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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 for Male Factor Infertility!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
In Vitro Fertilization for Male Factor Infertility!

How does the ICSI method in IVF treatment help manage severe male infertility?

Male infertility is a growing problem in India. According to a survey, almost 40 percent of all infertility cases occur due to male infertility. Severe male infertility is often treated with IVF, using the ICSI method. Here is a look at all you need to know about IVF with ICSI.

What is ICSI?

ICSI or intracytoplasmic sperm injection is a specialized method of IVF, where the sperm from the male partner is not allowed to fertilize the female egg normally. Instead, a single sperm is isolated and inserted into a mature egg, to get it fertilized. A hollow needle is used to extract the sperm from the male. Primary features of the ICSI-IVF include-

• The egg is fertilized inside a petri dish, as the sperm is not introduced inside the female’s body.
• Only one healthy sperm is selected from the sample and is injected into a single mature egg for the fertilization
• The fertilized eggs are monitored under laboratory conditions.
• Once the egg is fertilized, it can be introduced inside the woman’s body, similar to the ordinary IVF procedure.

Reasons why ICSI is used

Here is a look at some instances, when your doctor may advise you and your partner to undergo ICSI-IVF-

• Very low sperm count
• Sperm with abnormal shape
• Poor sperm motility
• Other IVF treatment has not yielded desired results
• If the sperm being used is frozen, the ICSI-IVF procedure may be required.

Risks involved in the IVF-ICSI method of fertilization

The ICSI procedure comes with all the risks involved in the normal IVF procedure. However, it does not introduce any new risk factors into the mix. This method of fertilization carries a slightly higher chance of the baby being born with defects when compared to a normal conception. However, it is still quite rare.

With the IVF-ICSI method, couples suffering from infertility have 50 to 80 percent chance of a successful conception.

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Things Which Women Should Know Before Aiming To Freeze Their Eggs!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrtics & Gynaecology
IVF Specialist, Nashik
Things Which Women Should Know Before Aiming To Freeze Their Eggs!

As per the latest data released by the Human Fertilisation and Embryology Authority, the United Kingdom’s fertility industry regulator, there is an increasing number of women, who are freezing their eggs. There is also very little guidance for those women, who are considering to keep their eggs preserved.

Let us take a look at five things which women must consider and take into account before going for freezing their eggs:

  1. Women should look to freeze their eggs when they are young but not when they are too young. Women, who undergo the procedure of egg freezing before attaining the age of 30, usually tend to have the highest live birth rates from eggs which were frozen previously. Usually women’s average age, when they go for freezing the eggs, is near about 37 years. In order to have the best chance of getting success for a live birth in the future, it is ideal to freeze the eggs before a woman attains the age of 36 years. By doing so, the stored eggs might still remain in a sufficiently good quality for freezing and in all probability, can use them for future purposes. By getting them freezed at a relatively older age, for instance when you are in the 30s, there is a likelihood that one can make use of the frozen reserve and thus do not go through a procedure which is costly.
  2. Eggs Can Be Stored Only For Ten Years. In UK, there is a regulation which only permits women to freeze their eggs, once they have remained frozen for ten years. So, for that reason, women may not look to get their eggs freezed when they are in their 20s. Extension can be obtained till the period of storage, hence allowing the eggs to stay frozen till 55 years but only after meeting a condition. Women need to demonstrate that they have become infertile in a premature manner.
  3. There Is Possibility Of Losing Eggs Along The Way: The higher the number of eggs you freeze, there is a high possibility of having live birth in the future, till the time eggs are of good quality. Latest data shows that in order to have 75% chance of having one live birth, a woman of 34 years will need to freeze ten eggs, similarly at 37 years, she would require to freeze 20 eggs. In the process of egg freezing, eggs are lost. Some of the eggs may not freeze appropriately, may not even fertilise or not even reach blastocyst stage. 
  4. Women Might Require To Undergo This Procedure A Number of Times: The amount of eggs collected at the time of one cycle of stimulation and retrieval largely depends on the age of the woman at the time of going through the process, the remaining ovarian reserve of her and the way she responds to stimulation. So, some women can go on to produce 15 eggs for storage only after one round of treatment, while others may require to undergo several rounds of stimulation and retrieval to get hold of and freeze the similar number of eggs.



 

2 people found this helpful

Embryo Freezing - Know Its Benefits!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Embryo Freezing - Know Its Benefits!

In the process of in vitro fertilization, the stimulation of the ovaries of a female is done so as to produce multiple eggs. This technique is performed in laboratories by creating the special environment and using freezing equipment so that the embryos can be stored in liquid nitrogen for the longer period of time.

