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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.

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09:00 AM - 04:00 PM

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Gujranwala Town Delhi, Delhi - 110009
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Do Not Worry About Male Infertility!

Do Not Worry About Male Infertility!

read more
Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialis...

Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialist at Elixir Fertility Center, New Delhi. Today I will be talking about Recurrent miscarriages and abortions.

A positive pregnancy test is a very exciting news not only for the couple but for the entire family. However, sometimes there is a miscarriage and the chances of miscarriage in the normal pregnancy are about 10-15%. If you have had only one miscarriage, then the chances that you will carry on till term without requiring any medical extensive treatment in your next pregnancy are nearly 80% or more. For women who have had only one miscarriage, we will not recommend going for extensive testing or treatment.

What is recurrent abortion or recurrent miscarriage? 

If a lady has had 3 or more repeated abortion, it is called recurrent abortions. Even these days we start doing test and treatment if a lady has had 2 abortions and we do not wait for third one to occur.

So, why does an abortion occur?

In simple terms, either it is a fetus, that is, an embryo is not normal or the womb which is going to carry the pregnancy has some problems in it. What happens to a fetus if you are carrying a genetically abnormal baby, that can lead to miscarriage. It is nature's way to take care of the pregnancy and not letting the abnormal baby come into life. So, we do tests called genetic tests to check the chromosomic make up of a baby. They can be done on the products of conception. We also recommend that we have complete parental care, that is the blood test of both mom and dad to check the both of the chromosomal content.

Sometimes, in2-5%of the cases, there is balanced chromosomal translocation. Now this translocation will not cause any problem to the person who is guiding translocation. But when you produce an egg or the sperm, the embryo can be abnormal and this will lead to a miscarriage.

What happens to a person carrying a translocation?

If you are carrying a translocation which is leading to repeated miscarriages, it is better to plan IVF cycle along with PGD or PGS rather than normal conception.

IVF is where we create an embryo using the eggs from the lady and sperm from the husband. When the embryo is ready, we take a small biopsy and we subject it to test and a complete chromosomal analysis. And once the results are back, the normal embryo is transferred back into the lady's womb resulting in healthy pregnancy. This is one factor that we just addressed.

The second factor that we talked about is abnormalities in the womb. Now, simple test to analyze hormonal balance from the blood taken from the lady will tell us about thyroid status, diabetes, abnormal prolactin. These are all hormones which if are elevated or below the range can lead to abortions. THis can all be treated by giving oral tablets. So, these are important to be tested for any women having recurrent abortions.

  • Then we look into other factors such as autoimmune problems which are very common, occurring in about 20% of the patients. During pregnancy, we advise you to take low dose aspirin tablets and low molecular weight hampering injections for the entire duration of pregnancy. And this results in more than 60% successful pregnancies.
  • Another important factor that leads to abortion, which is Thrombophilias. THese are inherited problem which increases the tendency of blood to clot. Since the blood flow to the uterus is not occurring properly, you might again need blood gain agents such as aspirin.
  • Some of the other common factors are an anatomical factor. So, if the uterus or a womb is carrying a fibroid can also lead to abortions. Now, these can be easily diagnosed by doing an ultrasound either 2-dimensional or 3- dimensional. If such a problem is present, we can treat it by doing a hysteroscopic procedure.
  • Another important factor that leads to Abortion, especially in our part of the country, that is North India, is Tuberculosis. This is one of the commonest cause of miscarriages especially in our part of the country. It can be tested by doing Biopsy. Take a small amount of tissue from the uterus and check whether the lady is carrying Tuberculosis or not. It can be treated by giving oral medication of tuberculosis that has to be taken for the period of 6-9 months.
  • Another common cause is the imbalance of Th1 or Th2 cytokines. These are the cytokines present in the uterus which may not let the embryo or the pregnancy to grow. And if these are found to be positive, we recommend Immunomodulation.

