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Fertility Tips

Tips For Fertility Issues During COVID-19!

Dr. Sonali N Tawde 93% (239 ratings)
MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Tips For Fertility Issues During COVID-19!

Some tips for couples facing fertility issues during COVID pandemic
1. Stay connected with family, friends and relatives
2. Excercise regularly, keep watch on weight and diet
3. Maintain regular schedule for daily routine, eat and sleep on time
4. Reduce exposure to media if that adds to your stress levels
5. Reduce smoking. Remember smokers are at high risk due to covid complications
6. Read books, listen to music, take out time for hobbies
7. Yoga, meditation, breathing exercises will help to calm down 
Everyone is going through difficult time, stay positive. We will surely come put of this successfully.

1 person found this helpful

Know If You Are IVF Ready!

Dr. Prerna Gupta 86% (10 ratings)
MBBS, MD - Obstetrtics & Gynaecology, MRCOG , Fellowship In ART
IVF Specialist, Delhi
Know If You Are IVF Ready!

One of the major milestones in a woman’s life is the entry into motherhood. For most women, when this does not happen in the natural logical sequence of things, there is anxiety and a lot of pressure from family and friends.

However, with advancements now, there are options like intrauterine insemination and in vitro fertilization (IUI and IVF) available, which can help increase the chances of conception and pregnancy. IVF is where the egg is retrieved from the woman’s womb, fertilized externally and then transplanted back into the uterus where it grows to full term. However, there are always unanswered questions like how long to wait before going for IVF, is it the right procedure for me, etc.

Read on to know to find answers to some of these. 

  1. Maternal age: As a woman reaches 35 and a man reaches 40, the fertility rates drop significantly. The chances that a woman at 35 will conceive is about 20%, which goes down to 5% if the woman is 40. However, this rate can be significantly increased by using IVF. The quality of the egg would gradually deteriorate, and so if a woman is nearing 40, it is better to consider IVF as the ovarian reserve would be optimal with IVF.
     
  2. Failed intrauterine insemination: In couples who have problems with the sperm reaching the uterus, intrauterine insemination (IUI) is first attempted. However, if 3 or more attempts of fail, it is time to consider IVF.
     
  3. Duration of inability to conceive: While some couples conceive quite promptly in a month or two, most take about 6 to 8 months of unprotected sex to conceive. Therefore, IVF can be an option if you are failing to conceive even after a year. Less than a year, don’t fret. Take it easy and it might just do the trick.
     
  4. Medical health: Both the partner’s medical health should be taken into account. Lifestyle changes like smoking, alcohol abuse, drug abuse should be considered, which can account for poor sexual performance and therefore lead to an inability to conceive. Health conditions like diabetes and heart disease can also lead to infertility. Hypothyroidism in women is another thing that must be ruled out, as it often leads to an inability to conceive.
     
  5. Sexual problems with the partner: One of the first things to do before going for IVF is to check that the male does not have any issues. Be it erection issues or ejaculation issues or sperm issues, they need to be ruled out. Sperm quality, quantity, and motility have to be analyzed, and if they are optimal, IVF can be considered.
1251 people found this helpful

What Is The Best Age To Get Pregnant?

Chd City Hospital 86% (101 ratings)
Multi Speciality, Chandigarh
What Is The Best Age To Get Pregnant?

Pregnancy and motherhood are the beautiful yet crucial phases of a woman's life. When to become pregnant or start family is merely personal and the decision may vary from woman to woman. Now days, women are becoming more independent financially and socially as well. Their priorities are also changing. Before getting pregnant and starting family what they want is the best for their babies from all point of view and therefore most of the women have their first pregnancy after 35 years of age.

The science of the right age to get pregnant:
But what is the scientific approach regarding the right age for conception? According to the American College of Obstetrics & Gynecology (ACOG), the chances of conceiving are highest in 20 - 30 years of age. After 32 years of age the fertility in the women starts decreasing as they have fixed number of eggs in the ovary and the number of eggs decreases with advanced age. The eggs are also not that much fertile as compared to younger women. Problems that can affect the fertility becomes more common with increasing age as well. The older women are more likely to have pre-existing health problems as compared to younger ones. There is increased risk of miscarriages, different complications and birth defects in older age. According to ACOG, the risk for miscarriage for women aged 20 to 30 years is between nine and 17 percent; this rate increases sharply from 20 percent at age 35 years to 40 percent at age 40 years and 80 percent at age 45 years. In between 20 -30 years of age, the fertility rate is high among this age group. The chances of complications, chromosomal abnormality, preterm deliveries and birth defects are minimal. Pregnancy is often physically easier for women in their 20s because there's a lower risk of health complications.

