Distortion of the endometrial cavity, abnormal endometrial receptivity, altered hormonal milieu, and endometrial development are the causative factors for infertility in fibroids.

USG provides the number, exact location and size of fibroids, thus helps in thorough planning of surgical intervention if necessary.2) Adenomyosis : Adenomyosis results in structural and functional defects of the uterine junctional zone and thus resulting in disturbed uterine peristalsis and sperm transport, increased inflammatory response in the endometrium causing impaired implantation.

The ultrasonography features of Adenomyosis are globular uterus, asymmetrical myohyperplasia, rain shower appearance and myometrial cyst.Endometrium :Is a dynamic structure undergoing cyclical changes.

Pathological features such as thin endometrium, poor endometrial blood flow, presence of polyp or intrauterine adhesions can result in sub fertility.

And all these pathologies are accurately assessed using USG (both 2D + 3D).Ovary :USG is used for diagnosis and monitoring of treatment cycle in sub fertile women.1) Follicular monitoring : Is an integral part of investigation in subfertile women.

Early diagnosis of diminished ovarian reserve helps planning accurate treatment such as IVF, thus reducing time to pregnancy.3) Endometriotic cysts :Endometriosis causes profound inflammatory response in the pelvis, affecting oocyte quality, sperm transport and function, luteinized unruptured follicle, defective corpus luteum, altered endometrial receptivity and also presence of adhesions results in sub fertility.

Ultrasound examinations use these sound waves to produce a picture or image onto a screen showing the inside of your body.

It looks at the pelvic organs from inside the vagina using a special smooth, thin, handheld device called a transducer.

This differs from an abdominal ultrasound, which uses a warm water-based clear gel applied to the skin of the abdomen and the transducer is moved gently across the pelvic area.

If you are having a period, the examination can still be carried out and it is often an advantage when assessing some gynaecological problems.

Before having the test, you might be asked to sign a consent form.

The transducer is slightly larger than a tampon and especially shaped to fit comfortably into the vagina.

Distortion of the endometrial cavity, abnormal endometrial receptivity, altered hormonal milieu, and endometrial development are the causative factors for infertility in fibroids.

USG provides the number, exact location and size of fibroids, thus helps in thorough planning of surgical intervention if necessary.2) Adenomyosis : Adenomyosis results in structural and functional defects of the uterine junctional zone and thus resulting in disturbed uterine peristalsis and sperm transport, increased inflammatory response in the endometrium causing impaired implantation.

The ultrasonography features of Adenomyosis are globular uterus, asymmetrical myohyperplasia, rain shower appearance and myometrial cyst.Endometrium :Is a dynamic structure undergoing cyclical changes.

Pathological features such as thin endometrium, poor endometrial blood flow, presence of polyp or intrauterine adhesions can result in sub fertility.

And all these pathologies are accurately assessed using USG (both 2D + 3D).Ovary :USG is used for diagnosis and monitoring of treatment cycle in sub fertile women.1) Follicular monitoring : Is an integral part of investigation in subfertile women.

Early diagnosis of diminished ovarian reserve helps planning accurate treatment such as IVF, thus reducing time to pregnancy.3) Endometriotic cysts :Endometriosis causes profound inflammatory response in the pelvis, affecting oocyte quality, sperm transport and function, luteinized unruptured follicle, defective corpus luteum, altered endometrial receptivity and also presence of adhesions results in sub fertility.

The characterization of ovarian masses and distinguishing between benign and malignant pathology is important both to decrease unnecessary anxiety and enable decisions regarding optimal treatment.

Thus prior knowledge of the nature of ovarian masses is essential not only for the patient but in order to organize clinical services in terms of planning, costs and overall management.Transvaginal ultrasonography (TVS) is the most commonly employed imaging modality for the assessment of adnexal masses, and a number of prediction models have been created to maximize its predictive capability.

In many countries the risk of malignancy index (RMI) which combines ultrasound features, serum CA125 levels and the menopausal status of the patient is still used to characterize ovarian pathology.

Asking for a transvaginal ultrasound or blood test when you’re at an average risk for ovarian cancer isn’t the best idea.These findings suggest that with adequate training and knowledge of the common features associated with particular pathologies, ultrasound examiners should be able to reliably diagnose and differentiate between certain specific types of adnexal pathology.