So, these are the various causes due to which a lady can have an abortion. An important thing here is do not loose hope and do not give up treatment. If you have had 2-3 abortions, you need to get complete panel of tests done and with the help of a treatment, you have 60% of the chance to deliver a baby normally.

If you wish to consult me, please contact me through Lybrate or you can visit my clinic directly.

Thank you.

 

 

read more
Good morning , I am Dr Puneet K Kocchar. I am a consultant gynaecologist and fertility specialist...

Good morning , I am Dr Puneet K Kocchar. I am a consultant gynaecologist and fertility specialist.

Today I am explain about unexplained fertility. Now before going to unexplained fertility, I am going to tell you about what is infertility or sub-fertility.

If you have has unprotected regular intercourse for a period of one year or over one year and you have not been able to conceive, then you need to see a doctor. That is when you are suffering from sub fertility and you need to see a doctor. And for the women above the age of 35 years, if you have been trying reguarly to get pregnant over a period of 6 months and you are not pregnant. You might see a doctor and get some basic tests done.

Now coming to unexplained infertility. This is where when we are not able to find out the cause of infertility. Lets start from the basics. You need four basic things to get pregnant. I will show you here,

  • First we need a sperm which should be normal and have good mortality present in the semen.
  • When you have intercourse, the sperm is deposited in the vagina.
  • Then you need eggs to be produced in the ovary and we need two fallopian tubes which should be patent and should be able to transfer the sperm to reach the egg.
  • Then we have uterus which is normal and able to carry on the pregnancy.

Now unexpalined infertility is when all these factors are normal and still someone is not able to conceive. You will be suprised to know that unexplained infertility accounts for as much as  20-25% cases of infertility, that we see in our clinic daily.

The good news is that about 80% of the women are able to conceive. Most of them conceive on their own or some of them need help of a doctor. No extensive treatments are required in this case, mild treatment might help you conceive. Now the first kind of management is to provide oral medicines, such as follic acid, which help in the development of baby. If you are suffering from polycystic ovaries, we might give the medicines of ovugation induction to improve the quality of egg. These are the oral medications which help in the formation of the eggs. Sometimes we give injections to form highter number of eggs. There are some tablets which helps in improving the quality of few eggs.

On the other hand, there are extreme opposite case in which woman instead of having higher number of eggs, have low number of eggs. So these women might benefit from DHEA tablets, so we give them oral medications in order to improve the egg quality. After improving the egg quality and the serial ultrasounds we can see the egg is develpoing normally. And you have tried naturally, lets say about 3-6 months and you are still not pregnant, then the next step is for Intrauterine Insemination, also called IUI.

In IUI, once your egg is ready, we call the couple to the clinic. The husband has to give semen sample which is then processed. The good quality or the rapidly move sperm is put in the uterus. This might help in conception by increasing the chances of natural pregnancy by about 5%. In natural pregnancy, the chances of getting pregnant is about 15% and in IUI cycle, the chances increase to about 20%. If this fails for about 3-6 cycles, we have two more options;

We either perform the tests for the tubes again. So, we either do the laposcopy tests or we move towads IVF, which is called "In Vitro Fertilization". This is also called test tube baby treatment. It is not actually a painfull or extensive treatment, infact it is quite simple treatment which has a success rate of about 50-60% of conception for majority of couples, below the age of 35-36 years.

In the patients with unexplained infertility, the chances of conceiving without requiring IVF is very high. As I said, all you need is a good direction and not to give up hope and not to stop treatment for very long time. If you are suffering from any such problem, I would request you to call us and make an appointment and discuss the problems in personal.

You can contact me through lybrate or directly on my clinic.

Thank you.