The most important aspect in pregnancy is - YOU
Whatever may be the age of the women during pregnancy, the thing which matters most is the health of the baby and the mother. In advanced age also, mothers need to stay fit and healthy by optimum exercise, healthy nutritional diet and positive approach.

8161 people found this helpful

ICSI - Know Worth Of It!

Dr. Sameer Pahlajani 88% (27 ratings)
MBBS
IVF Specialist, Raipur
ICSI - Know Worth Of It!

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

  1. Poor sperm perms motility
  2. Semen where sperm concentration is low
  3. Male infertility with unidentifiable cause
  4. Poor sperm quality, with sluggish sperms
  5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
  6. Useful in couples who have failed IVF.

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

  1. First step is the sperm collection; a screening is first done
  2. Sperms collection happens through either masturbation or directly from the testicles via a small incision
  3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

  1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
  2. Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

During the procedure - How ICSI happens:

  1. A healthy egg is chosen and placed in a glass tube, and sperm is introduced to ensure fertilization
  2. This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
  3. Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
  4. The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
6708 people found this helpful

Hormones & Infertility - Is There A Link?

Dr. Rajesh Jain 89% (220 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD Preventive Medicine, PG Diploma Diabetes
Endocrinologist, Kanpur
Hormones & Infertility - Is There A Link?

Ever wondered how your body releases an egg each month or how the uterus wall thins and thickens at different times of the month? It is the job of your body’s chemical messengers – hormones, which manage the various processes involved in preparing your body for fertilization.

Hormones and Fertility
A subtle balance of different hormones, involved in managing the reproductive organs, enables and maintains fertility. These hormones regulation changes like the discharge of an egg from the ovary and thickening of the uterine wall lining (endometrium). Infertility results if this balance is disrupted.

Roles of hormones in making a woman infertile

Knowing the role of a hormone in making a woman infertile will be easier if you know its role in making the same woman fertile. Here is the role of the five most important hormones that encourage fertility in women-

  1. FSH or Follicle-stimulating hormone - The pituitary gland in the brain releases the Follicle-stimulating hormone. The major role of this hormone is to allow a woman to have better control over her menstrual cycle and production of an egg in her ovary. The levels of this hormone designate the proper functioning of the ovary as well as the quality of the produced egg. When there is an imbalance in this hormone, the ovary of the woman will not function properly to produce eggs, thus creating infertility in women.
  2. LH or Luteinizing hormone - The pituitary gland releases this hormone. It plays a vital role in stimulating the ovary of a woman to discharge eggs. It instigates the manufacturing of progesterone to prepare the uterus of a woman to accept a fertilized egg. When the level of this hormone is disturbed, it will not stimulate the ovary to release eggs.
  3. Estradiol Hormone - This is a vital form of the oestrogen hormone. When the levels of this hormone become irregular, it will reduce the chances of making a woman conceive.
  4. Thyroid hormones - This hormone assists greatly in making the ovulation as well as the ovary of a woman to function normally by interacting with the progesterone and oestrogen hormones.
  5. Progesterone hormone - This hormone plays an important role in making a fertilized egg to continue as well as to develop in the uterus of a woman. Any imbalance in the level of this hormone will not allow the egg in the uterus to grow.
1484 people found this helpful

Pregnancy - Is There A Right Time For It?

Life Care Hospital 89% (80 ratings)
Multi Speciality, Gorakhpur
Pregnancy - Is There A Right Time For It?

Pregnancy and motherhood are the beautiful yet crucial phases of a woman's life. When to become pregnant or start family is merely personal and the decision may vary from woman to woman. Nowadays, women are becoming more independent financially and socially as well. Their priorities are also changing. Before getting pregnant and starting family what they want is the best for their babies from all point of view and therefore most of the women have their first pregnancy after 35 years of age.

The science of the right age to get pregnant:
But what is the scientific approach regarding the right age for conception? According to the American College of Obstetrics & Gynecology (ACOG), the chances of conceiving are highest in 20 - 30 years of age. After 32 years of age the fertility in the women starts decreasing as they have fixed number of eggs in the ovary and the number of eggs decreases with advanced age. The eggs are also not that much fertile as compared to younger women. Problems that can affect fertility becomes more common with increasing age as well. The older women are more likely to have pre-existing health problems as compared to younger ones. There is increased risk of miscarriages, different complications and birth defects in older age. According to ACOG, the risk for miscarriage for women aged 20 to 30 years is between nine and 17 percent; this rate increases sharply from 20 percent at age 35 years to 40 percent at age 40 years and 80 percent at age 45 years.In between 20 -30 years of age, the fertility rate is high among this age group. The chances of complications, chromosomal abnormality, preterm deliveries and birth defects are minimal. Pregnancy is often physically easier for women in their 20s because there's a lower risk of health complications.

