi as well as Kochi and Pune. Cocoon Fertility - +912271237070 Email - email@example.com Website - http://www.cocoonfertility.com Cocoon Fertility Branches- Thane, Dadar, Santacruz.
When 35-year-old Sheena visited Cocoon Fertility Clinic, she had a million questions on her mind pertaining to her struggle with polycystic ovary syndrome (PCOS), weight management and fertility. Sheena weighed 88 kgs and was diagnosed with PCOS a few years ago. The Cocoon Fertility specialists suggested Sheena a number of lifestyle changes coupled with fertility treatments to improve her chances to conceive. Globally, more than 20 percent women of reproductive age group suffer from PCOS, a hormonal disorder that affects their menstrual pattern and ability to have children. "The main underlying problem in women with PCOS is a hormonal imbalance. The ovaries make more androgens than usual. High levels of these hormones affect the development and release of eggs i.e. ovulation," shares Dr Rajalaxmi Walavalkar of Cocoon Fertility. Higher androgen levels lead to symptoms such as acne, excessive hair growth, absent or irregular menstrual periods and weight gain. Excess testosterone (a type of androgen) is linked to higher insulin resistance, which can cause a PCOS woman to store more fat, especially around the abdomen. As this woman gains weight insulin resistance rises further increasing the testosterone thus setting in a positive feedback cycle for weight. This imbalance in extreme cases can lead to type 2 diabetes. "We see many women with PCOS coming to us with queries related to fertility and a hope for uncomplicated conception. It is therefore important to understand the basics of this disorder and seek help as early as you can, after diagnosis," adds Dr Anagha Karkhanis of Cocoon Fertility. The good news is that this increasingly common health problem is manageable with the help of lifestyle modifications and accurate fertility treatment. Lifestyle modification: Many women with PCOS are overweight or obese, which can lead to several health problems. You can help manage your PCOS by eating low carb healthy diet and exercising regularly to keep your weight in check. Medical treatment: PCOS leads to insulin resistance. This is managed with the help of medicines which affects the way insulin controls blood glucose and lowers testosterone production. It slows the growth of abnormal hair and helps ovulation to return. Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications, that include tablets and injections, are available to treat the problems with ovulation. These should only be used under medical supervision in individualised protocols. Fertility treatment: IVF is another effective solution to help women with PCOS have a baby by offering the best chance of becoming pregnant in any given cycle. Cocoon Fertility - +912271237070 Email - firstname.lastname@example.org Website - http://www.cocoonfertility.com Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
IVF (In-vitro-fertilisation), IUI (Intra Uterine Insemination), Intracytoplasmic Sperm Injection (ICSI) and surrogacy have become commonplace today; thanks to developments in medicine. Part of this heightened acceptance are celebrities who have influenced society with their choices. Friends star Courtney Cox, conceived her daughter Coco through IVF when she was 39, in the year 2004. Before her was iconic actress Jane Seymor who delivered twins through In Vitro Fertilisation in the year 1995. She was 44 years old. Having had two miscarriages, a natural conception wasn't possible for the 'Live and let die' co-star. Dr. Rajalaxmi Walavalkar of Cocoon Fertility says, "1978 was really the breakthrough year with the birth of the first test tube baby Louise Brown. Since then, celebrities have been a big influence in changing the perceptions of people and also modifying societal attitudes. There are famous celebrities who have proved that IVF holds the door open to a new world, one in which the burden of not having a child no longer needs to be felt." Eminent songstress Mariah Carey had a miscarriage which led to further complications. But this did not deter her. She opted for IVF and was blessed with a pair of twins in 2011. One of the highest paid reality TV stars, Kim Kardashian didn't shy away after she experienced complications while giving birth to her first child North. For her second child 'Saint', she embraced IVF specialists in the year 2015. Closer to home, director Farah Khan believes that it's never too late to change your fate. She opted for IVF in 2008, and delivered triplets at the age of 43. She is a celebrated mother today, sharing her personal moments with children on social media. Some others have even opted for surrogacy. Superstar Aamir Khan and wife Kiran Rao are one such example, as is SRK, and his bundle of joy Abram. Dr. Anagha Karkhanis of Cocoon Fertility adds, "IVF itself has become more and more precise and versatile, thanks to developments such as egg freezing, embryo transfers, Preimplantation Genetic Screening (PGS) and Preimplantation Genetic Diagnosis (PGD) etc; The beauty of an IVF treatment is that the whole process of fertilisation happens outside the woman's body." Cocoon Fertility - 022 25334848 Email - email@example.com Website - http://www.cocoonfertility.com Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