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Doctors

Dr. Puneet K. Kochhar

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist
88%  (47 ratings)
15 Years experience
800 at clinic
₹300 online
Available today
09:00 AM - 12:30 PM
01:30 PM - 04:00 PM

Dr. Pranay Ghosh

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist
89%  (20 ratings)
11 Years experience
700 at clinic
₹300 online
Available today
09:00 AM - 04:00 PM
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Specialities

Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
IVF Speciality

IVF Speciality

Largely aims to help couples conceive through the method of in-vitro fertilization
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Patient Review Highlights

"Professional" 2 reviews "Prompt" 1 review "Well-reasoned" 3 reviews "Helped me impr..." 1 review "Practical" 1 review "Nurturing" 2 reviews "knowledgeable" 6 reviews "Sensible" 2 reviews "Very helpful" 13 reviews "Caring" 5 reviews "Saved my life" 1 review

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Dear sir I have a one problem my wife is not getting pregnant. We are trying to 6 months.

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Dear sir I have a one problem my wife is not getting pregnant. We are trying to 6 months.
Hi lybrate-user ji, If your wife is less than 34 years old and has regular periods, try for few more months. The best time to try is to have regular intercourse (alternate days is sufficient) from approximately day 10-20. If she is still not pregnant, please let me know and I can advise some tests and medicines for both of you. If she is over 35 or has irregular periods, kindly reply as then you need to be seen sooner.
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We are suffering from infertility. We have consumed lots of medicine even gone through from IUI but cant success please advise we both are upset.

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
We are suffering from infertility. We have consumed lots of medicine even gone through from IUI but cant success plea...
Hi lybrate-user, at the age of 29, there are good chances of conceiving with (or without) medical help. To be able to guide you further, I need to know your husband's semen report, your tubal patency test report, and blood reports (FSH, LH, AMH, TSH, prolactin). Kindly share these, so I can advise you better.
1 person found this helpful
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Sir/madam I have lost my son. He was Just 6 year and 5 month and was the only child. My world has lost. I want to know that he started tractor by mistake which was in gear and run upto 40meters and hit with wall as the tractor hit the wall he jumped from tractor no one was there we ran toward him after hearing the sound. We found him lying near tractor away from wheels of tractor. He was alive then. We ran toward doctor by car. I was continuously press his heart and breathing him with his mouth. When We were mid of our way then I breath him through his mouth blood came through his nose when we reached to hospital. They declared him dead. No marks was there on her body. I every time think about the incident what would be the possible reason of his death because blood came through his nose. Was there cardiac arrest. Was internal injury. Was head injury. I want to know the reason. One more thing please my wife is now 34 year what should I start giving her so we can plan for our next baby. She has thyroid with high level of tsh.

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Sir/madam I have lost my son. He was Just 6 year and 5 month and was the only child. My world has lost. I want to kno...
Hi lybrate-user I am very sorry for your loss. This was very tragic. It is difficult to comment on the exact cause of death at this point. It could be head injury or some other internal injury. You are being very brave by thinking ahead. Planning another child will help you recover from this loss. For planning to conceive, you need to control the TSH. Please see an endocrinologist or let me know her TSH levels and the current dose of medications she is on. If she has regular menstrual cycles, start trying naturally (the best time to do so is the middle 10 days of the cycle). It is a good idea to get some basic tests done if you don't conceive in 3-4 months. Please let me know if you need any further help or information. Hoping God will give you both the strength to bear this loss and move ahead.
1 person found this helpful
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Hi sir I'm 30 years old I'm suffering pcos and weight gain issue my gyanaec suggest me evecare mor & night harmony F night it's cure for pcos how many months to continue this medicine I'm working myself doing intense exercise & yoga to reduce as well pcos. I'm trying to conceive marriage life 4 years no child my height. 5.4 and weight 85 please help me out.

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Hi sir I'm 30 years old I'm suffering pcos and weight gain issue my gyanaec suggest me evecare mor & night harmony F ...
Hi lybrate-user, you are working on the right track. The first line for management of PCOS is weight loss through diet control and exercise. This might help you to ovulate (release an egg) naturally and get pregnant. However, if you do need medicines, they will only help as long as you take them. The effect of these medicines comes in 3 months time, so you need to take them for minimum 3-6 months. Since it has been 4 years since your marriage, its better to start ultrasound for follicular monitoring along with medicines to produce an egg. This will help you conceive quicker. Please let me know if you have any further queries.
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Male Infertility

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Play video

Do Not Worry About Male Infertility!