The most important aspect of pregnancy is - YOU
Whatever may be the age of the women during pregnancy, the thing which matters most is the health of the baby and the mother. In advanced age also, mothers need to stay fit and healthy by optimum exercise, healthy nutritional diet and positive approach.

3653 people found this helpful

Self-Care During IVF Treatment!

Dr. Priya Dahiya 85% (10 ratings)
MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology)
IVF Specialist, Delhi
Self-Care During IVF Treatment!

The In-vitro-Fertilization method has revolutionized reproductive technology and has made natural conception possible for so many expectant families. Despite its popularity, many individuals still fail to see to their well-being during treatment. Not only does it affect the probability and success of conception, it can also lead to further mental stress that can only be destructive towards your psychological health and perhaps your upcoming pregnancy. Here are a few ideas on how you can best take care of yourself during the treatment period:

1. Proper Sleep
A sufficient amount of sleep every night goes a long way to ensuring a peaceful state of mind. As you are anticipating conception, you should schedule your timings such that you can sleep for at least 8 hours every night. Additionally, adopt a nightly ritual so you can ease yourself into bed at a regular time every night. This allows your body clock to be standardized through the treatment period and provide you with optimal energy for the day.

2. Keep Hydrating
Fluids are ideal for flushing out the negative toxins from your body. As a result of the treatment, your body is going through a number of chemical and biological changes. Thus water and other fluids like vegetable and fruit juices help your body maintain a healthy count of blood cells and ward off side effects that may arise during the IVF treatment.

3. Acupuncture
Clinical tests have proven that certain acupuncture procedures strengthen the flow of blood into the uterus and the ovaries. Most specialists recommend that you undergo a session of acupuncture the day of the embryo transfer so that you do not activate your stress hormones. As IVF treatments often become quite trying for the couple in question, you might want to try this method to release anxiety.

4. Take Walks
Though it is not recommended that you exert yourself too much physically, engaging in light walks should only help you ease into your IVF cycle. Not only will it maintain your balance and coordination, it can also improve your mood and help you maintain an appropriate weight for conception.

5. Journal
Even if you may not realize it at the time, this period could turn out to be one of the most significant periods of your life. Becoming a mother is a complex challenge yet a wonderful privilege and you might want to document your experiences while you are going through the treatment. Not only is it incredibly soothing, but it might also help you prepare for your upcoming journey by letting you recognize and accept your emotions.

3250 people found this helpful

Fertility - Best Ways Boost It!

MD Gynaecology
IVF Specialist, Kolkata
Fertility - Best Ways Boost It!

Pregnancy can be easy and smooth, while on the other hand, it might be time consuming, marred with conception difficulties all along the way. Pregnancy may seem exciting to some, whereas it can be stressful for others. Regardless of whether it is the first child you are planning or have had a successful pregnancy previously; there are some tips you need to keep in mind in order to improve fertility and give birth to a healthy child.

Some fertility boosting factors are:

  1. These fantastic swimmers are at the very root of male fertility. Some important components which need to be taken into consideration are sperm count, sperm motility (the ability of the sperm to swim around the female reproductive tract) and morphology (shape and size of a sperm). In order to have all these parameters in check and working fine, one needs to abstain from smoking and limit alcohol consumption among many other lifestyle modifications.

  2. Having unprotected vaginal intercourse during the woman’s fertile days in a month helps improve chances of conception.

  3. Fertility becomes a challenge when you are either overweight or underweight. The weight of a woman affects ovulation (The release of eggs from the ovaries) and causes hormonal imbalance; factors which make it very difficult to conceive. Keep your weight levels in check and that could prove primarily essential in bettering your fertility.

  4. Staying well nourished boosts your odds of conceiving! Make sure to include enough protein, iron, zinc, vitamin C, and vitamin D in your diet, because deficiencies in these nutrients have been linked to lengthened menstrual cycles (and therefore less frequent ovulation) and a higher risk of early miscarriage. Ask your gynaecologist if you should take a daily multivitamin supplement. And be sure to eat protein-rich foods, such as meat, fish, low-fat dairy products, eggs, and beans.

  5. Beware of STDs or Sexually Transmitted Diseases. One is the most prone to STDs of any kind if he/she happens to engage in unprotected sexual intercourse; having a number of sexual partners just ups the chances of getting afflicted by STD. Protected vaginal intercourse helps prevent STDs, thus enhancing fertility and subsequently, chances of conception.

