Doctor in Jaypee Hospital
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Family Planning Procedure
Management of Surrogacy
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Patient Review Highlights
Infertility is a condition that can be caused due to a variety of reasons, for both males as well as females. Yet, it also comes with plenty of emotional baggage because there is a great deal of social stigma attached to childless parents, especially in the developing countries like India, where we still hold on to traditional thinking which does not really justify modern day realities.
Understanding Infertility in the Developing World: As per medical science, infertility is defined as a problem that is faced by couples who do not manage to conceive even after a year of trying without any birth control measures. In countries like ours, there is a great social stigma that is attached to being childless. As per many studies by the World Health Organization (WHO), about 15% of couples the world over are affected by infertility. Also, such cases go undetected because there is a great social stigma attached to the same. Further, there may be underlying conditions like Tuberculosis which may have been undiagnosed because people do not like to talk to doctors about the symptoms. The main problem in countries like India, and others areas is that people do not open up about such problems and they consider doctors and other medical practitioners as strangers.
Still in the Dark Ages: Even though we have made the transition from an agricultural country where we would pray to the elements and wait for signs for all our everyday activities from harvesting to childbirth, to an industrial country we are still in the dark ages as far as our social setup goes. There are many educated and well-heeled families where being childless is considered as an issue. And many people tend to go to astrologers and temples to change their fate, where a simple visit to a doctor and procedures like IVF, or adoption as the last resort, can also work out.
Infertility Stigma for Males and Females: For an infertile couple, the problem may stem from the male, or the female or both partners. There are still many social stigmas that are attached to this and many people in countries like India tend to call the woman barren, if she is unable to bear a child. In many cases, the male partner does not even go in for a check up as it is not even considered as an option that the problem might lie with him. Male erectile dysfunction, ejaculation problems, and general infertility can cause a range of issues for the couple when it comes to conception. So it is imperative to have the same checked by the doctor so that a sperm test can also be conducted and the treatment can carry on accordingly with the help of IUI or IVF.
In case you have a concern or query you can always consult an expert & get answers to your questions!
How many test we have to do for female infertility if below test are normal HSG Normal LH Normal FHS Normal AMH Normal protein Normal TSH Normal.
My frozen embryo transfered on 06.09.17 and also stem cell infusion on 20.08.17 and first beta HCG report is 220 on 19.09.17 and second HCG report is 3880 on 25.09.17. But today it is being bleeding at 10.00. After consulting my doctor advised me injection IVF C 5000. Now when I again test HCG report is 28860 and in USG report two gestational sac is seen and saw twin pregnancy .but doctor say it is bad result and will be abort. What should I be do.
I am 30 years old. I Ian trying to conceive since two months. After doing my pelvic USG & amh n prolactin test my doctor said I am having high prolactin level (42) and low amh (1.9) n also some follicles are found in right ovary. She prescribed caberlin 0.5,ovaries plus, miliana for two months. Please help me sir and let me know will these medications b helpful in conceiving and what you suggest further.
Age 39+, diagnosed with secondary infertility, can give live birth with donor egg in IVF? What steps should follow for successful pregnancy & live birth?
Hi, It is been 7 years I got married, Right tube is removed as I got ectopic and got manual surgery. Left tube when I got HSG their said I have hydrosulphic so not able to get normal convince. Need to go for IVF. But it is too costly so thinking wat best can be done to get a convince.
I am 23 years old. Female, I got married 2016. I have chocolate cyst in my both ovaries.in ultrasound 2016 dec- R.O- 3.4 X 2.8 cms,L.O- 2.7x2.1 cms. 2017 may-R.O-3.0x2.2 cms, L.O-3.1x2.1 cms. After taking T. Dienogest tablet for 3 months my cyst measurement is R. O-2.4x1.5 cms, L.O - 2.2x1.9.we are trying for baby. This cyst may cause any serious problem to get pregnant.
The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg.
Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories:
- Blocked fallopian tubes
- One blocked and one open fallopian tube
- Tubal scarring
The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:
- STDs such as chlamydia trachomatis and neisseria gonorrhea
- Adhesions caused by ruptured ovarian cysts
- Peritonitis and
- A history of ectopic pregnancies
Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.
- Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however does not say much about tubal scarring.
- Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes.
Treatment for infertility caused by tubal scarring is of two types.
- Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. She may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
- In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
In large number of cases of tubal scarring tubes would be open on tubal testing. However, it may not be working well or is functional. A lot of women with so called unexplained infertility may actually have tubal scarring or non functional tubes as the cause of Infertility. IVF is the best treatment option in such cases as it would bypass the work of the tubes completely. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
Vitamin D is present in the skin and is considered to be a steroid hormone that is found in fortified foods and sun exposure. For years, it has been associated with bone health, but recent studies have revealed that it plays a major hand in mammal fertility as well. Research conducted by the Journal of Clinical Endocrinology & Metabolism has shown that Vitamin D plays a pivotal role in IVF procedures. It not only helps to produce good quality embryos, but also increases the success rate of implantation dramatically.
Study 1: Researchers followed 154 women who were vitamin D deficient and 181 women who had sufficient levels of vitamin D in their blood. The women who had sufficient vitamin D were nearly twice as likely to conceive through their IVF cycle as their deficient counterparts. Women who had vitamin D levels of at least 20 ng/ml in their blood were considered to have sufficient levels of the hormone. Levels of 30 ng/ml are recommended for general health.
Could Vitamin D also contribute to IVF success?
While the role of vitamin D infertility is less certain, an Italian study published in 2014 found that women undergoing IVF treatment with sufficient levels of vitamin D were more likely to produce high quality embryos, and nearly twice as likely to become pregnant. Although the researchers stated further studies were needed, the results indicated that low levels of vitamin D could contribute to infertility.
More recently, 11,500 women were evaluated in a European study examining the effect of the environment (temperature, rain and sunshine) on the outcomes of IVF treatment. The study found the birth rate improved for women exposed to more sunshine the month before the start of their IVF cycle, while the egg was maturing.
For the men, a link between vitamin D and sperm movement and function has also been identified.
What role does vitamin D play in pregnancy?
Vitamin D plays an important role in ensuring that the body has enough amount of calcium to conceive. For women who are pregnant or are breastfeeding, calcium ensures that the baby’s immune system and bones are strongly formed. Deficiency of vitamin D can lead to gestational diabetes in pregnant women.
Sources of vitamin D: Although the sun is the best source of vitamin D in an individual, it is recommended not to rely on it totally. Overexposure to sun rays can lead to skin cancer. Some food items from where the requisite amount of vitamin D can be obtained include eggs, dairy products, fatty fish etc. People who are critically deficient in vitamin D can go for vitamin D supplements.
Other lifestyle improvements for your fertility
While the importance of vitamin D in pregnancy and its link to IVF outcomes certainly gives couples something to think about, don’t overlook the well-established health and lifestyle improvements you can make to boost your natural fertility including quitting smoking, consuming alcohol in moderation, and maintaining a healthy weight.
If you are undergoing fertility treatment, your fertility specialist will likely have already organised a vitamin D blood test. For all other women trying to conceive, consult your IVF specialist for more information.