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Overview

Fertility: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Fertility treatment refers to the medical management that aims to enhance the ability of humans for producing offspring. Fertility treatment is a remedy to infertility that indicates the incompetency of a married couple to produce offspring. Infertility does not always speak of the female who holds the baby, it can be from both male and female. The condition of infertility comes to focus when a female does not get pregnant within one year of unprotected intercourse. Infertility symptoms demand the couple to go for an immediate check-up and proceed towards medical assistance. Research proves that females are born along with infinite numbers of eggs that decreases as the reproductive years of the female increase. This is one of the most rising reasons why infertility is more in females of higher age groups. Medical research shows that the chances of being pregnant diminish by 3%- 5% every year once they turn 30.

However, there remain various other reasons for infertility. Damage or malfunction in the fallopian tube of the female remains one of the main issues where the incompetence of the fallopian tube to create the contact of the egg and the sperm. Fallopian tube often gets disturbed if the person undergoes pelvic surgeries or endometriosis. Cervical problems also tend to restrict the passage of the sperm directly through the cervical canal. Further, Epileptic issues are regarded as the most common cause of infertility in females. Medical science speaks that Epileptic seizures generally result in enhancing the serum prolactin along with a strong influence on female reproductive hormones. Nevertheless, advanced techniques of medical science have paved the way for inventing techniques that overrule the crisis of infertility. The primary step is to visit a concerned doctor, diagnose the problem and find accurate treatment for it.

How is the treatment done?

If you are experiencing infertility, do not hide it. You are in need of medical assistance. On visiting the doctor, you are supposed to inform each and every information related to your sexual life. This is often necessary to evaluate a proper diagnosis the cause both at the part of the male and the female. The doctor would primarily match his evaluation with various test results that remains essential in the process to figure out the cause and final step towards implementing the treatment option. The exceptional growth of technology for fertility treatment has brought forward multiple treatment procedures. Most of the times it is only the female who undergoes the treatment, whereas sometimes treatment norms are required to follow by both male and the female. ART (Assistant Reproductive Technology) enhances the process of fertility treatment with techniques that are much flexible and risk-free. This has increasingly helped the sperm to fertilize the egg along with implantation of the egg within the female uterine lining.

The most common and hugely preferred fertility treatments are IUI (Intrauterine insemination) and IVF ( In Vitro Fertilization). The treatment process of IUI collects healthy sperm of male and further injected directly into the uterus. On the other hand, IVF process involves the collection of sperm and eggs from the couple and fertilize it in a lab. Finally, they get develop into embryos. The next step is to insert the embryos into the uterus. Other fertility treatment process includes embryos donations, cryopreservation, application of fertility drugs, surrogacy, Zygote Intrafallopian Transfer and many more. However, it is always recommended to consult a fertility specialist and let him choose the best treatment for you.

Who is eligible for the treatment? (When is the treatment done?)

Fertility Treatment is eligible for couples who are suffering from infertility. Infertility gets confirmed when the female fails to reproduce even on having unprotected intercourse for more than one year. Couples experiencing the same are required to visit a gynaecologist and further ask her to suggest a fertility specialist guide you throughout the process.

Who is not eligible for the treatment?

The couples who can reproduce normally are not eligible for fertility treatments.

Are there any side effects?

The female undergoing fertility treatment is sure to come across some side effects. If you are suggested with fertility drugs by the doctor, the dosage of medication may result in a headache, nausea, hot flashes. These drugs may also result in giving multiple births and often end up producing ovarian cysts. In case Of IVF, excess consumption of fertility drugs is necessary. This results in side effects of those drugs. Added to that, common side effects in the course of fertility treatment remains upset stomach, head pain, abnormal weight gain, acne, mood swings and often unusual menstrual bleeding. You may also be a victim of upper respiratory tract infection.

What are the post-treatment guidelines?

Couples who are undergoing fertility treatment needs to follow strict rules post implementation of the treatment. Primarily, the female should prepare her body for pregnancy. This takes few months of time. The female receiving fertility treatment should avoid consumption of alcohol that may harm the foetus growing inside. Even, person indulging in smoking habits should immediately stop smoking; it is highly dangerous for a pregnant lady along with life risk for the foetus developing inside. Often excess or low body weight may be a cause for complications in pregnancy. Intake of caffeine should be restricted and kept under control. Generally doctors suggest not to consume caffeine more than 200gm while experiencing pregnancy. However, general rules like not carrying heavy items, taking least stress, intake of healthy and avoiding fast foods are to be followed extensively throughout the pregnancy. The last but not the least, regular doctor’s check-up regarding the update on the fertility treatment is a must.

