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IVF: Ovulation induction


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If you’re using your own eggs during IVF, at the start of a cycle you’ll begin treatment with synthetic hormones to stimulate your ovaries to produce multiple eggs — rather than the single egg that normally develops each month. Multiple eggs are needed because some eggs won’t fertilize or develop normally after fertilization.


You may need several different medications, such as:



  • Medications for ovarian stimulation. To stimulate your ovaries, you might receive an injectable medication containing a follicle-stimulating hormone (FSH), a luteinizing hormone (LH) or a combination of both. These medications stimulate more than one egg to develop at a time.

  • Medications for oocyte maturation. When the follicles are ready for egg retrieval — generally after eight to 14 days — you will take human chorionic gonadotropin (HCG) or other medications to help the eggs mature.

  • Medications to prevent premature ovulation. These medications prevent your body from releasing the developing eggs too soon.

  • Medications to prepare the lining of your uterus. On the day of egg retrieval or at the time of embryo transfer, your doctor might recommend that you begin taking progesterone supplements to make the lining of your uterus more receptive to implantation.


Your doctor will work with you to determine which medications to use and when to use them.


Typically, you’ll need one to two weeks of ovarian stimulation before your eggs are ready for retrieval. To determine when the eggs are ready for collection, your doctor will likely perform:



  • A vaginal ultrasound, an imaging exam of your ovaries to monitor the development of follicles — fluid-filled ovarian sacs where eggs mature

  • Blood tests, to measure your response to ovarian stimulation medications — estrogen levels typically increase as follicles develop and progesterone levels remain low until after ovulation


Sometimes IVF cycles need to be canceled before egg retrieval for one of these reasons:



  • Inadequate number of follicles developing

  • Premature ovulation

  • Too many follicles developing, creating a risk of ovarian hyperstimulation syndrome

  • Other medical issues


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IVF


Specific steps of an in vitro fertilization (IVF) cycle carry risks, including:



  • Multiple births. IVF increases the risk of multiple births if more than one embryo is implanted in your uterus. A pregnancy with multiple fetuses carries a higher risk of early labor and low birth weight than pregnancy with a single fetus does.

  • Premature delivery and low birth weight. Research suggests that the use of IVF slightly increases the risk that a baby will be born early or with low birth weight.

  • Ovarian hyperstimulation syndrome. Use of injectable fertility drugs, such as human chorionic gonadotropin (HCG), to induce ovulation can cause ovarian hyperstimulation syndrome, in which your ovaries become swollen and painful. Signs and symptoms typically last a week and include mild abdominal pain, bloating, nausea, vomiting, and diarrhea. If you become pregnant, however, your symptoms might last several weeks. Rarely, it’s possible to develop a more severe form of ovarian hyperstimulation syndrome that can also cause rapid weight gain and shortness of breath.

  • Miscarriage. The rate of miscarriage for women who conceive using IVF with fresh embryos is similar to that of women who conceive naturally — about 15 to 25 percent — but the rate increases with maternal age. Use of frozen embryos during IVF, however, may slightly increase the risk of miscarriage.

  • Egg-retrieval procedure complications. Use of an aspirating needle to collect eggs could possibly cause bleeding, infection or damage to the bowel, bladder or a blood vessel. Risks are also associated with general anesthesia is used.

  • Ectopic pregnancy. About 2 to 5 percent of women who use IVF will have an ectopic pregnancy — when the fertilized egg implants outside the uterus, usually in a fallopian tube. The fertilized egg can’t survive outside the uterus, and there’s no way to continue the pregnancy.




IVF : Infertility treatment:


 


as medical science has been advancing substantially, infertility treatment success rate increased over years. Many men and women with fertility problems have been treated successfully through well-known and reliable methods verified by infertility specialists.  Actually with current state of infertility treatment, there is absolutely no fertility problem that is not curable through existing methods. Iran is one of the pioneers in treating infertility for men and women. To learn more about these methods, some of main approaches to infertility treatment are explained below.


Common methods of infertility treatment:


Given the main cause of infertility, there are various options to treat fertility problems. Treatment usually begins with methods with lowest risk and in case of lack of progress, other methods would be applied.



