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.
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.
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.
The couples who can reproduce normally are not eligible for fertility treatments.
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.
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.
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.
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.
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.
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.
Rs 1,50,000- 2,50,000
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.
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:
Possible effects of surgical abortion on fertility
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!
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!
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
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.
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!