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In Vitro Fertilization (IVF) Tips

Traditional Surrogacy vs. Gestational Surrogacy

Dr. Richika Sahay Shukla 87% (386 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Traditional Surrogacy vs. Gestational Surrogacy
  • Medical Process: IVF (used in gestational surrogacy) and IUI (used in traditional surrogacy) are very different medical procedures. Generally, IUI is a simpler process that requires the surrogate to undergo fewer fertility treatments. In addition, intended mothers will not need to take fertility medications or undergo the egg retrieval process, as their eggs will not be used to create the embryo.
  • Legal Process: Traditional surrogacy laws tend to be more complicated than gestational surrogacy laws. Because the surrogate is the biological mother of the baby in traditional surrogacy, she has parental rights that will need to be legally terminated after the baby is born. In some states, this means that the non-biological parent of the child will need to complete a stepparent adoption to obtain parental rights. These additional legal procedures are not required in the gestational surrogacy process, as parentage is established before birth using a pre-birth order.
  • Wait Time: Most surrogacy professionals, including Southern Surrogacy, only handle gestational surrogacy cases. In addition, many surrogates prefer gestational surrogacy because it is less legally and emotionally complicated for them. This can make it difficult to find a willing traditional surrogate and agency to complete the process, increasing intended parents’ wait times in traditional surrogacy.
  • Costs: On average, the cost of gestational surrogacy tends to be higher than for traditional surrogacy. This is primarily due to differences in the medical process; IUI is less expensive than IVF and tends to involve fewer medical procedures and fertility treatments.
  • Risks: Traditional surrogacy poses a greater emotional and legal risk than gestational surrogacy. Because the surrogate is the biological mother of the child in a traditional surrogacy, she may be more likely to emotionally bond with the baby, making it more difficult to hand him or her over to the intended parents. And because she has parental rights to the baby, she could theoretically challenge the surrogacy arrangement in court, which could result in a lengthy and expensive legal battle for everyone involved.
1 person found this helpful

3 Tips For Working Women During IVF Treatment!

Dr. Mangala Devi 90% (12 ratings)
MBBS, MS(OBG), Certified IVF Specialist
IVF Specialist, Bangalore
3 Tips For Working Women During IVF Treatment!

The In Vitro Fertilization (IVF) technique manually involves combining the eggs of a woman with the male sperm outside the body through medical procedure. It is a popular treatment method for those who are unable to conceive. IVF treatment occurs through a number of stages –

  1. The ovaries are stimulated to produce eggs through the process of ovulation induction
  2. The eggs are retrieved from the woman and fertilized with male sperm outside the body and,
  3. The embryo is implanted back into the uterus.

Although in most cases IVF treatment yields positive results, there are certain guidelines one must follow during the treatment in order to avoid any complications -

Eat healthy meals in small portions throughout the day. Working women are bound to spend long hours at the workplace. There may be occasions when you are put under too much pressure and do not get enough time to look after yourself. But in spite of all the workload, you will need to maintain a healthy diet. It is advisable that you stick to light and nutritious food- a wholesome salad rich in veggies and fruits, sprouts, healthy snacks which consist of cheese and yogurt, meat and eggs. Omega-3 and Folate supplements are very important for staying healthy.

Do not stress yourself too much
While doctors normally prescribe you to walk and move around sometimes after the treatment, too much activity can be dangerous during this condition. Do not engage yourself in exercises that are too strenuous for your health. Working women are required to take extra care of their health because they are expected to commute to their place of work every day till they are on maternity leave. Commuting via public transports can be dangerous immediately after an IVF treatment and during pregnancy. It is advisable that you use a private car or cab to commute daily, or you can ask your colleague to pick you up to work.

Stay organized
There are too many things to keep in mind while undergoing the treatment and after the procedure. You need to keep a tab on all the prescriptions, medications, and follow up dates with your doctor. You can keep a notepad to write down specific details such as appointments or list down a few do’s and don’ts as a reminder. This will help you keep a check on your health even when you’re at work.

Pregnancy post IVF treatment can lead to stress and health issues, and since the pressure at your workplace cannot be completely stalled, these tips can help you deal with the condition with much ease.

In case you have a concern or query you can always consult an expert & get answers to your questions!

IVF - 9 Amazing Benefits Of It!

Dr. Surbhi Gupta 86% (145 ratings)
MBBS, MD - Obstetrtics & Gynaecology
IVF Specialist, Delhi
IVF - 9 Amazing Benefits Of It!

