SlideShare a Scribd company logo
1 of 17
10 secrets of success of IUI
Dr. Sharda Jain
Programme Director
1 Secret
st

Right choice based on facts
(Actiology)
Good Result : - Unexplained I
: - Cervical Factor I
: - Anovulatory I
: - Donar IUI

Poor Results

:- severe male infertility
tubal factor/
pelvic adhesions
severe endometriosis
2nd secret
Understand The Case (H & W)
•
•
•
•

Age – women & men
Ovarian response (Poor /High/ Normal)
Endometrial Response
AMH
Good Responders :- young
:- Good Crop of
Preovulatory follicles
:- Good ET (> 7 mm)
:-

Good PMS count

Poor Responders
:- Older self / partner,
:- ↑ duration infertility (> 5 yrs)
:- Poor OR
:- Poor ET
:- Poor Sperm Quality
Male
Male age - < 35 yrs
> 45 yrs
>10 million prewash count
5-10 million Post Wash Count
Normal morphology – 14% (Krugers)
DNA fragmentation - 30 %
Sperm survival (24 hours) - ↑ 80%
3rd secret
Individualised Ovarian Stimulation Protocol
• Typical PR
4 / 8 / 12 / 20
• GT
• Antagonist in IUI protocol
4th secret
Poor Endometrial Thickness
• CC – neg. effect on ET – EV ?
• Delay trigger

• GT
• Scratching of Endometrium
• ↑ Endo Vascularity
(Aspirin/ Viagra / Sidnafil)
5th secret
Follicle Monitoring
Do it your self

Modify Dose / ET / Follicle size / HCG Trigger
- GT
- EV
6th secret
Do Right Thing at Right Time
Trigger when
GT – 17-18 mm
CC -24 -25 mm
Doppler – Perifollicular perfusion 50 – 70 %
RI < 5
PSV > 11
S/C HCG – (BMI)
Agonist trigger - OHSS
Timing of IUI – 38 hours
Single

– No Male Factor

Double IUI

– Male factor, PSV > 20
1st 16 - 18 hrs
2nd 36 – 38 hrs

+ LH surge - Give HCG trigger immediately
- IUI 24 hrs
7th secret

Lab secret
• Labeling
• Abstinance (<3 V/S > 10 days)
• Semen collection
• Semen preparation
One size does not fit all
• High quality Consumables & media

Preparation in doctor’s office must
8th secret
Success lies in looking into details of techniques
•
•
•
•
•
•
•

Full Bladder
Cx mucus aspiration
Targets time - 90 minutes
Load – when ready
No free space
Rest 10 mints
Emergency trey

Easy IUI
9th secret
Luteal support
• Progesterone
• Vaginal progesterone (↑ PR) is the BEST
10th secret
Counseling / Knowing when to stop
3 cycles of IUI = 1 IVF
Final secret
All that we are
• Integrity of Team
• Right documentation
• Analysis of Result what works
Thanks

More Related Content

What's hot

Ovarian Stimulation Protocols
Ovarian Stimulation ProtocolsOvarian Stimulation Protocols
Ovarian Stimulation ProtocolsHesham Gaber
 
Management of thin endometrium isar 2019
Management of thin endometrium isar 2019Management of thin endometrium isar 2019
Management of thin endometrium isar 2019Poonam Loomba
 
Optimal endometrial preparation for frozen embryo transfer cycles
Optimal endometrial preparation for frozen embryo transfer cyclesOptimal endometrial preparation for frozen embryo transfer cycles
Optimal endometrial preparation for frozen embryo transfer cyclesnermine amin
 
Free Information Session 5th September 2012: Recent Breakthroughs in IVF
Free Information Session 5th September 2012:  Recent Breakthroughs in IVFFree Information Session 5th September 2012:  Recent Breakthroughs in IVF
Free Information Session 5th September 2012: Recent Breakthroughs in IVFFertility SA
 
PROTOCOLS Intra Uterine Insemination (sharing personal experience)
PROTOCOLSIntra Uterine Insemination  (sharing personal experience) PROTOCOLSIntra Uterine Insemination  (sharing personal experience)
PROTOCOLS Intra Uterine Insemination (sharing personal experience) Lifecare Centre
 
Intrauterine Insemination Treatment
Intrauterine Insemination TreatmentIntrauterine Insemination Treatment
Intrauterine Insemination Treatmentwaqar888
 