One of the first scientific developments pertaining to fertility was the discovery of the sperm in semen back in 1677. IUI (Intra Uterine Insemination) was the first development in assisted reproduction. The use of this procedure in animals dates back to the fourteenth century when Arabs used it to breed stallions. Lazarro Spallanzani is known as the first to use the technique to breed dogs in late 1784. Subsequently, in 1793, John Hunter became the first person reported to achieve a successful human pregnancy using IUI- a process where in the best quality sperm is separated from the sluggish lot. The sperm is then introduced into the womb around the time of ovulation, later resulting in pregnancy. This even today, remains an excellent solution for male infertility. At the turn of the 19th century, as science progressed, doctors began to explore further, the matter of infertility, and uncovered the basic scientific details of human conception. Here is a brief chronology: 1827: scientists first discovered the existence of ova, or eggs, in the female body. 1843: scientists learned that conception occurs when a sperm enters an ovum. 1884: the first successful artificial insemination when Dr. William Pancoast treated a couple's infertility by secretly inseminating the woman with sperm. 1920s and 30s: the hormones progesterone, estrogen, and testosterone were all identified, and their roles in reproduction and pregnancy were closely studied. 1944: Dr. John Rock of Harvard reported that the first US fertilization of human eggs in a laboratory dish (in vitro) had occurred in his lab. 1978: First test-tube baby Louise Brown is born. Today, IVF has resulted in the birth of over 8 million babies, providing relief to childless couples, with the promise of helping them spill out the "good news" IVF is named after the Latin word 'vitro' which means 'glass' . It is performed in petri-dishes where eggs are mixed with fresh sperm to create embryos. The best quality embryos are then chosen to pass through the cervix, and then into the womb for implantation to occur. Dr Rajalaxmi Walavalkar, Consultant at Cocoon Fertility says. "IVF has evolved thanks to the work of many scientists. In many ways, it is one of science's greatest gifts to humankind. It is a proven assisted reproductive technique today and has given hope to many couples beset with fertility problems." Developments have continued unabated. In 1987, the use of donor eggs became publicly available. 1987 also saw the first Intracytoplasmic Sperm Injection (ICSI) procedure , the sperm is physically injected into the egg. It is performed under a microscope. The first successful birth resulting from ICSI occurred in 1992. IVF itself has become more and more precise and versatile, thanks to developments such as egg freezing, embryo transfers, Preimplantation Genetic Screening (PGS) and Preimplantation Genetic Diagnosis (PGD) etc. "Modern day IVF has evolved to treat conditions which can obstruct fertility both in men and women such as endometriosis, male factor infertility, ovulatory dysfunctions, unexplained infertility so on and so forth", says Dr Anagha Karkhanis, Founder of Cocoon Fertility. The beauty of an IVF treatment is that the whole process of fertilisation happens outside the woman's body. Cocoon Fertility - 022 25334848 Email - firstname.lastname@example.org Website - http://www.cocoonfertility. com Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
