Infertility Management Made Easy®
Infertility Management Made Easy®
Third Edition
Editor
Sushma Deshmukh MD DGO
Director Central India Test Tube Baby Centre, Nagpur Head Department of Obstetrics and Gynecology Getwell Multispeciality Hospital and Research Centre, Nagpur In-charge Deshmukh Hospital
Nagpur, Maharashtra, India
Forewords
Firuza R Parikh
S Haimovich
Jaypee Brothers Medical Publishers (P) Ltd
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Infertility Management Made Easy®
First Edition: 2007
Second Edition: 2014
Third Edition: 2021
9789390020836
Printed at:
My mother Dr Sarojini Deshmukh and
father Dr PR Deshmukh
My parents are God for me!
Enlightening my path
With a powerful humanity torch!
Sushma Deshmukh
- Andrea Tinelli MD Prof Phd
- Chief
- Department of Obstetric and Gynecology Presso Veris Delli Ponti Hospital, ASL Lecce, Italy
- Arnav Pai MBBS
- DY Patil Medical College
- Pune, Maharashtra, India
- Ashish Kale MD (O&G) DNB MNAMS Dip. Endopelvic Surgery (Germany) MICOG (India) FICS
- Director
- Asha IVF Center and Ashakiran Hospitals
- Jalna, Maharashtra, India
- Bharati Dhorepatil DNB DGO FICS Dip Endoscopy
- Director and Chief IVF Consultant
- Shree Hospital, Ssmile IVF RM Unit
- Pune, Maharashtra, India
- Bindu N Chimote PhD (Biochemistry) MSc Clinical Embryology (Leeds, UK)
- Consultant Clinical Embryologist
- Vaunshdhara Fertility Center
- Nagpur, Maharashtra, India
- Chaitanya Nagori MD DGO
- Director
- Dr Nagori's Institute for Infertility and IVF
- Ahmedabad, Gujarat, India
- Chaitanya Shembekar MD
- Chairman and Managing Director
- Omega Hospital
- Nagpur, Maharashtra, India
- Dimitar Parvanov PhD
- Nadezhda Women's Health Hospital
- Sofia, Bulgaria
- Duru Shah MD FRCOG FICOG FICS FCPS FICMCH DGO DFP
- Director
- Gynaecworld—The Center for Women's
- Health and Fertility
- Mumbai, Maharashtra, India
- Gautam Nand Allahbadia MD DNB FNAMS FCPS DGO DFP FICOG FICMU
- Medical Director
- Millennium Medical Center—MMC IVF
- Dubai, UAE
- Georgi Stamenov MD PhD
- Founder and Head of IVF Clinic
- Nadezhda Women's Health Hospital
- Sofia, Bulgaria
- Haresh Vaghasia MD (OBG) DPE (Austria) DSH (Italy)
- Gynecological Endoscopic Surgeon
- Apollo Spectra Hospitals
- Mumbai, Maharashtra, India
- Hrishikesh Pai MD FRCOG (UK) FCPCS FICOG MSc (USA)
- Medical Director
- Bloom IVF Group
- Mumbai, Maharashtra, India
- Jaideep Malhotra MD FICMCH FICOG FRCOG FRCPI FMAS
- Managing Director
- ART—Global Rainbow IVF
- Agra, Uttar Pradesh, India
- Jayashri Shembalkar MBBS MD (General Medicine) DM (Endocrinology)
- Consultant Endocrinologist
- Getwell Hospital and Research Institute
- Nagpur, Maharashtra, India
- José Metello MD
- O Centro de Infertilidade e Reprodução
- Medicamente Assistida
- Hospital Garcia de Orta and
- Ginemed-Maloclinic, Lisboa, Portugal, Milano, Italy
- Kalyan Baramde MD DNB DGO FCPS DFP
- IVF Consultant and Endoscopist
- Barmade Hospital and LIFE Advanced Test Tube Baby Center
- Latur, Maharashtra, India
- Kedar N Ganla MD DNB FCPS DGO DFP
- Consultant Fertility Physician Scientific Director
- Ankoor Fertility Clinic
- Mumbai, Maharashtra, India
- Manisha Shembekar MD DA
- Clinical Embryologist
- Joint Managing Director
- Omega Hospitals
- Nagpur, Maharashtra, India
- Marina Vinciguerra MD
- Department of Obstetrics and Gynecology
- AOU Policlinico University Hospital, Bari, Italy
- Narendra Malhotra MD FICMCH FICOG FRCOG FICS FMAS FIAP
- Managing Director
- Global Rainbow Health Care
- Agra, Uttar Pradesh, India
- Professor
- Sarajevo School of Science and Technology, Croatia
- Needa Beg Shaikh MBBS DGO (Mumbai)
- Consultant
- Vaishnavi Hospital and
- Endoscopy Centre (PG Institute)
- New Hope IVF Center
- Latur, Maharashtra, India
- Neharika Malhotra
- MD (Gold Medalist) DRM (Germany) FICMCH Fellow ICOG (Rep Med) ICOG (USG)
- Consultant
- Global Rainbow IVF
- Agra, Uttar Pradesh, India
- Parul Sharma Saoji MS DNB
- IVF Consultant
- Executive Director
- Omega Hospitals
- Nagpur, Maharashtra, India
- Priyanka H Vora MBBS DGO FCPS DFP BIMIE
