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Management of Pregnancy
Treatment of Pregnancy Symptoms
Treatment of Infertility
In Vitro Fertilization (Ivf) Treatment
Treatment Of Pregnancy Problems
Treatment of PCOS
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Patient Review Highlights
Many couples find it difficult to conceive a child. There are many factors that could cause infertility. Infertility affects both men and women and in some cases, there is no clear reason for it. In such cases, intrauterine insemination (IUI) and in vitro fertilization (IVF) are the most common forms of treatment offered. Since their acronyms are usually used to describe them, many patients may be confused into thinking that the terms are synonymous. However, there is one major difference between the two processes. To understand this difference one must first understand the process of IVF and IUI.
This process is usually recommended for couples who have had recent miscarriages or are infertile because of blocked fallopian tubes or poor quality semen.
- IVF is a process wherein the ovaries are first stimulated to produce a number of fertile eggs.
- This is done with the help of ovary-stimulating medication.
- Once the eggs have been produced, they are then harvested and removed from the woman’s body.
- At the same time, sperm is also collected from the male partner. This is then used to fertilize the eggs in a laboratory.
- Once fertilized, healthy embryos are transferred to the woman’s uterus where she can carry the pregnancy to full term.
- IUI is recommended in cases where the couple face hormonal imbalances or have unexplained infertility.
- To undergo IUI treatment, the woman’s eggs do not need to be harvested.
- However, medication may be needed tostimulate the ovaries into releasing an egg. Instead, only semen is collected from the male partner.
- This is then ‘washed’ in a laboratory so as to separate the healthy sperm cells from the plasma.
- It also removes any toxins that may be present. In this way, the sperm is concentrated.
- The doctor will then wait for the woman to ovulate. After the egg has been released, the sperm cells are then directly inserted into the woman’s uterus with the help of a catheter. This increases the sperm’s chances of fertilizing the egg.
Difference in Costs
IUI is typically considered less invasive and cheaper of the two forms of treatment. However, success rate of IUI is 15% as compared to 50% in IVF. This is because more than one egg is fertilized in an IVF cycle. Hence, if a second and third cycle of treatment is required, the costs may even out. However, it is not possible to say that one is better than the other.
If we missed the ovulation date, can we plan for pregnancy post 2 days of ovulation date as we heard the egg is fertile only for 12 to 24 hours or should we wait for another month ovulation date. Please suggest.
Myself 43 years old, trying to conceive for the 1st time. My gynaecologist has advised me Evaserve and Fol-XT on daily basis. Kindly advise will it help in conceivement.
I am trying to conceive. Last month doctor suggested me letrozole Duphaston and conceive f tablets. Yesterday I got periods. This period blood flow is little bit more and some times blood flow is like pieces like clots. Is this effect of medicines or anything. Please suggest me.
Have you and your partner decided to complete your family by having a baby? Are you unable to conceive even after trying really hard? You are not alone. There are many couples who are facing this problem. But there is nothing to worry about at all. Latest and advanced science is offering solutions for this problem. When none of them are working for you, you should try In Vitro Fertilization or IVF. During IVF treatment, men have as vital a role to play as women. A man needs to really support and care for his partner during this period.
Here is a guide for men for IVF treatment:
- Keep a check on your weight: If you are overweight, then your sperm will be affected. Also, some studies have shown that the mobility of the sperm is affected by obesity. It will also affect the sperm count when your BMI value is too high. So, it is always good to maintain the BMI levels required, based on your height, age and gender.
- Temperature of the sperm: If you are a cyclist or use a laptop for extended time periods by keeping it on your lap, then the production of sperm could be affected because it is going to increase the temperature of the testicles. Make sure that you take care of this.
- Make changes to your lifestyle: If you smoke or drink, then you will have to make sure that you cut down or stop because this is going to affect not just the quality of the sperm but also the quantity of the sperm. Smoking decreases the mobility of the sperm.
- Healthy diet: A healthy diet means healthy sperm quality and quantity. So, you should always keep a check on what you are eating. You will have high fertility levels if you consume green vegetables, fresh fruits and pulses as part of your daily diet. You should cut down on processed food and make sure that you are eating fresh and healthy food.
