#punjab education foundation phase 9 | Explore Tumblr posts and blogs

mudassirmyo · 4 months ago

Text

dha lahore

A Comprehensive Guide to DHA Lahore

Lahore, the heart of Punjab, is known for its historical significance, vibrant culture, and modern real estate developments. Among the most prestigious areas in the city is the Defence Housing Authority (DHA) Lahore, which stands out as a symbol of luxury, security, and investment potential. Whether you're a local resident, a new homebuyer, or an investor, DHA Lahore offers opportunities that cater to all. Let’s dive into what makes DHA Lahore so special.

History of DHA Lahore

The inception of DHA Lahore dates back to the 1970s when it was initially conceived as a residential community primarily for retired military personnel. Over time, it evolved into one of the most sought-after residential and commercial areas for civilians and professionals alike. The involvement of the Pakistan Army in its development ensured that the housing authority upheld the highest standards of urban planning, infrastructure, and security.

Location and Accessibility

DHA Lahore is strategically located in the southern part of the city. Its proximity to Allama Iqbal International Airport, Ring Road, and major commercial hubs makes it an ideal place for those who desire both accessibility and exclusivity. Residents benefit from quick connections to Gulberg, Model Town, and downtown Lahore, allowing for seamless travel whether for work, shopping, or leisure.

Phases of DHA Lahore

DHA Lahore is divided into several phases, each with its own distinct characteristics.

Phase 1: The foundation of DHA, Phase 1, is one of the earliest and most well-established phases. It consists mainly of large residential plots and is characterized by mature infrastructure and green spaces.

Phase 2: With modern facilities and excellent urban planning, Phase 2 is known for its high-end properties and well-maintained public spaces.

Phase 3-7: These phases represent the gradual expansion of DHA and offer a mix of residential and commercial opportunities. Many areas in these phases are fully developed and have become desirable locations for new residents.

Phase 8-9: Considered the "new DHA," these phases offer state-of-the-art infrastructure, contemporary designs, and cutting-edge facilities. As development continues, these phases are fast becoming hotspots for new investments.

Master Planning and Infrastructure

DHA Lahore’s meticulous master planning ensures that all phases benefit from wide roads, extensive green belts, and underground utilities. The housing society takes pride in maintaining parks, recreational areas, and strict zoning laws to prevent overcrowding and maintain a serene environment.

Real Estate Market in DHA Lahore

When it comes to real estate, DHA Lahore is a goldmine for buyers and investors. Whether you are interested in residential properties such as villas, apartments, or plots, DHA offers a range of options to suit different preferences and budgets. The plot sizes typically range from 5 Marla to 2 Kanal, allowing buyers to choose according to their needs. Prices vary significantly depending on the phase and property size.

For those looking at commercial properties, DHA has ample opportunities for businesses with its well-planned commercial areas, ensuring a steady flow of customers and high returns on investment.

Lifestyle and Community Living

Living in DHA Lahore means more than just owning property. It’s about being part of a community that values quality of life. Residents enjoy well-maintained parks, community clubs, and sports facilities, such as DHA Sports Complexes, offering everything from tennis courts to swimming pools.

Educational Institutions in DHA Lahore

DHA is home to some of the most prestigious educational institutions in Lahore. Renowned schools like Lahore Grammar School and Beaconhouse School System have campuses spread across various phases, ensuring that children receive top-notch education within a short commute.

Healthcare Facilities in DHA Lahore

Access to medical services is another major perk for DHA residents. From general hospitals to specialized clinics, such as National Hospital, residents have access to excellent healthcare facilities that ensure their well-being.

Shopping, Dining, and Entertainment

When it comes to leisure and shopping, DHA Lahore doesn’t disappoint. Popular shopping destinations like Y Block Commercial Area and Packages Mall offer everything from high-end fashion to daily essentials. Dining options are abundant, with a variety of cafes, restaurants, and fast food outlets catering to different tastes.

Security and Safety

One of the biggest draws of DHA Lahore is its unmatched security. The entire area is gated, with 24/7 surveillance and patrols. DHA security works in tandem with local police to ensure a safe living environment, making it an ideal choice for families.

Environmental Initiatives

DHA Lahore is known for its commitment to sustainability. The community engages in several green initiatives, such as tree plantation campaigns and the development of green belts, ensuring that it remains a healthy and eco-friendly place to live.

Investment Opportunities in DHA Lahore

Investors have long been drawn to DHA Lahore because of its reputation for offering solid returns. As property values continue to rise, investing in DHA remains a smart choice for those looking to grow their wealth. From renting out properties to long-term sales, DHA offers plenty of opportunities for both small and large investors.