  • Medication:


In some cases, infertility is caused by disorderliness of hormonal balance or reduction of hormonal storage. In these situations, treatment would be sought through medication. Taking fertility medicines can effectively improve the function of reproductive organs in men and women. Even in some occasions that the cause of infertility is unknown, it is possible to achieve natural fertilization by taking medication.



  • IUI:


Another treatment for infertility is intrauterine insemination IUI. This method involves placing sperm samples inside woman’s uterus helping sperm to reach fallopian tubes thus increasing the chance of fertilization. This method is applied when sperm is unable to reach to the eggs.



  • Surgery


Another approach to infertility treatment is laparoscopy or other extensive abdominal operations. This approach is pursued when infertility is caused by blocked fallopian tubes or diseases such as uterine fibroids, ovarian cysts, endometriosis or anatomical problems in genitals.



  • Assisted reproduction techniques:


In cases where infertility is caused by low sperm count or blocked fallopian tubes, the treatment is very exceptional. It’s called In Vitro Fertilization or IVF. IVF is used only when other treatments proved to be ineffective. In this method infertility specialist collects sperm and egg and unites them in a laboratory using advanced equipment, a process that naturally occurs inside fallopian tubes. IVF is one of the prevailing methods for infertility treatment and assisted reproduction techniques.


 


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IVF : history of IVF in Iran


The history of IVF in Iran has been shaped by the interaction between the pioneers of IVF and an interdisciplinary group of experts, together with the endorsement and strong support of the Shia jurists.



  • 1992 – Birth of the first baby following retrograde ejaculation using intrauterine insemination (IUI) first started in 1989 in Aban Hospital by Dr. Jalil Pakravesh (personal communication).

  • 1994 – Birth of the first baby resulting from intracytoplasmic sperm injection (ICSI) and the birth of the first baby through egg donation carried out in Yazd by Dr. Mohmmad-Hossein Amir Arjomand (personal communication).

  • 1996/97–Use of ICSI + percutaneous epididymal sperm aspiration (PESA) resulting in the birth of a baby at Shariati Hospital, Tehran, carried out by Dr. Hojat-Allah Saeedi (personal communication).

  • 1998–First case of transferring an embryo produced from testicular spermatozoon by microinjection carried out by Dr. Akhondi (the author).

  • 2004–Birth of the first baby born following pre-implantation genetic diagnosis (PGD) Royan Institute, Tehran, carried out by Dr. Leila Karimian (personal communication).


Indeed, the use of IVF in a range of contexts such as PGD(more…) (as a preventive measure for diseases with a genetic basis or for selection); sperm, egg and embryo donation; surrogacy; fertility preservation; and animal conservation (freezing of egg, sperm and embryo), are commonplace in Iran.


 


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IVF : Infertility treatment in Iran


According to the World Health Organization (WHO), infertility is a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months of trying.


Infertility affects an estimated 20.4 % of couples globally.


The figure will drop to 12.4 percent after two years of trying, adding it shows that many infertile couples can have a baby if they keep trying.


The couples aged 35 years and above are not recommended to use the method because any delay in childbearing would aggravate their infertility problems(more…).


Iranian couples no longer need to travel abroad for consultation or treatment for infertility as advanced methods of treatment for couples who have problems to conceive, are available in the country.


There are 3 million infertile couples in the country.  Around 3-4% of young Iranian women suffer from recurrent miscarriages. Infertility rate is about 2.5% and secondary infertility is more prevalent than primary infertility. When a woman is not able to conceive at all, (due to infertility in either spouse), it is referred to as primary fertility. Secondary infertility is when a woman is unable to conceive again after the first successful pregnancy and childbirth. While causes of secondary infertility vary, the most important risk factors are advanced reproductive age, weight gain, abdominal surgeries, sperm quality and quantity, and smoking.


Microsurgical reconstruction for male infertility, new methods of male infertility treatment(more) (medication, surgery, and Intracytoplasmic Sperm Injection (ICSI)(more…)), the role of complementary therapies and medicines to improve fertility, and new imaging techniques for assessment of infertility problems in both genders, are among the main important topics that will be discussed.


At present, there are 80 infertility centers across the country and 20 more will be launched by the end of the current year.


Additionally, 35 state-run universities of medical sciences have equipped with new laboratory equipment and devices for identification and treatment of infertility problems.