4 people found this helpful

Recurrent Miscarriages or Abortions

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Play video

Good afternoon, I am Dr. Puneet Kocchar. I am a consultant gynecologist and a fertility specialist at Elixir Fertility Center, New Delhi. Today I will be talking about Recurrent miscarriages and abortions.

A positive pregnancy test is a very exciting news not only for the couple but for the entire family. However, sometimes there is a miscarriage and the chances of miscarriage in the normal pregnancy are about 10-15%. If you have had only one miscarriage, then the chances that you will carry on till term without requiring any medical extensive treatment in your next pregnancy are nearly 80% or more. For women who have had only one miscarriage, we will not recommend going for extensive testing or treatment.

What is recurrent abortion or recurrent miscarriage? 

If a lady has had 3 or more repeated abortion, it is called recurrent abortions. Even these days we start doing test and treatment if a lady has had 2 abortions and we do not wait for third one to occur.

So, why does an abortion occur?

In simple terms, either it is a fetus, that is, an embryo is not normal or the womb which is going to carry the pregnancy has some problems in it. What happens to a fetus if you are carrying a genetically abnormal baby, that can lead to miscarriage. It is nature's way to take care of the pregnancy and not letting the abnormal baby come into life. So, we do tests called genetic tests to check the chromosomic make up of a baby. They can be done on the products of conception. We also recommend that we have complete parental care, that is the blood test of both mom and dad to check the both of the chromosomal content.

Sometimes, in2-5%of the cases, there is balanced chromosomal translocation. Now this translocation will not cause any problem to the person who is guiding translocation. But when you produce an egg or the sperm, the embryo can be abnormal and this will lead to a miscarriage.

What happens to a person carrying a translocation?

If you are carrying a translocation which is leading to repeated miscarriages, it is better to plan IVF cycle along with PGD or PGS rather than normal conception.

IVF is where we create an embryo using the eggs from the lady and sperm from the husband. When the embryo is ready, we take a small biopsy and we subject it to test and a complete chromosomal analysis. And once the results are back, the normal embryo is transferred back into the lady's womb resulting in healthy pregnancy. This is one factor that we just addressed.

The second factor that we talked about is abnormalities in the womb. Now, simple test to analyze hormonal balance from the blood taken from the lady will tell us about thyroid status, diabetes, abnormal prolactin. These are all hormones which if are elevated or below the range can lead to abortions. THis can all be treated by giving oral tablets. So, these are important to be tested for any women having recurrent abortions.

  • Then we look into other factors such as autoimmune problems which are very common, occurring in about 20% of the patients. During pregnancy, we advise you to take low dose aspirin tablets and low molecular weight hampering injections for the entire duration of pregnancy. And this results in more than 60% successful pregnancies.
  • Another important factor that leads to abortion, which is Thrombophilias. THese are inherited problem which increases the tendency of blood to clot. Since the blood flow to the uterus is not occurring properly, you might again need blood gain agents such as aspirin.
  • Some of the other common factors are an anatomical factor. So, if the uterus or a womb is carrying a fibroid can also lead to abortions. Now, these can be easily diagnosed by doing an ultrasound either 2-dimensional or 3- dimensional. If such a problem is present, we can treat it by doing a hysteroscopic procedure.
  • Another important factor that leads to Abortion, especially in our part of the country, that is North India, is Tuberculosis. This is one of the commonest cause of miscarriages especially in our part of the country. It can be tested by doing Biopsy. Take a small amount of tissue from the uterus and check whether the lady is carrying Tuberculosis or not. It can be treated by giving oral medication of tuberculosis that has to be taken for the period of 6-9 months.
  • Another common cause is the imbalance of Th1 or Th2 cytokines. These are the cytokines present in the uterus which may not let the embryo or the pregnancy to grow. And if these are found to be positive, we recommend Immunomodulation.