Challenges Faced by DHA Lahore

Like any rapidly growing area, DHA Lahore does face some challenges, such as traffic congestion in certain phases due to the growing population. However, the development of new roads and connections to the Lahore Ring Road is helping to alleviate these issues.

Future of DHA Lahore

Looking ahead, DHA Lahore has ambitious expansion plans. New phases are in the pipeline, and there is a strong focus on introducing more advanced infrastructure and green initiatives. The future of DHA Lahore looks promising, with ongoing projects ensuring it remains a top-tier housing society for years to come.

Conclusion

DHA Lahore has established itself as a premium residential and commercial area that combines luxury, security, and modern living. Its prime location, coupled with world-class infrastructure and a vibrant community, makes it an ideal choice for anyone looking to invest or settle in Lahore. As it continues to expand and evolve, DHA Lahore will remain a benchmark for urban living in Pakistan.

FAQs

What is the starting price of a house in DHA Lahore?

Prices for a house in DHA Lahore can start from PKR 2-3 crore for smaller properties and go up depending on the size and location.

How secure is DHA Lahore for families?

DHA Lahore is known for its top-notch security, with 24/7 surveillance, gated communities, and dedicated security teams ensuring a safe environment for families.

What is the difference between various phases of DHA Lahore?

Each phase in DHA varies in terms of development, pricing, and infrastructure, with newer phases offering more modern amenities while older phases provide a more established community.

#real estate #propertyforsale #propertyinvestment #realtor

2 notes · View notes

getintopaper-blog · 7 years ago

Text

Punjab Education Foundation PEF Lahore Jobs 2018

Punjab Education Foundation PEF Lahore Jobs 2018 Last Date: 21st March 2018

Punjab Education Foundation PEF Lahore Jobs 2018 Published in Nawai Waqt Newspapertoday 1st March 2018. Punjab Education Foundation PEF invites application from interested candidates for the post of Deputy Director Programs, Deputy Director Admin, Deputy Director Magazine Editor, Assistant Director Content Writer/Researcher English, Assistant Director Programs, Assistant Director IT Network…

View On WordPress

#pef jobs 2018 #pef school list 2018 #punjab education foundation advertisement #punjab education foundation internship 2018 #punjab education foundation jobs #punjab education foundation jobs application form #punjab education foundation new school program #Punjab Education Foundation PEF Lahore Jobs 2018 #punjab education foundation phase 9

0 notes

sandeeprahejafamily · 3 years ago

Text

Top Benefits That You Get From Mohali Real Estate Investment - Sandeep Raheja

Already an unassuming community close to Chandigarh, Mohali has seen critical framework improvement and has turned into a positive local location.

Individuals from all over the nation are moving to Mohali on the grounds that there are so many open positions. Because of this open door, there is an immense market for private property in Mohali. In view of the comfort and availability given by the area, most people pick an insightful choice by putting resources into the Mohali Residential district. It furnishes you with an extraordinary feeling of tranquility, the environment is superb and independent, and it additionally gives you a radiant lifestyle.

Mohali, alongside Chandigarh and Panchkula, is viewed as one of the main ten urban communities in India as far as the IT business. Beside that, the city brags an assortment scholastic establishments and an ever-evolving administrative foundation, which recognizes it from different urban areas in the district. Considering these attributes, it's not difficult to see the reason why Rental Property in Mohali is high on the need rundown of helpful regions for interest in private land. Different elements that add to the city's allure include:

· A Serene Lifestyle - One of the reasons Mohali is a well-known vacationer location is the presence of various sanctuaries and consecrated destinations, like Vaishno Devi Mata Mandir, Gurudwara Amb Sahib, and Gurdwara Sant Mandal Angitha Sahib. There are likewise the nurseries, like Silvi Park and Sukhna Lake. The city brags a great deal work prospects and instructive foundations, yet it's not so occupied as a colossal city like Chandigarh. The city has astounding climate since it is arranged in the Shivalik reach's lower regions.

· Accommodation - Mohali has fantastic transportation, both locally and to different urban areas. The city is kept associated through a transportation organization. There is a bus station in the downtown area as well as a train station in Phase 9 modern area. Mohali likewise has a worldwide air terminal, which is a part of Chandigarh air terminal.

· Ideal Place For Sports Fans - Mohali is otherwise called the games capital of the province of Punjab. While the Mohali arena, or the Punjab Cricket Association, is very much respected, the city likewise incorporates a hockey arena and roughly 8 games films that offer an assortment of exercises like swimming, table tennis, volleyball, etc. The Punjab Warriors, a Hockey India League hockey club, play their home games at the Mohali Professional Hockey Stadium.

