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Call Us ! Emergency Cases Call Us ! Sun - Fri 10:00 AM to 4:00 PM hopefertilitycentre@gmail.com Home About Services News Contact UsBook An Appointment PreviousNext CONSULT NOW Discover Excellence in IVF Treatment at Hope Fertility & Diagnostics – Trusted Experts in Kathmandu. Achieve Parenthood with Pioneering Techniques and Compassionate Care! Book An Appointment with our Consultant Doctors OUR SERVICES Discover comprehensive parenthood services at Hope Fertility and Diagnostics in Nepal SELECTIVE FETAL REDUCTION Selective Fetal Reduction was developed in the mid-1980s, as people in the field of reproductive health and family planning became aware of the risks that multiple pregnancies carried for the mother and for the fetuses. But in the history of reproductive health and IVF Nepal/fertility center in Nepal, Dr. Swasti Sharma is the first one to specialize in Selective Fetal Reduction. Selective Fetal reduction is used when a mother is carrying an unsafe or undesirable number of fetuses in a multiple pregnancy, which are common in infertility treatment and medically-assisted pregnancies, in order to reduce the number of fetuses to a number that is relatively safe for the mother and the remaining fetuses. It is also used in cases of multiple pregnancy where at least one of the fetuses is implanted outside the uterus to preserve the life of the mother and the fetus in the uterus, and when one or more of the fetuses has a serious and incurable disease. Selective reduction is the practice of reducing the number of fetuses in a multiple pregnancy, say quadruplets, to a twin or singleton pregnancy. The procedure is also called multifetal pregnancy reduction. See more REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY Reproductive endocrinology and infertility (REI) is a surgical subspecialty of obstetrics and gynecology that is related to reproductive medicine addressing hormonal functioning as it pertains to reproductive health as well as the issue of infertility. REI specialists primarily focus on the infertility treatment reproductive endocrinologists are trained to also test and treat hormonal dysfunctions in females and males outside infertility. Couples having difficulty conceiving a child can now look to the Reproductive endocrinologist. For the first time in the history of IVF Nepal/fertility center in Nepal, Dr. Swasti Sharma has introduced REI service. She is trained in evaluating the problems that can interfere with conception and has in depth knowledge of the treatments for fixing these problems. See more NATURAL CYCLE IVF In the context of IVF Nepal and reproductive health, Natural Cycle IVF is suitable for every woman who is still ovulating and wants to avoid stimulation IVF drugs or injections. Natural IVF is a delicate and precise infertility treatment that requires expertise and specialist consultants. Natural Cycle IVF involves egg collection aligned with natural menstrual cycle. There are no stimulation drugs or injections involved. It works in the sync with your menstrual cycle to collect the egg naturally selected by body. During treatment,doctors use advanced ultrasound technology to monitor the cycle and check the blood supply to the developing follicle to monitor its quality. WHOM NATURAL CYCLE IVF IS RECOMMENDED FOR? 1 Women with low ovarian or egg reserve 2 Women who have had a poor response to conventional high-stimulation IVF (e.g. produced fewer than three eggs) 3 Women who’ve had previous failure of implantation with conventional high-stimulation IVF or want to avoid the risks and side effects of high stimulation IVF 4 Women with low Anti-Müllerian Hormone (AMH) or high Follicle Stimulating Hormone (FSH) 5 Women who have done family planning and are older but wish to try with their own eggs, rather than with donor eggs See more CONTROL OVARIAN HYPER STIMULATION Controlled ovarian hyperstimulation is a technique used in infertility treatment by assisted reproduction involving the use of fertility medications to induce ovulation by multiple ovarian follicles. In the fertility center in Nepal/IVF Nepal, these multiple follicles can be taken out by oocyte retrieval (egg collection) for use in in vitro fertilisation (IVF), or be given time to ovulate. This results to the ovulation of a larger-than-normal number of eggs, generally in the sense of at least two also known as