Infertility is the inability to conceive after a year of unprotected intercourse in women under 35, or after six months in women over 35, or the inability to carry a pregnancy to term.
Both male and female factors contribute to infertility. Some studies suggest that male and female factors contribute equally. In many cases it may not be possible to definitely explain the reasons for infertility. It is essential that both the male and female partners be evaluated during an infertility work up.
Many things can change a woman's ability to have a baby. These include age, smoking, excess alcohol use, stress, poor diet, being overweight or underweight, sexually transmitted infections (STIs), health problems that cause hormonal changes, such as polycystic ovarian syndrome and primary ovarian insufficiency.
Anything that raises the temperature of the scrotum such as the use of hot tubs or long baths or over-tight clothing can harm sperm production. A variety of medicines and recreational drugs can also decrease male fertility. These include alcohol, cigarettes as well as certain medications. Studies have also shown that environmental factors have contributed to decreasing sperm counts over the years.
IVF is offered to women who have blocked or absent fallopian tubes, or men who have low sperm counts.
In IVF, eggs (oocytes) are surgically removed from the ovary and mixed with sperm outside the body in a embryology Lab. The eggs become fertilised after about 40 hours, These fertilized eggs (embryos) are then placed in the women's uterus, thus bypassing the fallopian tubes.
The average cost of an IVF cycle in India can be approximately 1.5 lakh. The cost is dependent on patient characteristics and the way they respond to the medications.
Yes it works and the average live delivery rate for IVF is 31.6 percent per retrieval--a little better than the 20 per cent chance in any given month that a reproductively healthy couple has of achieving a pregnancy and carrying it to term.
On rare occasions, fertilization does not occur because of an inherent issue with either eggs or sperm. In these circumstances, the use of donor sperm or donor eggs will usually result in fertilization. Your fertility specialist will help you determine which approach is most likely to result in egg fertilization.
A response to ovarian stimulation depends on a number of factors, such as availability of eggs, appropriate hormone levels, proper administration of medications and lifestyle/environmental factors. Woman with diminished ovarian reserve (identified by a high blood levels of follicle stimulation hormone (FSH), low blood levels of anti Müllerian hormone (AMH) or a low antral follicle count on ultrasound), have poor (or any) response to stimulation. For these patients, an alternate stimulation protocol may be tried or donor eggs may be used (from a woman known or unknown to the patient). Your gynecologist (fertility specialist) would advise regarding improving response to ovarian stimulation.
Optimal number of embryos to be transferred will be planned based on patient age, embryo quality, and other criteria with an objective of infertility treatment to achieve birth of a single, healthy child. Treatment options for infertility are associated with high risks of multiple gestation. However the multiple gestation poses risk to the mother and child.
This will vary from patient to patient and your gynaecologist(fertility specialist) will decide and advise you the tests. The most common tests performed at baseline is FSH, LH, Prolactin, Thyroid function test and Anti Mullerian Hormone.
There are multiple types of stimulation, however your fertility specialist will decide which will be the most appropriate one. However the most common type of stimulation used is short cycle protocol where the ovarian stimulation is for shorter period.
Your fertility specialist will decide the best option based on the circumstances. However the current most preferred option is frozen embryo transfer(FET).
Your gynecologist (fertility specialist) will give recommendations based on your medical history. However you can increase your chances with lifestyle changes by doing low intensity exercise, eating well, maintaining healthy weight and BMI for your age and height.
Are you going to do pre genetic diagnosis of the embryos? Suppose there's some genetic or inheritable disorder or the mother’s age is old, then are you going to do pre-genetic diagnosis? This means that the embryo itself is genetically screened.
Substances such as alcohol, tobacco and smoking hamper the reproductive health. Therefore, it is advised to strictly stop smoking and drinking alcohol. Also ensure to keep stress levels low.
Majority of women don’t have any side effects. Some women experience minor side effects such as vaginal discharge, mild abdominal crampy pain, bloating, and constipation. However some women develop Ovarian hyper-stimulation syndrome (OHSS). If you experience any unusual symptoms such as fever, severe abdominal discomfort, headache, swelling, or redness in your legs, you should contact your gynecologist (Fertility specialist) immediately.
Inquire with hospital about the cost, including specifics of what is included in each treatment cycle as well as any additional costs on medicines, surgeries and if they have any instalment options and other schemes to ease the financial burden.