Connection of Baby & Womb

Common Questions

Question 1

How does the connection between the embryo and the womb occur?

The connection begins when a fertilized egg implants into the uterine lining, initiating the development of the placenta. Dr. Karunakar Marikinti ensures this process is smooth and monitors early pregnancy to address any potential issues.

Question 2

What factors affect embryo implantation?

Factors such as uterine health, hormone levels, and immune responses can impact implantation. Dr. Karunakar Marikinti utilizes advanced diagnostic techniques to identify and manage these factors, improving implantation success rates.

Question 3

What is the role of the uterine lining in pregnancy?

The uterine lining, or endometrium, provides a nourishing environment for the embryo to implant and grow. Dr. Karunakar Marikinti helps patients optimize their endometrial health to support successful pregnancies.

Question 4

Can an abnormal uterine environment lead to pregnancy loss?

Yes, conditions like thin endometrium, fibroids, or scar tissue can interfere with embryo implantation and growth, potentially leading to miscarriage. Dr. Karunakar Marikinti specializes in treating these conditions to promote a healthy uterine environment.

Question 5

How does the placenta develop and function?

The placenta develops from the embryo and attaches to the uterine wall, providing oxygen and nutrients to the baby. Dr. Karunakar Marikinti monitors placental health throughout pregnancy to ensure optimal fetal development.

Question 6

What are the signs of a successful embryo implantation?

Signs include a positive pregnancy test, rising hormone levels, and early pregnancy symptoms. Dr. Karunakar Marikinti offers early pregnancy monitoring to confirm successful implantation and address any concerns.

Question 7

How can immune issues affect the connection between the embryo and the womb?

Immune system imbalances can cause the body to reject the embryo. Dr. Karunakar Marikinti uses specialized testing to identify immune-related issues and provides treatments to support embryo acceptance and growth.

Question 8

What treatments are available for implantation failure?

Treatments may include hormone therapy, immune-modulating medications, and surgical interventions. Dr. Karunakar Marikinti tailors treatment plans to each patient's unique needs, improving their chances of successful implantation and pregnancy.

Abnormal Connection of Baby & Womb

Understanding Abnormal Connection of Baby & Womb

Hysteroscopy (Telescoping Womb)

Hysteroscopy is a simple and safe procedure that helps prevent miscarriage and implantation failures by allowing doctors to directly visualize and treat abnormalities within the uterus.

Uterine Receptivity

Ensuring the uterus is ready to receive and nurture an embryo is crucial for a successful pregnancy. Comprehensive tests are available to check if the female body is well-prepared to accept an embryo without rejection.

Advanced Testing

Carried out at Rosalind Franklin University Clinical Immunology Laboratory in Chicago

  • Uterine NK Cells (uNK): These cells make up to 70% of the endometrial cells during implantation. An imbalance in cytokines (IL-12, IL-15, Fn-14, IL-18, LIF, TWEAK) can indicate immune dysregulation in women with recurrent implantation failure (RIF).
Successful Treatments After Comprehensive Testing
  • Endometrial Immune Profile: Decidualization Score: Over 80% of women with implantation failure show an immune defect. Testing and treatments are based on understanding local immune activation or under-activation.
Advanced Genetic Tests
  • Endometrial Receptivity Array (ERA): This test helps determine the timing of the implantation window. About one-third of infertile women may have a displaced implantation window, with 75% of these cases being pre-receptive.

Four Subgroups of Problems with Embryo and Uterus Interaction

  1. Systemic Inflammation:

    • Imbalance in T helper cell ratios (TH1) or increased natural killer cell activity.
    • Treatments: Steroids, low dose aspirin, heparin, intralipid IV infusions, IVIg or Humira.
  2. Autoantibody-Inflammation:

    • Autoimmunity to fatty molecules, nuclear antigens, thyroid molecules, or other tissues.
    • Treatments: Steroids, low dose aspirin, heparin, thyroid function stabilization.
  3. Allo-immune Dysfunction:

    • Lack of appropriate immune response due to close genetic compatibility with the partner.
    • Treatments: Steroids, low dose aspirin, heparin, intralipid infusions, possibly Lymphocyte Immune Therapy (LIT).