· Astonishing Options - People may handily find the best home in the city, with 1 BHK to 3 BHK homes available to be purchased in Mohali. Seeing the city's framework development, various legitimate manufacturers have fostered some earth shattering activities in the city. It is very easy to find the best 3 BHK pads available to be purchased in Mohali that likewise accommodated your spending plan and give a portion of the top comforts that one might craving for a wonderful living.

· Building a Career - Mohali is likewise host to an assortment of scholarly foundations, like the Indian School of Business (ISB), Chandigarh Engineering College (CEC), Army Institute of Law, National Institute of Pharmaceutical Education and Research (NIPER), and others. Furthermore, numerous organizations have settled in Mohali. This truly intends that assuming an individual chooses to move to the city, they might be sure of a plenty of occupation choices.

Due to the phenomenal way of life accessible, various land designers are putting broadly in the city's assorted private and business projects. This is likewise the motivation behind why Real Estate Mohali are decently valued. Along these lines, presently is the second to put resources into land to appreciate huge compensations later on.

Mohali used to be a humble community perceived exclusively for its nearness to Chandigarh. The city's gigantic advancements have assisted with placing Mohali on the guide, making it a well-known spot for private land ventures. For more details

https://sandeeprahejafamily.blogspot.com/

#Sandeep Raheja #sandeep raheja family #durga sandeep raheja #sandeep gopal raheja

0 notes

lahore-division-updates · 3 years ago

Text

CM ANNOUNCES TO FILL 70 THOUSAND VACANT POSTS IN EDUCATION, HEALTH AND OTHER DEPARTMENTS

With the compliments of, The Directorate General Public Relations,

Government of the Punjab, Lahore Ph: 99201390.

No.1824/Tariq Ismail/Umer

HANDOUT (A)

RELIEF PACKAGE TO BE ANNOUNCED FOR COMMON MAN

LAHORE, October 26:

Chief Minister Punjab Sardar Usman Buzdar has advised the opposition not to make hue and cry as the government was stable and would complete its five-year term. The government would soon announce a package to combat the price-hike problem as it was fully aware of the difficulties of the common man and Prime Minister would also soon announce a package to give relief to the people. Chief Minister Punjab also announced to fill 70 thousand vacancies in health, education and other departments and said 70 thousand jobs would be provided to decrease unemployment. Action would also be taken on complaints regarding police performance. This he said while talking to media during a visit of corona mobile vaccination centre in Multan. Chief Minister said corona had globally affected economies and Pakistan adopted the best strategy to control this pandemic. The CM said vaccination was the only way to prevent corona and the government of Punjab has launched “Reach Every Home” campaign for corona vaccination and one million persons would be vaccinated on daily basis and for this purpose 18000 mobile teams have been constituted and vaccination target of 8 crore people would be achieved till December. Chief Minister asked the people to vaccinate themselves for the prevention of corona and also to extend cooperation with the government to make this campaign a big success. Chief Minister said he would soon make a detailed visit of Bahawalpur and Multan and would review the South Punjab Secretariat’s performance. Action would be taken against corruption and those exceeding beyond their authority, he added as the government was making efforts to overcome the shortage of officers for better performance of institutions. South Punjab Secretariat has been fully empowered and amendments in rules of business and its approval was a big success of the government, CM maintained. All departments would be shifted gradually to South Punjab Secretariat. Chief Minister Punjab also inaugurated “Reach Every Door” vaccination campaign and also reviewed the vaccination process. Chief Minister was briefed that in Multan, 54 percent vaccination target has been achieved and hundred percent vaccination target would be completed till December.

*****

No.1825/QU/Umer

HANDOUT (A)

CM VISITS FAISALABAD INAUGURATES BILLIONS OF RUPEES DEVELOPMENT PROJECTS

ANNOUNCES FAISALABAD RING ROAD, FAISALABAD-CHINIOT SARGODHA ROAD TO BE CONSTRUCTED WITH AN AMOUNT OF 16 BILLION RUPEES

CM VISITS CHILD PROTECTION INSTITUTE

LAHORE, October 26:

Chief Minister Punjab Sardar Usman Buzdar inaugurated and laid the foundation stone of 81 development schemes of 9 billion rupees at Serena Hotel Faisalabad during his 6-hour long visit. The CM inaugurated the child protection institute completed with an amount of 21 crore rupees. He then inaugurated Cricket Stadium Tandlianwala and the upgradation of RHC Khurianwala at Serena Hotel. Rs. 20 crore had been spent to upgrade the 60-bed RHC while the cricket stadium was constructed with 7.5 crore rupees. The CM laid the foundation stone of 78 development schemes valuing 8.16 billion rupees.

