While many couples can conceive after only a few months of trying, others battle with infertility. According to the Best IVF Doctor in Greater Noida, When it comes to fertility treatments, hopeful parents have a variety of alternatives, ranging from drugs such as Clomid (clomiphene) and Femara (letrozole) to IUI or surgery. Some couples, however, require a different form of assistance, either because certain types of fertility treatments are not available (such as for same-sex couples) or because they have failed. In vitro fertilisation, or IVF, is a procedure that can help with this.  What is IVF? In vitro fertilisation (IVF) is a term that refers to the process of conceiving a child in a laboratory In vitro fertilisation is a procedure in which eggs are fertilised in a laboratory by sperm outside of the body. Then one (or more) of the fertilised eggs is implanted in the uterus in the hopes of resulting in pregnancy — and a nine-month-old kid. Since 1978, when the first IVF baby was born, an estimated 8 million more have been born throughout the world (born via in vitro fertilisation and other reproductive technologies). In the United States, about 270,000 IVF rounds are performed each year, resulting in over 74,000 infants. What is the procedure for IVF? Your doctor may recommend a variety of reproductive therapies before recommending IVF. IVF, on the other hand, maybe the best option for women who have significant fallopian tube obstructions, ovulation difficulties, low ovarian reserve, poor egg quality, or endometriosis. The same goes for males with intractable sperm deficits, certain same-sex couples, couples who use donor eggs, and those who may need to test embryos for genetic issues. What is the success rate of IVF? The chance of pregnancy following an in vitro fertilisation cycle is determined by a variety of factors, including the woman’s age, the cause of infertility, the quality of retrieved eggs, and the quality of the sperm. “The woman’s age is the single most constant determinant impacting ovarian reserve.” About 3/4 of the eggs in most women in their 20s are genetically normal. There will, however, be genetically anomalous individuals. The finest eggs appear to be ovulated earliest. The less genetically normal eggs a woman has left to respond to reproductive medications, the older she becomes. Even in the fertile population, this age connection remained true. Around 40-50 percent of eggs are chromosomally normal at the age of 35, 10-20 percent at the age of 40, and significantly less beyond that. As a result, there are fewer normal embryos available for implantation into the uterus in older women. As a result, healthy women over 35 are less fertile than younger ones. Even when numerous embryos are implanted into the uterus, women over 40 may only have a 20% or lower live birth rate with IVF therapy using their eggs. The higher your IVF success percentage, the younger you are, especially if you’re under 35. That’s because as you become older, your ovaries are less likely to respond well to hormone-stimulating medicines, resulting in fewer eggs. Furthermore, the quality of your eggs tends to deteriorate as you get older (though there are exceptions), which means they may have a tougher difficulty implanting in your uterus.  Although it’s difficult to determine, the following are the approximate probabilities of a live delivery every treatment cycle based on age (provided the woman’s eggs are used) Women age Live birth rate per retrieval < 35 41.3% 35-37 31.7% 38-40 21.6% 41-42 10.6% > 42 3.4%   Your ovarian reserve is a term that refers to the number of eggs. The bigger your ovarian reserve (the quantity of high-quality fertilizable eggs left in your ovaries), the more likely you are to succeed with IVF. The more healthy your fallopian tubes are, the better your chances of IVF success. Even though in vitro fertilisation skips the fallopian tubes entirely, women with a fluid-filled obstruction in one or both fallopian tubes (known as a hydrosalpinx) have reduced success rates. Before undergoing IVF, a minor operation called salpingectomy can improve your chances of success. Other considerations The major risk factor affecting the success rate of IVF is age. However, many additional elements might influence your chances of success, including The results of an ovarian reserve test Whether or not there has been a previous pregnancy or live birth The approach that will be taken Woman’s age: as they become older, their chances of success drop. As the egg reserve diminishes, the egg’s quality deteriorates as well. In the past, IVF was seen to be the last option treatment for infertility, but in today’s world, IVF done at the correct age is the most critical indicator of success.  Fertility is influenced by a patient’s nutritional state and good living practices, which have a direct impact on egg quality. The patient’s degree of stress is also a significant impact on the success rate. Male variables such as teratozoospermia and DNA fragmentation have an impact on the rate of success. Implantation: The embryo connects to the endometrial surface of the uterus, invades the epithelium, and subsequently enters the maternal circulation to produce the placenta. It is the most crucial step in achieving IVF success. Well-equipped lab and well-trained staff: Embryo quality determines around 50-60% of success. Advanced laboratory procedures, well-trained embryologists, and a qualified physician. Because it is a collaborative effort between a skilled embryologist and a gynecologist. If you are thinking about getting IVF treatment or want to know more about it, Contact the fertility & IVF specialist In Delhi NCR, Dr.Ramya Mishra Shukla.