Gynaecologists across the city have seen a rise in the number of inquiries for egg freezing (oocyte cryopreservation), where a woman's eggs are extracted, frozen and stored. Later, whenever she plans to get pregnant, the eggs are thawed, fertilized and transferred to the uterus as embryos. "This is a sign of an empowered woman, making informed choices for herself", says Dr.Rajalaxmi Walavalkar of Cocoon Fertility. Take the case of 36 year old Anjali Bhagat, who knew she wasn't ready for marriage. But she knew she wanted to be a mother someday. She froze her eggs at the age of 32, determined that she didn't want to be pushed into a marriage that she didn't want, for the sake of maternity. Anjali says, "When Dr.Rajalaxmi explained to me that egg freezing was possible, and that it was safe and I could afford it, I was very happy." True enough! In fact, there is a lot of information about egg freezing online. However, the fact that it is safe, affordable and available is something women need to know. Dr. Anagha Karkhanis of Cocoon Fertility says, "Egg freezing is the process of retrieving some of your eggs from your ovaries, freezing and storing them to achieve a pregnancy later on." Egg freezing is particularly useful in IVF cases, as was discovered by Sheela Iyer, a 31 year old from Matunga, "My husband was under tremendous pressure, when we decided to go in for IVF. Stress on the day of egg collection was so great that he was unable to produce a semen sample. Luckily my eggs could be frozen and we were able to complete the IVF processes at a later date. I am now having a wonderful pregnancy." Egg freezing turned out to be a boon in such a difficult situation. Dr. Anagha Karkhanis shares, "14 year old Asha Patil was diagnosed with borderline cancer of one ovary and this ovary had to be removed. We collected her eggs from the remaining ovary & froze them before chemotherapy. We were able to protect her fertility and hope for having her own child someday. Cancer treatments are known to cause premature menopause." Asha's mother Smita Patil adds, "Egg freezing allowed us to preserve our daughter's options. She will have a choice in the future." Women today must know that even if they are not ready for babies right now due to relationships, career, finances, or a whole host of other reasons, egg freezing can help them make more empowered choices in their lives. Globally, over 2000 babies have been born thanks to egg freezing. It is advisable to freeze eggs before the age of 35, though it can be done later too, provided the hormone levels and antral follicle count are good. Cocoon Fertility - 022 25334848 Email - email@example.com Website - http://www.cocoonfertility.com/ Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
Infertility is a complex and often misunderstood condition, which is why there's stigma as well as mystery surrounding it. 1 in 6 couples face infertility issues, and an obstacle to parenthood. There can also be pressure from family, friends and colleagues- in subtle and not so subtle ways too. Dr. Rajalaxmi Walavalkar, Consultant, IVF and Reproductive Surgery at Cocoon Fertility puts your mind at ease by de-bunking some of the myths about male fertility. Myth: Boxer shorts and loose pants are best for prospective fathers. This is probably one of the craziest! Researchers at the University of New York at Stony Brook put this piece of conventional wisdom to the test and concluded that underwear style is unlikely to significantly affect a man's fertility. Myth: Unlike women, a man's fertility doesn't change with age. Male fertility isn't age-proof. The quality of sperm decreases with age and it takes longer to achieve a pregnancy. Whatever the age of the mother, the risk of miscarriage is higher if the father is over 45. The children of older fathers are at greater risk of autism, mental health problems, and learning difficulties. Myth: Smoking doesn't affect male fertility. Smoking increases the risk of male infertility by 30%. A British Medical Association report showed that smokers may have upto 40 % lower chances of being pregnant per month. Even one cigarette a day is enough to cause damage to sperm. The effect of tobacco on fertility is dose dependent. The more one smokes, more the damage to the sperm. Myth: Cell phones and laptops, don't affect semen quality. Studies have found that the heat created from laptops can affect sperm motility and cause DNA damage, more so if Wi-Fi was being used. Cell phone emissions can also cause sperm damage. It's best to keep phones in the back pocket and not put your laptop, directly on the lap whilst working. Myth: Male infertility is hereditary. Male infertility can be of genetic origin, generally, there are several factors that can cause male infertility. Infections, immune system problems, lifestyle choices like diet, nutrition, smoking, drug use, and being overweight can decrease male fertility. Myth: Weight does not affect fertility. Extra weight presents a multitude of health issues and can wreak havoc on male fertility. Obesity causes elevated estrogen and low testosterone levels, which can cause sperm count to decrease. Overweight males also experience a decreased libido. The simple solution is to calculate your Body Mass Index, which provides a healthy numerical range based on height and weight and works towards it. Exercise will increase energy, decrease weight, and equalise testosterone and libido levels. Myth: My Diet does not matter. You are what you eat. High-fat diets have been found to be associated with decreased sperm count. Vitamin and micronutrient deficiencies will affect sperm quality and quantity adversely. The general advice is to have a balanced diet and avoid refined carbohydrates such as white bread and sugar. Cocoon Fertility - 022 25334848 Email - firstname.lastname@example.org Website - http://www.cocoonfertility.com/ Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
