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Patient Review Highlights
My last LMP was 18 july 2018 and from 4th to 15th I have taken duphaston morning and evening and today I had done my pregnancy test it was negative. So there is no chance that I will pregnant this month or not.
My wife age is 24, we are trying to have children from last 1.5 years. There was no positive result. Went for AMH, FSH & LH tests, unfortunately AMH was 0.10 which is very low and other test results was normal. And we went to Doctor and got a output stating you couple has to go to IVF/ test tube baby with egg donor, can we know how much will be entire cost and suggest best hospital/ Doctor in Hyderabad.
When I have intercourse with my wife, while inserting my part into her part sometimes I feel hard to insert. When I apply some coconut oil on my part I can able to insert freely. Does applying oil on my part reduces the sperm motility to reach her egg. Having said that does it reduce the chance of conception. We are trying to have a baby but no luck so far. Please help with the answer.
Last month we tried iui after 24 hours of hcg 5000iu and dint succeed. This month doc advised to try iui after the egg ruptures that is 36 hours after taking hcg injection. What are the chances please help no problem with my sperm analysis except for erectile dysfunction (main reason for IUI) and her vital stats are also good.
Many couples are reaching IVF clinics due to infertility problems. IVF is a very useful process for those couples who are unable to conceive. A few tests will be done on both male and female, and then the treatment for infertility will start. Many people reach out to the doctor with a low AMH count. What actually is AMH count and how does it affect IVF treatment? Continue reading to know more about AMH:
What is an AMH test?
In the ovarian follicles, cells produce a protein called AMH or Anti Mullerian Hormone. AMH levels can be classified as below:
- Very Low AMH levels means 0.5 ng/ml or below. This condition indicates severe fertility concerns and very low ovarian reserve.
- Low AMH levels means 1.0 ng/ml to 1.5 ng/ml. This condition indicates that the ovarian reserve is low, but that chances of getting pregnant are still good.
- Normal AMH levels mean 1.5 ng/ml to 4.0 ng/ml. This condition indicates a good ovarian reserve and very good chance of responding to IVF or other fertility treatments.
Many people have a misconception that low or very low levels of AMH do not indicate that the IVF treatment is suitable for the woman. Some women may have a low quantity of eggs due to low AMH levels, but the quality of the egg can be good and hence the chances of pregnancy are good.
Why is an AMH test important for IVF treatment?
- One of the most reliable tests done for confirming if the woman will have a successful pregnancy is the AMH test. This test can be done at any time of the month irrespective of the monthly cycle and the lifestyle of the woman. The exact fertility health can be analyzed with the help of this test.
- Blood samples are taken and tested for AMH levels. This is not included in your normal blood test reports and hence you need to ask the doctor if you want to know the AMH levels. A combination of Antral follicle count test with AMH tests will give you the best results.
Why do AMH levels drop?
There are many factors that are responsible for the AMH levels to drop and one of them is aging. Other factors include hormonal imbalance, low blood circulation to the ovaries, unhealthy food choices, stress, autoimmune diseases, genetic factors and your lifestyle.
One single test of AMH levels will not give you the exact results. You need to get the test done a few times to know the exact values. Though your birth control pills may not affect the AMH levels, you can stop them for a few months and then get the test done. Talk to the doctor regarding the other medications you take and other fertility drugs you have used in the past or presently. This helps the doctor to give you the right advice. In case you have a concern or query you can always consult an expert & get answers to your questions!
The first step of the IVF process usually involves birth control pills. Women who find it difficult to conceive naturally are advised to take birth control pills to regulate their menstrual cycle. You may be surprised but this is a common practice. What these pills do is allow the fertility clinic to time your menstrual cycle and menstruation dates. For women with irregular cycles, this is very important as it can help doctors know when exactly the medication to stimulate ovulation can be started. These pills can also help save money. IVF is expensive and if you are seeking treatment out of town, you will have to buy last-minute tickets during your menstrual cycle to reach the clinic in time for them to start ovarian stimulation. However, if you are on birth control, your cycle is timed and you can plan your consultation dates in advance.
Once the menstrual cycle is regularized, the patient will be advised when to stop taking the pills. In most cases, the patient should start menstruating a few days later. On the second day, medication to stimulate the ovaries will be started. In most cases, patients are advised to take birth control pills for at least 6 weeks before an IVF cycle.
Not all IVF patients are good candidates for birth control medication. Patients suffering from high blood pressure or those with a history of migraines should not take birth control medication. Doctors are also usually wary about prescribing birth control medication to women over the age of 40 years. Women who have undergone an earlier unsuccessful IVF cycle are also not advised to start using birth control pills. Some doctors also believe that birth control pills may also have an adverse effect on the IVF cycle.
Some studies have shown that women using birth control pills have a lower level of Anti Mullerian Hormone. This, in turn, reduces the body’s reaction to ovarian stimulation. This is because the level of this hormone determines the number of follicles that can be stimulated in the IVF cycle. This reaction was noted more distinctly in cases where women were prescribed more androgenic birth control pills. For this reason, women with a low ovarian reserve are prescribed less androgenic birth control pills. The medication should also not be taken for very long. Alternatively, women may be treated with an estrogen patch for ten days prior to the IVF cycle. This helps prime the menstrual cycle. In case you have a concern or query you can always consult an expert & get answers to your questions!
As a society, if a couple is not able to have children, it is considered a major issue. The couple could be looked at and treated differently and so they look at various options to conceive. One of them is in-vitro fertilization or IVF, and with advances in medical technology, the success rates have risen significantly. However, there are a group of infertile couples who still do not seem to be convinced about IVF as “the” solution for infertility.
Read on to know some of the causes.