The ICSI treatment procedure was introduced to help couples become more fertile. According to the Fertility specialist in Greater Noida, In recent years, Intracytoplasmic Sperm Injection (ICSI), a step forward in IVF treatment, has revolutionized male infertility. It allows guys with poor sperm quality the opportunity to father their children. In normal conception, many millions of sperm cells are required for fertilization in each ejaculation, however, in ICSI, just one sperm cell may be sufficient. What exactly is the ICSI procedure? Intracytoplasmic Sperm Injection (ICSI) is an in In-Vitro Fertilization (IVF) treatment in which sperm is injected into the cytoplasm of a mature egg and the eggs and sperm are fertilized. It is a technique that is required for couples who are experiencing severe male factor infertility. What is ICSI and how does it work? A fertile woman’s menstrual cycle lasts around one month. During this time, the follicles in the ovaries that contain an egg continue to expand under the influence of the body’s natural hormones. This egg is released from the ovary at a moment midway through a woman’s period cycle, and ovulation occurs. Hormones, on the other hand, control ovulation. The eggs, which are ready for fertilization at this point, are placed in the fallopian tubes to await the arrival of viable sperm. The causes of unwanted childlessness are numerous, as are the treatments available. ICSI treatment is one such effective treatment approach. It’s a part of the IVF process. Special reproductive hormones are given to women who are having therapy to induce the development of multiple eggs in the ovaries. The eggs are subsequently extracted for the ICSI process, which is used to treat them. ICSI fertilization involves injecting a single sperm cell into each of the retrieved eggs. Each egg is placed under a strong microscope for this purpose, and a single sperm cell is inserted straight into it using a thin needle. After the injections and around 24 hours in the incubator, the majority of the eggs will begin to show indications of fertilization. To produce an embryo, the egg cells split and multiply. A healthy embryo develops after 2-3 days. After then, it gets transmitted. A small flexible needle is inserted into the uterus, where it is left to implant and produce a pregnancy. When is it a good idea to use ICSI? Your IVF doctor may prescribe an ICSI technique when the sperm does not need to travel to the egg or enter the egg’s outer layers. In addition, if there are any issues obtaining fertilization owing to male infertility factors, ICSI can help. Among the factors are: The sperm count is low. Sperm motility is reduced. The sperm’s failure to penetrate the egg In the past, unsuccessful IVF procedures ICSI can also help with the following conditions: You’re employing frozen sperm that don’t appear to be active. You’ve decided to pursue a PGD (preimplantation genetic diagnosis). Fertilization did not occur in your prior IVF treatments. Although the number of eggs was high and the sperm was healthy. The eggshells get stiffened when you employ frozen oocytes. Choosing IVM (in vitro maturation), which involves retrieving eggs before they reach maturity. ICSI is quite effective in this situation. ICSI treatment has many advantages. ICSI has many advantages, including: ICSI is a treatment for severe infertility in men that employs high-quality eggs. Low sperm count, poor sperm motility, or poor sperm quality are all causes of infertility. During In-Vitro Fertilization, ICSI enhances the chances of fertilization (IVF). If you’ve had a vasectomy, ICSI is also a great choice. Consult the Best fertility & IVF specialist In Greater Noida, if you plan to undergo ICSI treatment. They can advise you on the risks and consequences associated with ICSI.  

