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Fertility Tips

Intracytoplasmic Sperm Injection (ICSI) - Know More About It!

Dr. Sandeep Talwar 88% (23 ratings)
MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
IVF Specialist, Delhi
Intracytoplasmic Sperm Injection (ICSI) - Know More About It!

Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus. 

Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically. 

However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.

Success Rates of ICSI:

The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.

1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age

Advantages of ICSI Treatment:

Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.

How Moringa Seeds Enhance Sexual Performance For Men?

Dr. Suresh Raj C 92% (13 ratings)
B.Sc.D.S.M.S., M.D.,(Acu) D.T.M., D.Varma,C.H.M.,, CHM, M.D., (Acu)
Alternative Medicine Specialist, Madurai
How Moringa Seeds Enhance Sexual Performance  For Men?

We’ve seen the scientific facts and statistics, but how does using Moringa benefit men emotionally and physically?

Most people would agree that sex is an important factor in maintaining a healthy relationship.  What is great is that there are many health and emotional benefits for both men and women that can be attributed to having regular sex.

Dr. Lisa cites a Duke University study that showed that having sex 200 times or more per year could increase your lifespan by six years. By engaging in intercourse more often, there is also a natural boost in self-esteem and self-confidence.

Here are just a few examples of the benefits of sex in a relationship or marriage:

** Sex is good for your heart.  Regular sex can ward off heart attacks
** Having regular sex can boost your fertility
** Enjoying a regular sex life can lower risk of developing prostate 
    cancer for men in their 50s
** Having regular sex can help relieve stress
** A healthy sex life helps control weight by burning calories
** It reduces blood pressure
** moringa seeds enhance sexual performance in men

So now you know the importance of a healthy sex life; why not try and see just how Moringa can enhance sexual performance for men.

WAYS TO TAKE MORINGA

There are many ways to take Moringa in it’s natural form.  You can drink Moringa tea. Moringa leaves can be eaten fresh, cooked or dried.   Moringa leaf powder can be incorporated into your diet regime by adding Moringa into your recipes.  You can also take Moringa seeds to enhance your sexual performance
 
Moringa supplements are a great way to regulate your intake safely.  For example using moringa capsules will give you a longer, stronger erection and is said to promote growth in penis size.

Finally remember to get medical advice to ensure you take Moringa safely.

2 people found this helpful

Intracytoplasmic Sperm Injection (ICSI) - What All Should You Know

Dr. Sanheeta Dasgupta 88% (35 ratings)
MBBS, DGO, Fellowship in Minimally Invasive Gynaecology and Endoscopy
Gynaecologist, Noida
Intracytoplasmic Sperm Injection (ICSI) - What All Should You Know

Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus. 

Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically. 

However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.

Success Rates of ICSI:
The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.
1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age

Advantages of ICSI Treatment:
Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.

2 people found this helpful

How ICSI Can Help You Get Pregnant?

Dr. Sameer Pahlajani 90% (11 ratings)
MBBS
IVF Specialist, Raipur
How ICSI Can Help You Get Pregnant?

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 ultrasound 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 a 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 %
4 people found this helpful

Oncofertility - Giving Hope for the Cancer Patients!

Dr. Richika Sahay Shukla 91% (659 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi

Oncofertility is the combination of Oncology i.e., study of cancer and Fertility i.e., capacity to produce offspring.

It is a subfield that research to explore and expand options for the reproductive future of cancer survivors. Oncofertility bridges oncology and reproductive medicine that works to expand the fertility potential of young people with cancer. It was developed to provide cancer patients with the option to take fertility preservation steps prior to and after cancer curing treatments have taken place.

Oncofertility involves the fertility preservation i.e., preservation of the egg/embryo or sperm. Since the use of chemotherapy/radiation on the body during the cancer treatments leads to the infertility in individuals, Oncofertility comes with the option for them. This helps them to cryo-preserve their eggs or sperms or embryos, and that can be used in future whenever they are ready for the parenthood.

It is not only limited to particular gender, male, female or even teenagers can get benefit from it. In couples if one of the partners is seeking for the chemotherapy/radiation then they can even freeze their embryos, which used in future for their parenthood.

IVF - Questions That Most People Seek Answers For!