- Associate Consultant
- Ankoor Fertility Clinic
- Mumbai, Maharashtra, India
- Radmila Sparic MD PhD
- Clinic for Gynecology and Obstetrics
- Clinical Centre of Serbia, Belgrade
- Serbia University of Belgrade
- School of Medicine
- Belgrade, Serbia
- Rajesh Darade MBBS DNB FICS (USA) FCPS FICOG FICMCH DGO DFP MNAMS
- Former Associate Professor (Obs & Gyn)
- Government Medical College
- Latur
- Director
- Vaishanvi Hospital and Endoscopy Centre (PG Institute)
- Latur, Maharashtra, India
- Rana A Choudhary DNB DGO DFP FCPS FICOG
- Associate Consultant
- Ankoor Fertility Clinic
- Mumbai, Maharashtra, India
- Safak Hatirnaz MD Prof
- Department of Obstetrics and Gynecology
- Medicana International Samsun Hospital
- Samsun, Turkey
- Sandhya Saoji MD (Microbiology)
- Consultant Microbiologist
- Su-Vishwas Diagnostic Lab
- Nagpur, Maharashtra, India
- Sergio Haimovich MD PhD
- Head
- Endometrial Pathology Hysteroscopy Unit in the Gynecology and Obstetrics Department
- Del Mar University Hospital
- Barcelona, Spain
- Sonal Panchal MD
- Ultrasound Consultant
- Dr Nagori's Institute for Infertility and IVF
- Ahmedabad, Gujarat, India
- Sudhir Deshmukh MS
- General Surgeon-Oncosurgeon
- Director
- Get Well Superspeciality Hospital
- Nagpur, Maharashtra, India
- Sulbha Arora MD DNB (OBG) Fellowship in Basic and Advanced Assisted Reproductive Techniques (Israel)
- Clinical Director
- Consultant (Reproductive Medicine)
- Nova IVI Fertility
- Mumbai, Maharashtra, India
- Suresh Nair MD
- Consultant Obstetrician and Gynecologist
- Gynecology Consultants Clinic and Surgery Division of Minimal Access Endoscopic Surgery
- Reproductive Endocrinology Infertility and Assisted Reproductive Techniques
- Consultant
- Mount Elizabeth Fertility Center
- Visiting Consultant
- National University Hospital
- Minimal Access Endoscopic
- Surgery
- 3 MT, Elizabeth # 12-17
- MT, Elizabeth Medical Center
- Singapore
- Sushma Deshmukh MD DGO
- Director
- Central India Test Tube Baby Centre, Nagpur
- Head
- Department of Obstetrics and Gynecology
- Getwell Multispeciality Hospital and Research Centre, Nagpur
- In-charge
- Deshmukh Hospital
- Nagpur, Maharashtra, India
- Unnati Mamtora MBBS DGO DNB
- IVF Consultant
- Bloom IVF
- Mumbai, Maharashtra, India
- Vasudeo Ridhorkar MS DNB MCH DNB MNAMS
- Ridhorkar Laser Urology Clinic
- Shanti Prabha Nursing home
- Nagpur, Maharashtra, India
The book Infertility Management Made Easy® is a wonderful scientific treatise which covers many aspects of basic and advanced treatment modalities of the infertile couple. I would like to congratulate Dr Sushma Deshmukh for her heartfelt and meaningful endeavours in writing this much needed book.
As doctors we are taught not only to treat the disease but also to treat individuals as well and look after their psychological, physical and holistic wellbeing. Treatment of infertile couples can be demanding at times. Many new advances have made it easier for the IVF specialist. However, a fruitful outcome is the culmination of technology, team work, updating one's knowledge where all the players are considered equal.
The greatest satisfaction for an individual is imparting knowledge to colleagues particularly the younger generation.
Dr Sushma Deshmukh deserves many accolades for this delightful book
Firuza R Parikh MD PhD
Director
FertilTree-Jaslok International Fertility Centre
Mumbai, Maharashtra, India
Foreword
As someone dedicated for many years to reproductive surgery, it was a great honor when Dr Sushma Deshmukh contacted me to be part of this very interesting project.
Dr Sushma Deshmukh is a vocational professional and teacher dedicated to women's health and focused mainly in infertility. She wrote many books in different areas and writing a book on infertility was only a matter of time.
The “infertility” as a subspecialty in Obs and Gyn is becoming more complex and difficult to understand. New data is published frequently and catching up demands a big effort and is time consuming.