How long does it take to recover?

Fertility treatment aims at injecting the capability in females to reproduce. The entire process involves tests and consultation with the doctor, the preparation on the fertility treatment option suggested by the fertility specialist, medications to make the female capable for handling the pregnancy and finally the triggering part that involves fertilisation on retrieval of the eggs. The entire process takes around 4-6 weeks of time or even more in some cases.

What is the price of the treatment in India?

The cost is entirely based on the type of fertility treatment adopted by the couple. On a general note, fertility treatment costs around 1,20,000 INR and rises up to 4,50,000INR for respective female. An ICSI treatment process generally involves an additional cost of around 1, 50,000 INR – 2,50,000 INR.

Are the results of the treatment permanent?

The fertility treatment options like IVF depends on various factors like maternal age, reproductive history and lifestyle issues. However, the treatment process involves various steps and success in every step provides the person with permanent results. Often post-treatment irregular habits have an adverse effect on the foetus and end up harming them.

What are the alternatives to the treatment?

The common alternative to fertility treatment is the general capacity of the couple to reproduce offsprings. Added to that, fertility boosters like diet and various supplements, Acupuncture (a process that aims at enhancing chances of fertility by reducing stress and increasing the flow of blood in the reproductive organs), and adopting therapies for gaining fertility are some alternative treatment options.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: High Side Effects: Low Time For Recovery: Medium Price Range:

Rs 1,50,000- 2,50,000

Popular Health Tips

In Vitro Fertilization - An Overview!

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Physician, Certificate Course In Reproductive Medicine & Ivf, Basic Life Support (B.L.S), Advanced Infertility Management Training, ivf training in NUH singappre, masters in Reproductive Medicine
IVF Specialist, Gurgaon
In Vitro Fertilization - An Overview!

IVF or In Vitro Fertilization is a very common treatment for infertility. This process of fertilization involves, extracting eggs, retrieve a sperm sample and then get the egg and sperm combined manually in a laboratory dish. The embryo then gets transferred to the uterus. It is an artificial way to conceive and applicable for couples who cannot have children conventionally.

Problems Which Lead To In Vitro Fertilization

Now we will have a look at the problems which ultimately force couples to go for IVF and conceive children through artificial procedures:

Infertility Issues in Female: Generally for women, they produce the egg and then it’s about moving it to the uterus where the sperm can fertilize it. When everything goes well, the fertilized egg goes on to become an embryo and then it gets implanted on the wall of the uterus and grows accordingly. Any deviation from this normal process can lead to infertility.

One of the most common causes of infertility among females is Endometriosis. Endometriosis causes scar tissue which results in the blockage of fallopian tubes. In some other cases, there may not be any blockage in the fallopian tubes but there might be difficulty in moving the egg along to the uterus where the fertilization can take place. In such a situation, IVF helps to the get the eggs extracted directly from the ovaries, fertilize them in the lab, hence avoid the problems of the fallopian tubes.

Problems With Ovulation Can Be Another Cause Of Infertility: Ovulation problems generally occur for women who are aged 35 years or over and can have issues in producing good quality eggs. This is where IVF can come into play. It can get the woman’s ovaries stimulated by fertility drugs, help produce a number of eggs and then allow them to be fertilized in the laboratory. In Vitro Fertilization helps in giving greater control, when there is a possibility of multiple births, rather than using only the fertility drugs. IVF makes sure to use donor eggs from a donor younger woman, which in turn largely improves the possibility of a woman, who is 40 years old or more than that, to get pregnant.

Infertility Issues Among Males: For males, it is about producing healthy sperm and get them inside a woman’s uterus, so that there is a chance of an egg fertilization. Now, infertility problems arise, if anything goes wrong with this particular process. One of the main problems could be, low sperm count, which fails to penetrate the egg, while other issues could be, sperm is unable to survive in the uterus’s mucus, problem with intercourse, tube blockage. Males can get rid of these problems through IVF treatment, where the sperm could get extracted from the testicles, avoiding the blockages and hence used for fertilization of eggs in the lab.

