Doctor in Max Multi Speciality Centre
Treatment of Infertility
In Vitro Fertilization (Ivf) Treatment
Treatment Of Female Sexual Problems
Intra-Uterine Insemination (IUI) Treatment
Sperm Donor Program
Natural Cycle Ivf Treatment
Egg Donation Procedure
Intracytoplasmic Sperm Injection (Icsi) Procedure
Embryo Donor Program
Evaluation & Treatment of Infertility
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Patient Review Highlights
Sir hum baby ki planning kr rahe hai meri merrige ko ak saal ho gya par abi tak meri wife concive ni kr payi kya vajeh hai jo humare baby ni ho raha hai or ab mujhe thyrode nikla hai uska koi ferk to ni pdh raha hai please mujhe pura suggetion kro.
Of a million sperms released in one ejaculation, a single sperm manages to fertilize the egg, which grows into an embryo and then a baby. Due to various reasons, when this does not happen, it is termed as infertility and is currently on the rise.
With IVF, couples sometimes go through multiple sessions to ensure fertilization. ICSI or intracytoplasmic sperm injection improved this chance of fertilization. It is where a single sperm is used to fertilize an egg in an artificially controlled environment and then injected into the uterus where it grows further.
The next step in this technique is IMSI, where the chances of successful pregnancy are further enhanced and also promises improved quality of the embryo. IMSI, as it stands for, has “morphologically selected” which means under a highly powerful microscope, the best sperms are selected and then used to fertilize the egg. Morphology stands for shape, and the shape of the sperm is a direct indicator of the sperm quality. This not just ensures good success rate but also ensures the sperm which is used produces a high-quality embryo.
- High success rate of fertility
- Reliable and efficient method of ART (assisted reproductive technology)
- More expensive than traditional IVF methods or ICSI
- Requires complex equipment, training, and set-up
- Useful in couples who have failed IVF previously
- Male infertility with unidentifiable cause
- Poor sperm quality
What to expect?
Both partners are prepared both physically and mentally prior to IMSI.
Before the procedure - men:
- A screening is first done to decide if the sperms can be used directly
- In case of hereditary diseases, a donor is preferred
- The first technical step involves sperm collection, either directly or through a donor
- Sperms are collected either through masturbation or through a small incision in the testicles
- Sperms used could be fresh or frozen; fresh ones may be stored for later use also
- The woman is put on some ovulation therapy to ensure the release of multiple eggs, so a good one is picked. These high doses of hormones ensure multiple eggs are released.
- Egg release is monitored through blood and urine tests
- They are collected within after 36 hours of release
During the IMSI procedure:
- A healthy egg is chosen and placed in a glass container containing hyaluronidase
- Sperms are placed in a medium which will slow their movement, which enables picking a good sperm for fertilization
- The dual advantage of this is that in addition to a high success rate of fertilization, the quality of the embryo is also assured
She's married and have a daughter 7 years old but trying for second child not successful every time she is upset.
One of the major milestones in a woman’s life is the entry into motherhood. For most women, when this does not happen in the natural logical sequence of things, there is anxiety and lot of pressure from family and friends.
However, with advancements now, there are options like intrauterine insemination and in vitro fertilisation (IUI and IVF) available, which can help increase the chances of conception and pregnancy. IVF is where the egg is retrieved from the woman’s womb, fertilised externally and then transplanted back into the uterus where it grows to full term. However, there are always unanswered questions like how long to wait before going for IVF, is it the right procedure for me, etc.
- Maternal age: As a woman reaches 35 and a man reaches 40, the fertility rates drop significantly. The chances that a woman at 35 will conceive is about 20%, which goes down to 5% if the woman is 40. However, this rate can be significantly increased by using IVF. The quality of the egg would gradually deteriorate, and so if a woman is nearing 40, it is better to consider IVF as the ovarian reserve would be optimal with IVF.
- Failed intrauterine insemination: In couples who have problems with the sperm reaching the uterus, intrauterine insemination (IUI) is first attempted. However, if 3 or more attempts of fail, it is time to consider IVF.
- Duration of inability to conceive: While some couples conceive quite promptly in a month or two, most take about 6 to 8 months of unprotected sex to conceive. Therefore, IVF can be an option if you are failing to conceive even after a year. Less than a year, don’t fret. Take it easy and it might just do the trick.
- Medical health: Both the partner’s medical health should be taken into account. Lifestyle changes like smoking, alcohol abuse, drug abuse should be considered, which can account for poor sexual performance and therefore lead to an inability to conceive. Health conditions like diabetes and heart disease can also lead to infertility. Hypothyroidism in women is another thing that must be ruled out, as it often leads to an inability to conceive.
- Sexual problems with the partner: One of the first things to do before going for IVF is to check that the male does not have any issues. Be it erection issues or ejaculation issues or sperm issues, they need to be ruled out. Sperm quality, quantity, and motility have to be analysed, and if they are optimal, IVF can be considered.
Sir Spearm count 25 million ho or motility 10% ho to baby ki planning kar sakte h ya nhi. Agr nhi to increase karne k liye koi medicine btaye.
Have you got your first ivf cycle failed? you must be anxious and worrying as what to do next.
Dont panic as ivf is a process of creating an embryo and implanting into the womens uterus and its sucess depends on many factors like
1) your quality of embryo formed
2) your endometrial lining and its receptivity
3) whether day3 or day 5 blastocyst transfer
4) technique of embryo placement
Many patients get disheartened when their first cycle fails and blame the centres for causing it a failure but its not so. Your chances of pregnancy depends on several factors and most importantly it depends on how the women body responds to it. As many times eggs that are collected seems good but when they are fertilised given grade c embryos i. E. Poor quality embryos which when placed find difficulty in implantation and growth and lead to negative results.
Similary when a best quality embryo is placed in a well lined endometrium but its implantation depends upon various factors such as vascularity and other immunological factors to be able to give a positive result.
So whenever your cycle fails dont just curse yourself! take appoinment with an expert infertility consultant and consult with all your reports to find out the cause of your failure and she would be the best person to guide you for your next cycle which can lead to a successful pregnancy as per your problem!