As we all know that IVF stands for In vitro fertilisation. It is a method of stimulating the ovaries in a female body, to release an ovum (egg), which is taken out of the body and fertilised artificially in the laboratory with the help of a sperm. After this, the embryo is transferred back to the uterus where it grows and develops naturally.

Understanding the Procedure

  1. The doctor attempts to have complete control over your menstrual and ovulation cycles, so as to know the correct time of the month when you ovulate. This includes, charting basal body temperatures, hormonal therapy drugs etc.
  2. Frequent blood tests, ultrasound will be required to map the progress of ovulation.
  3. Injections, drugs will be prescribed in required dosage to stimulate the ovaries.
  4. During this time, the doctors will monitor the growth of oocytes (eggs).
  5. After a suitable growth of the oocytes follicles, the eggs are retrieved for artificial insemination. (Fertilisation with the use of sperm cells in the laboratory).
  6. After the successful fertilisation, the embryo is transferred back to the uterus.

Can IVF have side effects?

  1. As a side effect it has a major chance of multiple pregnancies. People intending to have just one child, may not be mentally or economically prepared to take the responsibility of more than one child.
  2. The drugs and medicines used throughout the IVF procedure may create hormonal complications in the long run. It bears a risk of ovarian hyperstimulation syndrome, if the mother has to go through the cycle multiple times.

But it offers a number of benefits too...

  1. IVF increases the chance of pregnancy by a large percentage. It is one of the most successful methods of boosting fertility and pregnancy.
  2. Couples, who have repeatedly failed to bear children naturally, can opt for this treatment to produce their own offspring.
  3. In case the couples are completely infertile, donor eggs or sperms may be used in the process. However, in that case, the offspring will not bear the DNA of both parents.
  4. IVF can greatly reduce the chance of surgery on the fallopian tubes.
  5. IVF also provides an opportunity to choose the healthiest embryos before implanting it back in the uterus. A procedure, known as the pre-implantation genetic diagnosis, determines the presence of any abnormal genes or other chromosomal absurdity.
  6. The procedure of IVF has a very high success rate and with technological advancements in the field of medicine, it has also become much safer.
  7. IVF allows women, who go into premature menopause, to be able to bear a child. This treatment is mostly for women who decide to experience motherhood at a slightly older age.
  8. IVF allows same sex partners and single women to bear an offspring.
  9. It is extremely helpful for women who have their fallopian tubes damaged, blocked or surgically removed.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Know The Facts About In Vitro Fertilization (IVF)!

Indira Ivf 91% (28 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
Know The Facts About In Vitro Fertilization (IVF)!

A woman bearing a child is a matter of great wonder. Many underlying dynamics must come together at the appropriate juncture so that a new life can see the light of this world. As per an estimate, every 12th couple in their mid-ages does not possess the ability to become parents. A considerable number of these affected couples go through stress and dilemma on whether they can bear a kid. However, with the help of in-vitro fertilization (IVF), they can fulfill their desire to have kids.

IVF came into existence for the first time in the US in 1981. Since then, it has become a favourite treatment procedure to treat infertile couples. More than six million babies have been born worldwide with the help of an IVF procedure. IVF is also known as a method of assisted reproduction. It is a process in which the sperm of the man and the egg of a woman are combined in a laboratory dish. Here is the list of good-to-know facts on IVF-

Women with problems in their fallopian tubes can get pregnant through IVF
If the fallopian tubes of a woman are not functioning in the right manner, the egg cannot get near the uterus. This can cause a problem in pregnancy. However, in an IVF process, the mature cells are extracted and are combined with sperm cells in an incubator. After the completion of this process, the fertilized egg cells are transferred into the uterus.

Healthy sleep habits are needed for facilitating better IVF cycles
If you are one of those rarer human species who dozes off to sleep after the completion of your daily routine, then you are in for luck in IVF treatment. Getting a good night's sleep is the prerequisite for a successful IVF procedure. However, sleeping too much or too little can have severe repercussions on an IVF treatment.

Consumption of tobacco and alcohol should be avoided during an IVF treatment
Drugs are primarily known as poisonous pleasures and can harm and cause serious damage to the embryo. If you are a smoker, then it is always advisable to avoid smoking during an IVF treatment. However, you can opt for sexual intercourse as it improves the quality of embryos.