Advanced Uterine Immune Testing

  • Endometrial Immune Profile (EIP) & Decidualization Score: Identifying immune issues that affect implantation and pregnancy success.
Hysteroscopy(Telescoping Womb) helps to prevent Miscarriage and Implantation Failures and is Simple and Safe to Perform 
Uterine Receptivity

Comprehensive Tests to check if Female Body is well Prepared to receive, nurture & not reject embryo(baby) 

ADVANCED TEST

ADVANCED TEST Carried out at  World’s most reputed ROSALIND FRANKLIN UNIVERSITY CLINICAL IMMUNOLOGY laboratory-Chicago Tests 

 Uterine NK cells (uNK) represent up to 70 % of the cells in endometrium during the implantation phase and secrete several cytokines (IL-12, IL-15, Fn-14, IL-18, LIF, TWEAK) modulating the uterine environment. An excessive number of uNK cells and the imbalance between IL-12/Fn-14 and IL-18/TWEAK have been recently shown as markers of immune profile dysregulation in women with RIF

SUCCESSFUL TREATMENTS POSSIBLE AFTER COMPRESHENSIVE TESTING OF IMPLANTATION FILAURE / MISCARRIAGE 

ENDOMETRIAL IMMUNE PROFILE : DECIDUALISATION SCORE

MAJORITY (over 80%) OF IMPLANTATION FAILURE WOMEN HAD Immune Defect  

World’s largest Research on Immune Causes of Implantation Failures
Advanced Genetic Tests to avoid treatment failure: ERA

one third of infertile could have displaced IMPLANTAITON WINDOW. 75% OF These  ARE pre-receptive
Endometrial receptivity Array by NGS (on its own or part of Endotrio)

Four Subgroups of problems with the interaction of embryo(baby) and the female Uterus(womb)- any of them leading to RM/RIF
 

Class ISystemic Inflammation: 
 

ALTERED systemic inflammatory immune responses demonstrated by Increased T helper 1 / T helper 2 balance [also called TH1:TH2 ratio abnormalities, or Cytokine ratio abnormalities] and/or increased natural killer cell numbers or activity. 

 

Possible treatment includes:

 

Four Subgroups of problems with the interaction of embryo(baby) and the female Uterus(womb)- any of them leading to RM/RIF

Four Subgroups of problems with the interaction of embryo(baby) and the female Uterus(womb)- any of them leading to RM/RIF

Class III Autoantibody – Inflammation

Four Subgroups of problems with the interaction of embryo(baby) and the female Uterus(womb)- any of them leading to RM/RIF
 

Class IV Allo-immune Dysfunction

Women in this category have a lack of appropriate immune response to a pregnancy due to close genetic compatibility to their partner which can be identified through ‘HLADQ alpha matching’ of the couple. 
 

TREATMENT:

Advanced Uterine Immune Testing for Miscarriage / Implantation Failure

Endometrial Immune Profile (EIP) & Decidualization Score

Dr. Karunakar Marikinti's Expertise

Dr. Karunakar Mirakanti specializes in diagnosing and treating issues related to abnormal connections between the baby and the womb. His approach includes:

  • Advanced Diagnostics: Utilizing state-of-the-art testing to uncover and address immune and genetic factors affecting pregnancy.

  • Personalized Treatment Plans: Developing tailored care plans to enhance uterine receptivity and embryo implantation.

  • Holistic Care: Providing comprehensive support, from pre-conception through pregnancy, to ensure the best possible outcomes for mothers and babies.

Contact Dr. Karunakar Marikinti Today

If you are experiencing recurrent implantation failures or miscarriages, Dr. Karunakar is here to help. Schedule a consultation to explore advanced testing and personalized treatment options to improve your chances of a successful pregnancy.