- Complexity of the condition: There are various aspects that need to be aligned for a pregnancy to happen, and the medical world is yet to have all the answers in place. The doctors too sometimes may be at a loss to explain why the couple has failed to conceive. This makes it difficult as there is no clear answer.
- Communication: While there are some doctors who would take as much time as needed to explain the process, what to expect, etc., there may be others who just give it a briefing and expect the couple to follow the instructions. This can be very difficult for the couple who may not know the reason why some things are done the way they are. The medical and emotional changes that a couple goes through also need to be monitored and supported by the medical team for a successful pregnancy.
- Complications: Despite the best efforts of the medical team, complications such as twin or multiple pregnancies, miscarriages, and congenital anomalies, are common and may not have a clear answer as to why.
- Success rates: Again, IVF does not have a 100% success rate yet. There could be a loss of pregnancy after the first few weeks, which again may be difficult to explain, making couples sceptical about it.
- Economics: As IVF is not a cheap option and insurance does not cover it, there are a lot of people who cannot afford it. This also adds to the scepticism. There is also another group who look at IVF clinics as mere business managers and not medical support teams.
- Risk on the mother: The mother is put through various medications, including high amounts of hormones. The sceptics see this as unfair and feel there should be a more natural way to help the infertile couple. These medications take a toll on the mother’s health. Also, a lot of IVF pregnancies result in multiple pregnancies, often twins, which is another load on the mother.
So, though IVF is helping a lot of couples, some definitely have their doubts about the process. In case you have a concern or query you can always consult an expert & get answers to your questions!
A pregnancy needs to be monitored at regular intervals to ensure that it is progressing normally and the child’s growth and the mother’s health are in good shape. Though this was not the case a few decades ago, monitoring has helped reduce failure and also helped to identify congenital anomalies. Therefore, it has now become a norm. However, with IVF, this need is further increased as there are more than these two reasons to monitor pregnancy through IVF.
Read on to know more about the importance of monitoring a pregnancy through IVF.
- Success of IVF: After embryo transfer, it needs to be continuously monitored to ensure it successfully develops into a foetus. In the first few weeks, it should be monitored for proper implantation.
- Multiple pregnancies: In pregnancies via IVF, the chances of multiple pregnancies are far higher than in normal pregnancies. Therefore, monitoring becomes important.
- Obstetric complications: Instances of conditions such as first trimester bleeding, placenta previa, pregnancy-induced hypertension, ectopic pregnancy, miscarriages, and fetal dislodgement are common and need to be looked out for.
- Child growth: Again, with IVF, conditions such as intrauterine growth retardation, intrauterine fetal death, preterm labor, and the need for a caesarean section are higher than with normal pregnancies. Monitoring helps the couple and the medical term prepare for these well in advance and not at the last-minute. It is important to note that the embryo has gone through a lot of chemical and medical changes and so needs constant monitoring. Conditions such as Downs syndrome need to be looked out for during the 11 to 13 weeks. If required, the amniotic fluid may be sampled to identify anomalies.
- Advanced maternal age: With women getting married late (the late 20s to late 30s in most cases), maternal age is increasing. It has been proven that with advanced maternal age, chances of normal conception are reduced and so most women resorting to IVF are slightly older compared to normal pregnancies. It has also been proven that babies born to women with advanced maternal age are more prone to develop congenital abnormalities. Most women are given progesterone up to week 12 to help maintain the pregnancy. Hypertension and diabetes should also be monitored, as they bring their own set of complications. Pregnancy-induced hypertension (PIH) is quite common in women with advanced maternal age.
During the three trimesters, it is important that the developing foetus and the mother are monitored for various reasons. The medical team, therefore, becomes an extended family, not just someone doing the IVF. This is very critical for a successful pregnancy through IVF with optimal health of both the mother and the new-born.
With infertility on the rise, there are more people who opt for IVF. In-vitro fertilization or IVF has developed from its original days to where the technology has improved leading to better success rates. Doctors have also identified some do’s and don’ts during IVF and especially after embryo transfer which help in improving success rates
Going through an IVF is strenuous, and once the scheduling is done and the embryo is transferred, the couple is given some tips. It is important to note that it is not just the woman who needs to play an active role but the couple and so equal involvement is extremely essential.
Do's: Things that the couple should make sure are done after embryo transfer.
- Take medications as prescribed by the doctor. These should not be skipped, and when it does happen, talk to your doctor. Stick to the schedule as much as possible.
- Go about a normal routine of life, without telling yourself that you are going through something abnormal. Things which can be stressful such as changing jobs or moving locations are best avoided during this phase. Keep a regular routine with some workout so you don’t lose out on being active.
- A well-balanced diet is very critical to a healthy fetal development, so eat well. Make sure the vitamins are taken as per prescriptions. Fresh foods with lots of vegetables, fruits, and dairy products are advisable. Avoid processed, oily, packaged, or artificially sweetened foods.
- Keep yourself well hydrated, as IVF generates some toxins which need to be flushed out too. Lack of hydration can also lead to swelling of the ovaries, leading to ovarian hyperstimulation syndrome.
- Keep a positive, happy outlook on life and surround yourself with happy and cheerful people who will help you when required. Stay away from negative people and situations.
- Avoid smoking
- Avoid alcohol
- Avoid caffeine
- Don’t stress yourself too much
- Avoid too much bedrest; contrary to what you thought, it might prove contradictory
- Don’t indulge in sexual activities
- Avoid getting into diet plans or drastic diet changes. This requires extra attention and may not be the right time to do it.
- Avoid extreme temperatures such as sauna, hot water or steamer baths. The temperature can harm the baby, though it might seem to soothe the mother.
- It is possible that an embryo transfer may not result in a successful pregnancy. This is quite common, and so do not get too anxious. You can always try again.
In case you have a concern or query you can always consult an expert & get answers to your questions!