While talking to the media, the CM said 10 road repair projects of 145 KM would be completed with 3.40 billion and 18 crore rupees would be spent on repair and maintenance of Jhang Road Model Bazaar. 19 clean water and drainage schemes would be completed with 4 billion rupees, he added. 11.5 crore will be spent on the repair of 15 civil dispensaries and 16 crore rupees would be spent on 25 educational schemes, the CM added. 5 roads would be repaired with 30 crore under RAP phase 2. 2362 development projects of 105.42 billion would be completed in Faisalabad, he said and added that 472 development schemes under ADP would be completed with 88 billion rupees and 3.70 billion would be spent on 402 community development schemes, he added. 828 development schemes under SAP would be completed with a cost of 3.20 billion, he added and stated that 85 crore rupees would be spent on 51 development schemes under sugarcane development cess. 1.20 billion would be spent on 441 schemes under the Punjab Municipal services programme and 610 projects under local government ADP 2020-21 would be completed with an amount of 2.7 billion, the CM said. Meanwhile, 1.39 billion were being spent on 4 on-going specialized healthcare schemes and 4 water supply and drainage projects would be completed in partnership with French AFD, he added.

The CM said 100 KM long Faisalabad ring road would be revamped with 7 billion and new transport system would also be introduced. The phase of the district development package would be started and additional amount of 7 billion rupees would be given to complete on-going schemes. The CM said 3217 acre Special Economic Zones was being developed in Faisalabad under CPEC where more than 50 Chinese companies have invested. The number would rise to 150 next year, he added. Faisalabad has a relationship of love with PM Imran Khan and this would be further strengthened, he said and vowed that efforts would be made to developed Faisalabad as a model city. To a question, he said new districts and tehsils were being carved out to bring improvement in administrative matters. When the government came into power, there was no money and the government was in debt, he said and maintained that the whole world was facing price-hike due to the corona pandemic. A comprehensive package was being chalked out to provide relief, the CM disclosed and pointed out that 700 billion rupees development budget was the biggest one in provincial history and the ratio of utilization of development funds was also satisfactory. Responding to a question, he said the government was focusing to improve the health sector adding that there is no shortage of medicines. To another question, the CM said the government intends to hold local bodies elections. The act will be presented before the assembly and after its approval, the government would move forward towards holding local bodies elections. On the orders of the Supreme Court, not only local bodies have been restored but also being facilitated, he said and pointed out that the government’s job was to resolve problems and remove hurdles. To a question about change of Balochistan government, he said in democracy one can elect its own representatives. In case of any such move in Punjab we would handle it, he added.

Earlier, Chief Minister Punjab visited child protection institute and inspected the facilities being provided to orphans. CM expressed satisfaction over the arrangements. He also inaugurated a state-of-the-art computer lab. CM met with children residing in the institute and showed affection with them. Chief Minister interacted with the children and distributed gifts among them besides cutting a cake with the children. The children presented handmade cards to the CM and CM thanked the children and also made snaps with them. Usman Buzdar handed over a child girl residing in the institute to her parents. The family expressed gratitude with the CM. While talking on the occasion, the chief minister said child protection institute was providing the best services by giving education and character building of the orphans and its scope would be increased at the distract level and resources would be provided for the education of the orphans. Chairperson Child Protection and Welfare Bureau Sara Ahmad briefed the CM regarding the performance of the institution. Later on, the chief minister presided over a high-level meeting at Serena Hotel. The meeting reviewed the pace of work on the development projects being executed in Faisalabad. CM was also apprised about the measures taken to control the price-hike. CM directed to expedite the work on development schemes and ordered to launch a crackdown against illegal profiteers and hoarders. CM said those responsible for causing artificial price-hike would be sent to jails and directed to make all-out efforts for providing relief to the general public. He also directed to initiate action against the artificial price-hike elements. CM directed the administration and elected representatives to take collective measures for controlling the price-hike. CM said “we are fully aware of the difficulties of the general public and to provide relief to the people is our collective responsibility”. No compromise would be made on the standard of development projects and elected representatives would monitor the development schemes, he added. The chief minister said no hindrance would be tolerated regarding valid matters of elected representatives.

Federal Minister for state Farrukh Habib, Provincial Ministers Hussain Jahanian Gardezi, Hashim Jawan Bakht, Ajmal Cheema, Hafiz Mumtaz Ahmad, Ch. Zaheer ud Din, SACM Hassan Khawar, parliamentarians, local administration, police and relevant officers were also present on this occasion.

******

No.1826/Tariq Ismail/Umer

HANDOUT (A)

LAHORE, October 26:

Chief Minister Punjab Sardar Usman Buzdar has expressed grief and deep sorrow over the death of the father of DPO Sialkot. In his condolence message, CM prayed that may Almighty Allah give the departed soul eternal peace and tranquillity and grant courage and strength to the heirs to bear this loss with fortitude.