So, this segment has talked of what IVF is all about and what kind of problems among males and females could lead to IVF treatment.

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Abortion And Infertility - Know More About it!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Abortion And Infertility - Know More About it!

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance
It is advisable to seek medical help if you have the following symptoms post abortion:

  • Persistent pain in the lower abdomen, which lingers even after taking medication
  • Excessive bleeding
  • A high temperature

Possible effects of surgical abortion on fertility

  • Infection After Abortion: Infections post abortion like Pelvic Inflammatory Disease (PID) if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.
  • Damage to the cervix during abortion: Damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.
  • Damage to the womb during abortion: There are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

Apart from the above-mentioned complications, there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth weight, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check-ups with your gynaecologist. In case you have a concern or query you can always consult an expert & get answers to your questions!

2934 people found this helpful

How Natural IVF Differs From Mini IVF?

IVF Specialist, Nashik
How Natural IVF Differs From Mini IVF?

Suffering from the problem of infertility can be a heartbreaking as well as a very frustrating process but still with different kinds of IVF treatments available today, a lot of women can realize their dreams of having their own family. In Vitro Fertilization is a laboratory procedure where the sperm and egg are fertilized outside the body. It has been more than 35 years since the first baby was born through this process of IVF and now it has become the go-to method for treatment regarding reproduction, which assists in the birth of over 5 million babies. With the availability of different kinds of IVF treatments currently, to navigate one’s way through the in vitro fertilization process can seem to be quite confusing as well as intimidating.

Now, we take a look at the difference between the types of IVF treatments and see if they are right for a woman.

Different Types of IVF

Since the time IVF came into being, more than three decades ago, it has become the leading form of assisted reproduction, having an estimated amount of 70000 babies per year getting conceived through this procedure. The procedure of IVF involves a really complex series of procedures where an egg gets removed from the ovaries of a woman and fertilized with sperm in a laboratory. The fertilized egg, which is called an embryo then, gets returned to the womb of the woman for its growth and development.

Natural Cycle IVF: Natural Cycle IVF bears similarity with the standard IVF treatment but this takes place without having to use medication for stimulating the ovary leading to the preparation of multiple eggs. Natural IVF basically monitors the ovulation cycle of a patient with the intention to retrieve only one egg. This is unlike conventional IVF, which requires retrieval of multiple eggs. Women who opt for Natural IVF due to the process being more economical compared to the traditional treatment. Natural Cycle IVF requires less time as compared to the traditional one and is thought to be a safer as well as stress-free treatment option by certain experts.

Mini IVF: Minimal Stimulation IVF or Mini IVF is a kind of IVF, which is supposed to be somewhere between Natural IVF and Traditional IVF. The Mini IVF treatment is different from the Traditional IVF, with regard to how it gets administered through medicines. In case of Mini IVF treatment, less amount of medication gets administered by the specialists, so that there can only be production of two to three eggs at a time, in comparison to 10 or more in case of conventional IVF.

At the time of treatment, the retrieval of eggs and fertilization take place just like they are done in any other IVF process. The only difference lies in the stimulation part, which is lot less in this case compared to regular In Vitro Fertilization. Despite Mini IVF being suggested as a gentler approach to IVF, some researchers feel that less number of eggs might reduce the possibility of getting success.

Despite the positives, certain fertility experts send out a warning due to the significantly low chance of pregnancy with this process. In case you have a concern or query you can always consult an expert & get answers to your questions!​

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Steps Involved In In-Vitro Fertilization (IVF)

MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery, FELLOWSHIP IN REPRODUCTIVE MEDICINE
IVF Specialist, Bhopal
Steps Involved In In-Vitro Fertilization (IVF)

Gone are the days when women in their late 30's and above mostly faced difficulties in getting pregnant. In today's world with so much of stress, anxiety and health complications, incidences of are on the rise. IVF treatment has been a pathbreaking invention that has enabled many couples to embrace parenthood filling their lives with happiness and positivity. In this article, we will discuss the steps of IVF for people to have a better understanding of the revolutionary procedure.

Once the quality, mortality, morphology, quantity of the egg and the sperm along with the female reproductive organs (uterus, ovary, fallopian tubes, endometrial thickness, to name a few) and hormones (PRL, FSH, TSH, LH) have been examined, the specialist starts with the IVF procedure.