IVF treatment comprises one complete female cycle
During an IVF procedure, the maturity of the eggs is increased by giving an injection. It is known as hormonal stimulation. Ultrasound and blood test is needed on a ninth day to assess the growth of follicles. On the basis of their growth, the time of ovulation is determined. Most IVF procedures usually need one complete female cycle.

With the help of an IVF treatment, there is always hope in store for those who want to have children. It has become a holistic model of treatment for couples who are haunted by infertility.

In case you have a concern or query you can always consult an expert & get answers to your questions!

How Does Stress Affect The IVF Outcomes?

Dr. Shweta Goswami 92% (75 ratings)
MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Delhi
How Does Stress Affect The IVF Outcomes?

Issues with conception and long periods of trying to have a baby without much success do take a toll on couples. Apart from buying several fertility and pregnancy tests, the overbearing thought of infertility treatments and their expenses can also be quite stressful for a couple. While the concept of stress and how it affects each individual may be different, the one commonality is that it does affect every couple that undertakes this journey. There have been enough studies about stress affecting the results of an IVF and there seems to be some agreement that stress does not affect the outcome one way or the other.

  1. Overall well-being: Stress is definitely a problem for our overall well-being but there is little to worry when it comes to the success of your IVF cycle. Well, thanks to that there is one less thing to worry about. Since there are quite a few things you worry about once a cycle has been completed, the common thing you will hear from everyone around you is to de-stress. For one thing, the drugs that go with such treatments make everything so much more magnified and hence every small thought is magnified ten-fold while on the treatment.
  2. Stress in combination with other habits may be affect outcomes: While stress can delay a successful outcome, it will not completely stop you from getting pregnant. However, this stress coupled with several bad habits or problems can lead to issues which may not help in this journey. For instance, sleep can play a huge role in keeping you healthy and in the right condition to get pregnant. So, if you are having sleepless nights thanks to long and stressful meetings, it is time to rethink your schedule. Your lack of sleep may be combining with the stress to prevent a successful IVF cycle.
  3. Unhealthy Eating: Stress is a big trigger for unhealthy eating and most people do tend to binge eat when they are stressed. IVF and the medications associated with it can keep you on the edge as far as stress is concerned and it is very critical to eat healthy while you are attempting to get pregnant. Obesity and weight gain can be a serious impediment as far as successful trials are concerned. It is not only females but males can also be seriously affected by obesity. The sperm count can be drastically low in those that are overweight.

A healthy amount of exercise, a healthy diet that is rich in iron, minerals and fatty acids, a happy and positive attitude can go a long way in helping you in the process of getting pregnant.

1 person found this helpful

Advantages And Disadvantages Of IVF!

Fellowship in Reproductive Medicine & ART
IVF Specialist, Bangalore
Advantages And Disadvantages Of IVF!

IVF, as we all know is an assisted reproductive technology. This is a process of fertilization by extracting eggs, retrieve a sperm sample and then manually get an egg and sperm to combine in a laboratory dish. The embryo then gets transferred to the uterus.

Now before going deep into the advantages and disadvantages of IVF, let’s take a look the kind of patients, on whom IVF can be used to treat the problem of infertility:

  • Women who have damaged or blocked fallopian tubes. Fallopian tubes refer to the pair of tubes through which eggs pass through to the uterus from the ovaries.

  • Males, who are suffering from infertility due to decreased sperm count.

  • Any individual who has genetic disorder.

IVF helps many patients to conceive, who would otherwise be unable to have children following the conventional path. Achieving a successful pregnancy along with the delivery of a healthy baby is the ultimate objective of In Vitro Fertilization. Some other advantages are discussed below as follows:

  • Have A Child Using Their Own Eggs : IVF allows Women, who have their fallopian tubes blocked or damaged, with the best alternative to conceive child artificially through the usage of their own eggs.

  • Patients With A Low Ovarian Reserve : IVF helps to maximize the chance of conceiving among older patients. Generally some fertility clinics use Natural IVF as it’s main focus is more on the quality of eggs, rather than quantity.

  • Help Males Get Rid Of Their Infertility : Males with infertility problems, as a result of low sperm count, will have much higher chance of conceiving through IVF.

  • Assist Women Who Have Had Premature Ovarian Failure : Premature Ovarian Failure or Menopause among women can go through IVF treatment using donor eggs, which has been known to have high success rates.