 


 


IVF is never the first step in the treatment of infertility. Instead, it’s reserved for cases in which other methods such as fertility drugs, surgery, and artificial insemination haven’t worked.


On average, an IVF cycle costs $2,300-$2,900 in the country, while the majority of women have per-cycle success rates of 20-35%, which means they may need multiple tries to get pregnant.


IVF may be an option if one of the spouses or both has been diagnosed with problems like endometriosis, low sperm count, problems with ovulation, antibody problems that harm sperms or eggs, and unexplained fertility problems.


 


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In Vitro Fertilization IVF:


In vitro fertilization IVF is one of the infertility treatments that helps patients to fertilize and reduces the risk of genetic disorders in newborn.  During IVF mature eggs are extracted from ovaries and manually fertilized by retrieved sperm samples in a laboratory. The fertilized egg or embryo is placed inside the uterus to increase the chance of pregnancy.


The full cycle of IVF takes about three to four weeks. The IVF procedure could be perform by using couple’s own egg and sperm or it could involve using eggs and/or sperm from a donor. In some rare cases IVF procedure may require a surrogate uterus for the embryo to be transferred into.


The success rate of IVF depends on various factors including the age of the couple undergoing the procedure and the cause of infertility. IVF treatment is time-consuming and expensive but also is a proper procedure that greatly increases the success rate of pregnancy.


Why IVF is done?


In vitro fertilization IVF is a relatively invasive procedure recommended to those who were unsuccessful with other less invasive treatments such as medication. IVF is considered as a primary treatment for women over age 40. IVF can also be done when you have some specific health conditions, such as:



  • Fallopian tube damage or blockage

  • Ovulation disorders

  • Endometriosis

  • Uterine fibroids

  • Previous tubal sterilization or removal

  • Impaired sperm production or function

  • Unexplained infertility

  • Preventing genetic disorders from being transmitted to the child

  • Fertility preservation in cancer treatments or other health conditions


 


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Best methods of infertility treatment:


Nowadays due to advances in medical sciences and various methods for infertility treatment, the joy of having a child is within the reach of almost anybody. Medical treatments along with assisted reproduction techniques has improved the chance for many men and women with infertility problems to have children. This article gives you useful information about prominent methods of infertility treatment.


The process of infertility treatment:


After various diagnostic tests, different methods of infertility treatment will be applied in accordance with the cause of infertility. After explaining each method and its success rate, doctor provides the couple with different treatment options to choose the one that suits them the most regarding their situation and preferences.



  • In vitro fertilization or IVF:


IVF is a prevalent method to treat infertility problems and consisted of a complex series of procedures. During IVF, after stimulating ovaries and ovulation, mature eggs are retrieved from ovaries and fertilized by sperm outside the uterus in a lab. After the conception of embryo in the lab, the embryo is then placed inside the uterus.


This method is usually offered in conditions where sperm can’t reach the egg naturally, such as blocked fallopian tubes, pelvic adhesions, low sperm count or low sperm mobility.



  • Intrauterine insemination IUIDuring intrauterine insemination IUI which is a simple and painless procedure to facilitate fertilization, the sperm is placed inside the uterus. For IUI to work(hazf) , the fallopian tubes need to be healthy. In this method the egg is not retrieved from ovaries and the process of ovulation and conception occurs naturally.

  • Ovulation stimulation by advanced protocols:

  • Ovulation stimulation is helpful for women with irregular ovulation, ovulation disorder or polycystic ovary (PCO) and mostly used to increase the quantity and quality of eggs and boost the chance of fertilization. There are medications that induce the same effect on egg quality and quantity which are known as ovulation induction medicine.

  • Micro injection or intracytoplasmic sperm injection ICSI

  • Micro injection is an infertility treatment method that a sperm cell is injected directly into the cytoplasm of an egg and cultivate it for a specific period of time in an incubator. After conception and cell division, embryo is made.

  • In vitro maturation IVM:

  • With IVM, instead of increasing follicle growth in body (metaphase 2), immature eggs are extracted from ovaries using a vaginal sonography. Afterwards, extracted eggs are grown in a laboratory and fertilized before being replaced into the womb.