Infertility Management Made Easy® is the interjection of two passions, infertility and teaching. This book makes an approach to a growing topic such as infertility, in a very accessible way, clarifying basic concepts and making it easy for the readers adapted both for students in their first steps and for specialists.
We arrived to the third edition of Dr Sushma Deshmukh's book, this fact shows the success of her excellent work and the demand on this specific theme.
Based on the known authors participating in writing chapters and the list of the excellent topics chosen, I highly recommend this book to any professional interested to increase and update the knowledge in Infertility.
S Haimovich MD PhD
Chair and Founder
Global Community of Hysteroscopy
Head
Hysteroscopy Unit
Del Mar University Hospital
Barcelona, Spain
Director
Gynecology Ambulatory Surgery Unit
Hillel Yaffe Medical Center
Hadera, Israel
Clinical Assistant Professor of Medicine
Rappaport Faculty of Medicine of
the Technion-Israel Institute of Technology
Haifa, Israel
Preface to the Third Edition
Infertility Management Made Easy®—the name itself is self-explanatory. Day-by-day infertility is on rising trend. Advanced technology had taken amazing strides in all fields and blessed infertility branch also.
Working on third edition has given me immense pleasure as well as more responsibility also. The trust on my book by the readers ignited me to work tirelessly to give justice to this third edition. In each edition, I had to update the newer technologies, and guidelines. Apart from that, I try to design every edition in some different way including current views. Because every time the new petals of this vast subjects are opening and I am always on exploring mode.
This edition gives complete review of infertility. You will find each section in a systematic way enriched with smart tips and practical points. All contributors are well-known faculties and they have penned down treasure tips. I always like to learn with fun. So I included small poems, designed pages to go with the story of that chapter and section. I am sure that this book will help in practicing gynecologists as well as infertility specialists to solve queries regarding infertility. One of the greatest transformations in the history of Gynecology is the In-Vitro Fertilization era and creation of two cells human embryo in the laboratory. The world is running very fast conquering each and every health problems. But still the human Midas touch and tender loving care is very important behind any success story.
Human body is amazing
To treat it appears to be interesting
Infertility is more challenging
Sometimes make you off & on
As systems may behave in an orderly fashion
Will cheer up you with new life creation
But Sometimes make you upset or in confusion
But—
With sincere truthful scientific efforts
And Tender Loving Care art
You can–
Believe Your inner voice and Almighty GOD!
Sushma Deshmukh
Preface to the First Edition
I am very much happy
To release
Infertility Management Made Easy
Infertility what should we call it?
Is it a disease or social Taboo?
It is a complex problem
Involving body sometimes
But psyche always!
The childless couple
Many times unmanageable
Difficult to treat!
Sometimes curable
With resultant sweet fruit
In some patients disease is curable
But without fruitful outcome.
…Advanced science and technology
has become boon to our society
also in the field of infertility
trying to go beyond horizon…
so a ray of hope always remain
if all efforts are in vain
i.e. Assisted reproduction!
Basically, assisted reproductive technology (ART) is an art
And beginning of new life with effort and support
We are trying to work with this concept
And provide assisting hand for it.
Sushma Deshmukh
Acknowledgements
First of all I would like to acknowledge all readers of my book who inspired me to work on this third edition. It was amazing experience. I always receive many messages and phone calls from the readers expressing their compliments for this book. Really I am obliged.
I am thankful to M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for making this book available all over the world. Special thanks to Shri Jitendar P Vij (Group Chairman) who is a constant source of support and inspiration for me. Thanks to Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director–Content Strategy), Ms Pooja Bhandari (Production Head), Dr Rajul Jain (Development Editor), Mr Sabarish Menon (Commissioning Editor, West and South zone) and all loving Jaypee family for believing in me to bring this third edition.
Many national and international faculties involved in this book contributed their views and research precisely within the time limit. Thanks to all of them from the bottom of my heart. Thanks to Dr Osama Shawki (Egypt) and Dr Maruf Siddiqui (Bangladesh), for the wonderful videos links.
My family is a thorough supporter for me. My husband Dr Sudhir Deshmukh and sons Dr Sushant and Dr Suyash always boost up me in any work and help me in all aspects. My father Dr PR Deshmukh, my mother Dr Sarojini Deshmukh, my brothers Dr Satish Deshmukh and Dr Sanjay Deshmukh always bless me in this academic journey.
I am thankful to the Almighty God has enlightened my path. Lastly I always remember my friends, relatives, supporters who have put rainbow colors in my life.
Medical Science
Refers to investigation of Human life
Via a phenomenological methodology!
When we combine
Science and Life
There occurs—A wonderful outcome
Science of comfort, empathy!
So though the science we learn
The fact is—the life remains uncertain….
Who will better understand & explain ?
None other than A Doctor!
Tons of thanks to all contributors and supporters!
Sushma Deshmukh