Dr. Chandrashekhar Sakolikar 89% (39 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
IVF Specialist, Navi Mumbai
IVF - Questions That Most People Seek Answers For!

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 lot of pressure from family and friends.

However, with advancements now, there are options like intrauterine insemination and in vitro fertilisation (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, fertilised 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 analysed, and if they are optimal, IVF can be considered.
1 person found this helpful

Step By Step Embryo Transfer Procedure In IVF!

Dr. Ritu Prabhakar 86% (18 ratings)
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.

Male Infertility!

Dr. B Chandra 91% (71 ratings)
Diploma In Traditional Siddha, B.H.M.S
Sexologist, Bilaspur
Male Infertility!

What is male infertility? reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive. A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy. Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male. How common is male infertility? infertility is a widespread problem. For about one in five infertile couples the problem lies solely in the male partner. It is estimated that one in 20 men has some kind of fertility problem with low numbers of sperm in his ejaculate. However, only about one in every 100 men has no sperm in his ejaculate. What are the symptoms of male infertility? in most cases, there are no obvious signs of infertility. Intercourse, erections and ejaculation will usually happen without difficulty. The quantity and appearance of the ejaculated semen generally appears normal to the naked eye. Medical tests are needed to find out if a man is infertile. What causes male infertility? male infertility is usually caused by problems that affect either sperm production or sperm transport. Through medical testing, the doctor may be able to find the cause of the problem.

About two-thirds of infertile men have a problem with making sperm in the testes. Either low numbers of sperm are made and/or the sperm that are made do not work properly.

Sperm transport problems are found in about one in every five infertile men, including men who have had a vasectomy but now wish to have more children. Blockages (often referred to as obstructions) in the tubes leading sperm away from the testes to the penis can cause a complete lack of sperm in the ejaculated semen.

Other less common causes of infertility include: sexual problems that affect whether semen is able to enter the woman’s vagina for fertilisation to take place (one in 100 infertile couples); low levels of hormones made in the pituitary gland that act on the testes (one in 100 infertile men); and sperm antibodies (found in one in 16 infertile men). In most men sperm antibodies will not affect the chance of a pregnancy but in some men sperm antibodies reduce fertility.

Known causes of male infertility

Sperm production problems• chromosomal or genetic causes

• undescended testes (failure of
The testes to descend at birth)
• infections
• torsion (twisting of the testis in scrotum)
• varicocele (varicose veins of the testes)
• medicines and chemicals
• radiation damage
• unknown causeblockage of sperm transport• infections
• prostate-related problems
• absence of vas deferens
• vasectomysexual problems
(erection and ejaculation problems)• retrograde and premature ejaculation
• failure of ejaculation
• erectile dysfunction
• infrequent intercourse
• spinal cord injury
• prostate surgery
• damage to nerves
• some medicineshormonal problems• pituitary tumours
• congenital lack of lh/fsh (pituitary problem from birth)
• anabolic (androgenic) steroid abusesperm antibodies• vasectomy
• injury or infection in the epididymis
• unknown cause

The male reproductive system

The male reproductive system is made up of the testes, a system of ducts (tubes) and other glands that open into the ducts. The brain plays an important part in the control of the male reproductive system.

A side view showing the main parts of the male reproductive system

The pituitary gland and the hypothalamus, located at the base of the brain, control the production of male hormones and sperm. Luteinising hormone (lh) and follicle stimulating hormone (fsh) are the two important messenger hormones made by the pituitary gland that act on the testes.

Two messenger hormones act on the testes

The testes (testis: singular) are a pair of egg-shaped glands that sit in the scrotum next to the base of the penis on the outside of the body. The testes make sperm and the male sex hormone testosterone. It takes about 70 days for sperm to become mature and able to fertilise an egg.

When released from the testes, the sperm spend two to 10 days passing through the epididymis where they gain the vital ability to swim strongly (become ‘motile’), and to attach to and penetrate (get into) the egg.

At orgasm, waves of muscle contractions transport the sperm, with a small amount of fluid, from the testes through to the vas deferens. The seminal vesicles and prostate contribute extra fluid to protect the sperm. This mixture of sperm and fluid (the semen) travels along the urethra to the tip of the penis where it is ejaculated (released).