Monitoring of IVF Cycle - Dr Dhorepatil Bharati
Monitoring of IVF Cycle - Dr Dhorepatil BharatiMonitoring of IVF Cycle - Dr Dhorepatil Bharati
Monitoring of IVF Cycle - Dr Dhorepatil BharatiBharati Dhorepatil
 
Role of Atosiban In ART ,Dr Jyoti Agarwal, Dr. Sharda Jain
Role of Atosiban In ART,Dr Jyoti Agarwal, Dr. Sharda Jain Role of Atosiban In ART,Dr Jyoti Agarwal, Dr. Sharda Jain
Role of Atosiban In ART ,Dr Jyoti Agarwal, Dr. Sharda Jain Lifecare Centre
 
IVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy ratesIVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy ratesElmar Breitbach
 
Ovulation induction
Ovulation inductionOvulation induction
Ovulation inductionnermine amin
 
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain Lifecare Centre
 
Indivisualization of Ovulation Induction - Dr Dhorepatil Bharati
Indivisualization of Ovulation Induction - Dr Dhorepatil BharatiIndivisualization of Ovulation Induction - Dr Dhorepatil Bharati
Indivisualization of Ovulation Induction - Dr Dhorepatil BharatiBharati Dhorepatil
 
Ovulation induction protocols for unexplained infertility new advances 2019 f...
Ovulation induction protocols for unexplained infertility new advances 2019 f...Ovulation induction protocols for unexplained infertility new advances 2019 f...
Ovulation induction protocols for unexplained infertility new advances 2019 f...Anu Test Tube Baby Centre
 
Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...
Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...
Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...Lifecare Centre
 
Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal Dr. Jyoti Bh...
Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal  Dr. Jyoti Bh...Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal  Dr. Jyoti Bh...
Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal Dr. Jyoti Bh...Lifecare Centre
 
Unexplained Infertility - By Dhorepatil Bharati
Unexplained Infertility - By Dhorepatil BharatiUnexplained Infertility - By Dhorepatil Bharati
Unexplained Infertility - By Dhorepatil BharatiBharati Dhorepatil
 
Endometrial Scratching
Endometrial ScratchingEndometrial Scratching
Endometrial ScratchingAli Smith
 

What's hot (20)

Ovarian Stimulation Protocols
Ovarian Stimulation ProtocolsOvarian Stimulation Protocols
Ovarian Stimulation Protocols
 
Management of thin endometrium isar 2019
Management of thin endometrium isar 2019Management of thin endometrium isar 2019
Management of thin endometrium isar 2019
 
Optimal endometrial preparation for frozen embryo transfer cycles
Optimal endometrial preparation for frozen embryo transfer cyclesOptimal endometrial preparation for frozen embryo transfer cycles
Optimal endometrial preparation for frozen embryo transfer cycles
 
Free Information Session 5th September 2012: Recent Breakthroughs in IVF
Free Information Session 5th September 2012:  Recent Breakthroughs in IVFFree Information Session 5th September 2012:  Recent Breakthroughs in IVF
Free Information Session 5th September 2012: Recent Breakthroughs in IVF
 
PROTOCOLS Intra Uterine Insemination (sharing personal experience)
PROTOCOLSIntra Uterine Insemination  (sharing personal experience) PROTOCOLSIntra Uterine Insemination  (sharing personal experience)
PROTOCOLS Intra Uterine Insemination (sharing personal experience)
 
Intrauterine Insemination Treatment
Intrauterine Insemination TreatmentIntrauterine Insemination Treatment
Intrauterine Insemination Treatment
 
Monitoring of IVF Cycle - Dr Dhorepatil Bharati
Monitoring of IVF Cycle - Dr Dhorepatil BharatiMonitoring of IVF Cycle - Dr Dhorepatil Bharati
Monitoring of IVF Cycle - Dr Dhorepatil Bharati
 
Role of Atosiban In ART ,Dr Jyoti Agarwal, Dr. Sharda Jain
Role of Atosiban In ART,Dr Jyoti Agarwal, Dr. Sharda Jain Role of Atosiban In ART,Dr Jyoti Agarwal, Dr. Sharda Jain
Role of Atosiban In ART ,Dr Jyoti Agarwal, Dr. Sharda Jain
 
IVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy ratesIVF: Ways to improve pregnancy rates
IVF: Ways to improve pregnancy rates
 
Ovulation induction
Ovulation inductionOvulation induction
Ovulation induction
 
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
Update on LETROZOLE Current Guidelines for Ovulation Induction Dr. Sharda Jain
 
Intrauterine Insemination
Intrauterine  InseminationIntrauterine  Insemination
Intrauterine Insemination
 
Intra uterine insemination for unexplained infertility
Intra uterine insemination for unexplained infertilityIntra uterine insemination for unexplained infertility
Intra uterine insemination for unexplained infertility
 
Indivisualization of Ovulation Induction - Dr Dhorepatil Bharati
Indivisualization of Ovulation Induction - Dr Dhorepatil BharatiIndivisualization of Ovulation Induction - Dr Dhorepatil Bharati
Indivisualization of Ovulation Induction - Dr Dhorepatil Bharati
 
Adjuvant therapy
Adjuvant therapyAdjuvant therapy
Adjuvant therapy
 
Ovulation induction protocols for unexplained infertility new advances 2019 f...
Ovulation induction protocols for unexplained infertility new advances 2019 f...Ovulation induction protocols for unexplained infertility new advances 2019 f...
Ovulation induction protocols for unexplained infertility new advances 2019 f...
 
Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...
Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...
Clomiphene update in infertility Dr. Sharda Jain , Dr. Jyoti Agarwal Lifecare...
 
Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal Dr. Jyoti Bh...
Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal  Dr. Jyoti Bh...Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal  Dr. Jyoti Bh...
Ovulation Induction in I.U.I. Dr. Sharda Jain Dr. Jyoti Agarwal Dr. Jyoti Bh...
 
Unexplained Infertility - By Dhorepatil Bharati
Unexplained Infertility - By Dhorepatil BharatiUnexplained Infertility - By Dhorepatil Bharati
Unexplained Infertility - By Dhorepatil Bharati
 
Endometrial Scratching
Endometrial ScratchingEndometrial Scratching
Endometrial Scratching
 

Viewers also liked

Free Information Session 8th May 2013: Endometriosis and Infertility
Free Information Session 8th May 2013:  Endometriosis and InfertilityFree Information Session 8th May 2013:  Endometriosis and Infertility
Free Information Session 8th May 2013: Endometriosis and InfertilityFertility SA
 
Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...
Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...
Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...Fertility SA
 
Management of infertility Nice Guidelines 2013 : Dr. Sharda Jain Dr. Jyoti ...
Management of infertility  Nice Guidelines 2013 : Dr. Sharda Jain  Dr. Jyoti ...Management of infertility  Nice Guidelines 2013 : Dr. Sharda Jain  Dr. Jyoti ...
Management of infertility Nice Guidelines 2013 : Dr. Sharda Jain Dr. Jyoti ...Lifecare Centre
 
Infertility; Causes and Management
Infertility; Causes and ManagementInfertility; Causes and Management
Infertility; Causes and ManagementSami Shawer
 

Viewers also liked (7)

Free Information Session 8th May 2013: Endometriosis and Infertility
Free Information Session 8th May 2013:  Endometriosis and InfertilityFree Information Session 8th May 2013:  Endometriosis and Infertility
Free Information Session 8th May 2013: Endometriosis and Infertility
 
Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...
Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...
Free Information Session 8th May 2013: Endometriosis and Infertility - Treatm...
 
infertility treatments
infertility treatmentsinfertility treatments
infertility treatments
 
Tubal factor infertility
Tubal factor infertilityTubal factor infertility
Tubal factor infertility
 
Management of infertility Nice Guidelines 2013 : Dr. Sharda Jain Dr. Jyoti ...
Management of infertility  Nice Guidelines 2013 : Dr. Sharda Jain  Dr. Jyoti ...Management of infertility  Nice Guidelines 2013 : Dr. Sharda Jain  Dr. Jyoti ...
Management of infertility Nice Guidelines 2013 : Dr. Sharda Jain Dr. Jyoti ...
 