Ovulation induction: This step involves stimulation of the ovaries to enhance the production of the eggs. Most females are given a shot of the hormones LH or FSH or both to stimulate the ovaries. Following the ovulation induction, the doctor monitors the progress through blood tests to determine the estrogen (should be high) and progesterone level (should be relatively lower). An ultrasound of the vagina also plays a pivotal role in determining the functioning of the ovaries and the development of the follicles.

Egg and Sperm retrieval: A Transvaginal ultrasound aspiration or a Laparoscopy are often performed to retrieve the egg. The procedure involves the use of a fine needle which is inserted into the upper wall of the vagina. With the aid of a vaginal ultrasound, and using a gentle suction, the fluid is removed from the follicles, following which the egg are isolated. The doctor then places the retrieved egg(s) in a culture medium. Soon the retrieved eggs are incubated. For the sperm retrieval, the semen sample of the male are used. From the fluid (semen), the sperms (normal and actively moving) are collected. In some individuals, the sperm may be collected from the testicles directly by a procedure known as Testicular Aspiration.


Fertilization: The in-vitro fertilization of the eggs can be brought about by

 

  1. Mixing the eggs with the sperms in-vitro in a laboratory followed by an overnight incubation, a procedure known as Insemination.
  2. In case of a low sperm count, the doctor may opt for ICSI or Intracytoplasmic sperm injection. In ICSI, instead of the penetration of the sperm into the egg, a healthy and active sperm is selected and injected directly into the egg.

Embryo transfer: The embryos resulting from the fertilization are examined with utmost care to select the healthy embryo(s) for the transfer. This is transferred into the uterine cavity via a catheter placed into the vagina.

A bed rest is advised for 24 hours following the embryo transfer. Soon after (two weeks following the retrieval of the eggs), tests are conducted to check if the treated female is pregnant or not.

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How Successful Is Frozen Embryo Transfer?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
How Successful Is Frozen Embryo Transfer?

Women are not really sure about frozen embryos’ ability to result in pregnancy. Ironically, the success of Frozen Embryo Transfer has dramatically improved over the last few years. In the days gone by, the chance of women getting pregnant through the use of frozen embryos seemed to be on the lower side compared to that from the transfer of fresh embryos. Recent data related to this suggests that this is no longer the case.

Reasons behind the low success rate of frozen embryo transfer in the past
Previously during the frozen embryo transfer process, the embryos which had to get frozen were the ones that did not get chosen for the fresh embryo transfer initially. The reason being that the embryologist had gone ahead to choose the best possible embryos for getting them transferred initially. As far as the fresh embryo transfer is concerned, quality of embryo has got a major effect on the chance of a woman getting pregnant. On the other hand, if quality of embryos frozen is not good, the rate of survival after it gets thawed along with the rate of pregnancy would be on the lower side.

The second important reason is the amount of embryos that got transferred. Let us consider a couple who produce four very good quality embryos. Two of them are transferred during fresh In Vitro Fertilization Process and the remaining two are frozen. This leads to pregnancy and the woman gives birth to a baby. Later on, the couple once again decides to go for pregnancy by using the frozen embryos. Though only one embryo survives after getting thawed. The frozen embryo transfer is that of a single embryo. The success rate of a frozen embryo transfer through a single embryo is always going to be on the lower side than what it will be when multiple embryo transfer is involved.

Finally the method of freezing embryos has seen a sea change quite a number of years ago. Nowadays the freezing of embryos takes place by a fast method, known as vitrification. This process has got a much better survival rate when embryos get thawed along with good rates of pregnancy when those particular embryos are transferred in a much better manner.

Studies about high success rate of frozen embryo transfer
There have been studies performed in women, who have had quite a vigorous stimulation of their ovaries and were considered to be at high risk for Ovarian Hyperstimulation Syndrome. The physicians took the decision of skipping the process of embryo transfer and instead go ahead to freeze all the embryos for use at a later stage.

This tends to significantly decrease the risk of having serious Ovarian Hyperstimulation Syndrome along with decrease in complications. Other cases involved, physicians deciding to move on with a fresh embryo transfer depite the risk of Ovarian Hyperstimulation Syndrome. In both the scenarios the couples have quite a large number of embryos and the embryos selected for transfer were the best embryos.