Cysts in the ovaries are fairly prevalent. They are most common during ovulation. This is the time of the month when the ovary produces an egg. Functional cysts are what they’re called. The majority of them aren’t malignant. According to the Infertility Specialist in Greater Noida, ovarian cysts affect many women at some point in their lives. Ovarian cysts, particularly those that have ruptured, can, nevertheless, produce significant symptoms. Get frequent pelvic checks and be aware of the symptoms that might indicate a significant condition to safeguard your health. Symptoms Ovarian cysts frequently do not create any symptoms. However, as the cyst expands, symptoms may arise. Among the signs and symptoms are: bloating or swelling in the abdomen bowel motions that hurt pelvic discomfort before to or during menstruation painful intercourse soreness in the thighs or lower back soreness in the breasts vomiting and nausea pelvic pain that is acute or intense fever dizziness or faintness breathing quickly Pelvic discomfort – a dull or intense aching on the cyst’s side in the lower abdomen. In your abdomen, there is a feeling of fullness or heaviness. Bloating Abdominal discomfort Pain accompanied by a fever or vomiting cold, clammy skin fast breathing Lightheadedness or weakness. If not handled promptly, these problems might have catastrophic implications. Diagnosis During a pelvic exam, a cyst on your ovary might be discovered. Your doctor will likely propose testing to establish its nature and whether you require treatment based on its size and whether it’s fluid-filled, solid, or mixed. Ultrasound of the pelvis. On a television screen, a wand-like instrument (transducer) transmits and receives high-frequency sound waves (ultrasound) to build a picture of your uterus and ovaries. Your doctor examines the picture to establish whether a cyst exists, where it is located, and whether it is solid, filled with fluid, or mixed. Laparoscopy. Your doctor can inspect your ovaries and remove the ovarian cyst using a laparoscope, which is thin, illuminated equipment put into your belly through a tiny incision. This is a surgical technique that necessitates the use of an anesthetic. Test for CA 125 in the blood. In women with ovarian cancer, blood levels of a protein called cancer antigen 125 (CA 125) are frequently high. Your doctor may prescribe this test if your cyst is partly solid and you have a high risk of ovarian cancer. Treatment Waiting with bated breath. In many circumstances, you can wait and be re-examined in a few months to check if the cyst has gone away. If you have no symptoms and ultrasound reveals a basic, tiny, fluid-filled cyst, this is usually an option — regardless of your age. Your doctor will most likely recommend that you get periodic pelvic ultrasounds to check if your cyst grows or shrinks.   To prevent ovarian cysts from returning, your doctor may prescribe hormonal contraceptives such as birth control tablets. Birth control drugs, on the other hand, will not diminish an existing cyst. Surgery. A big cyst, does not appear to be a functioning cyst, is growing, persists for two or three menstrual cycles, or causes discomfort that may be removed by your doctor. Your doctor may recommend removing the problematic ovary while keeping the other intact in some circumstances (oophorectomy). Your doctor would most likely send you to a gynecologic cancer expert if the cystic tumour is malignant. Your uterus, ovaries, and fallopian tubes may need to be removed (complete hysterectomy), as well as chemotherapy or radiation. When an ovarian cyst forms after menopause, your doctor is likely to prescribe surgery. To know more consult, fertility & IVF specialist In Greater Noida Dr. Ramya Mishra Shukla.