What Is Premature Ovarian Aging?

Dr. Richika Sahay Shukla 91% (659 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
What Is Premature Ovarian Aging?

What is Premature Ovarian Aging?

Premature ovarian failure aging (POA) is defined as having low ovarian reserve, a low number of good quality eggs for ones age.

POA is one of the major, often overlooked, causes of female infertility. As women get older, their ovarian reserve declines. Women attempting pregnancy after age 40 often have difficulty getting pregnant because of low ovarian reserve. In some women this decline of ovarian function occurs much earlier than others, these women are considered to have premature ovarian aging (POA).

POA negatively affects fertility primarily because of sub-optimal quantity and quality of eggs produced. Unfortunately, quality of eggs declines with quantity. Therefore, women with diminished ovarian reserve experience the highest miscarriage rates of any infertility diagnosis. With appropriate aggressive treatment women with POA can have their own genetic children.

Premature Ovarian Aging (POA) and Premature Ovarian Failure (POF) – What’s the Difference?

The distinction between POA and premature ovarian failure (POF) is of importance. POF is defined by an FSH level above 40 mIU/mL (post-menopausal range). Premature menopause is a term used to refer to this condition. Women with high FSH levels, but still below 40 mIU/mL are considered to suffer from POA. Pregnancy in women with POF is a rare event.

The India IVF Fertility does offer treatments to POF Medicine it is the patient who ultimately decides on treatment.

Treatment of Premature Ovarian Aging

India IVF Fertility employs aggressive IVF stimulation protocols frequently in combination with growth hormone to improve chances for pregnancy. We have had very encouraging results with the addition of growth hormone with POA patients undergoing IVF.

 

Why Nutritious Food Is Important For Sexual Health?

Dr. Ridhi Khanna 85% (27 ratings)
MSc - Food and Nutrition, BSc - Dietitics / Nutrition
Dietitian/Nutritionist, Amritsar
Why Nutritious Food Is Important For Sexual Health?

Physical intimacy between partners is one aspect, which is of utmost importance, therefore we need to focus on things which can boost it. Sexual health is as important as your overall physical and mental health. Just as how your heart health is impacted by what you eat, nutrition also plays an important role in your sexual health. A number of sexual health problems can, in fact, be remedied by simply eating right.

Here are a few types of food that can help enhance your sexual health.

  1. Foods rich in Omega-3 fatty acids: Some fats such as Omega 3 Fatty acids are essential for your health. Such foods improve blood circulation and neurological functioning thereby aiding in improving sexual function. Foods rich in Omega 3 Faty acids include soybean oil, tuna or trout fish, walnuts and almonds.
  2. Foods that help you maintain your weight: Your weight plays an important role in self-image and libido. In many cases of obesity, losing weight has a direct impact on increasing libido and sexual functioning. Hence, food that is rich in fibre and low in fat content such as whole grains and leafy vegetables should be a part of your daily diet.
  3. Food that increases fertilityVitamin C is essential for fertility, especially for men. It also helps increase the production of happy hormones and thus elevates moods. Thus increasing your vitamin C intake can help treat fertility problems. Fruits such as grapefruits, oranges and lemons are rich sources of vitamin C. Folic acid also plays an important role in increasing fertility. It improves sperm quality and reduces the pregnancy risks. Some foods that are rich in folic acid are broccoli, peas, lettuce. Beets and all kinds of nuts.
  4. Foods that increase sex drive: Apples are rich in polyphenols and antioxidants that stimulate blood flow to the genital area and aid in arousal. They also contain chemicals that increase lubricant production and hence make intercourse more enjoyable. Similarly, berries like strawberries and cherries and watermelons improve blood circulation and are a rich source of phytochemicals that enhance a person’s sex drive.
  5. Foods that increase sperm production: Zinc is one of the key nutrients involved in sperm production. Low levels of zinc can also affect a woman’s libido. Hence eating foods rich in zinc such as sesame seeds, whole grain bread, green leafy vegetables and brown rice can help boost libido and sperm production. One of the main reasons oysters are considered such a powerful aphrodisiac is because they are considered to be one of the richest sources of zinc.
2 people found this helpful
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