What is Embryo Freezing?
Embryo freezing is also known as cryopreservation. This technique refers to a procedural method in which the viable embryos are preserved by keeping them at the cool place at very low temperatures, at -196 degree Celsius. After the process of fertilization is done and acculturation of embryo is performed, then the best embryos out of the group are selected for transfer of embryos. In 50 percent of cases, there are ample amount of embryos to fulfill the requirement of embryo transfer. And hence, these embryos can be frozen for use in future purposes.

Advantages of Embryo Freezing
One of the best advantages of embryo freezing is that thawing of frozen embryos can be done and then these can be transferred in the uterus of women without stimulating ovaries. The cycle of transferring frozen embryos is quite simple. The assessment of the menstrual cycle is done to estimate the uterus lining development in females and at the time of ovulation, the embryo is transferred. In certain cases, the women’s medical history is taken before and the hormonally controlled cycle is warranted. However, one should always consult the clinician before going for any treatment procedure.

Disadvantages of embryo freezing
As per the research history, almost 70% of the frozen embryos are able to survive the thawing purpose. But the success rate varies from individual to individual. It may be possible that even after saving many embryos, none of the embryos survive the thawing process.

3400 people found this helpful

Step By Step Embryo Transfer Procedure In IVF!

MD - Obstetrtics & Gynaecology
IVF Specialist, Sonipat
Step By Step Embryo Transfer Procedure In IVF!

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.
3498 people found this helpful

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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Popular Questions & Answers

I am 40 years of age married for 6 years trying to conceive but unsuccessful. Reports reveal low Amh level. Am over weight started doing fertility yoga. My question is wat treatment shud I take to conceive nd wil weight loss help in d process.

MBBS, DGO - Preventive & Social Medicine
Gynaecologist, Sri Ganganagar
Best way to loose weight is following KetoDiet. All celebrities use it and get tremendous results. Search it, you will get exuberant material.
6 people found this helpful

Hi madam we r trying to conceive frm past two years bt no luck our tests are normal why we r not able to conceive child suggest any fertility treatment madam thnq.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If all tests are normal, including HSG and Semen test, then please start treatment for getting pregnancy. First step is medicine with follicular monitoring for 3 cycle. If that fails next step is IUI.
5 people found this helpful

Hi, I undergo fertility treatment. Today, after follicular study doctor told that the quality egg is there with matuated condition and advised to have intercourse in coming 5 days. But from third day (from 30th oct), she advice me to take deviry 10 mg for 5 days. Is it good option? When I check in internet, it is given that after one week of having deviry tablet we will get bleeding. So I am afraid about that. Pls advice me what to do.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
IVF Specialist, Navi Mumbai
Hi actually follicular growth starts after menstrual bleeding and eggs get ready by 13th to 16th day of menses and during this period you must keep relations to achieve pregnancy. We give tab fertyl or letrozole 2.5 mg from 2nd day of menses for egg growth.
1 person found this helpful

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
Gynaecologist, 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.
6 people found this helpful

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
Importance Of Fertility check After 30-Year Of Age
Hello everyone,

My name is Dr. Richa Singh. Today I am going to discuss a very important topic on how to plan your pregnancy when turning 30 and importance of fertility screening? Why this topic? Because patients do come to me for their infertility problems in their early 30s and once, I ask for the investigations, it is usually found that majority of them have already exhausted their ovarian reserves. That means they have prematurely decreased the capability of producing a baby. So, friends, it becomes a very big problem for them to conceive and even in IVF they have to face many consequences of cycle cancellations or they have to switch over to donors. So, this video is for those couples who are planning and they would be able to plan according to their biological age so that they don't land up in infertility and have a safe pregnancy. In the current scenario, if we see there are a lot of delayed marriages, late settlements and people are postponing their pregnancies due to various other reasons maybe career prospects or maybe anything else.

But what happens is that your biological age keeps on increasing. It doesn't stop. So, when you actually plan your pregnancy, by the time, in some patients the reserves have already been exhausted. Then it becomes a lot of problem for them. But you can avoid this problem. How? There are two tests which are usually done to check your fertility. So, any lady who is above 28 years of age, she is a married woman and she is trying to postpone her pregnancy, she should undergo two tests for her fertility check. One is AMH which is an Anti-Mullerian hormone. It is basically a blood test which can be done at any point of time of the cycle. Second is an ultrasound which is done on day 2 of the cycle to know the number of follicles in the ovary. These two tests when they are done will be able to tell us about your reproductive potential. So, how to interpret it? If the AMH values are above 2, then it is normal. If it's between 2-1, it is a low ovarian reserve. If it is less than 1, it is a poor ovarian reserve. Similarly, if your antral follicle counts in both the ovaries are more than 10, it's normal. If it is less than 10, the reserves are decreasing that is a low ovarian reserve and if it is less than 5, it is a poor ovarian reserve.