एक सामान्य गर्भावस्था को एकल एचसीजी स्तर या कट-ऑफ द्वारा परिभाषित नहीं किया जाता है। आपके द्वारा प्रत्यारोपित किए गए भ्रूण के प्रकार (ताजा या जमे हुए?) के आधार पर बीटा एचसीजी स्तर भिन्न होगा। 100 से ऊपर का बीटा एचसीजी स्तर सामान्य रूप से एक अनुकूल, सकारात्मक परिणाम माना जाता है। लेकिन समय के साथ बढ़ने की गति वास्तविक बीटा संख्या की तुलना में अधिक महत्वपूर्ण है (इसे हर 48 घंटे में दोगुना होना चाहिए)। प्रारंभिक बीटा के दो दिन बाद एचसीजी में प्रतिशत वृद्धि जितनी अधिक होगी, सफलता की संभावना उतनी ही बेहतर होगी। ग्रेटर नोएडा में सर्वश्रेष्ठ फर्टिलिटी और आईवीएफ विशेषज्ञ के अनुसार, एचसीजी स्तर के बारे में महत्वपूर्ण बातें जो आपको जानना आवश्यक हैं।   1.यदि आईवीएफ चक्र में एचसीजी ट्रिगर का उपयोग किया जाता है, तो इसका सावधानीपूर्वक मूल्यांकन करें। चूंकि एचसीजी युक्त दवाएं, जो आमतौर पर आईवीएफ में ट्रिगर इंजेक्शन के रूप में उपयोग की जाती हैं, एचसीजी के स्तर में हस्तक्षेप कर सकती हैं, भ्रूण स्थानांतरण के बाद एचसीजी के लिए रक्त परीक्षण की सिफारिश केवल 14 दिनों के बाद की जाती है ताकि यह निर्धारित किया जा सके कि आरोपण हुआ है या नहीं। इसके अलावा, ऑनलाइन एचसीजी कैलकुलेटर का उपयोग करने से बचें क्योंकि वे अक्सर गलत परिणाम देते हैं।   2. एक स्कैन योजना बनाएं। अल्ट्रासाउंड स्कैन आपकी गर्भावस्था की जांच करने का सबसे अच्छा तरीका है। आपका एचसीजी स्तर कम से कम 2,000 एमआईयू/एमएल होना चाहिए – और संभवतः अधिक – 6.5 सप्ताह तक। स्कैनिंग रूम में, आप इस समय भ्रूण के दिल की धड़कन देख और सुन सकते हैं।  3. मैं कितनी जल्दी अल्ट्रासाउंड करवा सकती हूं यह देखने के लिए कि मेरा शिशु सामान्य रूप से विकसित हो रहा है या नहीं? केवल अगर एचसीजी का स्तर 1500 एमआईयू/एमएल से अधिक है, तो अल्ट्रासाउंड गर्भावस्था को प्रकट कर सकता है। यह आमतौर पर भ्रूण स्थानांतरण के 1 महीने बाद या सकारात्मक एचसीजी परिणाम के 15 दिन बाद होता है। गर्भावस्था के स्थान (सामान्य या असामान्य) की पुष्टि करने के साथ-साथ बच्चे के दिल की धड़कन की पहचान करने के लिए एक अल्ट्रासाउंड का उपयोग किया जा सकता है। कुछ चुनिंदा परिस्थितियों में, डॉक्टर एक्टोपिक गर्भावस्था को रद्द करने के लिए नियत तारीख से एक सप्ताह पहले अल्ट्रासाउंड की सिफारिश कर सकते हैं।   4. मॉर्निंग सिकनेस!!! क्या यह एचसीजी से संबंधित है? यदि आपको गर्भावस्था के पहले कुछ हफ्तों में मिजाज, मतली या उल्टी हो रही है, तो यह एचसीजी के निम्न स्तर के कारण हो सकता है। ये लक्षण अधिकांश गर्भवती महिलाओं के एचसीजी स्तरों में उतार-चढ़ाव के कारण हो सकते हैं। चूंकि सिंगलटन गर्भधारण की तुलना में जुड़वां और तीन गुना गर्भधारण में एचसीजी का स्तर अधिक होता है, जुड़वां या तीन बच्चों वाली गर्भवती महिलाओं में मतली और उल्टी बढ़ जाती है।   5. महिलाओं में एचसीजी का स्तर बढ़ना। जो महिलाएं गर्भवती नहीं हैं, उनमें भी कुछ कैंसर, जैसे कि गर्भावधि ट्रोफोब्लास्टिक विकार (प्लेसेंटा से निकलने वाले ट्यूमर) और डिम्बग्रंथि जर्म सेल ट्यूमर, एचसीजी उत्पादन का कारण बन सकते हैं। कुछ वृषण ट्यूमर पुरुषों में भी एचसीजी हार्मोन उत्पन्न कर सकते हैं।   6. एचसीजी के स्तर में वृद्धि या कमी तो क्या होगा यदि आपका एचसीजी स्तर 48-72 घंटों में दोगुना नहीं होता है? स्वस्थ गर्भधारण के 15% तक एचसीजी को दोगुना होने में 96 घंटे तक का समय लग सकता है। हालांकि, एचसीजी के स्तर में सुस्त वृद्धि एक अस्थानिक गर्भावस्था का संकेत दे सकती है, जो एक गर्भावस्था है जो एक अनुचित स्थान पर होती है। इस परिदृश्य में, आपका डॉक्टर आपको निदान की पुष्टि करने के लिए जल्द से जल्द ट्रांसवेजाइनल अल्ट्रासाउंड कराने की सलाह दे सकता है। यदि गर्भावस्था सामान्य स्थान पर है लेकिन ठीक से नहीं बढ़ रही है, तो एचसीजी में धीमी वृद्धि का पता लगाया जा सकता है, और इस तरह के गर्भधारण के परिणामस्वरूप गर्भपात हो सकता है।   अकेले एचसीजी का निम्न स्तर हमेशा चिंता का कारण नहीं होता है।  स्तर विभिन्न परिस्थितियों से प्रभावित होते हैं, और विशिष्ट श्रेणी महिलाओं के बीच बहुत भिन्न होती है। यदि आपको अपने एचसीजी स्तरों के बारे में कोई चिंता है, या अधिक जानना चाहते हैं, तो डॉ रम्या मिश्रा शुक्ला से परामर्श लें, वह ग्रेटर नोएडा में आईवीएफ डॉक्टर है।