So, these are the various causes due to which a lady can have an abortion. An important thing here is do not loose hope and do not give up treatment. If you have had 2-3 abortions, you need to get complete panel of tests done and with the help of a treatment, you have 60% of the chance to deliver a baby normally.

If you wish to consult me, please contact me through Lybrate or you can visit my clinic directly.

Thank you.

 

 

1 person found this helpful

I am 35 years old lady. Having a 10 years old daughter. Weight was 107 in 2012. Period stopped. Went for the bariatric surgery in 2013. Conceived one time but went for abortion because ct scan was done during first trimester. On antidepressants for 10 yrs. But now periods regular. Is there some chances to conceive and can I deliver a healthy baby. Should I plan for it.

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
I am 35 years old lady. Having a 10 years old daughter. Weight was 107 in 2012. Period stopped. Went for the bariatri...
Dear yes, you have good chances of conceiving and carrying on with a healthy pregnancy. It will be worthwhile consulting your psychiatrist to give you some antidepressants which are safe if you plan a pregnancy, or the dose can be tapered as required. If you are not pregnant within 6 months of trying, you should get some basic fertility tests done including husband's semen analysis, and you blood tests for AMH, day 2 FSH, LH, TSH, prolactin, etc. Please let me know if you have any further queries. Kind regards,
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Heavy Menstrual Bleeding - 9 Causes Behind It

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
Heavy Menstrual Bleeding - 9 Causes Behind It

Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:

1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 

2. Fibroids
These most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growths on the uterus.

3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube but does not reach the uterus.

4. Blood thinners
These are medicines which are usually anticoagulant or anti-platelet drugs.

5. Problems with IUD
A non-hormonal intrauterine device is a T-shaped device used for birth control which is inserted into the uterus.

6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.

7. PID
PID stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.

8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers which may cause heavy menstrual bleeding.

9. Other diseases
Liver, kidney and thyroid diseases are all included. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4652 people found this helpful

4 Do's Of Working During Pregnancy

MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
4 Do's Of Working During Pregnancy

Pregnancy is one of the most wonderful, but exhausting times of a woman's life. There are a quite a few precautions you need to take and quite a few factors you need to consider before doing anything. Take for example working during pregnancy. Working while you're pregnant can be challenging, but if you keep these do's and don'ts in mind, it can become an easy task.

Do: Take Adequate Rest

The first few weeks of pregnancy can take a toll on your body. If your sleep schedule is off, you need to fix it and sleep for the usual 8-9 hours a day. If you undertake a lot of physically strenuous work or even if have a desk job, you need to take a break as it can get very taxing for you. To avoid work-related exhaustion and stress, take frequent breaks to give your body the rest it requires.  Speak to a doctor or trainer for simple stretches that will help you alleviate stress on your joints and keep you muscles relaxed.

Do: Be Smart About Your Work

Jobs that require heavy lifting must be avoided at all costs as they can give rise to severe complications during pregnancy. When you're pregnant you should also avoid work that regularly exposes you to radiation, harmful chemicals, lead and X-rays. Ask your supervisor to shift the sort of work you are doing as often it's illegal to continue working in conditions that actively harm your pregnancy.

Do: Take Multivitamins and Necessary Supplements

Work often doesn't leave you with enough time to take good care of yourself. You may end up skipping meals due to a hectic work schedule, which can lead to vitamin and mineral deficiencies. To keep the worst effects of this kind of a lifestyle at bay, make sure to take your multivitamins and supplements religiously and regularly.

Do: Be Super Hygienic

It is extremely important to maintain high standards of personal hygiene and sanitation during your pregnancy. This becomes even more important if you work in an environment that exposes you to infectious diseases, raw meats and children. Keep a hand sanitizer with you at all times, and make sure you don't ingest anything that has come into contact with contagions.