Infertility; Causes and Management
Infertility; Causes and ManagementInfertility; Causes and Management
Infertility; Causes and Management
 
Infertility
InfertilityInfertility
Infertility
 

Similar to 10 Tips of success of IUIdr. sharda jain

Secrets for success of Intra Uterine Insemination (IUI)
Secrets for success of Intra Uterine Insemination (IUI)Secrets for success of Intra Uterine Insemination (IUI)
Secrets for success of Intra Uterine Insemination (IUI)Anu Test Tube Baby Centre
 
Post Coital Test (PCT): A Panel Discussion
Post Coital Test (PCT): A Panel DiscussionPost Coital Test (PCT): A Panel Discussion
Post Coital Test (PCT): A Panel DiscussionMohamed Walaa El Deeb
 
Optimizing clinical outcome of IUI
Optimizing clinical outcome of IUIOptimizing clinical outcome of IUI
Optimizing clinical outcome of IUIDr Parul Katiyar
 
Pearls of Wisdom in Infertility
Pearls of Wisdom in InfertilityPearls of Wisdom in Infertility
Pearls of Wisdom in InfertilityDr. Jyoti Malik
 
Ovarian Reserve - Testing & Management - Dr Dhorepatil Bharati
Ovarian  Reserve - Testing & Management - Dr Dhorepatil BharatiOvarian  Reserve - Testing & Management - Dr Dhorepatil Bharati
Ovarian Reserve - Testing & Management - Dr Dhorepatil BharatiBharati Dhorepatil
 
ovarian stimulation- back to basics
ovarian stimulation- back to basicsovarian stimulation- back to basics
ovarian stimulation- back to basicsparul sehgal
 
How to make IUI cost effective
How to make IUI cost effectiveHow to make IUI cost effective
How to make IUI cost effectiveLifecare Centre
 
Diagnosis and management of basic infertility
Diagnosis and management of basic infertilityDiagnosis and management of basic infertility
Diagnosis and management of basic infertilityArchana Tandon
 
Difficult Cases in IUI
Difficult Cases in IUIDifficult Cases in IUI
Difficult Cases in IUISujoy Dasgupta
 
Presentation on Optimizing IUI Outcome by Dr. Laxmi Shrikhande
Presentation on Optimizing IUI Outcome by Dr. Laxmi ShrikhandePresentation on Optimizing IUI Outcome by Dr. Laxmi Shrikhande
Presentation on Optimizing IUI Outcome by Dr. Laxmi ShrikhandeDr.Laxmi Agrawal Shrikhande
 
Intrauterine Insemination UPDATE 2018
Intrauterine Insemination UPDATE 2018 Intrauterine Insemination UPDATE 2018
Intrauterine Insemination UPDATE 2018 Lifecare Centre
 
Infertility Overview, Approach and Evaluation
Infertility Overview, Approach and EvaluationInfertility Overview, Approach and Evaluation
Infertility Overview, Approach and Evaluationedenfertilitycenters
 
Approach to a case of female infertility dr monikha
Approach to a case of female infertility dr monikhaApproach to a case of female infertility dr monikha
Approach to a case of female infertility dr monikhaMonikha Ess Ess
 
IUI - Intrauterine insemination - how to optimise results
IUI - Intrauterine insemination - how to optimise results IUI - Intrauterine insemination - how to optimise results
IUI - Intrauterine insemination - how to optimise results Dr Aniruddha Malpani
 
Fdocuments.in iui intrauterine-insemination-optimising-results
Fdocuments.in iui intrauterine-insemination-optimising-resultsFdocuments.in iui intrauterine-insemination-optimising-results
Fdocuments.in iui intrauterine-insemination-optimising-resultsprashganvir
 
14.Infertility And Art2009.3.24
14.Infertility And Art2009.3.2414.Infertility And Art2009.3.24
14.Infertility And Art2009.3.24Deep Deep
 
Optimization of outcomes of .pptx
Optimization of outcomes of  .pptxOptimization of outcomes of  .pptx
Optimization of outcomes of .pptxDrRokeyaBegum
 

Similar to 10 Tips of success of IUIdr. sharda jain (20)

Secrets for success of Intra Uterine Insemination (IUI)
Secrets for success of Intra Uterine Insemination (IUI)Secrets for success of Intra Uterine Insemination (IUI)
Secrets for success of Intra Uterine Insemination (IUI)
 
Post Coital Test (PCT): A Panel Discussion
Post Coital Test (PCT): A Panel DiscussionPost Coital Test (PCT): A Panel Discussion
Post Coital Test (PCT): A Panel Discussion
 