When it comes to defining the 'why' of infertility, a reliable global thumb rule is as follows- 1/3rd of infertility cases are caused by male reproductive issues, 1/3rd by female reproductive issues, and 1/3rd by both male and female reproductive issues or by unknown factors. 29-year-old Jignesh Dave learned this the hard way. Three years into his marriage, he and his wife Asha were seeking answers to the age-old question, "any good news?" Jignesh and Asha, a Dadar couple, sought help and underwent three anxious cycles of intrauterine insemination (IUI- a fertility treatment that involves placing sperm inside a woman's uterus to facilitate fertilization). When these didn't work, a friend referred them to Dr. Rajalaxmi Walavalkar at Cocoon Fertility. While it takes just one sperm to fertilize a woman's egg, for each sperm that reaches the egg, there are millions that don't. On an average, each time a man discharges semen , he releases around 40 - 100 million sperm. "When I saw Jignesh's recent semen report with a sperm count of a few thousand and no motility i.e. possibility of all dead sperm, I realized that this would be an uncommon and challenging case. In addition to the treatment given, what helped was that the couple was very supportive of each other and positive," says Dr. Rajalaxmi Walavalkar, Consultant, IVF and Reproductive Surgery at Cocoon Fertility. What followed was further detailed investigations for Jignesh and 6 months of rigorous treatment, with nutrition support, hormonal management and medication in the form of tablets and injections. Jignesh's sperm health improved and sperm count increased to 12 million with alive sperm found in the subsequent semen test. Dr. Anagha Karkhanis, Director of Cocoon Fertility adds, "The results were so encouraging that both Asha and Jignesh were now eligible for and ready to proceed with IVF." Today, Asha and Jignesh are proud parents to a healthy 3-month-old daughter. "This case establishes firmly, that fertility is not just about the presence of sperm but also about their quality and ability to fertilize an egg. Hormone imbalance, stress, unhealthy lifestyle and inadequate diet attribute to impaired semen quality, and quantity," adds Dr. Rajalaxmi. Cases like these give hope to millions of couples who are looking for that small bundle of joy in their lives. Reach out to the experts and give yourself a chance to bring home your baby. Cocoon Fertility - 022 25334848 Email - email@example.com Website - http://www.cocoonfertility.com/ Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune
A negative pregnancy test can be extremely disheartening for a woman who is looking forward to becoming a mother. Especially in a country like India, where motherhood and the celebrations around it are a family affair. Naturally, 21 years after marriage, Madhavi and Amogh Kulkarni are over the moon, holding a baby in their hands. Madhavi now wants to reach out and help more couples, "We have had a very difficult journey that was extremely stressful at times. While many families may choose to lay the blame on the woman, many are not aware that male infertility is almost 50% of the problem. Yet, for most, it is too personal an issue to seek help. What couples need to know is that reliable help is available to help you conceive - at Cocoon Fertility we found this help". Infertility by definition implies that a couple has not been able to conceive a child even though they've had frequent, unprotected sexual intercourse for a year or longer. The good news is that for the very first time in Mumbai, Cocoon Fertility has launched ' Welcome your baby home ' initiative that offers hope to such couples and makes IVF affordable. Dr Anagha Karkhanis, Director at Cocoon Fertility says, "About 85% of couples who try, get pregnant in 1 year. So the thumb-rule for a couple to approach a fertility specialist could be: <35 years after 1 year of trying 35-40 after 6 months of trying >40 after 3 months of trying" Cocoon Fertility has come up with a limited period value offer with an IVF cycle at 25000/- which is less than 50% of the industry norm. Adding