So how will all these help results help you in planning your pregnancy? If any lady who undergoes these 2 investigations and finds that her AMH is normal, her antral follicle counts are normal, then it means you have time. That is if you want you can postpone your pregnancy. But, with a caution that you have to get these tests repeated every year and when it starts declining then you should start thinking of pregnancy. Then, 2nd category comes in those patients where the reserves are decreased. AMH is between 1 to 2 and antral follicle accounts are less than 10. It indicates that you don't have much time and you should consult your obstetrician and gynaecologist and discuss the options of pregnancy. You can try naturally and if not, you can take the help of some drugs with the help of your doctor. Third point comes where the reserves are very poor such as the Anti-Mullerian hormone comes to be less than 1 and antral follicle counts in both the ovaries are less than 5. In such cases, you need to consult an infertility expert regarding your treatment options. Now, what are the options?

You don't have time. So probably you will have to resort to some treatments like IUI or IVF, maybe embryo freezings or if you really want to postpone your pregnancy, you can also opt for oocytes freezing that is preservation of your fertility till the time you want pregnancy. So, friends if you follow this it will be a great help to you and how will it be advantages. It is very important, number 1, you can avoid the problem of infertility because you have identified it earlier. Second important point is that even if your reserves are low since you have identified early you can take help of various treatments available for you to get pregnant. This will help you to achieve pregnancy.

Number third is even if your reserves are very low, if you have opted for early IVF, the chances of success are better because the younger, the better it is, the results of IVF. And lastly you will have two benefits: one is that you will not have to switch over to the donor because you identified your reserves declining early, so you will be able to catch or diagnose premature ovarian failures at the earliest stage and second you will have the chances of your own genetic babies. It is the most important factor, I can that every mother wants their own baby. So, I hope this information is going to help the young couples and for any other queries or consultations or second opinions, you can always reach me.

Thank you!
Play video
Extended Embryo Transfer Of Blastocyst Transfer In IVF
Hi Everyone!

I am Dr. Shweta Goswami, executive IVF consultant at Jaypee Hospital, Noida. Today I am going to speak about extended embryo transfer of blastocyst transfer in IVF. It is really for everyone? We need to understand the basic IVF concept. We give extra injections to a woman. We make an extra egg. We take them out and fertilize them with husband's sperm, create an embryo and put them back into the mother womb hoping to create a pregnancy. Now when we talk about blastocyst transfer, it is something that increases the success rate. Because the whole IVF depends upon the embryo selection. We keep the egg in the lab for 2-3 days or maximum for 5 days.

Now when we take them today 5 which is blastocyst transfer, it is the day when the embryo is actually attached to the mother womb. So, if we do a day 2 or day 3 transfer, we have a 4 cells or 8 cells embryo which may or may not develop into the blastocyst and when we take all of them to the blastocyst stage then we know that whether these embryos are actually good whether they have gone on further to develop into blastocyst stage or not. And that is how we decide which embryo is the best and we transfer them to get the pregnancy. If we routinely look at the day 2 or 3 transfer, we look at the 40-45% of success which would increase with blastocyst transfer 60-65% in woman who is young and who have good ovarian results.

Now the question is can we do it for everybody? The answer is no. The important thing in IVF is individualization. Do you as a woman definitely need a blastocyst transfer to increase the pregnancy rate, the answer may not be yes. So, day 5 may not work for everybody. Because we might left at the stage where we do not have enough embryo to transfer and we may be looking at the decrease in IVF success rate. Because what is the logic to grow embryo further on day 5 if we have only fewer embryos. We have to see whether it make sense to everybody. These are a just flashy term that we are using blastocyst transfer, we do laser hatching, but they don't really work for everybody.

So, if the patient has good 8-10 embryos and we need to decide which embryo to transfer and to freeze and she already has a failed IVF when day 2 or 3 didn't work then blastocyst definitely has a big role to play because it helps us to decide that which embryo is best. So, that is an important concept I wanted to convey that we should not get away from this flashy term. It is all up to you that what makes sense. What should determine and what should be your path of the IVF treatment. And not adding things to the basket because they look flashy. For any more details, you can contact me through Lybrate.
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.
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