  • Safe Track Record : It was in the year 1978, when the first ‘IVF baby’, Lousie Brown was born using Natural IVF. It’s been 40 years since then and the technology has advanced with refined techniques, which has helped create safer, successful treatments.

There are certain disadvantages with this form of infertility treatment as well. Some of them are discussed below:

  • Side Effects and Risks Associated With IVF : In Vitro Fertilization treatment is not without certain risks and side effects, the most severe one being Ovarian Hyper-Stimulation Syndrome.

  • Women Can Have A Slightly Higher Chance Of Ectopic Pregnancy : For women having damaged fallopian tubes, IVF treatment can lead to the risk of ectopic pregnancy. In this type of pregnancy, the fertilized egg gets attached in a place other than inside the uterus.

  • IVF Is Not Always A Success : One cycle of IVF may not bring success, hence patients well need to go through multiple cycles before being treated completely.

So, one can get a fair idea about the benefits and drawbacks of IVF treatment, which would ultimately help patients to take decisions accordingly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1426 people found this helpful

IVF: A Blessing To Infertile Couples!

Indira Ivf 91% (28 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF: A Blessing To Infertile Couples!

What is In vitro fertilization?

In vitro fertilization (IVF) is a process of fertilization where an egg is combined with sperm outside the body. This involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (eggs) from the woman's ovaries and then letting sperm fertilize them in a liquid in a laboratory. The fertilized egg (zygote) undergoes embryo culture for 2–6 days.It is then transferred to the same or another woman's uterus, with the intention of establishing a successful pregnancy.

What is the success rate of it?

The success rate depends on factors such as, maternal age, cause of infertility, embryo status, reproductive history and lifestyle factors.

  1. Maternal age: Younger candidates of IVF are more likely to get pregnant. Women older than 41 are more likely to get pregnant with a donor egg.
  2. Reproductive history: Women who have been previously pregnant are in many cases more successful with IVF treatments than those who have never been pregnant.

How is it a Blessing?

  1. Chemotherapy: IVF allows women who are being treated for cancer with chemotherapy to be able to have children. Chemotherapy can destroy or damage the eggs within the ovary. Prior to undergoing chemotherapy treatment, some women may elect to have eggs harvested, frozen, and saved for possible subsequent attempts to have a child after the cancer treatment is completed.
  2. Absent Uterus: IVF treatment can allow a woman to have a child if she does not have a uterus. The eggs must be harvested from the patient’s ovaries and are then placed inside another woman’s uterus.
  3. Low Sperm Count: When sperms are defective or counts are extremely low, IVF can be used to become pregnant. IVF can work for these conditions because sperm is  placed directly next to the egg, and, in some cases, sperm is injected into the egg (ICSI) to allow the pregnancy to occur.
  4. Absent Ovaries: IVF can be used for a woman without ovaries. The eggs must be donated from another woman.
  5. Older Age: IVF can be used for women over the age of 42 to become pregnant. To obtain this reproductive advantage, donated eggs (eggs from another woman younger than 30) must be used
  6. Unexplained Infertility: Some couples do not have a diagnosed reason for their infertility. This is called unexplained infertility. IVF allows egg and sperm to join together outside of the woman’s body.
  7. Severe Tubal Disease: Some women have extensively damaged fallopian tubes from pelvic inflammatory disease (PID) or from severe intra-abdominal infections. IVF is designed to bypass the tubes by allowing conception to occur outside the body.The fertilized eggs are then introduced into the uterus in the hope of pregnancy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2967 people found this helpful

4 Things About IVF That May Surprise You!

Dr. Mangala Devi 90% (12 ratings)
MBBS, MS(OBG), Certified IVF Specialist
IVF Specialist, Bangalore
4 Things About IVF That May Surprise You!

IVF or In Vitro Fertilization is a procedure where the fertilization of the egg by a sperm occurs outside the human body. “In vitro” means “in glass”. Conducted under laboratory conditions, the ovum or ova are removed from the woman’s ovaries and the sperm is allowed to fertilize them. The fertilized egg or zygote is then allowed to grow in a culture of amniotic fluids for almost a week. This fertilized egg at its embryonic stage is introduced into the uterus in order to trigger a pregnancy.

IVF as a fertility treatment may be prescribed on the basis of various factors such male or female infertility, genetic disorder, or disorders with ovulation. So an IVF treatment may or may not include a surrogate. It makes good sense to know as much as you possibly can before you undergo any treatment.