It is important to remember that when evaluating women with an adnexal mass, ultrasound characteristics need to be correlated with the clinical history, as well as signs and symptoms before arriving at a diagnosis.Ovarian cancer is one of those diseases you probably assume you’re being screened for when you go to your well-woman exams, but that’s not really the case.

Ovarian cancer screening, in fac t, isn’t recommended at all for women at average risk for the condition, but that’s not something that most people know.There are actually no recommended screening tests for ovarian cancer in people who don’t have symptoms and don’t have an increased risk of developing the condition.Ovarian cancer is a scary disease — it affects about 20,000 women in the U.S. each year, according to the Centers for Disease Control and Prevention (CDC).

Online IUI workshop — from GGIRHR!

Hurry up, Limited Seats Available!With the passing of time and lifestyle issues, infertility has become a sensitive matter.

Infertility may be a serious health issue worldwide, affecting approximately 8%–10% of couples worldwide.

Of 60–80 million couples suffering from infertility every year worldwide, probably between 15 and 20 million (25%) are in India alone.

A report by the World Health Organization (WHO), one in every four couples is affected by infertility.

The magnitude of the problem calls for urgent action, the need for fertility specialist doctors arises.GarbhaGudi IVF Centre has consistently achieved 28% & above success rates in IUI treatment and wants this knowledge should be shared amongst all the practicing clinicians.

On creative Content:• Fellowship affiliated to Academy of Medical Specialities under Indian Medical Association.• Experienced and senior faculty with practical knowledge from GGIRHR and best in Industry.• Students can attend Online/Offline Classes held once a week for 4 hours (Thursday’s 10 AM — 2 PM)• Duration of course — 1 year• It will incorporate theory and also include observations with hands- on• Opportunity to be part of IUI ,Hysteroscopy ,Laparoscopy, Andrology procedures, Ovum Pick-ups and Embryo Transfers at any of our 5 IVF Centres of Garbhagudi located in Bengaluru.Is one a busy practising gynecologist but aspiring to get a Fellowship in Infertility?

Being a gynecologist is one looking for a customised Fellowship programme specialized in ART methods?Well then, GGIRHR has an IMA-AMS fellowship course designed for doctors with busy practice and will be able to spare time to attend classes amidst their hectic schedules.

The outcome of this course will be, the gynecologist can work as an “Infertility consultant” in any of the hospitals offering treatment in infertility and will be able to perform:• IUI and IVF procedures in a well-disciplined way• Monitor Follicular stimulations with the help of USG (if one has basic ultrasound knowledge already)• Ovum pick up and embryo transfer• Diagnose and treat Infertility more methodically• IVF stimulations• manage and prevent Challenges of IVF/ICSI stimulations• How to handle and treat male infertilityInterested gynaecologists who want to get certified as “Fellowship in Infertility” from IMA-AMS can apply!

Limited intake of seats only!

Embryology courses — What you need to know?As infertility in India is on the rise, where every one couple in a six is going through challenges related to infertility, the demand for qualified professionals in embryology is rising.Many super-specialty fertility clinics are offering assisted reproductive treatments.

The field of assisted reproductive technology is continuously evolving, and this needs one to undergo the right training to become an embryologist.An embryologist is an expert who does the study of eggs, sperm, and the embryos that they create.

They are involved in IVF treatment of the patients right from the stage of diagnosis.

The embryologists are responsible for following during an IVF cycle:Evaluating and making ready high-quality sperm.Evaluating and ascertaining the quality of harvested eggs.Fertilizing the eggs with sperm at times they may have to use intracytoplasmic sperm injection, in which the sperm is injected into the cytoplasm of the egg.Keeping a check on embryos when they are developing and ensuring their health and quality.Perform assisted hatching when the outer shell of the embryo becomes thin.

Then embryologists use a laser to help implant the embryo.Loading of the best quality embryos into the transfer catheter for embryo transfer.Cryo-preserve the extra embryos that were not transferred during the IVF procedure so they may be kept for later use.Another important role of embryologists is to perform preimplantation genetic diagnosis or PGD.