*****

0 notes

elawoman123-blog · 7 years ago

Text

IVF Doctors in Delhi | IVF Centre in Delhi | ElaWoman

Dr. Manika Khanna Gaudium Trained at Melbourne IVF, Australia & the University of Kiel, Germany, she founded Gaudium IVF & Gynae Solutions Centre to fulfill her long standing dream of bringing international standards of fertility care to India. The unprecedented success of the first Gaudium IVF Centre in Delhi paved the way for Gaudium to evolve into the best IVF clinic chain in India.

Hailed as the youngest consistent achiever in infertility and IVF care, Dr. Manika has over 10,000 successful IVF treatments to her credit with healthy Gaudium babies growing in over 30 countries.

Born and raised in Delhi in a family of freedom fighters and doctors, Dr. Manika is a Gold Medallist from Baroda Medical College, Gujarat. After completing her MBBS in 1996, followed by MD (Obstetrics & Gynaecology) in 1999, she completed her Diploma Training in Advanced Gynaecological Endoscopic Surgery (D.A.G.E.) at the Department of Obstetrics and Gynaecology, University Hospital Schleswig-Holstein, Campus Kiel, Germany. This was followed by an advanced training course in Assisted Reproduction in Humans (IVF) from Melbourne IVF, Australia.

Before founding Gaudium IVF & Gynae Solutions Centre in 2009, Dr. Manika served as Consultant Physician at Deen Dayal Upadhyay Hospital, New Delhi and later as Senior Consultant and Head of Department, Gynaecology and Obstetrics at Sri Balaji Action Medical Institute, New Delhi for several years.

An acclaimed infertility expert with over 17 years of clinical experience, Dr. Manika has done pioneering work in the field of IVF and gynaecology-related medical conditions. She is particularly experienced in treating serious infertility conditions such as recurrent IVF failure, recurrent miscarriage, polycystic ovarian syndrome (PCOS), endometriosis and uterine fibroids. Besides heading a team of top fertility experts at Gaudium IVF & Gynae Solutions Centres, she is on the expert panel of infertility units of various renowned hospitals.

In 2014, she created history in IVF treatment in India by successfully treating a patient with 15 previously failed IVF cycles. The patient gave birth to a healthy baby boy at Gaudium IVF and Gynae Solutions after an agonising 17 years of immense physical, emotional and financial strain.

Founded the Gaudium Foundation to provide free and subsidised treatment to economically weak patients.

In 2015, initiated Naari Jeevan Strot, a unique women & child health campaign by Gaudium Foundation that has connected the largest network of cities and districts in 5 major North Indian states of Delhi-NCR, Haryana, Chandigarh, Punjab and Himachal Pradesh. The initiative, which provides health education and free and subsidised medical relief to the less privileged through health camps and nukkad natak (street plays), has touched the lives of nearly 10 million women and was recognised as the best philanthropy project of the year 2014-2015 by Healthcare Leaders’ Forum & Awards 2015.

Established the Poor Patient Fund (PPF) at Gaudium IVF — a unique and innovative way for well- to-do families to donate for the treatment of underprivileged fertility patients. The initiative, which has received tremendous support from our dear patrons, provides for the treatment of 3 to 4 patients each month and has so far supported over 120 disadvantaged couples.

Active member of the Ekta Mission, a Delhi-based organisation working to provide elementary health services for underprivileged women and children.

Working proactively for the cause of the Girl Child – felicitated by the Lions Club for raising awareness against female infanticide.

Active ongoing participation in raising AIDS awareness through strategy-formulation summits, lectures and seminars.

Awarded by the Ekta Mission for outstanding contribution to the field of medicine.

An ethical, compassionate and committed medical professional, Dr. Manika is revered in the medical community for her exemplary contributions to infertility treatment in India.

With a vision to provide the best of advanced fertility care, Dr. Manika established Gaudium IVF, she has emerged as the Global Icon in IVF by delivering the highest success rate and over 10,000 IVF babies all over the world and again by treating the most complicated and challenging infertility conditions.

She has been consistently recognised and honoured with several awards such as “Asia’s greatest Health leader”, “Mahila Achiever Award” and the prestigious “Delhi Ratan”.

Dr. Manika has been credited with some of the highest IVF success rates and unequalled success in cases of recurrent IVF failure, male factor infertility, endometriosis and high-risk pregnancies.