Don't: Go For Long Stretches Without Eating

Keeping your stomach empty during pregnancy can have a lot of unwanted effects ranging from bloating, acidity and gas to nausea and vomiting. Have a light breakfast and keep snacking on small portions of nutritious food throughout the day. Also, ensure that you maintain optimum fluid intake. The regular 8-10 glasses of water a day is an absolute must.

Don't: Be stressed

Stress during pregnancy can have damaging effects on your and your baby's health, severely affecting the physical and mental development of your unborn child. Avoid taking on extra work for the duration of your pregnancy. Lighten your workload as much as you can and make sure to take meditation and baby-safe yoga classes to keep your stress in check.

As long as you take these simple precautions, you can continue to work throughout your pregnancy. So, remember to follow these guidelines to ensure a safe and healthy experience for both you and your growing baby. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4532 people found this helpful

Unexplained Infertility

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Play video

Good morning , I am Dr Puneet K Kocchar. I am a consultant gynaecologist and fertility specialist.

Today I am explain about unexplained fertility. Now before going to unexplained fertility, I am going to tell you about what is infertility or sub-fertility.

If you have has unprotected regular intercourse for a period of one year or over one year and you have not been able to conceive, then you need to see a doctor. That is when you are suffering from sub fertility and you need to see a doctor. And for the women above the age of 35 years, if you have been trying reguarly to get pregnant over a period of 6 months and you are not pregnant. You might see a doctor and get some basic tests done.

Now coming to unexplained infertility. This is where when we are not able to find out the cause of infertility. Lets start from the basics. You need four basic things to get pregnant. I will show you here,

  • First we need a sperm which should be normal and have good mortality present in the semen.
  • When you have intercourse, the sperm is deposited in the vagina.
  • Then you need eggs to be produced in the ovary and we need two fallopian tubes which should be patent and should be able to transfer the sperm to reach the egg.
  • Then we have uterus which is normal and able to carry on the pregnancy.

Now unexpalined infertility is when all these factors are normal and still someone is not able to conceive. You will be suprised to know that unexplained infertility accounts for as much as  20-25% cases of infertility, that we see in our clinic daily.

The good news is that about 80% of the women are able to conceive. Most of them conceive on their own or some of them need help of a doctor. No extensive treatments are required in this case, mild treatment might help you conceive. Now the first kind of management is to provide oral medicines, such as follic acid, which help in the development of baby. If you are suffering from polycystic ovaries, we might give the medicines of ovugation induction to improve the quality of egg. These are the oral medications which help in the formation of the eggs. Sometimes we give injections to form highter number of eggs. There are some tablets which helps in improving the quality of few eggs.

On the other hand, there are extreme opposite case in which woman instead of having higher number of eggs, have low number of eggs. So these women might benefit from DHEA tablets, so we give them oral medications in order to improve the egg quality. After improving the egg quality and the serial ultrasounds we can see the egg is develpoing normally. And you have tried naturally, lets say about 3-6 months and you are still not pregnant, then the next step is for Intrauterine Insemination, also called IUI.

In IUI, once your egg is ready, we call the couple to the clinic. The husband has to give semen sample which is then processed. The good quality or the rapidly move sperm is put in the uterus. This might help in conception by increasing the chances of natural pregnancy by about 5%. In natural pregnancy, the chances of getting pregnant is about 15% and in IUI cycle, the chances increase to about 20%. If this fails for about 3-6 cycles, we have two more options;

We either perform the tests for the tubes again. So, we either do the laposcopy tests or we move towads IVF, which is called "In Vitro Fertilization". This is also called test tube baby treatment. It is not actually a painfull or extensive treatment, infact it is quite simple treatment which has a success rate of about 50-60% of conception for majority of couples, below the age of 35-36 years.

In the patients with unexplained infertility, the chances of conceiving without requiring IVF is very high. As I said, all you need is a good direction and not to give up hope and not to stop treatment for very long time. If you are suffering from any such problem, I would request you to call us and make an appointment and discuss the problems in personal.

You can contact me through lybrate or directly on my clinic.

Thank you.

3803 people found this helpful
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