The studies have shown no difference in the rates of pregnancy between fresh or frozen embryos or for that matter higher rate of pregnancy with frozen embryos. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Popular Questions & Answers

Hi Sir, I am 20 years old have took so many pills when I was in sexual relation with my boyfriend by unknowingly so now I am afraid that will cause some health problem issue especially the fertility problem or ovary cancer.

MBBS, D. G O., MD - Obstetrtics & Gynaecology
IVF Specialist, Delhi
Now you cannot undo what has been done avoid taking any emergency contraceptive from now on. You can go for regular pills if you really need contraception.

My Wife is on Krimson 35 for last 4 months due to irregular cycle and PCOS and her last pill was on 12 th of this month. Our doctor had advised to go for Fertility tests like FSH, LH,AMH etc following Day 1-4 of the cycle. I am concerned and want to know that Doesn't the contraceptive pills will effect on the Fertility tests results. Doesn't the pills effect suppress the tests results? Your valued opinion is highly solicited.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Oral contraceptive pills supress secretion of FSH and LH ,but this supression is temporary ,levels revert back to normal within 7 days of stopping the pills. If you want you can get her tests done in the next cycle, that is after 1 month pill free cycle. Tests should be done on day 1or 2 of cycle.

Hi doctor, I am TTC from past one year. I have irregular long cycles (1,1.5,2.5, 3 months duration) and have pcod. My weight is 75 kg. My age is 30 years My husbands reports are normal. My all tests are normal except I have pcod. Hence I have irregular periods and my follicles do not mature. My AMH is also very high 13.5. I did my follicles test without any fertility drugs and the report says my follicles are below 10 size and no follicle matured, report says MSF. I do not have thyroid problems, my blood test, hSG test etc all are normal. My doc prescribed me below drugs 150 mg clomid - MSF, no follicles matured 100 mg clomid - follicle increased till 15 mm, no follicles matured 100 mg clomid - follicle increased till 11 mm, no follicles matured 2.5 mg letrozole - MSF, no follicles matured 100 mg clomid - MSF, no follicles matured My doc says since my AMH is high, she can not prescribe me high dose fertility drugs as it will cause hyperstimulation. I want to know what are the fertility drugs or fertility treatment options available in order to increase my follicle size, so that they mature and release an egg. What are the problems I will come across while going for any treatment options? Will I be ever pregnant or not? Please help. Thanks in advance, Patient.

MD, MBBS
Gynaecologist, Ahmedabad
You are having PCOD with anovulation a reason for your infertility. Do not worry its treatable condition but you have seriously understand your PCOD religiously. If you will reduce your weight by 10% it will help a lot. Your goal should be BMI between 20 to 25 pre pregnancy. You need Life style modification for PCOD for whole life, You should do physical activities like brisk walking or cycling or any activities which leads to perspiration daily for one hour. Start doing for 5 minutes in first week, 10 minutes in 2nd week, 15 minutes in 3rd week within 2-3 months you will reach to your target of doing exercises for one hour/day. You have to control taking high carbohydrate and lipid diet daily. E.g. If you want to take one SAMOSA or One Gulabjambu or one pizza or ice cream, you have to do extra workout for 30-60 minutes over above the daily one hour of daily exercises then only you can eat extra calories food otherwise not. So controlling calories intake and daily burning calories regularly wil help to loos one kg/month- slow and steady control over long period. With PCOD if your BMI remain between 20 to 25 everything will be fine otherwise you will develop Gestational diabetes during pregnancy and Type! Diabetes in future with all associated metabolic complications of diabetes, So understand the importance of life style modification for better for healthy future.
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Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Preconception Care
Hello friends,

I am Dr. Jayanti Kamat, director of Srishti Fertility Care Centre and Women's Clinic I am an IVF Consultant, an obstetrician and gynecologist practicing for the last 20 years.

