Male & Female infertility
Dr. Pradeep Muley M.D.,
Head & Senior Consultant Interventional Radiologist
Fortis Hospital, Vasant Kunj & Batra Hospital & Medical Research Center, New Delhi (India)
E-mail: – muleypradeep@hotmail.com Website: – http://www.indianinterventionalradiology.in Mobile: 91-9810492778
Fellow, Neurointerventional Radiology, John’s Hopkins Medical Institutions, USA Visiting Associate, Neurointerventional Radiology, Iowa University Hospitals, USA
Fellow Interventional Radiology, Singapore General Hospital, Singapore.
Lecturer, Vascular & Interventional Radiology, KEM Hospital, Mumbai, India.
Neuroradiology, AIIMS, New Delhi, India
Non-surgical Treatment for
Female Infertility caused by blocked fallopian tube
& Male Infertility caused by varicocele
Infertility affects over lakhs of couples in India. In females, blockade of fallopian tubes through which eggs pass from the ovary to the uterus and in males, varicocele of scrotum are the most common causes of infertility and is seen in 30-40% of these couples.
The common causes of blocked fallopian tubes are infections, TB, repeated abortion, long-term usage of contraceptive devices. The varicocele in males is caused by non-function of valves in testicular vein which leads to aching pain, testicular atrophy (shrinkage) and fertility problem due to decreased sperm count; decreased motility of sperm, and an increase in the number of deformed sperms.
Due to lack of awareness about non-surgical treatment, patients frequently undergo surgical treatment which results in surgical scar, long hospitalization, chances of infections, surgical suture and done under general anesthesia. Non-surgical treatment is performed by an interventional radiologist and benefits are less pain, no surgical scar, performed on outpatient (OPD), patients are able to return to normal daily activities immediately. A patient with both side varicoceles / blocked tubes can have them fixed simultaneously in one sitting, No general anesthesia / sutures / infections & it is cost-effective also.
Dr.Pradeep Muley M.D. Head and Senior Consultant Interventional Radiologist at Fortis Hospital, Vasant Kunj & Batra hospital & Medical Research Center, New Delhi trained from John’s Hopkins Medical Institutions USA and Singapore general hospital says this non-surgical treatment for varicoceles & opening of blocked fallopian tubes is now becoming popular in India like in western countries.
Hysterosalpingography (HSG) is useful in detecting abnormalities of the uterus and the fallopian tubes. It provides an accurate picture of the site and extent of obstruction of the tubes or uterus. The examination is done 8 to 11 days after the first day of the patient’s last menstrual period. In the same sitting the interventional radiologist performs this treatment also. He inserts a thin tube inside the uterus and very thin platinum wire passed through the fallopian tube on both sides under vision of high-end digital monitor. Patient can watch the entire procedure on computer monitor. The procedure usually takes 30 to 45 minutes and patient can go home after one hr.
Diagnosis of varicocele is fairly simple through physical or color flow ultrasound Doppler examination. The varicocele is typical on the left side, scrotum look like a “bag of worms”. Non-surgical catheter directed embolization is an outpatient treatment. Specifically trained interventional radiologist makes a tiny nick in the skin at the groin using local anesthesia and a thin catheter is passed and directed to the testicular vein. With contrast dye injection, interventional radiologist map out exactly where the problem is and by using coils or particles, by embolization, blood flow is re-directed to other healthy pathways. Whole non-surgical treatment procedure is pain less and takes about one hour.
Embolization is effective in improving male infertility and costs about the same as surgical ligation. The study shows, sperm concentration improved in 83 percent of patients undergoing embolization compared to 63 percent of those surgically ligated.
Dr. Pradeep Muley is trained in the USA and Singapore and has performed over 20,000 non-surgical treatments for various diseases like uterine fibroids, uterine adenomyosis, un-operable liver tumour, liver abscesses, opening of blocked fallopian tubes, brain aneurysm and vomiting of blood from lungs and stomach. He runs the VARICOSE VEIN AND FIBROID CLINIC AT Fortis Hospital, Vasant Kunj, New Delhi Inida
Recently, Dr. Pradeep Muley, MD (Head and Senior Consultant Interventional Radiologist has created INDIA’S 1ST UTERINE FIBROID CLUB. Visit his website at http://www.indianinterventionalradiology.in Dr. Muley also holds the distinction of treating the maximum number of fibroid patients in India through the innovative Uterine Artery Embolization method.
For more in-depth information on various non-surgical treatments, call 91-9810492778 or mail to muleypradeep@hotmail.com or visit to Website: – http://www.indianinterventionalradiology.in
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