  6. According to several studies, the lubricant one chooses surprisingly plays a significant role in determining fertility. Not all lubricants boost fertility and sperm motility (sperm count). Baby oil or egg whites are a few good examples of such lubricants.

  7. While a limited amount of caffeine consumption is good, overdoing it might spoil and hamper fertility. Limit caffeine intake and keep it within a level of 200-250mg a day.

  8. Smoking, besides playing havoc with every organ in the body, affects the reproductive organs and thus fertility. In men, it leads to reduced sperm count and in women, it causes DNA damage. Stub the bud right now and never get back to it.

  9. Certain toxic chemicals can lead to female and male infertility. So it is advisable that you stay away from chemicals such as pesticides, organic solvents and lead, the primary toxins which pose a severe threat to fertility.

  10. Exercising regularly can never go wrong. It gives you the strength and stamina, boosting your overall health. However, vigorous exercises, especially when you are trying to conceive, will do you no good. It might adversely lead to the suppression of certain hormones such as progesterone (pregnancy stimulating hormone) and might affect ovulation, hence affecting fertility. Aim at a regular 20 minutes session of light exercises; mild cardiovascular exercises such as walking can work wonders, especially in such circumstances.
4782 people found this helpful

Fertility - What Can Affect It?

Dr. Rutvij Dalal 89% (23 ratings)
MBBS, DGO, DNB (Obstetrics and Gynecology), MRCOG, FNB, Diploma in Advanced Laparoscopy, Fellowship in Human Reproduction and Assisted Reproduction
IVF Specialist, Delhi
Fertility - What Can Affect It?

While you are too busy running a rat-race, chasing education, career, and everything extravagant and lavish, you might be slowly slipping away on your chances of parenting a baby. Find that strange and wayward? Well, your fertility might have already started taking a dip. The chances of conception drop down to less than 10% as a woman approaches the mid-thirties and a man, mid-forties. This is because increasing age takes a toll on the quality and the quantity of eggs produced. Chromosomal problems accompanied by risk of miscarriages tend to bring down pregnancy rates. So much so, that a child, born to older parents, might have higher risks of suffering from learning difficulties, psychological disorders and even autism. Not only age but one’s innate lifestyle habits and practices can also be a few reasons behind infertility.

  1. Age and Fertility: Women’s fertility starts to decline when women are in their early 30s (and the decline speeds up post-35). Men’s fertility starts to decline at 45 years of age. As well as declining fertility, there is an increased risk of pregnancy complications for older mothers and with older fathers, an increased risk of the child having autism spectrum disorders, mental health disorders and learning difficulties.

  2. Weight and Fertility: Obesity, owing to a sedentary lifestyle and an unhealthy diet, can cause and aggravate hormonal irregularities in both the genders. For men, these imbalances result in coital problems and dip in the sperm count, while for women, they pose threats such as miscarriages, risks of a still-born child and other pregnancy complications. Women who are obese and smoke are more than twice as likely as healthy weight women to have a baby with congenital heart disease.

  3. Substance Abuse: Smoking and excessive consumption of alcohol cause early menopause in women and reduce fertility rates in both the genders.

  4. The Appropriate Timing: If you fail to keep a track of the most fertile period of your menstrual cycle based on the days you ovulate, you might miss out on a good chance of getting pregnant. Pregnancy is technically possible during the five days before ovulation and the day of ovulation. The likelihood of actually becoming pregnant, though, is dramatically increased if you have intercourse in the three days leading up to and including ovulation.

  5. Stress: In today’s times, some amount of stress is unavoidable. However, being subject to constantly high levels of stress on a daily basis up the secretion of the stress hormone, ‘cortisol’; that eventually takes a toll on one’s libido, thus wreaking havoc on one’s chances and aspirations of parenting a child. Also, what too much stress does is that it mars personal relationships, thus further increasing one’s woes.

  6. Pollutants: With rapid urbanization and unchecked industrialization, the world you live in was never more polluted than now. Such increased and consistent exposure to pollution makes one all the more vulnerable to infertility.

2403 people found this helpful

Egg Freezing - What Should You Know?

Dr. Anuj Sharma 95% (810 ratings)
MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), Fellowship in Sexual Medicine
IVF Specialist, Meerut
Egg Freezing - What Should You Know?

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 sufficiently good quality for freezing and in all probability, can use them for future purposes. By getting them frozen 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 until 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.



 

2320 people found this helpful
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