Dr. Chinmay Pataki’s ISHA Women’s Hospital

Dr. Chinmay Pataki’s  ISHA Women’s Hospital State Of Art Gynec Superspeciality Hospital for IVF, Laparoscopic Surgery & Maternity Services.
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02/01/2026

Endometriosis often remains hidden and may not appear on routine sonography.
In this patient, infertility and severe menstrual pain were present despite “normal” scan reports.

Laparoscopy helped us diagnose deep endometriosis involving the uterosacral ligaments, re**al area, and pelvic region.
Complete endometriosis clearance (Butterfly Peritonectomy) was performed successfully.

Only after proper diagnosis and surgical treatment can fertility treatment be planned effectively.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

02/01/2026

The uterus and endometrial lining play a crucial role in fertility treatment—especially during IVF and frozen embryo transfer.

Ultrasound is the most vital investigation because it helps assess:
• Endometrial thickness
• Uterine and stromal blood flow
• Color Doppler studies
• The correct implantation (receptivity) window

Many patients believe that endometrial thickness alone is enough—but that is not true.
Even with good thickness, poor blood flow can prevent implantation.

Using color Doppler studies, we can identify when the uterus is most receptive and time progesterone and embryo transfer accurately—leading to better treatment outcomes.

It is very important that fertility ultrasounds are performed by a specialist trained in fertility treatment.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

02/01/2026

Many patients believe everything is normal because ultrasound and HSG reports are normal.
However, important conditions like endometriosis and tubal infection are often missed on routine tests.

Laparoscopy provides direct visualization and helps diagnose the true cause of infertility.
Treating the underlying problem first is essential for successful fertility outcomes.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

02/01/2026

Many patients suffering from adenomyosis experience severe pain during menstruation.
Microwave ablation is a revolutionary, uterus-sparing technology designed to treat adenomyomas effectively.

Using a microwave probe inserted under laparoscopic and ultrasound guidance, the adenomyotic tissue is precisely ablated.
On ultrasound, the visible white cloud represents the exact zone of ablation.

The biggest advantage of this technique is that it treats adenomyosis without opening the uterus, helping preserve fertility and improve surgical outcomes.

For patients seeking pain relief along with better fertility prospects, microwave ablation is an excellent treatment option.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

01/01/2026

Endometriosis and adenomyosis cause severe menstrual pain—but the suffering doesn’t end there.
Until these conditions are properly treated, patients continue to struggle not only with pain but also with repeated fertility failures.

This patient traveled from Odisha with advanced endometriosis.
The uterus was completely jam-packed, and the intestines were densely stuck.
Despite a previous surgery, the presence of large adenomyosis made conception impossible without proper treatment.

In advanced endometriosis cases, surgery is often the only option that can provide real relief and improve fertility outcomes.
Treat the disease first—only then can fertility treatment be successful.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

01/01/2026

Many patients ask why a fertility scan is needed when a routine ultrasound has already been done.
The truth is—a normal ultrasound and a fertility scan are completely different.

Routine sonography shows basic uterine and ovarian structure.
Fertility scans, however, assess critical factors like endometrial lining quality, uterine blood flow, ovarian stromal blood flow, follicle development, and blood flow around the follicle—details that routine ultrasounds cannot detect.

A well-performed fertility scan can even help predict treatment success and guide decisions like trigger timing, progesterone support, and cycle monitoring.
That’s why fertility scans must be done by doctors trained in fertility treatment—not just routine imaging.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

01/01/2026

Many couples are told that if s***m count is between 5–10 million, natural pregnancy is not possible and IUI is advised.
However, in several such cases, IUI also fails—not because of s***m count, but because of poor s***m quality.

S***m quality can only be accurately assessed by testing S***m DNA Fragmentation Index (DFI).
This advanced test helps predict whether IUI will be successful and also improves IVF outcomes when DFI is treated beforehand.

High s***m DFI is associated with repeated treatment failure, miscarriages, and abortions.
That is why fertility evaluation should include both s***m count and s***m quality.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

01/01/2026

One of the most common uterine problems seen during fertility treatment is a uterine polyp.
In this case, a large polyp is clearly visible inside the uterus.

If fertility treatment is continued without removing such a polyp, success is unlikely—because the polyp acts as a major obstruction to implantation.
Although this patient’s uterine lining appears healthy, further evaluation revealed that both fallopian tubes were completely blocked.

Sometimes, fertility problems occur together.
In this patient, both a uterine polyp and blocked fallopian tubes needed to be treated to improve fertility outcomes.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

31/12/2025

Untreated endometriosis and adenomyosis cause severe pain and repeated fertility failure.
Surgery is often the key to relief and successful fertility treatment.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

31/12/2025

Many patients believe that once a follicle reaches 18 mm, pregnancy should happen.
But follicle size alone does not decide egg quality or pregnancy outcomes.

Egg quality depends on multiple factors—ovarian and stromal blood flow, mitochondrial health, age, uterine blood flow, and overall follicular environment.
This is why many patients undergo multiple ovulation studies and triggers, yet still do not conceive.

Fertility treatment is about perfect synchronization of several factors, not just follicle size.
That precision comes from proper evaluation and guidance by a fertility specialist.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

31/12/2025

What you are seeing here is microwave ablation, a novel and minimally invasive treatment for patients suffering from adenomyosis.

Using a special probe inserted into the uterus, adenomyotic tissue is ablated under laparoscopic and sonographic guidance.
On ultrasound, the white cloud represents the exact area of ablation, allowing precise treatment without cutting open the uterus.

This technique has truly changed the treatment approach for adenomyosis, helping patients become pain-free—especially those with severe menstrual pain.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

31/12/2025

Repeated IUI or ovulation induction may fail when fallopian tubes are damaged internally.
Laparoscopy helps identify these hidden causes and guides the right fertility treatment.

Early diagnosis can save time, money, and emotional stress for patients.

ADDRESS - ISHA WOMEN’S HOSPITAL, DOMBIVLI EAST, MAHARASHTRA, INDIA. FOR APPOINTMENT CALL - 79 77 87 39 74

Address

Isha Women’s Hospital
Dombivli
421203

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