Because IVF is used for so many various sorts of infertility concerns, there aren’t always clear-cut answers to some of the most often asked questions. However, some basic principles can help you differentiate reality from fiction. We wanted to clear the air by discussing the dos and don’ts of IVF because of its growing popularity. According to the IVF doctor In Delhi NCR, Do’s and don’ts during IVF are: Do’s Exercise Daily, engage in at least 45 minutes to 60 minutes of physical activity, such as Yoga, exercise, or sports. It protects against fat and mental stress, as well as increases insulin sensitivity, which enhances ovarian function and raises the odds of conception. Physically active males had superior sperm morphology, according to research. Well-balanced diet For proper tissue function, a healthy, well-balanced diet is critical. It is recommended that one consumes more fresh fruits and vegetables, as well as a high-protein diet while avoiding junk and processed foods. Antioxidants also help to boost egg and sperm quality. Enough Sleep A healthy night’s sleep of 7-8 hours is critical for tissue rejuvenation and healing. Adapting a good sleep schedule, such as going to bed and rising early, can help you feel more relaxed, peaceful, and joyful. Vitamins for Pregnancy To avoid birth problems in the baby, start taking vitamin Folic acid 5 mg daily a few months before the due date. Antioxidants are necessary for both spouses’ gametes to be healthy. Psychological Guidance IVF may be emotionally draining, especially for people who are already under a lot of stress. It is usually preferable to contact a counsellor who can teach you and your partner effective stress management techniques. Don’ts Keep an eye out for substance abuse: It’s critical to avoid smoking, drinking, and taking medicines that aren’t prescribed throughout therapy to maximize your chances of success. As a result, avoid it at all costs. Don’t ignore your health: It’s all too easy to forget about yourself when making other critical decisions. Stay in shape, eat healthier foods, eat a well-balanced diet, and don’t forget your vitamins. Take advice seriously and don’t dismiss it: Follow the experienced physician’s instructions to the letter. They are highly informed and are well-versed in the procedure. Pay attention to what’s being said and do your best to follow it. You are aware of the IVF process’s list of dos and don’ts. This list is useful when considering whether or not to pursue IVF therapy. However, there are several dos and don’ts to follow during the IVF procedure to guarantee optimal success. During the IVF procedure, the full list of dos and don’ts may be separated into three portions or stages. Pre-cycle, mid-cycle, and post-cycle phases are the three stages. The following are the details. Phase one of the cycle: If you are a meat-eater, your diet should include some fruits, nuts, green leafy vegetables, and plenty of vegetables, as well as zinc-rich meat. Drink plenty of water. Maintain a routine that allows you to drink at least eight glasses of water every day on average. Foods that might cause food poisoning, such as raw eggs, should be avoided. Caffeine in excess should be avoided, as should alcohol. Phase in the middle of the cycle: Make sure you get at least eight hours of sleep each night. Sleep is essential for your health, so make sure you get plenty of it. Ensure a healthy amount of fluid intake by drinking plenty of water. The no-smoking and no-alcohol regulations are still in effect throughout this phase. Moderate to low-impact exercise is recommended. Post-cycle phase: Reward yourself for adhering to all of the fertility treatment do’s and don’ts thus far by treating yourself to a spa day, a women’s night out, and other activities. With your partner, discuss and share anything that occurs in your life. Try to stay as stress-free as possible. After the embryo transfer, do not take a hot tub bath or go into a hot sauna