the cost of embryo transfer and IVF injections, the total cost could range from 95000 to 1,20,000. That's a massive reduction in the price. The centre also provides support to freeze extra embryos to improve the probability of success. EMI options for eligible patients are also available at Cocoon Fertility. Dr Rajalaxmi Walavalkar, Consultant, IVF and Reproductive surgery, Cocoon Fertility adds, "A couple can opt for IVF- depending on factors like age, testing of the ovarian reserve (capacity of the ovary to produce fertilisable eggs) and history of prior treatments. Amongst other things we also look at the husband's sperm test, because patients may require IVF for male-related problems". Sonali Advani, another mother who gave birth to a daughter in September 2017, 10 years after her marriage says, "Cocoon offered us a safe, truthful, and empathetic experience. We knew all along, what could go wrong and what could go right. Just the open communication channels helped us a lot." Cocoon fertility is helmed by the highly skilled sibling duo of Dr. Rajalaxmi Walavalkar and Dr Anagha Karkhanis. Together, the two are a formidable, complementary team- known for a success rate that exceeds the industry average. The centre offers a supportive environment and the promise to help you bring home your own baby. Cocoon Fertility - 022 25334848 Email - firstname.lastname@example.org Website - http://www.cocoonfertility.com/ Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.
For a woman who does not have children, one of the most difficult questions to answer is "When are you planning to have a baby?" 37 year old Anubha Thukral was ready to give up answering this question. Hours of researching the internet had made her believe "I have had miscarriages - my pregnancies don't seem to continue. Therefore, I have a carrying problem, not a fertility problem." This assumption could be misleading because fertility is about the whole cycle, from conception to delivery. Dr Rajalaxmi Walavalkar, Consultant, IVF and Reproductive Surgery at Cocoon Fertility says "Statistics reveal that around one-quarter of all pregnancies result in miscarriage. But the bright side is that most women who experience repeated miscarriages could eventually have healthy pregnancies and deliveries." Anubha shared that she had 6 miscarriages already. As she walked into Cocoon Fertility at the suggestion of her friend, she was not particularly positive or participative during her consultation. Dr Rajalaxmi was deeply moved by her plight. "It took us a long time to explain to her that fertility problems are not just of one type. They can have various manifestations." Anubha was put on a strict protocol of optimising her health and early pregnancy detection. Once her pregnancy was detected, she was treated with specific interventions to help suppress the immune reaction by her body that was rejecting her own pregnancy. This was followed by a course of medicines to ensure better blood supply to the baby. Dr Anagha Karkhanis, Co-Founder of Cocoon Fertility adds, "Anubha also had severe endometriosis for which she had been operated on and treated pre pregnancy to give a base for the baby. A combination of various interventions helped us give Anubha the baby she had been waiting for." Anubha's case brings many fertility related misconceptions to the fore. Some women believe that they are too young to have fertility issues, while others who are trying for their second baby, believe that they have a baby already so they can't be infertile. Dr Rajalaxmi Walavalkar adds, "Infertility is a spectrum issue. The incidence of infertility increases with age, but it is on the rise across all age groups. Increase in hormonal imbalance e.g. PCO, tubal disease and male factor are commonly seen causes. We have currently seen that younger patients have lower ovarian reserve and hence have infertility." Dr Anagha Karkhanis adds, " Many couples in India continue to live in denial about their fertility issues. In fact, only 10% of all infertile couples come forward for IVF. A good rule of thumb to follow is that 85% of women that try to conceive, get pregnant in 1 year. So if not pregnant within the year, the couple must seek help from a certified IVF centre." Anubha thanks her doctors and says, "The doctors were very patient with me.I had given up hope, but they were always understanding of my plight ; and nudged me gently towards hope. I understood my body and its responses much better and felt assured that Cocoon Fertility would help me bring my baby home." Cocoon Fertility - 022 25334848 Email - email@example.com Website - http://www.cocoonfertility.com/ Cocoon Fertility Branches- Thane, Versova, Dadar, Santacruz, Pune.