superovulation. Controlled ovarian nyperstimuiation (COH) involves the administration of oral and/or injectable medications to induce ovulation in the anovulatory infertile patient, and superovulation in the ovulatory infertile patient. The different types of medication and protocols for COH are reviewed. Pregnancy rates are higher with the injectable medications, follicle stimulation hormone (FSH) and human menopausal gonadotrpins (hMG), than oral medications; however, injectable medications have a higher risk of multiple gestations,ovarian hyperstimulation syndrome, cost and monitoring. CONTROLLED OVARIAN STIMULATION COMPRISES THREE BASIC ELEMENTS 1 Exogenous gonadotrophins to stimulate multi.follicular development. 2 Cotreatment with either gonadotropin.releasing hormone (GNRH) agonist or antagonists to suppress pituitary function and prevent premature ovulation. 3 Triggering of final oocyte maturation 36 to 38 hours prior to oocyte retrieval. See more SPERM CYROPRESERVATION Sperm freezing is the method of freezing and preserving sperm for future use. Men are able to freeze their sperm for use in their own future treatment or to donate to someone else’s reproduction health and infertility treatment. Donated sperm usually has to be quarantined for three or six months and screened for infections before it can be used by a recipient. The length of quarantine is dependent upon the type of screening tests that fertility center in Nepal/IVF Nepal carries out. Treatment with frozen sperm is just as successful as treatment using fresh sperm. SPERM CRYOPRESERVATION IS CONSIDERED IF 1 One has a condition, or are facing medical treatment for a condition, that may affect your fertility. 2 About to have a vasectomy and want sperm available in case the mind is changed about having (more) children. 3 One has a low sperm count or the quality of your sperm is deteriorating. 4 One has difficulty producing a sperm sample on the day of infertility treatment. 5 One is at risk of injury or death (for example, you’re a member of the Armed Forces who is being deployed to a war zone). For sperm freezing firstly, the sperm need to be tested for any infectious diseases like HIV and Hepatitis. This has no bearing on whether sperm can be freezed or not but is to ensure that affected sperm samples are stored separately to prevent contamination of other samples. Then need to give written, informed consent to sperm being stored and specify how long to be stored for. At the fertility center in Nepal, one will be asked to produce a fresh sample of sperm (if possible), which will be mixed with a special fluid (a cryoprotectant) to protect the sperm from damage during freezing. Before freezing, the sperm sample is usually divided between numbers of containers called straws. This means that not all the sperm needs to be thawed at once and can be used in multiple treatments. The samples are then cooled slowly and plunged into liquid nitrogen. See more HOME BASED ANTENATAL SERVICE Antenatal care means the care related to reproductive health you receive while you’re pregnant to make sure you and your baby are as well as possible. Women should be fully involved in decisions about their care and treatment in pregnancy and therefore need to be given the knowledge to make informed decisions. Where appropriate, a woman’s partner and family should be involved and informed and their views and values respected. Good communication is crucial at every step in pregnancy 1 Check the health of you and your baby and give you useful information to help you have a healthy pregnancy, including advice about healthy eating and exercise. 2 Discuss your options and choices for your care during pregnancy, labour and birth. 3 Answer any questions you may have. See more 0 Happy Patients 0 Expert Doctors 0 Health Departments 0 Total Branches Meet Our Experienced TEAM MEMBERS The clinic provides IVF with careful attention and ongoing innovation DR. SWASTI SHARMA SENIOR OBSTETRICIAN AND GYNECOLOGIST, IVF SPECIALIST DR. MALINI CHOUDHARY ANESTHESIOLOGIST DR. NIRAJ SHRESTHA CONSULTANT RADIOLOGIST DR. PRATYUSHA BARAL CLINICAL EMBRYOLOGIST Meet Our Experienced TEAM MEMBERS The clinic provides IVF with careful attention and ongoing innovation DR. SWASTI SHARMA SENIOR OBSTETRICIAN AND GYNECOLOGIST, IVF SPECIALIST DR. MALINI CHOUDHARY ANESTHESIOLOGIST DR. NIRAJ SHRESTHA CONSULTANT RADIOLOGIST DR. 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