to avoid miscarriage and other fertility-related concerns. Both of these activities tend to raise the average body temperature, which can lead to unneeded issues. Do not use tampons because there is a possibility of mild bleeding following the egg retrieval; instead, use menstruation pads and keep adequate cleanliness. Water and other low-sugar options, such as coconut water and liquid IV, can help you prevent bloating. Reach out to the Best IVF specialist in Greater Noida if you’ve been battling with fertility difficulties, are interested in fertility treatments, or have any concerns regarding the dos and don’ts of IVF.

A fertile woman donates an egg, or oocyte, to another woman to assist her in becoming pregnant.  In most cases, a fertility & IVF specialist takes an egg or eggs from the donor, fertilizes them in a laboratory, and then transfers the resulting embryos into the recipient’s uterus. Doctors use an implantation method, such as in-vitro fertilization, to accomplish this (IVF). Some or all of the embryos may be frozen by the facility’s doctors for later use or implantation in different women. Women who are unable to utilize their eggs for a variety of reasons, including ovarian failure, preventing congenital abnormalities in the child, or old age, commonly benefit from egg donation. We’ll look at the criteria for choosing donors, the operation itself, and the legal consequences of an egg donation in this post. Who Uses Egg Donation? – Couples who wish to have a biological child using the male’s sperm despite the woman having low-quality or no eggs. – Women with no ovaries but a healthy uterus Women with genetic conditions don’t want their children to inherit – Over 42-year-old women. When considering using an egg donor, there are a lot of factors to think about. If you have a partner, begin by discussing these issues. Egg Donation Process   Hormone injections are given to the egg donor to stimulate multiple egg ovulation. Women naturally release one egg every month, however, injections enable a huge number of eggs to develop at once. Her fertility doctor arranges the operation once her eggs are ripe and ready to be extracted. The egg donor is anesthetized, and her doctor removes each egg from each mature follicle using an ultrasound-guided needle. Using the recipient’s partner’s sperm or selected donor sperm, the lab will attempt to fertilize multiple eggs in a laboratory. In vitro fertilization is the term for this procedure (IVF). The embryo (fertilized egg) is then implanted into the uterus of the recipient. The donor and recipient’s cycles are synced with medication in a new transfer cycle. The embryos are stored and transplanted at a later date in a frozen transfer. Preimplantation genetic screening for aneuploidy (an aberrant number of chromosomes) is occasionally conducted using frozen transfers. The embryo will implant into the uterine lining and develop into a healthy baby if it is successful. Egg donors are generally healthy young women between the ages of 21 and 30. The fertility center’s specialists will perform a thorough screening process to identify a suitable donor and will carefully walk you through the legal processes. Most donors may need to take medicine to interrupt their regular menstrual cycle before beginning the process. The following are possible side effects of this medication: hot flashes headache fatigue body aches The donor will next be given a series of fertility medications that will encourage the ovaries to generate several eggs at the same time. Hyperstimulation is the term for this. This medicine will be self-administered by donors by injecting it beneath their skin or into a muscle. If you are struggling with fertility issues and are looking for IVF Doctor In Greater Noida, Contact Dr.Ramya Mishra Shukla.      