So today I will be talking about preconception care, the birth of a child is equivalent to planting a tree where we prepare the soil and then sow the seeds and that's not all we have to give it time and nourishment as well. In India, 70% of the pregnancies are unplanned this is occurred by a chance nobody plans for it just happens by itself. So these unplanned pregnancies can cause a lot of problems for both the mother and the baby. People still feel in India that we have to go to the gynecologist in the 7 months of pregnancy ke saatve mahine mein naam dalwane ka hai taki they have to go to the hospital to book themselves for delivery. This concept is not right, we all believe that healthy women make healthy babies so you have to make your body a safe place for your future baby to thrive. So first and foremost is you have to do a lot of introspection about yourself I will talk about age, so today there are a lot of women who are in the workforce they keep postponing the marriage and even if they are married they postpone the childbearing. Why is this a problem because what happens is has a woman grows older her fertility potential keeps on decreasing, her capacity to produce eggs decreases in addition to that the quality of the eggs also decreases. Moreover, if a woman conceives at a later age she has a lot of problems during the pregnancy such as pregnancy-induced hypertension, diabetes, preterm labor, difficult labor, there can be complications in the baby as well, the baby can be born premature or there is an increased incidence of congenital defects in the baby. So, women, today are not aware of all days they feel after they finish all commitments they can think about childbearing. Now when it comes to preconceptions you have to plan 3 months before your actually planning to conceive, so if you have any medical conditions such as hypertension, diabetes, seizure disorder or fit disorders, asthma, anaemia, so all these things have to be taken care of and get treated before you even plan to conceive. So don't just conceive preconceive. Then the next is medications ok, so some medication may be quiet safe during pregnancy, some medications are an absolute no-no during pregnancy because they may cause birth defects in the baby and some medications their doses need to be adjusted so as not affect the foetus. So you must be aware of all these things and you have to consult your treating physician and tell him or her that you are planning to conceive and whether the medication can be adjusted and the doses can be adjusted. The next is immunization, usually by this age women are more or less immune to all diseases but if she gets tested for rubella or she is not immunised to rubella then she should get immunised in this period, other immunizations are like Hepatitis B and chickenpox or varicella zoster is equally important because if the women contact these diseases during pregnancy, it is going to be very difficult. Then comes to the lifestyle factors, what are the lifestyle factors your food habits so if you have used to junk food you have to stop eating junk food, eat a very healthy diet, then exercise also exercise reduces the stress level and the fit women will be able to manage her labour pains in a better way. Now coming to weight issues, even if a person woman is underweight she has problem during pregnancy she can give rise to a growth retarded baby and if a woman is overweight before pregnancy again that also can lead to problems because every woman will put on certain weight during pregnancy that is normal that is physiological, but if a woman is overweight before pregnancy she has to compact her weight which is normal for her height by following a sensible diet and exercise regime because if she is overweight she is more prone for pregnancy complications like PIS or Pregnancy Induced Hypertension, diabetes, difficult labour etc. When they are planning to conceive you should also supplement takes supplements of Folic acid .4 milligram along with other multivitamins because this will help to prevent any neural defects because spine is the first thing which is formed in the body, so if there is deficiency of Folic acid there could be a problem in the sign of the baby. Last but not the least men also matter, preconceptional care is not definitely restricted to women alone men have to take care of themselves because their overall health will reflect on the sperm. So a man also has to take control or give up smoking and excessive alcohol or substance abuse, decrease stress levels and inculcate healthy food habits and exercise into its regime. So when it comes to substance abuse suppose a woman is used to smoking or alcohol she has to control this the smoking can have a detrimental effect on the baby, you have to even think about your work life balance how we are going to adjust once the baby comes and develop a good support system as well. You even have to think about your finances and have a proper financial planning in place before you have a baby. Then coming to a family history, family history is whether anybody in your family has had a congenitally abnormal child or whether there is any disease which runs in the family, for example, Thalassemia and your previous reproductive history, that suppose you have an abortion or repeated abortions so these things also have to be taken care off. Then your menstrual history, now menstrual history is very closely related to your fertility status so you have to keep a track of your menses. Nowadays we have so many apps which help you to keep a track you have to note whether your menses are regular or irregular if they are irregular that means that you are not ovulating properly it could be PCOS as well, then coming to the menstrual flow is it very scanty or very less or is it more, so if it is more if it is associated with pain it could mean that you could have a fibroid or suppose you have a very painful menses or you have pain which stops just before menses, it could mean you are suffering from endometrosis or a pelvic inflammatory disease. In spite of following all these precautions if a couple cannot conceive after one year they need to seek the services of a fertility specialist and if the women's age is more than 32 years and even if she's married for less than six months she has to get a fertility status evaluated and seek the help of the fertility specialist.