  • Gamete intrafallopian transfer GIFT:



  • GIFT method is mostly used in cases of surrogate womb and is similar to IVF in terms of egg retrieving and sperm preparation. Afterwards, the egg along with adequate amount of sperm are placed directly into the fallopian tubes using a laparoscope.


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Hollywood Smile in Iran


Hollywood smile in iran :The dental veneer is a wafer-thin, tooth-colored layer of material placed over the frontal teeth. This is used to improve the appearance by restoring the size, shape, and length of teeth.  If a patient wants to improve the smile, dental veneers are a simple option. They look like natural teeth.


Hollywood smile in iran :A dentist may offer dental veneers to correct a wide range of dental issues, such as:



  • Discolored teeth that can’t be corrected by whitening (root canal treatment, tetracycline or other drugs, excessive fluoride causes the discoloration of the tooth)

  • Worn teeth

  • Chipped or broken teeth

  • Misaligned or crooked teeth

  • Irregularly shaped teeth, which can be restored by veneers

  • Veneers used to close the gaps between the frontal teeth


 


The dentist will help with the choice of veneer material:



  • Porcelain veneers are strong and last long, more resistant than composite resin veneers. They look like natural teeth and mimic the light reflecting properties, resistant to the stains.

  • Composite resin veneers can be repaired easily and quickly, although they are less resistant than porcelain veneers. Composite resin veneers cost less and a few visits to the dentist are needed.hollywood smile


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IVF and egg donation


IVF and egg donation is a gold standard technique for infertility treatment.


Many couples suffer from infertility problems over the world. Many factors may result in infertility including male or female fertilization problems.


First of all, the reason of infertility of the couples should be recognized. If the wife could not produce effective oviums (eggs), the best treatment is IVF and egg donation.


Infertility treatment by IVF and egg donation:


One of the prevalent causes of infertility in women is producing inefficient ovium (egg) that could not involve in fertilization properly due to genetic or acquired disorders. In this case, IVF and egg donation is the best treatment choice.


IVF and egg donation will be the choice treatment method if the woman does not respond to medications and other treatments, for example due to elder age, early menopause, hormonal imbalance or ovarian diseases, despite healthy fertilization anatomy.


In this case, the soul treatment method will be egg donation from a volunteer donor.


In IVF and egg donation, the donated egg will be fertilized in laboratory environment with the man’s sperm and the embryo (fetus) will be transfer to the mother’s uterine.


IVF and egg donation is the most prevalent and appropriate method in infertile women with high success rate.


Requirements for IVF and egg donation:


The maximum age for IVF and egg donation is 48 years old. In elder ages, the abortion risk will increase and the woman should be under precise observations.


Before performing IVF and egg donation, the couple’s health should be evaluated by careful physical and laboratory tests.


The acceptable age of the egg donor is 21-34 years old.


Physical characteristic’s similarity like eye color, skin type and hair color


of the donor and the couple is preferred.


The egg donor should be screened for genetic disorders and infectious diseases like hepatitis, HIV, syphilis, etc.


Egg donation is performed by fresh egg or frozen egg. The success rate is approximately equal in both techniques. The duration of IVF and egg donation cycle for fresh egg is 2-3 month while IVF and egg donation cycle for frozen egg is 1-1.5 months.


The Chances of Successful IVF Pregnancy


The comparison of IVF cost in Iran and neighboring countries:


 


IVF cost is an important factor for couples to choose their medical travel destination. Many couples are not able to treat their infertility problem due to poor financial state. In these conditions, high quality fertility centers along with affordable costs are golden opportunities.


In this article we discuss about the factors affecting IVF cost and IVF cost comparison in Iran and other countries.


What is IVF? What are the factors affecting IVF cost?


IVF is an infertility treatment technique. IVF cost depends on many factors.


In IVF, laboratory fertilization is used to make an embryo and the embryo transfer to the uterus. First step is to determine the infertility cause and the treatment plan will set in accordance with the infertility reason. Treatment plans include egg donation, sperm donation, surrogacy, etc.