Gaudium, Latin for joy, has ushered a new era of affordable and effective IVF clinic in Delhi, India, emerging as the preferred destination for patients seeking fertility care they can trust. A leading Government-approved IVF centre with 9 state-of-the-art centres across North India, Gaudium IVF centre combines advanced reproductive technology with world-class clinical expertise to bring you customised fertility solutions that work. Each patient who walks into a Gaudium facility is treated with utmost compassion and respect and receives personalised attention from a dedicated team of experts.

Today there are over 10,000 Gaudium babies all over the world — a resounding affirmation of unparalleled success of Gaudium IVF centre which has brought us numerous awards and honours along and unprecedented global acclaim.

At Gaudium IVF Centre, we treat your dream as our own and work tirelessly to help you have a healthy baby to take home. We provide the best surrogacy services and IVF treatment to infertile people at our IVF clinic. We are determined to offer our patients the best IVF treatment at affordable cost.

One of the main gynecologists of the city, Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Janak Puri has built up the facility and has picked up a devoted customer base in the course of recent years and is additionally as often as possible went to by a few VIPs, trying models and other decent customers and global patients too. They likewise anticipate growing their business further and giving administrations to a few more patients inferable from its prosperity in the course of recent years. The proficiency, devotion, exactness and empathy offered at the center guarantee that the patient's prosperity, solace and needs are kept of best need.

Dr. Manika Khanna (Gaudium Ivf And Gynae Solutions) in Delhi treats the different diseases of the patients by helping them experience top notch medicines and methodology. Among the various administrations offered here, the center gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions.

The basic evaluation can be performed by an interested and experienced primary care physician or an obstetrician-gynecologist. The primary care physician generally should refer the patient to a specialist for treatment of infertility. Many gynecologists initiate treatment prior to referral to a reproductive endocrinologist. This decision depends upon the results of infertility tests and clinician experience.

Multiple tests have been proposed for evaluation of female infertility. Some of these tests are supported by good evidence, while others are not. This topic will provide an evidence-based approach to the evaluation of female infertility. The etiology and treatment of female infertility, as well as the etiology, evaluation, and treatment of male infertility, are discussed separately.

INITIAL APPROACH — Both partners of an infertile couple should be evaluated for factors that could be impairing fertility. The infertility specialist then uses this information to counsel the couple about the possible etiologies of their infertility and to offer a treatment plan targeted to their specific needs.

It is important to remember that the couple may have multiple factors contributing to their infertility; therefore, a complete initial diagnostic evaluation should be performed to detect the most common causes of infertility, if present. When applicable, evaluation of both partners is performed concurrently [1].

The recognition, evaluation, and treatment of infertility are stressful for most couples [2]. The clinician should not ignore the couple's emotional state, which may include depression, anger, anxiety, and marital discord. Information should be supportive and informative. (See "Psychological stress and infertility".)

The techniques for semen analysis and interpretation of results are discussed in detail separately. (See "Approach to the male with infertility", section on 'Semen analysis'.)

Assessment of ovulatory function — Assessment of ovulatory function is a key component of the evaluation of the female partner since ovulatory dysfunction is a common cause of infertility. The treatment of women with ovulatory dysfunction is aimed at improving or inducing ovulatory function; a variety of treatment strategies is available. (See "Treatments for female infertility".)

Women who have regular menses approximately every 28 days with molimina symptoms prior to menses (breast tenderness, bloating, fatigue, etc.) are most likely ovulatory. In women who do not describe their cycles as such, laboratory assessment of ovulation should be performed. Ovulation is most easily documented by a mid-luteal phase serum progesterone level, which should be obtained approximately one week before the expected menses. For a typical 28-day cycle, the test would be obtained on day 21. A progesterone level >3 ng/mL is evidence of recent ovulation .

An alternative is to have the patient use an over-the-counter urinary ovulation prediction kit. These kits detect luteinizing hormone (LH) and are highly effective for predicting the timing of the LH surge that reliably indicates ovulation. Home kits have a 5 to 10 percent false positive and false negative rate. Therefore, serum confirmation can be useful in patients who are unable to detect a urinary LH surge.

Other methods of determining ovulation, such as daily ultrasounds to follow the development and ultimately the disappearance of a follicle (the most accurate method of documenting ovulation and endometrial biopsy to document secretory changes in the endometrium are too expensive or invasive for routine diagnostic assessment of ovulation.

If the mid-luteal progesterone concentration is <3 ng/mL, the patient is evaluated for causes of anovulation. The minimal work-up includes serum prolactin, thyroid-stimulating hormone (TSH), FSH, and assessment for polycystic ovary syndrome (PCOS). The etiology and diagnostic evaluation of anovulation are reviewed separately. (See "Evaluation and management of secondary amenorrhea".)