This PGD process helps ensure the transfer of healthy embryos, which decreases the likelihood of miscarriage.Qualification to be an embryologist:A candidate who has passed Bachelor’s degree or Master’s degree in life sciences, zoology, biochemistry, applied microbiology, biotechnology, genetics, or molecular biology.

Distortion of the endometrial cavity, abnormal endometrial receptivity, altered hormonal milieu, and endometrial development are the causative factors for infertility in fibroids.

USG provides the number, exact location and size of fibroids, thus helps in thorough planning of surgical intervention if necessary.2) Adenomyosis : Adenomyosis results in structural and functional defects of the uterine junctional zone and thus resulting in disturbed uterine peristalsis and sperm transport, increased inflammatory response in the endometrium causing impaired implantation.

The ultrasonography features of Adenomyosis are globular uterus, asymmetrical myohyperplasia, rain shower appearance and myometrial cyst.Endometrium :Is a dynamic structure undergoing cyclical changes.

Pathological features such as thin endometrium, poor endometrial blood flow, presence of polyp or intrauterine adhesions can result in sub fertility.

And all these pathologies are accurately assessed using USG (both 2D + 3D).Ovary :USG is used for diagnosis and monitoring of treatment cycle in sub fertile women.1) Follicular monitoring : Is an integral part of investigation in subfertile women.

Early diagnosis of diminished ovarian reserve helps planning accurate treatment such as IVF, thus reducing time to pregnancy.3) Endometriotic cysts :Endometriosis causes profound inflammatory response in the pelvis, affecting oocyte quality, sperm transport and function, luteinized unruptured follicle, defective corpus luteum, altered endometrial receptivity and also presence of adhesions results in sub fertility.

Ectopic pregnancy:A transvaginal ultrasound is the most important diagnostic tool for an ectopic pregnancy.

Adnexal complex or simple cyst with ring of fire appearance with colour doppler is the most specific feature.

Presence of free fluid in pouch of douglas indicates rupture of ectopic pregnancy.

Live extra uterine pregnancy with demonstrable cardiac activity is 100% specific of ectopic pregnancy.

Empty uterine cavity with thick endometrium also corroborates with the diagnosis.

Rare presence of pseudo-gestational sac and heterotopic pregnancy will pose challenges in diagnosis of ectopic pregnancy.

What are the qualifications to do an IVF and embryology course after graduation?

This course will help candidates enhance their skills and knowledge in the field of embryology.

The duration of the course is 6 months.2.

This course will help participants in enhancing their knowledge and skill in routine semen analysis.

This course includes all aspects of embryology and is for a duration of 2 month.4.

The center has some of the most experienced names in the field of reproductive training.GGIRHR is one of the best institutes due to the following reasons:It provides extensive hands-on experience regarding various practical processes and techniques that gives the candidate the confidence to start work immediately after finishing the training.2.

Which is the best hospital to do a Certified Fellowship course in infertility in India?If you are a gynecologist who wants to specialize in infertility, GGIRHR is the best hospital to do certified fellowship courses in infertility.

It offers a IMA/AMS-certified 12-months course which is a combination of online and offline classes, mixed with practicals, observation classes, journal clubs, expert lectures and sessions from stalwarts in the industry.

Classes are held once a week for 4 hours and clinicians can take up this course without dropping their practice or jobs.GGIRHR also offers residential 6 months, 12 months and 18 months fellowship courses in infertility.

GGIRHR also offers a RGUHS accredited 18 months residential fellowship course in infertility.GGIRHR is a learning and training initiative of GarbhaGudi IVF Centre.

GGIRHR is conducting a one-year structured Fellowship in infertility, wherein selected candidates shall be imparted focused education & training in the field of Reproductive Medicine.

Extensive training is imparted to candidates in the field of Reproductive Techniques by dedicated mentors having excellent experience in this field.The center aims to train gynecologists and impart skills in Assisted Reproductive Techniques, which can bring improved treatment to childless couples in India.Why GGIRHR for FellowshipHighly experienced and senior faculty with practical knowledgeHands-on sessions and observations provided at any four of the GarbhaGudi IVF centers.State of art labsStudents get exposure to a variety of cases as there is a high caseloadGGIRHR has the best simulators for learning ultrasound where students get the practice real-life like cases for learning ultrasoundOnline learning portal where the student gets access to the best e-learning contentBlended classrooms for online and in-person classes.Interested gynaecologists who wants to get certified in Infertility can apply!