- Regular Exercise: You will have to maintain good health and for that, you need regular exercise. You do not need to join the gym and lift weights. You can do a few exercises at home. Exercising can also help to get rid of anxiety and stress and help you to stay healthy.
Get advice from experts as they can help you with tips to follow during the IVF treatment or when you are preparing yourself for the IVF treatment. You and your partner can do these things together and achieve better results.
Once a couple decides to go through IVF, they prepare themselves and go through various steps to reach the final stage of embryo transfer into the uterus. Read on to know more about the journey of IVF culminating in embryo transfer. From there it is another journey through to pregnancy.
- Step 1: The nurse will help identify day 1 of your menstrual cycle, and this is important.
- Step 2: The ovaries usually produce an egg between the 12th and 16th day of the menstrual cycle. After identifying day 1, ovary-stimulating medicines (higher doses of hormones) are given to support the release of more eggs. The ovaries may be subjected to ultrasound imaging to monitor the development of eggs.
- Step 3: About 8 to 15 eggs are then retrieved under anaesthesia, these are carefully picked to ensure higher success rate of IVF. The process takes about 30 to 40 minutes in the clinic and the woman can go home and rest after this process. 1 or 2 embryos can be transferred at day 2, 3 or 5 stage of embryos.
Factors you need to consider while making a decision
- Sperm selection: Either fresh sperm or frozen sperm can be used by the couple. Fresh sperm is collected the same day as egg retrieval. Frozen sperms are thawed before use. Sperms of good quality are chosen after careful examination under a microscope to improve success rates of fertilization.
- Fertilization: This is where the name IVF is derived from. In-vitro (meaning in the glass, from the glass dish used) is where the fertilization occurs.
- Embryo development: Once fertilized, the embryo is kept in a conducive environment so that it can continue to grow optimally. The couple of kept updated on the progress here, as they would be wanting to know the status. After 5 to 6 days of fertilization, it can be implanted into the uterus.
- Embryo transfer: Once the medical team confirms that you are ready for an embryo transfer, you will be called into the doctor’s office. This is usually painless, but some women may have a slight abdominal discomfort. You will be advised to drink water and come with a full bladder. The uterus is scanned to see whether the embryo is getting placed, and having a full bladder helps clearly outline the uterus. The embryo is placed inside you via a catheter through the cervix into the uterus, under ultrasound guidance. The doctor has about 1 mm area within which it should be placed correctly for good implantation. Therefore, this placement is very critical. One embryo is placed, and the others are frozen and may be used in case of failure.
- Confirmation: After a two-week wait (2WW), a blood test is done to test for HCG levels and confirm pregnancy.
Giving birth to a baby is a blessing for a woman, but not all women are blessed. Some couples, even after trying for years, will not be able to conceive. For all those couples, there are a number of solutions available. One of the most preferred options these days is IVF or In Vitro Fertilization. With the help of this process, the egg and the sperm are combined outside the body of both male and female. This entire process is done in a laboratory by experts.
If you are opting for IVF treatment, then you should understand that the chances of twins or multiple pregnancy is really high. In many studies, it has been found that out of six IVF cases, one of them resulted in twins or multiple pregnancy.
Changes of multiple pregnancy:
Usually, there are two kinds of twins, identical twins that are produced from one single egg and non-identical twins formed from two different eggs. The number of non-identical twins depends on the number of embryos transferred to the mother’s womb. The chances of twins are high when more than 2 embryos are transferred. Usually, for a woman who is under the age of 40, 2 embryos are transferred and for a woman over 40 years, 3 embryos are transferred. So, in either case, chances of twins are still present.
Does IVF increase the chance of twins or multiple pregnancy?
Even when a single embryo is transferred to the mother’s womb, the egg may split into two and form two babies. So, whatever is the number of embryos transferred, IVF increases the chances of multiple pregnancy.
How can multiple pregnancy be avoided after IVF?
Multiple pregnancy can be a risk to both baby and mother.
- The mother may have a miscarriage due to multiple pregnancy and that could be a late miscarriage.
- There are high chances of a stillbirth and that can be dangerous for the mother as well.
- Increase in blood pressure due to multiple pregnancy is reported in many cases.
- Even if the child is born, there are chances of an unhealthy baby or a baby with a disability.