Assessment of ovarian reserve — Diminished ovarian reserve can refer to diminished oocyte quality, oocyte quantity, or reproductive potential [7]. The identification of diminished ovarian reserve is an increasingly important component of the initial infertility evaluation as patients are presenting for diagnostic evaluation later in their reproductive lifespan. Guidelines for testing from national organizations are available [7,8]. However, there is no ideal test for assessing ovarian reserve. A number of screening tests are utilized, but no single test is highly reliable for predicting pregnancy potential. Therefore, coordination of tests provides the best assessment.

We test ovarian reserve with an anti-müllerian hormone (AMH) level and a day 3 follicle-stimulating hormone (FSH) and estradiol levels. Other tests such as the clomiphene citrate challenge test (CCCT) and antral follicle count are utilized by some specialists and in special circumstances. These tests have good specificity for predicting a poor response in in vitro fertilization (IVF) cycles, but have more limited value for predicting IVF outcome.

Day 3 FSH and CCCT — Both the day 3 FSH level (where day 1 is the first day of full menstrual flow) and the CCCT, which is a provocative test for measurement of FSH, are widely used for screening ovarian reserve. The CCCT involves oral administration of 100 mg clomiphene citrate on cycle days 5 through 9 with measurement of day 3 and day 10 FSH levels and day 3 estradiol level.

The premise of these tests is that women with good ovarian reserve have sufficient production of ovarian hormones from small follicles early in the menstrual cycle to maintain FSH at a low level. In contrast, women with a reduced pool of follicles and oocytes have insufficient production of ovarian hormones to provide normal inhibition of pituitary secretion of FSH, so FSH rises early in the cycle [9].

Meta-analyses of nonrandomized studies concluded that basal cycle day 3 FSH and the CCCT perform similarly for predicting ability to achieve a clinical pregnancy in women undergoing infertility treatment [10,11]. With either test, a normal result is not useful in predicting fertility, but a highly abnormal result (we use FSH >20 mIU/mL) suggests that pregnancy is unlikely with treatment involving the woman's own oocytes, particularly in women of more advanced reproductive age.

Based on these findings and the cost advantage and simplicity of the day 3 FSH, we obtain a day 3 FSH concentration and consider a value less than 10 mIU/mL suggestive of adequate ovarian reserve, and levels of 10 to 15 mIU/ml borderline. The upper threshold for a normal FSH concentration is laboratory dependent; cutoff values of 10 to 25 mIU/mL have been reported because of use of different FSH assay reference standards and assay methodologies.

We also check a cycle day 3 estradiol level, although there are conflicting data as to whether it is predictive of ovarian reserve and the response to ovarian stimulation (as in IVF) [12,13]. We consider a value <80 pg/mL suggestive of adequate ovarian reserve, but other cut-offs are also utilized. In one prospective study of women undergoing IVF, day 3 estradiol levels >80 pg/mL resulted in higher cycle cancellation rates and lower pregnancy rates, and estradiol levels >100 pg/mL were associated with a 0 percent pregnancy rate [14].

Elevated basal estradiol levels are due to advanced premature follicle recruitment that occurs in women with poor ovarian reserve. High estradiol levels can inhibit pituitary FSH production and thus mask one of the signs of decreased ovarian reserve in perimenopausal women. Thus, measurement of both FSH and estradiol levels helps to avoid false-negative FSH testing.

Dr. Manika Khanna, MBBS, MD, D.A.G.E (Germany) is an award-winning Infertility Specialist and Laparoscopic Surgeon who has been facilitated with numerous honours and awards for her exemplary achievements in the field of Assisted Reproduction.

Dr. Rita Bakshi has more than 31 years of experience working in the richness business. As originator and of International Fertility Center (IVF Center India), she directs all administration operations of the organization. An idea pioneer in the business, she is much of the time met regarding the matters of egg gift and surrogacy and goes the world over advancing the largest amount of expert guidelines in a continually developing field. She's additionally the originator of Adiva Group Of Hospitals. She finished her MBBS in 1983 from Lady Hardinge Medical College, New Delhi. She did her Diploma in Gynecology and Obstetrics (DGO) in 1987 from St. Stephen's Hospital, Delhi. She finished her M.D in 1990, from Safdarjung Hospital, Delhi. She did her 1-year certificate from St. Stephen Hospital, Delhi, two years MD from Safdarjung Hospital, Delhi.