Generally, IVF cost depends on many factors such as:


Fertility clinic’s quality


Pre IVF prescription drugs like ual enhancement drugs


Fertility specialist’s experience


Donated egg or donated sperm price


Embryo transfer costs


Pregnancy period costs


Childbirth costs


Other costs.There is a wrong belief that “expensive centers have better results”. It is not a right belief. In fact, there is no meaningful relationship between the success rate of IVF and IVF costs. Specialist’s experience and the couple’s general and mental condition are the main reasons that affect IVF success rate. Anyway, if you have made your decision to do IVF for your infertility treatment, you may encounter these questions: -How much does IVF cost?-Where is the best destination for IVF regarding my financial state?-Is Iran a good destination for IVF?


-What are the cons and pros of IVF in Iran?


-How much do accommodation and travel costs in Iran? Is it cost-effective for me or not?


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Hair Transplant in Iran


Hair loss occurs in more than 60% of men and in approximately 10% of women. Although a lack of scalp hair can potentially increase the risk of actinic damage and skin cancer, male and female pattern baldness are conditions that are, with few exceptions, treated electively.


Balding is a major concern for many, and surgery to treat hair loss (ie, hair transplantation) is the most common cosmetic surgery procedure performed on men today. Yet, the market for hair transplantation is dwarfed by the immense market for products that treat hair loss without surgery.


These products, which include shampoos, hair-care cosmetics, scalp massage, laser combs, and many more, have no proven efficacy except for their ability to temporarily increase the volume of existing hair, resulting in a denser appearance than before. Exceptions are the two medications the US Food and Drug Administration (FDA) approved: minoxidil (Rogaine, available over the counter in the United States) and finasteride (Propecia, available by prescription only for men), which have limited but definite benefit. Rhinoplasty in iran


 


Hair Transplant Interest will probably increase as the knowledge that most modern hair transplant techniques can create virtually undetectable restoration spreads. To this day, hair transplant remains the treatment of choice for most patients with hair loss.


One of the most rapidly growing segments of hair transplant is hair transplant in women. Surgical hair restoration was developed for and has traditionally been used in males. Newer techniques are more adaptable to females


Rhinoplasty in Iran




Pros and cons of dental veneers:


Having a Hollywood smile with white and brilliant teeth is a dream for many people over the world.


Hollywood smile improve your self-confidence. White and brilliant teeth indicate your dental and mouth hygiene. Hollywood smile ignore your face defects and makes you more attractive.


The most important advantage of Hollywood smile is the fact that the procedure will not harm and damage your teeth.


If you have decayed, damaged and broken teeth, dental veneer is the choice treatment
plan to make Hollywood smile.


Who is not a good candidate for Hollywood smile?


-numerous decayed teeth


-active gum diseases and infections


-weak multiple teeth root


-patients with bad habits and psychological disorders (obsessive convulsive disorders)



Pros and cons of dental veneers:


Having a Hollywood smile with white and brilliant teeth is a dream for many people over the world.


Hollywood smile improve your self-confidence. White and brilliant teeth indicate your dental and mouth hygiene. Hollywood smile ignore your face defects and makes you more attractive.


The most important advantage of Hollywood smile is the fact that the procedure will not harm and damage your teeth.


If you have decayed, damaged and broken teeth, dental veneer is the choice treatment
plan to make Hollywood smile.


Who is not a good candidate for Hollywood smile?


-numerous decayed teeth


-active gum diseases and infections


-weak multiple teeth root


 


-patients with bad habits and psychological disorders (obsessive convulsive disorders)



Postoperative medical consultation


 


(read more…) .In FUE technique, every hair follicle unit is harvested separately and no skin strip is taken. In this hair transplant technique, hair follicles harvest randomly so hair density reduction in donor area is not significant. In FUE hair transplant method, the number of transplanted hair follicles is fewer compared to FUT, due to harvesting hair follicles one by one.FUE hair transplant technique is a less invasive non-surgical method with minimal scarring and short recovery period.


Both the FUT and FUE techniques require a local anesthesia.


Necessary tips to be done after a hair transplant procedure:



  • Go home or hotel and rest after your hair transplant procedure. Elevate your head 45 degrees to avoid swelling for three nights.

  • Use snow to your transplanted area every 2 hours for 15 minutes to avoid swelling.

  • On the first night, a bandage will be on your donor and transplant area. The next morning, open the bandage gently. Do not pull the band. Pulling the band may injure the transplanted hair follicles. If you open the bandage on the first night, your skin may be swelling.