In order to avoid all these, it is very important to take care during the IVF treatment. It has been suggested that only one embryo be placed in the mother’s womb to avoid multiple pregnancy. This may not completely prevent the occurrence of twins, as the egg can split into two and produce two babies, but it will definitely reduce the risk of multiple babies to a great extent. Multiple pregnancy is possible, even in natural pregnancy, but those chances are low, but with IVF the chances of multiple pregnancy are high.
If you are trying to get pregnant through IVF, then you must be receiving a lot of suggestions from people close to you. You get suggestions about lifestyle changes, changes in your diet and much more. You will definitely get to hear about the Mediterranean diet in that list. This is one of the best diets that can ensure a healthy pregnancy.
There are so many studies conducted on the right diet for women to achieve a healthy pregnancy. A diet which is rich in vegetables, fruits, high fibre, whole grains and fish is good and the Mediterranean diet has just what a woman requires.
What is the Mediterranean diet?
The Mediterranean diet includes eating fresh fruits and vegetables. It also includes good fat, proteins and carbohydrates. When you are opting for IVF treatment, your overall lifestyle plays an important role such as the food you consume. You need to add more proteins to your diet as that can help in the production of eggs. You need to consume vegetable protein and not just animal protein.
How can the Mediterranean diet influence the results of an IVF?
- Your body should be able to absorb the nutrients from the food that you eat. This will help in the production of quality sperm, egg and hormones. So, the Mediterranean diet can help you with that.
- The Mediterranean diet helps manage blood sugar levels. Most women crave sweets or experience mood swings caused by hormones good food can help control these. When you are able to manage your blood sugar with the help of this diet, then you will be able to produce good quality or healthy eggs.
- You will have to make sure that the food you are eating is protecting the cells from radical damage. When the cells in the body are damaged, then they will impact the quality of the sperm and egg produced. The Mediterranean diet is high in antioxidants that protect the cells.
- The Mediterranean diet contains good fats. Fats from fish are very good as they boost the cell membranes. Inflammation is also prevented with the help of this good fat.
- Apart from that, you will also find the Mediterranean diet useful in reducing obesity, heart diseases and diabetes.
Being overweight can also be one of the reasons for not getting pregnant. This diet will help you maintain a good weight. People with sleeping disorders are also able to overcome the problem. So, overall the Mediterranean diet is the best diet for maintaining overall health. Overall good health will guarantee a good and healthy pregnancy. In case you have a concern or query you can always consult an expert & get answers to your questions!
IVF is the most common way to treat infertility but even this technique does not guarantee success. In many cases, a cycle of IVF can end without a successful pregnancy. There are many reasons for this. Whatever be the cause, an IVF failure is a very stressful time and can be painful for both partners.
Here are a few tips on how to bounce back after an IVF cycle fails.
- Take a break: It is never advisable to start another IVF cycle immediately after an unsuccessful IVF cycle. Along with being physically ready to conceive a child, you must also be mentally ready. Hence, take a little time off. Reconnect with your partner and build your mental and emotional strength. Meditation and yoga can be very helpful in strengthening your mind and coming to terms with your emotions.
- Don’t play the blame game: It is very tempting to find a person to pin the blame on. However, in reality, there are a million things that could go wrong and beyond a certain point, many of these factors cannot be controlled. For the woman, it is also very important not to blame oneself. It is not your fault that the pregnancy did not go as planned.
- Build a support system: Ideally, before you begin the IVF cycle, find someone who has gone through it before and who will be by your side. This person will not ask questions about the process and will understand what you are going through. A good support system can also help alleviate stress. If you do not know someone who has undergone IVF treatment in your neighborhood, consider joining an online support group.
- Focus on yourself: Understand that a failed IVF cycle does not mean that you can never become a parent. It only means that this was not the right time for you. Hence, focus on the road ahead. The first step towards this is to focus on yourself. Strengthen your mind and body with a proper diet, regular exercise and a healthy sleep cycle. This will increase your chances of a success the next time you start an IVF cycle. Give yourself time to detox from all the medication you have been on. This helps the body go back to its normal state and eliminate all traces of the drugs taken during the treatment process. By doing this you are helping your body prepare itself for a future IVF cycle.