She is prepared in the craftsmanship (Assisted Reproductive Techniques) and IVF (In Vitro Fertilization) from Inst. of contraceptive pharmaceutical, Kolkata under the doyen and pioneer of IVF. Dr. B.N. Chakravorty. She has a recognition in the workmanship from KKIVF Hospital Singapore, and a confirmation in endoscopy from KIEL, Germany. She has acted as authority and leader of the office in an open area undertaking clinic for more than 15 years. She has accomplished more than 4000 workmanship cycles with a win rate of more than half. She has additionally accomplished more than 4000 cesarean segments, 3000 hysterectomies including non-drop hysterectomies of even up to 16-week measure uterus. She has uncommon outcomes in egg benefactor surrogacy having a win rate of more than 85 %.

Dr. Rita Bakshi is a main IVF expert and Chairperson of India's head IVF and surrogacy focus broadly perceived as International Fertility Center. With a foundation from eminent names, for example, AIIMS, Lady Harding Medical College, St. Stephens, and her work with the best organizations from Singapore, Germany and Belgium, she has amassed priceless involvement in the fields of Assisted Reproduction, Laparoscopy, Gynecology and Obstetrics. Dr. Rita has over 30 years of experience as a fruitlessness pro and under her authority, IFC has ended up being the biggest system of ripeness facilities in India.

Dr. Rita Bakshi is a senior IVF authority and Chairperson of India's Premier IVF and surrogacy focus generally known as International Fertility Center. She has over twenty years of involvement in helped multiplication, and, under her course, the inside has developed into one of the biggest system of richness facilities in India. Since its origin in 2004, Dr Rita has treated a huge number of couples bringing out more than 2000 surrogacy conceived babies into the world. She has broad involvement in settling richness issues with helped regenerative systems, for example, IVF, IUI, Egg contributor and Surrogacy.

With more than 10,000 IVF cycles, International Fertility Centre has helped childless couples have a happy parenthood involvement with reliable conveyance of most elevated achievement rates in our administrations including IVF, Natural IVF, IVF with Egg Donor, ICSI, IUI, Surrogacy, Surrogacy with Egg contributor, Embryo Donation, Assisted Hatching, PESA/TESA, Hysteroscopy, Laparoscopy, Blastocyst and significantly more.

Dr. Rk Sharma in Delhi is a prestigious Gynecologist in Chanakyapuri, Delhi. You can counsel Dr. R K Sharma at Primus Super Speciality Hospital in Chanakyapuri, Delhi. Book an arrangement online with Dr. R K Sharma on Elawoman.com.

In the year 1994, Dr. (Brig.) R.K. Sharma finished his first IVF case and from that point forward he has been treating patients superbly. The simple first case Dr. Brig. R.K. Sharma took was of a Christian couple, who was not able consider from the previous 10 years and had lost all would like to shoulder a kid. Dr. (Brig.) R.K. Sharma took up this case and chose to encourage the patient. By then of time, IVF innovations were at introductory stage and Dr. (Brig.) R.K. Sharma successfully used the accessible assets, for example, meds. The patient imagined and they were enchanted with delight and satisfaction. A sound kid was conceived. The dad of the tyke approached Dr. (Brig.) R.K. Sharma and kissed his hand and stated, "You have a favored hand". This rate had an enduring impact on Dr. (Brig.) R.K. Sharma and he chose to move advance into the little known yet difficult territory of IVF.

Today things have gone far from that point forward, in India. Anyway in the ocean of IVF focuses mushrooming crosswise over India, Dr. (Brig.) R.K. Sharma is a name that needs no presentation. He has had a distinguished profession serving the Armed Forces of India for more than 30 years. He was the first to pioneer IVF in India in people in general area and in the armed force, which he started 20 years back. He was instrumental in setting up an IVF focus in the armed force. With his enthusiastic and energetic endeavors; the principal IVF child in the armed force was conceived in 1995 at Pune (Maharashtra). He utilized his keen influence, steadiness or extensive experience to set up the incredibly famous ART Center at Army R and R (Research and Referral) at New Delhi in 2003. The whole IVF focus was outlined, conceptualized, set up and run solely by Dr. R.K. Sharma. He made an unmatched situation of work culture and IVF treatment, which is missed till today. The total access to the immense assets in the armed force has assisted him to play a spearheading part with the knowledge and direct utilization of the most recent hardware and innovations in the field of IVF. The IVF focus at Pune was additionally set up by him without any preparation and is today a power to figure with. Dr. (Brig.) R.K. Sharma has more than 5000 IVF infants shockingly. The number is developing with each passing day. Dr. (Brig.) R.K. Sharma has had patients coming to him from the whole way across the nation, with trust in their psyche and has been returning very much fulfilled.

For more information, Call Us : +91 – 7899912611

Visit Website : www.elawoman.com

Contact Form : https://www.elawoman.com/contact

Ela Facebook Ela Twitter Ela Instagram Ela Linkedin Ela Youtube

#IVF Doctors in Delhi #IVF Centre in Delhi

0 notes