Here are 4 lesser known facts about IVF-

1. IVF pregnancies too can become ectopic
An ectopic pregnancy is when the fertilized egg gets implanted on the outside of the uterus. This usually happens somewhere in the fallopian tubes, though the egg might implant itself elsewhere as well. Given that in an IVF the embryo is directly transferred into the uterus, it is safe to assume that ectopic pregnancies can be confidently avoided. But, the contractions in the uterine walls after the transfer may cause the embryo to shift elsewhere.

2. Acupuncture increases success
Research shows that acupuncture therapy before or during or after a cycle of IVF can increase the rate of success of the procedure. There are special therapies of acupuncture designed specifically to enhance the success of implantation.

3. Twins are more likely
A multiple embryo transfer enhances the chances of a successful pregnancy. But it also increases the chances that the pregnancy would lead to the birth of twins. Fraternal or identical twins born out of an IVF pregnancy are very common. In fact the likelihood of identical twins is especially high.

4. Healthy lifestyle will lead to better IVF cycles
A well-balanced diet with the all the essential nutrients and vitamins is absolutely necessary for a smooth IVF cycle. Lots of water and fluids along with regular sleeping habits are also important. You need to make sure that you get a good night’s sleep on an every day basis. A minimum of 7-9 hours of sleep every night will increase the rate of success of the treatment.

If you are undergoing treatments for fertility, perhaps these lesser known facts will help you.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3168 people found this helpful

7 Things You Need To Know Before Considering IVF!

Dr. Rakhi Singh 88% (16 ratings)
DRM Diploma In Reproductive Medicine and Embryology, MBBS, Diploma In Reproductive Medicine and Embryology, Diploma In Advanced Gynaec Laparoscopic Surgery
IVF Specialist, Noida
7 Things You Need To Know Before Considering IVF!

IVF treatments can be physically, emotionally and financially draining. If you are considering IVF to help you conceive, here are a few things you should keep in mind before you embark on the journey:

1. Research the process before selecting a clinic
Before committing yourself to the IVF treatment, you should try to understand the treatment process and what is involved in each step. Thus being well-informed about the process can help you prepare mentally for the physical and emotional changes that accompany IVF treatment.

2. It can be very time consuming
The IVF process can be more like a marathon than a sprint in which there are no guarantees. For some couples it can be successful after one or two cycles, while for others it can take a few years. It can be really disheartening for many women if it doesn’t work the first time, but that doesn’t mean it will never work. Still, it is good to discuss with your partner about how far you’re willing to go, both financially and emotionally, to have a baby.

3. Make sure you’re as healthy as possible
Being healthy, both physically and mentally, can increase the chances of success of any fertility treatment. Thus adopting a healthy, balanced diet and going on a suitable fitness program can be a good start towards your IVF journey. Women who drink alcohol more than 3 times a week and women who smoke have reduced chances of conceiving. Also, being medically overweight can also lead to complications in the fertility process.

4. Timing is key
Experts recommend that women should avoid starting fertility treatments during stressful periods, such as moving to a new job or while moving into a new house.

5. It is completely normal to be moody
Hormonal treatments such as the IVF process can make you quite moody because of the dramatic hormonal fluctuations caused by the different hormones being injected. Don’t be flustered or worried about sudden changes in your emotions during the process, it is absolutely normal to experience such changes.

6. The injections can cause some side effects
Two side effects of the IVF injections can be breast tenderness and abdominal bloating. The injections can also cause bruising at the site, but nothing too severe. Many side effects can mimic the symptoms of PMS that can go on for about 2 weeks or so.

7. It can take a toll on your relationship
Fertility treatments can be stressful for both the partners in a relationship and can even impact their sex life after the treatments. It is important to communicate with your partner about any problems or concerns you have instead of bottling up your emotions.

The most important thing to keep in mind while undergoing fertility treatments is to not lose hope. It may be very taxing both physically and emotionally, and might take more time than expected, but the rewards are worth it.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1730 people found this helpful

IVF Protocols For Low Ovarian Reserve / Poor Egg Quality!

Indira Ivf 91% (28 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF Protocols For Low Ovarian Reserve / Poor Egg Quality!

The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 250,00 to 500,000 eggs at puberty and ends up with 1000 eggs at menopause.

Causes:
Low reserves are caused by

  1. Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
  2. Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.

IVF Protocols:
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:

  1. Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
  2. Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
  3. Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
  4. Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
  5. Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.
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