Optimizing clinical outcome of IUI
Optimizing clinical outcome of IUIOptimizing clinical outcome of IUI
Optimizing clinical outcome of IUI
 
An ohss – free clinic
An ohss – free clinicAn ohss – free clinic
An ohss – free clinic
 
Pearls of Wisdom in Infertility
Pearls of Wisdom in InfertilityPearls of Wisdom in Infertility
Pearls of Wisdom in Infertility
 
DR SUNITA CHANDRA, LUCKNOW
DR SUNITA CHANDRA, LUCKNOWDR SUNITA CHANDRA, LUCKNOW
DR SUNITA CHANDRA, LUCKNOW
 
Ovarian Reserve - Testing & Management - Dr Dhorepatil Bharati
Ovarian  Reserve - Testing & Management - Dr Dhorepatil BharatiOvarian  Reserve - Testing & Management - Dr Dhorepatil Bharati
Ovarian Reserve - Testing & Management - Dr Dhorepatil Bharati
 
ovarian stimulation- back to basics
ovarian stimulation- back to basicsovarian stimulation- back to basics
ovarian stimulation- back to basics
 
How to make IUI cost effective
How to make IUI cost effectiveHow to make IUI cost effective
How to make IUI cost effective
 
Diagnosis and management of basic infertility
Diagnosis and management of basic infertilityDiagnosis and management of basic infertility
Diagnosis and management of basic infertility
 
Difficult Cases in IUI
Difficult Cases in IUIDifficult Cases in IUI
Difficult Cases in IUI
 
Presentation on Optimizing IUI Outcome by Dr. Laxmi Shrikhande
Presentation on Optimizing IUI Outcome by Dr. Laxmi ShrikhandePresentation on Optimizing IUI Outcome by Dr. Laxmi Shrikhande
Presentation on Optimizing IUI Outcome by Dr. Laxmi Shrikhande
 
Intrauterine Insemination UPDATE 2018
Intrauterine Insemination UPDATE 2018 Intrauterine Insemination UPDATE 2018
Intrauterine Insemination UPDATE 2018
 
Infertility Overview, Approach and Evaluation
Infertility Overview, Approach and EvaluationInfertility Overview, Approach and Evaluation
Infertility Overview, Approach and Evaluation
 
Approach to a case of female infertility dr monikha
Approach to a case of female infertility dr monikhaApproach to a case of female infertility dr monikha
Approach to a case of female infertility dr monikha
 
IUI - Intrauterine insemination - how to optimise results
IUI - Intrauterine insemination - how to optimise results IUI - Intrauterine insemination - how to optimise results
IUI - Intrauterine insemination - how to optimise results
 
Fdocuments.in iui intrauterine-insemination-optimising-results
Fdocuments.in iui intrauterine-insemination-optimising-resultsFdocuments.in iui intrauterine-insemination-optimising-results
Fdocuments.in iui intrauterine-insemination-optimising-results
 
Complete Guide To Infertility
Complete Guide To InfertilityComplete Guide To Infertility
Complete Guide To Infertility
 
14.Infertility And Art2009.3.24
14.Infertility And Art2009.3.2414.Infertility And Art2009.3.24
14.Infertility And Art2009.3.24
 
Optimization of outcomes of .pptx
Optimization of outcomes of  .pptxOptimization of outcomes of  .pptx
Optimization of outcomes of .pptx
 

More from Lifecare Centre

Anemia Free India Gynaecologist to focuss on *12gm Haemoglobin at Delivery I...
Anemia Free India Gynaecologist  to focuss on *12gm Haemoglobin at Delivery I...Anemia Free India Gynaecologist  to focuss on *12gm Haemoglobin at Delivery I...
Anemia Free India Gynaecologist to focuss on *12gm Haemoglobin at Delivery I...Lifecare Centre
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
Liver Dialogue for Gynaecologists : Dr Sharda Jain
Liver Dialogue for Gynaecologists : Dr Sharda JainLiver Dialogue for Gynaecologists : Dr Sharda Jain
Liver Dialogue for Gynaecologists : Dr Sharda JainLifecare Centre
 
National Tuberculosis elimination programme (NIKSHAY) Big Challenge to GOI : ...
National Tuberculosis elimination programme (NIKSHAY)Big Challenge to GOI : ...National Tuberculosis elimination programme (NIKSHAY)Big Challenge to GOI : ...
National Tuberculosis elimination programme (NIKSHAY) Big Challenge to GOI : ...Lifecare Centre
 