  • On the first day of hair transplant, you could take a shower. Do not use shampoo or soap to wash your head and wash the planted area gently with water.

  • After the first day, wash your hair with your fingers gently. Try not to add pressure to the area where the follicles are planted. Do not use comb which may injure your sutures.

  • You may use shampoo on the second day of hair transplant.

  • Try to avoid hair dryers in the first two weeks after your hair transplant.

  • You may feel some itching and pain for a few days after hair transplant. These symptoms can be reduced by using ice or some medications (which will be prescribed by your doctor).


 


Additive advices and recommendations will be presented by your doctor.




Cosmetic plastic surgery in Iran


What is cosmetic plastic surgery?


Cosmetic plastic surgery is done to change your appearance. For some, it may mean redesigning the body’s contour and shape, smoothing wrinkles, or eliminating balding areas. Others may choose varicose vein treatment or breast augmentation. There are a number of cosmetic surgery procedures that men and women can choose from to create an image that makes them feel more confident and comfortable with their appearance.


Although health insurance rarely covers the cost of cosmetic procedures, the number of people deciding to have cosmetic plastic surgery continues to grow. The top cosmetic surgeries are breast augmentation and prosthesis, liposuction, nose reshaping(rhinoplasty), hair transplant, eyelid surgery(blepharoplasty), tummy tuck, and facelift.



Cosmetic plastic surgery costs in Iran at TebMedTourism Company:


Medical tourism is a new, growing trend in Iran because of all these top quality doctors and surgeons who are operating different types of plastic surgeries.


It’s too efficient and economical to have your plastic surgery done in Iran in comparison with other countries of the world. You can get the advantage of the best quality and the best price at the same time. Patients’ satisfaction is one of the reasons that make people to undergo their plastic surgeries in Iran.


The top-notch quality of plastic surgeons and surgeries as well as the low price of this surgery in Iran has caused a massive population of people around the world to be pulled into this country. Iran gets a vast number of foreigners annually who seek to have their cosmetic surgeries in Iran.




weight loss surgeryin Iran


The first day after surgery, you’ll drink clear liquids. By the time you leave the hospital, you can eat pureed foods and protein shakes and will continue to do so for about 4 weeks.


Keep in mind that you have to change the way you eat forever. After that first month, you’ll switch to eating soft solid foods very slowly. Other pointers to keep in mind:



  • Everything must be chewed thoroughly before being swallowed.

  • Don’t drink while you eat, as this might cause your new stomach to overfill.

  • Drink liquids a half-hour after finishing a meal.

  • Avoid high-calorie sodas and snacks.

  • Take vitamin and mineral supplements every day.


After 2 or 3 months, you can move on to regular meals. But remember, you will not be able to eat as much as you used to. Sleeve weight loss surgery


A gastric sleeve surgery will dramatically reduce your calorie intake. You can eat normally but you will want much smaller portions during a meal. It can lead to dramatic weight loss in a relatively short period. In clinical studies, patients lost an average of 66% of their excess weight.


By weighing less, patients should also find it much easier to move around and carry out normal everyday activities.


As this surgery preserves the pylorus, the valve that regulates emptying of the stomach, it allows food to stay in the stomach for a while, making you feel full while the food trickles out.


There is no rearrangement of the bowel with a gastric sleeve surgery therefore dumping, which may occur to gastric bypass patients when their undigested stomach contents are “dumped” into their small intestine too quickly, should not a problem. Also, sleeve gastrectomy doesn’t affect the absorption of food, so nutritional deficiencies are less likely to occur?.


The part of your stomach that contains cells with an appetite prompting hormone, called ghrelin, has been removed during surgery, therefore, your hunger should be reduced in this procedure more than other weight loss surgical procedures such as gastric banding.




Sleeve weight loss surgery


Sleeve weight loss surgery :Are you considering gastric sleeve surgery because you’ve tried diets and exercise for years and still have a lot of weight to lose? You’ll want to know the risks and benefits, what makes someone a good candidate for the operation, and what long-term commitments you need to make to keep the results.