So friends don't conceive preconceived and before you think of a baby please do plan for it so that you can avoid complications during pregnancy, during labor and can have a healthy and bubbly child, happy parenting.

If you have any queries contact me on Lybrate.
Play video
Azoospermia Treatment
Semen Without Sperm: How Does It Affect Your Fertility?
Play video
Infertility
AMH Test to Determine Fertility
Play video
Fertility Problems
Causes and Treatment for Infertility
Play video
Conceiving or Fertility Problem
Hello, I am DR Vaishali Sharma. I am practising as a consultant Gynaecologist in South Delhi.

If you have any problem in conceiving naturally, then when to consult a gynaecologist. You should know that if your age is below 30-35 years then you can try naturally for one year. But if you are coming close to 35 years then I think that 6 months of natural conception is enough because you should not waste much time after the age of 35 years.

What are the options to increase the chance of pregnancy?

The best thing is that you should go for Pre- conceptional counselling. But if you are not doing so then you should know that the best chance of conception is during the mid cycle, that is, if you have a cycle of 28-30 days then the best time for pregnancy is 10-16 days after your cycle. The number of days we are calculating here are from the 1st day of the cycle. So, this is the best time from which you can calculate naturally.
The other thing is the kit that is available in the market to know what is the time of Ovulation, that is when the egg is released. So, these are the very commonly available in the market. YOu should use them from the 10th day of the cycle and then you have to use them daily, preferably in the afternoon period and you have to do the urine test yourself. If you find the two dark lines on it, that means you will be ovulating.
Then if you find that you will not be able to conceive from these methods then you should go the nearby gynaecologist. She may advise you basic investigation from basic workup. For example a blood test, semen analysis and so on. And if the basic investigation area coming normal, then you are advised to have medicines. These medicines are roughly for 5 days. This is called Ovulation Induction. They basically increase the chances of ovulation and egg release. So, this thing you can try for 3-4 months but this has to be done under the guidance of Gynaecologist. We advise them to take 5 tablets during their periods. We call them from the 9th day of their cycle and perform an ultrasound to see whether the eggs are formed or not. Once the eggs are there and the appreciable size of 18mm is attained, then we give the injection to release the eggs. After this, we tell the patients that this is an appropriate time to try the conception. This way if the couple is not able to conceive within 6-8 months, then we advise them to go for either the injections, which will help in the formation of eggs.
Or we advise them to go for IUI (Intrauterine Insemination). One most important point is that before suggesting IUI to the patient, the tubal testing is a must. That is usually advised HSG and SSG. In this way, we show that both the tubes are patent. In case there is a problem in semen or there is some problem with the male like the premature ejaculation or difficulty in performing. In such cases, we advise the patient to visit an endocrinologist. And the final option we give them is IUI. Through this, 50% of the patients are able to conceive in 6 months and another 50% of the patients are able to conceive in another 6 months. The cumulative success rate is come out to be around 75%.
In case the patient is not able to conceive after injections and IUI then we usually advise them to go for Laparoscopy treatment. This is a diagnostic and therapeutic option because, in this, the woman has to get admitted to the hospital and we directly look through the Laparoscope, that is camera through which we are able to know if the tubes are blocked, any difference in the location, a relationship between the ovaries and the tubes. In this way, we are able to detect and correct it. It is a painless procedure and the woman has to admit in the hospital for 8 hours. THis is minor operation in which 2-3 stitches are there. BUt this is mandatory before proceeding further. After doing laparoscopy we are going to tell patients that the tubes are open and you can continue with the Ovulation induction and IUI. In that way, you will have the chances of pregnancy. And even after the Laparoscopic surgery, the tubes are blocked, then we suggest our patients for the IVF that is the test tube baby. If the tubes are blocked then IUI will not be helpful.
IVF surgery is also advisable when the female partner is close to the age of 40 or so. After the age of 35 years, the quality of the eggs in the female ovary will decline sharply. So, sometimes the IVF is suggested directly to the patients in case ovarian reserves are poor.
In case IVF test tube baby is advisable, then we have lot many options.
So, if you want to take an appointment, you can visit me at Asian clinic in GK-1 or you can consult me through Lybrate for the audio and the video call consultations.
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