Innovations & Breakthrough in IVF PART 3
Innovations & Breakthrough in IVF PART 3Innovations & Breakthrough in IVF PART 3
Innovations & Breakthrough in IVF PART 3Lifecare Centre
 
Strategies for Improving Success Rates in ART PART
Strategies for Improving Success Rates in ART PARTStrategies for Improving Success Rates in ART PART
Strategies for Improving Success Rates in ART PARTLifecare Centre
 
20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...
20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...
20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...Lifecare Centre
 
Vaccination during Pregnancy & its Importance : Dr Sharda Jain
Vaccination during Pregnancy & its Importance : Dr Sharda JainVaccination during Pregnancy & its Importance : Dr Sharda Jain
Vaccination during Pregnancy & its Importance : Dr Sharda JainLifecare Centre
 
How to optimize success rates in ART? : Dr Sharda Jain
How to optimize success rates in ART? : Dr Sharda JainHow to optimize success rates in ART? : Dr Sharda Jain
How to optimize success rates in ART? : Dr Sharda JainLifecare Centre
 
SOCIALEGG FREEZING : Dr Poorva Bhargav and Dr Sharda Jain
SOCIALEGG FREEZING : Dr Poorva Bhargav  and Dr Sharda JainSOCIALEGG FREEZING : Dr Poorva Bhargav  and Dr Sharda Jain
SOCIALEGG FREEZING : Dr Poorva Bhargav and Dr Sharda JainLifecare Centre
 
White Coat Hypertension During Pregnancy : Dr Sharda Jain
White Coat Hypertension During Pregnancy : Dr Sharda JainWhite Coat Hypertension During Pregnancy : Dr Sharda Jain
White Coat Hypertension During Pregnancy : Dr Sharda JainLifecare Centre
 
White Coat hypertension Why it is Important? : Dr Sharda Jain
White Coat hypertension Why it is  Important? : Dr Sharda JainWhite Coat hypertension Why it is  Important? : Dr Sharda Jain
White Coat hypertension Why it is Important? : Dr Sharda JainLifecare Centre
 
Understanding Blood Pressure Reading During Pregnancy : Dr Sharda Jain
Understanding Blood Pressure Reading During Pregnancy : Dr Sharda JainUnderstanding Blood Pressure Reading During Pregnancy : Dr Sharda Jain
Understanding Blood Pressure Reading During Pregnancy : Dr Sharda JainLifecare Centre
 
Know Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda Jain
Know Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda JainKnow Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda Jain
Know Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda JainLifecare Centre
 
Still Birth:An Update : Dr Sharda Jain
Still Birth:An Update : Dr Sharda JainStill Birth:An Update : Dr Sharda Jain
Still Birth:An Update : Dr Sharda JainLifecare Centre
 
IRON DEFICIENCY ANEMIA OVERVIEW WITH FOCUS ON PARENTRAL IRON THERAPY : Dr ...
IRON DEFICIENCY ANEMIA  OVERVIEW  WITH FOCUS ON PARENTRAL IRON THERAPY  : Dr ...IRON DEFICIENCY ANEMIA  OVERVIEW  WITH FOCUS ON PARENTRAL IRON THERAPY  : Dr ...
IRON DEFICIENCY ANEMIA OVERVIEW WITH FOCUS ON PARENTRAL IRON THERAPY : Dr ...Lifecare Centre
 
Iron Deficiency Anemia in Pregnancy Role of IV Ferric Carboxymaltose and its ...
Iron Deficiency Anemia in PregnancyRole of IV Ferric Carboxymaltose andits ...Iron Deficiency Anemia in PregnancyRole of IV Ferric Carboxymaltose andits ...
Iron Deficiency Anemia in Pregnancy Role of IV Ferric Carboxymaltose and its ...Lifecare Centre
 
CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...
CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...
CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...Lifecare Centre
 
CMV UPDATE Few solid facts about cytomegalovirus (CMV) Infection & New devel...
CMV UPDATE Few solid facts  about cytomegalovirus (CMV) Infection & New devel...CMV UPDATE Few solid facts  about cytomegalovirus (CMV) Infection & New devel...
CMV UPDATE Few solid facts about cytomegalovirus (CMV) Infection & New devel...Lifecare Centre
 