Online IUI workshop — from GGIRHR!

Hurry up, Limited Seats Available!With the passing of time and lifestyle issues, infertility has become a sensitive matter.

Infertility may be a serious health issue worldwide, affecting approximately 8%–10% of couples worldwide.

Of 60–80 million couples suffering from infertility every year worldwide, probably between 15 and 20 million (25%) are in India alone.

A report by the World Health Organization (WHO), one in every four couples is affected by infertility.

The magnitude of the problem calls for urgent action, the need for fertility specialist doctors arises.GarbhaGudi IVF Centre has consistently achieved 28% & above success rates in IUI treatment and wants this knowledge should be shared amongst all the practicing clinicians.

Ultrasound examinations use these sound waves to produce a picture or image onto a screen showing the inside of your body.

It looks at the pelvic organs from inside the vagina using a special smooth, thin, handheld device called a transducer.

This differs from an abdominal ultrasound, which uses a warm water-based clear gel applied to the skin of the abdomen and the transducer is moved gently across the pelvic area.

If you are having a period, the examination can still be carried out and it is often an advantage when assessing some gynaecological problems.

Before having the test, you might be asked to sign a consent form.

The transducer is slightly larger than a tampon and especially shaped to fit comfortably into the vagina.

GarbhaGudi IVF, a fertility chain in Bangalore, provides clinical and embryology training through its sister organization — GGIRHR.GGIRHR, in association with IMA-AMS, is starting its 3rd batch of clinical fellowship course in infertility.

This course is exclusively designed for practicing gynecologists who cannot take a break from their busy practice and is for a duration of 1 year.

Students will have to attend theory classes once a week, for 4 hours.

Practical classes, hands-on and observation classes will be provided at the various centres of GarbhaGudi based on the student’s convenience.

This allows busy gynecologists to continue their practice while also adding a very important skillset.GGIRHR has successfully completed 2 batches of this fellowship course and the feedback from the students has been very encouraging.

The enrollment procedure for the 3rd batch, starting in Feb 2021, has begun.GGIRHR is known as a premier infertility training institute with very high quality of training led by Dr. Asha S Vijay, who is a well-known name in the field of fertility treatment and education.

In general, the main goal of a fetal ultrasound scan is to provide accurate information which will facilitate the delivery of optimized antenatal care with the best possible outcomes for mother and fetus.

Individuals who perform obstetric scans routinely should have specialized training that is appropriate to the practice of diagnostic ultrasound for pregnant women.

Before starting the examination, a healthcare provider should counsel the woman/couple regarding the potential benefits and limitations of the first‐trimester ultrasound scan.Details of the Dating Scan:• to check the baby is growing in the right place, by ruling out ectopic pregnancy.• to confirm the presence of your baby’s heartbeat.• an accurate way of predicting your due date and confirming the gestation.• to check whether you are expecting more than one baby.• in case of multiple pregnancies, to assess chorionicity and amnionicity.• to check your baby’s growth and development.• to check the pelvic organs.• to check presence of any internal bleedingAlso gynecological pathologies may be detected during any first‐trimester scan.

Abnormalities of uterine shape, such as uterine septa and bicornuate uteri, should be described.

The adnexa should be surveyed for abnormalities and masses.Is prenatal ultrasonography safe during the first trimester?

Fetal exposure times should be minimized, using the shortest scan times and lowest possible power output needed to obtain diagnostic information using the ALARA (As Low As Reasonably Achievable) principle.How are Early Pregnancy Scans done?An early pregnancy scan can be done either transabdominally or transvaginally.

Ectopic pregnancy:A transvaginal ultrasound is the most important diagnostic tool for an ectopic pregnancy.

Adnexal complex or simple cyst with ring of fire appearance with colour doppler is the most specific feature.

Presence of free fluid in pouch of douglas indicates rupture of ectopic pregnancy.

Live extra uterine pregnancy with demonstrable cardiac activity is 100% specific of ectopic pregnancy.

Empty uterine cavity with thick endometrium also corroborates with the diagnosis.

Rare presence of pseudo-gestational sac and heterotopic pregnancy will pose challenges in diagnosis of ectopic pregnancy.