Hysteroscopy is a technique that helps a doctor to examine the interior of a woman’s cervix and uterus. It employs the use of a narrow tube known as a hysteroscope, which is threaded into the vagina. The tube is equipped with a sensor. Photos of the uterus are shown on a video screen by the camera. According to the  Best fertility & IVF specialist, The technique may aid in the diagnosis and treatment of irregular bleeding, uterine infections, and other conditions. What is its purpose? A hysteroscopy is commonly used to: Determine the source of the abnormal bleeding. Help in the discovery of the cause of infertility, defined as the failure to conceive after at least a year of attempting. Determine the cause of your miscarriages (more than two miscarriages in a row) Fibroids and polyps should be identified and removed. There are different forms of uterine premature growth. Remove an intrauterine system (IUD), which is a thin, plastic device that is implanted within the uterus to prevent pregnancy. Conduct a biopsy. A biopsy is a surgical technique that involves the removal of a specific amount of tissue for examination. Insert a permanent contraception system into the fallopian tubes. During ovulation, fallopian tubes transport eggs from the ovaries to the uterus. What is the aim of a hysteroscopy? If you have heavier-than-normal menstrual cycles and/or bleeding between periods, you can need this test. During menopause, you’re bleeding. You are having difficulty being or remaining pregnant. You like a long-term method of birth control. You want to get rid of an IUD. What is a procedure for hysteroscopy? A hysteroscopy is usually performed in a hospital or an outpatient surgical facility. The following procedures are usually included in the procedure: You will take off your clothes and change into a hospital gown. You would be positioned on your back on an exam table, your feet in stirrups. Your arm or hand may be inserted with an intravenous (IV) tube. You may be given a sedative, which is a form of drug that relaxes you and blocks pain. General anesthesia can be administered to certain women. General anesthesia is a medication that renders you unconscious during the surgery. This medication would be administered by a medically qualified doctor known as an anesthesiologist. A special soap can be used to disinfect your vaginal section. Your doctor will inject an instrument known as a speculum into your vagina. It is used to stretch the vaginal walls open. The hysteroscope would then be inserted through the vagina and moved across your cervix and through your uterus by your nurse. Your doctor will insert a liquid or gas into your uterus with the hysteroscope. This helps to enlarge the uterus, allowing the physician a clearer vision. On a video screen, the nurse would be able to see pictures of the uterus. Your provider can collect a tissue sample for examination (biopsy). If you are getting a uterine growth removed or another uterine operation, the physician will administer the procedure with instruments inserted into the hysteroscope. Preparations before test If you may be given general anesthesia, you will be required to fast (not eat or drink) for 6–12 hours before the surgery.  For 24 hours before the procedure, do not use a douche, tampons, or vaginal medications. Risks A hysteroscopy is a relatively risk-free treatment.  For a few days after the treatment, you may experience minor cramping and a small amount of bloody discharge.  If you want to know more about it or have any concerns or queries, Contact fertility & IVF specialist In Delhi NCR, Dr. Ramya Mishra Shukla.