Addressing the challenge of lack of Sleep in INDIA
Addressing the challenge of lack of Sleep in INDIA Addressing the challenge of lack of Sleep in INDIA
Addressing the challenge of lack of Sleep in INDIA Lifecare Centre
 

More from Lifecare Centre (20)

Anemia Free India Gynaecologist to focuss on *12gm Haemoglobin at Delivery I...
Anemia Free India Gynaecologist  to focuss on *12gm Haemoglobin at Delivery I...Anemia Free India Gynaecologist  to focuss on *12gm Haemoglobin at Delivery I...
Anemia Free India Gynaecologist to focuss on *12gm Haemoglobin at Delivery I...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
Liver Dialogue for Gynaecologists : Dr Sharda Jain
Liver Dialogue for Gynaecologists : Dr Sharda JainLiver Dialogue for Gynaecologists : Dr Sharda Jain
Liver Dialogue for Gynaecologists : Dr Sharda Jain
 
National Tuberculosis elimination programme (NIKSHAY) Big Challenge to GOI : ...
National Tuberculosis elimination programme (NIKSHAY)Big Challenge to GOI : ...National Tuberculosis elimination programme (NIKSHAY)Big Challenge to GOI : ...
National Tuberculosis elimination programme (NIKSHAY) Big Challenge to GOI : ...
 
Innovations & Breakthrough in IVF PART 3
Innovations & Breakthrough in IVF PART 3Innovations & Breakthrough in IVF PART 3
Innovations & Breakthrough in IVF PART 3
 
Strategies for Improving Success Rates in ART PART
Strategies for Improving Success Rates in ART PARTStrategies for Improving Success Rates in ART PART
Strategies for Improving Success Rates in ART PART
 
20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...
20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...
20 Simple ways for the Indian public to save water on World Water Day : Dr Sh...
 
Vaccination during Pregnancy & its Importance : Dr Sharda Jain
Vaccination during Pregnancy & its Importance : Dr Sharda JainVaccination during Pregnancy & its Importance : Dr Sharda Jain
Vaccination during Pregnancy & its Importance : Dr Sharda Jain
 
How to optimize success rates in ART? : Dr Sharda Jain
How to optimize success rates in ART? : Dr Sharda JainHow to optimize success rates in ART? : Dr Sharda Jain
How to optimize success rates in ART? : Dr Sharda Jain
 
SOCIALEGG FREEZING : Dr Poorva Bhargav and Dr Sharda Jain
SOCIALEGG FREEZING : Dr Poorva Bhargav  and Dr Sharda JainSOCIALEGG FREEZING : Dr Poorva Bhargav  and Dr Sharda Jain
SOCIALEGG FREEZING : Dr Poorva Bhargav and Dr Sharda Jain
 
White Coat Hypertension During Pregnancy : Dr Sharda Jain
White Coat Hypertension During Pregnancy : Dr Sharda JainWhite Coat Hypertension During Pregnancy : Dr Sharda Jain
White Coat Hypertension During Pregnancy : Dr Sharda Jain
 
White Coat hypertension Why it is Important? : Dr Sharda Jain
White Coat hypertension Why it is  Important? : Dr Sharda JainWhite Coat hypertension Why it is  Important? : Dr Sharda Jain
White Coat hypertension Why it is Important? : Dr Sharda Jain
 
Understanding Blood Pressure Reading During Pregnancy : Dr Sharda Jain
Understanding Blood Pressure Reading During Pregnancy : Dr Sharda JainUnderstanding Blood Pressure Reading During Pregnancy : Dr Sharda Jain
Understanding Blood Pressure Reading During Pregnancy : Dr Sharda Jain
 
Know Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda Jain
Know Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda JainKnow Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda Jain
Know Your Blood Pressure Understanding Blood Pressure Reading : Dr Sharda Jain
 
Still Birth:An Update : Dr Sharda Jain
Still Birth:An Update : Dr Sharda JainStill Birth:An Update : Dr Sharda Jain
Still Birth:An Update : Dr Sharda Jain
 
IRON DEFICIENCY ANEMIA OVERVIEW WITH FOCUS ON PARENTRAL IRON THERAPY : Dr ...
IRON DEFICIENCY ANEMIA  OVERVIEW  WITH FOCUS ON PARENTRAL IRON THERAPY  : Dr ...IRON DEFICIENCY ANEMIA  OVERVIEW  WITH FOCUS ON PARENTRAL IRON THERAPY  : Dr ...
IRON DEFICIENCY ANEMIA OVERVIEW WITH FOCUS ON PARENTRAL IRON THERAPY : Dr ...
 
