Doctor in Sci Ivf Hospital
Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of a fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues.
When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things
- Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance.
- In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle.
- Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator.
- Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it).
- Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place.
- Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some.The failure of IVF treatment in some patients can be attributed to
- The embryo not being healthy enough to undergo the implantation
- Problems or severe damages to the uterine cavity.
- Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations).
Can IVF solve all infertility problems?
Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for
- Males with a low sperm count
- Tubal damage in women. There may also be problems affecting the cervix and the vagina
- Women with ovulation problems (can be due to Hormonal Imbalance, PCOS, Endometriosis) or those who are above 35 years
In unfortunate cases, where IVF fails to produce the desired result, there are other fertility treatments available such as Intrauterine insemination, Gamete or Zygote Intrafallopian Transfer, Intracytoplasmic sperm injections, to put an end to the infertility problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am Dr Shivani Sachdev Gour, I am the medical director of SCI Healthcare I am an gynaecologist and IVF and fertility specialist. Today I will be talking about something called as PCOS or PCOD, it is also called as polycystic ovarian syndrome or polycystic ovarian disease. So this is exactly the condition that I am talking about today, this is one of the most common hormonal disorders to affect women in our country in India. Almost 1 in 10 women suffer from PCOS and what happens in this condition, in this condition what happens is that hormones which are the male hormones rise in the body of the woman that needs to changes which include if you seen some women who have facial hair like a beard factor or like a moustache they lose, if you are losing hair from the top of your head or if you have some acne some kind of pimples or acne, these are all conditions which are associated with Polycystic ovary. Along with this the period becomes very irregular your cycle instead of one month can be 2 months, 3 months or you may not get them at all. So if you suffer from something like that please do not be anxious or do not worry because there are lot of treatment which are available for this. The treatment includes medical treatment it include surgical treatment or other fertility treatments. So medical treatment point of view, the most important thing is trying and loses some weight even if you lose just 2 or 3 kilos you will consider that to be insignificant but that is really quite important because that will help to overcome the problems that are associated with polycystic ovary. The second medication that you been used is called as a hormonal pills these are the birth control pills what they do is they reduce the testosterone and androsterone or the main hormone in your body and this helps to rectify the hormonal problems which are associated with polycystic ovaries. The other kind of medications are used by women who are trying to have a baby they include chromium citrate which is given from 5 days starting from the second day of your period and also a tablet called letrozole which is also given for 5 days from the second day of your period and this will help millions of women worldwide who suffer from this condition called PCOS to have a baby. On the other hand if you are thin and if you have a high level of hormone call LH and been trying to have a baby for over 3 years or you are not responding to any tablets you are not responding to injections even, then in that case you can opt for a surgical treatment. The surgical treatment is called as Polycystic ovary drilling where literally it is used to drill like a hole inside the ovary and this puncture helps to correct the hormonal profile. You get better results with the IVF or what they any just simple fertility treatment you can get a better response to the medication you are taking and at the same time you it can help you to get pregnant on your own even without having to use any other medications. The final treatment for Polycystic ovary syndrome includes a screening for diabetes because remember women with PCOS are higher risk of getting diabetes or high cholesterol. This is called metabolic syndrome, so make sure you check your blood sugar and your blood cholesterol levels regularly, specially if you are about the age of 40. Now after this finally, the final solution for fertility if you have taken medication, you have done surgery nothing has responded and the final solution is the IVF, you will be happy to know the best success rates are in women with Polycystic ovary they can range upto as high as 70% per cycle. So I wish you all the best in your journey through PCOS, if you have any queries please do not hesitate to contact us, we are always happy to answer them. Thank you.