In this operation, surgeons remove part of your stomach and join the remaining portions together to make a new banana-sized stomach or “sleeve.” With just a small sack (about 1/10th the size of your original stomach), you’ll feel full a lot quicker than you did before. You won’t be able to eat as much as you used to, which helps you lose weight. Plus, the surgery removes the part of your stomach that makes a hormone that boosts your appetite. Sleeve weight loss surgery


It’s Different from Gastric Bypass


In gastric bypass, the surgeon makes a small pouch that skips most of your stomach, going straight to the intestine.


Gastric sleeve surgery is best for people who have a BMI (body mass index) about 40. Some people are too heavy for gastric bypass surgery, so it may be a good alternative.


Tebmedtourism Co. is a leading provider of weight loss surgery in Iran. At Tebmedtourism Co. weight loss procedures are provided by highly qualified and experienced bariatric surgeons who have undergone intensive specialist training in their specialty. Tebmedtourism healthcare provider offers sleeve gastrectomy surgery as a weight loss surgery option.



The surgery takes about an hour. Your surgeon will make a few small cuts in your belly and insert a laparoscope — an instrument with a tiny camera that sends pictures to a monitor. The surgeon will then insert other medical instruments through the additional cuts and remove 3/4 of your stomach. Finally, he’ll reattach the rest of your stomach to form the “sleeve” or tube.



plastic surgery procedures


 


According to the American Society of Plastic Surgeons, the most common cosmetic procedures (invasive and minimally-invasive) are listed here by their common or descriptive names. The medical term for the procedure is in parentheses:


Breast augmentation or enlargement (augmentation mammoplasty):


Breast augmentation refers to procedures which increase the size or change the shape of the breasts. When the size of the breast is increased, the procedure may also be called ‘breast implant surgery’. Breast augmentation is not the same as breast lifts or breast reduction, which are actually different types of procedures.

Breast lift (mastopexy) with or without the placement of an implant:


Mastopexy, or a breast lift, involves removing skin and glandular tissue to make the breasts smaller and rearranging the remaining tissue to make the breast appear lifted.


Depending on how much volume a patient has lost or desires, mastopexy can be combined with an implant. While it is similar to a breast reduction, which removes a much greater amount of tissue, mastopexy is not usually covered by major insurance carriers as it is not deemed medically necessary.


Male breast reduction treats gynecomastia, an enlargement of the mammary tissue in men. It may be done by liposuction or with various scar patterns, often hidden around the nipple and areola.



Learn more about plastic surgery procedures


Ear surgery(otoplasty):Otoplasty, or ear surgery, treats prominent or misshapen ears by surgically “pinning” the ear closer to the head with sutures, reshaping the cartilage, or both.


One or both ears may be treated. It is most commonly performed in children after of 5 or 6 years as the ears have essentially reached adult size by that age.


Lip filler injections (facial rejuvenation):Lip augmentation aims to give the patient fuller-looking lips. Usually, injectable dermal fillers are used to increase lip volume, shape, or structure.


Lip augmentation is not permanent. The effects tend to last around 6 months to 1 year before a second procedure is necessary to restore shape and volume.


Liposuction (lipoplasty):Liposuction is a cosmetic procedure that improves the shape of the body by removing fat deposits. This procedure is not intended for weight loss.


Localized fat deposits are removed directly beneath the skin by using a vacuum-suction canula, a pen-shaped instrument. Ultrasound may also be used to break up fat deposits prior to removal with suction.


Liposuction can be performed on the arms, thighs, stomach, hips, face, buttocks, and back. Liposuction can also remove fat tumors (lipomas) as well as reduce the size of breasts in men. This procedure can be used on more than one area in a single day.



The most famous plastic surgery procedures Rhinoplasty (Nose job): Rhinoplasty refers to any surgery that repairs or reshapes the nose. Some people opt for rhinoplasty for cosmetic reasons. Others may have a medical reason, such as difficulty breathing or birth defects. Rhinoplasty can be used to: • Increase or reduce the size of the nose • Correct problems following an injury • Correct birth defects • Relieve or improve breathing problems • Narrow the shape of the nostrils • Change the shape of the bridge • Change the angle of the nose Hair transplantation: Hair transplantation surgery, also known as hair restoration, is performed to improve the appearance of baldness. In this procedure, hair is moved from an area of thick growth to a bald area. In a single session, more than a thousand hairs may be moved. Some people may require more than one session. The hairs which are moved are permanent, which means that no long-term care is necessary. Most hair transplants result in successful hair growth after the procedure. Buttock lift or lower body lift: Buttock augmentation enhances the appearance of the buttocks by making them larger. The surgeon will either graft fat from another part of the patient’s body using liposuction. This is known as the “Brazilian Butt lift.” Silicone implants may also occasionally be used in the buttocks. A buttock lift, or lower body lift involves removing excess skin from the hips, buttocks, and thighs in order to tighten and lift them. These procedures are often combined with abdominoplasty in patients who have lost a considerable amount of weight after bariatric, or weight loss, surgery, for example.