Iron Deficiency Anemia in Pregnancy Role of IV Ferric Carboxymaltose and its ...
Iron Deficiency Anemia in PregnancyRole of IV Ferric Carboxymaltose andits ...Iron Deficiency Anemia in PregnancyRole of IV Ferric Carboxymaltose andits ...
Iron Deficiency Anemia in Pregnancy Role of IV Ferric Carboxymaltose and its ...
 
CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...
CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...
CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI ...
 
CMV UPDATE Few solid facts about cytomegalovirus (CMV) Infection & New devel...
CMV UPDATE Few solid facts  about cytomegalovirus (CMV) Infection & New devel...CMV UPDATE Few solid facts  about cytomegalovirus (CMV) Infection & New devel...
CMV UPDATE Few solid facts about cytomegalovirus (CMV) Infection & New devel...
 
Addressing the challenge of lack of Sleep in INDIA
Addressing the challenge of lack of Sleep in INDIA Addressing the challenge of lack of Sleep in INDIA
Addressing the challenge of lack of Sleep in INDIA
 

Recently uploaded

Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 

Recently uploaded (20)

Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 

10 Tips of success of IUIdr. sharda jain

  • 1. 10 secrets of success of IUI Dr. Sharda Jain Programme Director
  • 2. 1 Secret st Right choice based on facts (Actiology)
  • 3. Good Result : - Unexplained I : - Cervical Factor I : - Anovulatory I : - Donar IUI Poor Results :- severe male infertility tubal factor/ pelvic adhesions severe endometriosis
  • 4. 2nd secret Understand The Case (H & W) • • • • Age – women & men Ovarian response (Poor /High/ Normal) Endometrial Response AMH
  • 5. Good Responders :- young :- Good Crop of Preovulatory follicles :- Good ET (> 7 mm) :- Good PMS count Poor Responders :- Older self / partner, :- ↑ duration infertility (> 5 yrs) :- Poor OR :- Poor ET :- Poor Sperm Quality
  • 6. Male Male age - < 35 yrs > 45 yrs >10 million prewash count 5-10 million Post Wash Count Normal morphology – 14% (Krugers) DNA fragmentation - 30 % Sperm survival (24 hours) - ↑ 80%
  • 7. 3rd secret Individualised Ovarian Stimulation Protocol • Typical PR 4 / 8 / 12 / 20 • GT • Antagonist in IUI protocol
  • 8. 4th secret Poor Endometrial Thickness • CC – neg. effect on ET – EV ? • Delay trigger • GT • Scratching of Endometrium • ↑ Endo Vascularity (Aspirin/ Viagra / Sidnafil)
  • 9. 5th secret Follicle Monitoring Do it your self Modify Dose / ET / Follicle size / HCG Trigger - GT - EV
  • 10. 6th secret Do Right Thing at Right Time Trigger when GT – 17-18 mm CC -24 -25 mm Doppler – Perifollicular perfusion 50 – 70 % RI < 5 PSV > 11 S/C HCG – (BMI) Agonist trigger - OHSS
  • 11. Timing of IUI – 38 hours Single – No Male Factor Double IUI – Male factor, PSV > 20 1st 16 - 18 hrs 2nd 36 – 38 hrs + LH surge - Give HCG trigger immediately - IUI 24 hrs
  • 12. 7th secret Lab secret • Labeling • Abstinance (<3 V/S > 10 days) • Semen collection • Semen preparation One size does not fit all • High quality Consumables & media Preparation in doctor’s office must
  • 13. 8th secret Success lies in looking into details of techniques • • • • • • • Full Bladder Cx mucus aspiration Targets time - 90 minutes Load – when ready No free space Rest 10 mints Emergency trey Easy IUI
  • 14. 9th secret Luteal support • Progesterone • Vaginal progesterone (↑ PR) is the BEST
  • 15. 10th secret Counseling / Knowing when to stop 3 cycles of IUI = 1 IVF
  • 16. Final secret All that we are • Integrity of Team • Right documentation • Analysis of Result what works