 


What do you expect from a heart doctor?


Preparing for your appointment     :Some types of heart disease will be discovered without an appointment — for example, if a child is born with a serious heart defect, it will be detected soon after birth. In other cases, your heart disease may be diagnosed in an emergency situation, such as a heart attack.


If you think you have heart disease or are worried about your heart disease risk because of your family history, see your family doctor. You may be referred to a heart specialist (cardiologist).



What to expect from your doctor  


Your doctor is likely to ask you questions, such as:



  • When did your symptoms begin?

  • Have your symptoms been continuous or occasional?

  • How severe are your symptoms?

  • What, if anything, seems to improve your symptoms?

  • What, if anything, appears to worsen your symptoms?

  • Do you have a family history of heart disease, diabetes, high blood pressure or other serious illness?



What you can do in the meantime :It’s never too early to make healthy lifestyle changes, such as quitting smoking, eating healthy foods and becoming more physically active. These are primary lines of defense against heart disease and its complications.


 


 


 



Treatment of heart disease


Treatment   :Heart disease treatments vary by condition. For instance, if you have a heart infection, you’ll likely be given antibiotics. In general, treatment for heart disease usually includes:



  • Lifestyle changes. These include eating a low-fat and low-sodium diet, getting at least 30 minutes of moderate exercise on most days of the week, quitting smoking, and limiting alcohol intake.

  • Medications. If lifestyle changes alone aren’t enough, your doctor may prescribe medications to control your heart disease. The type of medication will depend on the type of heart disease.

  • Medical procedures or surgery. If medications aren’t enough, it’s possible your doctor will recommend specific procedures or surgery. The type of procedure will depend on the type of heart disease and the extent of the damage to your heart.


Common treatments:


Here are some common treatments for different types of cardiovascular disease:


Heart Valve Problems



  • Medications

  • Heart valve surgery



Arrhythmia



  • Medications

  • Pacemaker



Heart Attack


Medications — clot-busters (should be administered as soon as possible for certain types of heart attacks)



  • Coronary angioplasty

  • Coronary artery bypass graft surgery



Stroke



  • Medications – clot-busters (must be administered within three hours from onset of stroke symptoms for certain types of strokes)

  • Carotid endarterectomy


 




Recovery time frame after buttock augmentation


It is vitally important that you follow all patient care instructions provided by your surgeon. This will include information about wearing compression garments, care of your drains, taking an antibiotic if prescribed, and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.


The first two weeks



  • The recovery period is slightly longer and more painful in the buttock area because this body region is used for physical activities such as walking, running, and even standing.

  • On the first day after surgery, you may be instructed to stay in bed with the compression garment on and to periodically move your hands and feet to maintain good circulation. You will be able to get up and walk after the second postoperative day.

  • When transported home or to your first postoperative follow-up visit, you will be instructed to lie on your stomach in the back seat of the car to avoid pressure on your buttocks. This position should also be used to maneuver and stand for the first 3 days.

  • You will also be instructed to lie on your stomach or side while sleeping and while watching TV or reading.

  • You can expect some bruising and swelling in the buttock area during recovery; this may spread up to the abdominal or thigh area. This is normal and will begin to subside after a few days or weeks.

  • Your buttocks may be sore and painful, but this usually begins to resolve after just a few days. Pain medication will be prescribed for the pain.

  • Drains will be in place for the first seven days to eliminate fluid buildup and oozing from your incisions.

  • An oral antibiotic will be prescribed to be taken as long as the drains are in place.


No sitting will be permitted for the first ten days (except for toileting). After this time you can sit with a soft pillow placed beneath your hamstrung muscles but not touching your buttock so that your buttock is in the air and there is no pressure on the newly augmented buttock.


 



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