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In Vitro Fertilization (IVF) Tips

Things You Must Keep in Mind Before Opting IVF or Surrogacy

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
Things You Must Keep in Mind Before Opting IVF or Surrogacy

IVF (in vitro fertilisation) and surrogacy are alternative methods of having a baby and can be resorted to when a couple cannot conceive the natural way. There are three things you must keep in mind before making a choice between IVF or surrogacy:

Surrogacy is opted for when the woman is unable to conceive by natural means and when there's no possibility of her getting pregnant whatsoever. Surrogacy can be of two types- full surrogacy and partial surrogacy. On the other hand, IVF works towards the treatment of infertility in one or both the partners, enabling the woman partner to conceive the child. IVF involves the fertilisation of a woman's eggs by the sperm of the intended father in a laboratory dish. The developed embryo (or fertilised egg) is then implanted in the woman's uterus.

Risks of surrogacy include multiple births, ectopic pregnancy (implantation of the fertilised egg in the fallopian tube instead of the uterus, leading to miscarriage) and birth defects in the child, to name a few. As for risks associated with IVF, ovarian hyperstimulation syndrome (swollen and painful ovaries), multiple births, ectopic pregnancy, and stress can take place if IVF is opted for.
Surrogacy requires the fulfillment of complex legal processes, such as determining eligibility, matching profiles of surrogates with intended parents, finding of a potential surrogate and more, which require proper legal counselling. Besides the cost of surrogacy in India is higher than IVF.

IVF does not involve any such processes and is easier to carry out. The low cost of IVF in comparison to surrogacy makes it a much more viable option. Based on these factors, you can make the choice of a procedure that is best suited for you.

6457 people found this helpful

IVF - How To Know If You Are Ready For It?

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
IVF - How To Know If You Are Ready For It?

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 chance 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 find answers to some of these questions.

  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, moving it up to about 80%. 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 smokingalcohol abusedrug 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.

If you wish to discuss about any specific problem, you can consult a Gynaecologist.

6489 people found this helpful

IVF Failure - Reasons You must Know!

Dr.Sonali Tawde 93% (278ratings)
MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS, MNAMS (Membership of the National Academy) - Obstetrics & Gynecology, Masters in Reproductive Medicine(UK)
Gynaecologist, Mumbai

IVF have the success of 40-50% across the globe, varies from case to case as per underlying etiology. It is the best treatment available giving maximum pregnancy rates amongst all options, but it may fail due to the following reasons:

  1. Poor quality of oocyte (female egg) - Age is the best indicator of oocyte quality. More the age of the female partner, poorer is oocyte quality. It also depends upon associated pelvic pathology, endometriosis, smoking.
  2. Abnormal semen report - Increased number of sperms with abnormal morphology (>96%), high DNA fragmentation are indicators of genetically abnormal sperms. It is usually the case in males with obesity, diabetes, smoking, genital infections, exposure to chemicals/ radiation, varicocele.
  3. Poor quality embryos resulting from abnormal oocyte or sperm have very low pregnancy potential.
  4. Thin endometrium - If endometrial thickness is less than 7mm, it reduces endometrial receptivity and implantation rate of embryos. Thin endometrium could be the result of kochs endometritis, asherman's syndrome causing poor vascularity.
  5. Luteal phase insufficiency -  Post transfer, embryos need optimum luteal phase support in the form of progesterone & HCG for implantation and further growth. Any deficiency in luteal support can result in negative pregnancy report.

These are broadly main factors leading to IVF failure. It is advisable to evaluate them before beginning treatment.

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Know Everything About INVO - In-vitro fertilisation

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
Know Everything About INVO - In-vitro fertilisation

INVO (intravaginal culture of oocytes), also called IVC (Intravaginal culture) is an abetted procedure of reproduction where early embryo development and oocyte fertilization are carried out inside a gas penetrable, air-free plastic tool or device that is placed into the maternal vaginal chamber for incubation. It is a device that helps the future mothers to participate in the evolution and growth of their own embryos present inside their body. The device is composed of an inner cavity with a protective outer rigid shell and a rotating valve.

It can be used for IVF (In Vitro Fertilization) cycles; whether with the mother's own eggs or any donor's eggs. It provides the same successful results as conventional treatments. It works in a very simple way:- when the requisite samples to produce embryos have been acquired or when the eggs have been impregnated in the laboratory, they together with culture medium are placed into the INVOcell device and then the device is inserted into the vagina of the mother and there it is kept for two to three days (for 72 hours culture period). Throughout this time, the mother can lead a practically normal life but she needs to elude taking bath, having intercourse or flying during those days on which she is wearing it.

When fertilisation takes place, it will be the mother's own heat which will supply the best conditions for the proper development of the embryos. Once they are set and ready, the doctor will remove the INVO from the mother's vagina to recover the embryos. The embryos are then evaluated under the microscope to choose the healthiest-looking ones to transfer them into the uterus. Within the uterus they will be embedded in order to begin developing.

Advantages of INVO are:

  1. It is one of the most cost-effective assisted conception treatments.
  2. In this method, the embryo incubation is more natural.
  3. Since in this whole process embryo incubation in the laboratory isn’t required, the possibility of stumbling at the laboratory is diminished.
  4. In this method, the couple experiencing the treatment is involved more.
  5. This method has similar efficacy as the IVF treatments.

Disadvantages of INVO are:

  • Since the device has to remain for three days in the mother's vagina, it causes some discomfort.
  • The patient has to spend much time in the assisted reproduction clinic and visit it more often.

The studies suggest that it could be a usable alternative choice for assisted reproduction. If you wish to discuss about any specific problem, you can consult a gynaecologist.

6348 people found this helpful

World's IVF and World Embryologists Day!

Dr.Richa Sharma 93% (239ratings)
MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
IVF Specialist, Gurgaon
World's IVF and World Embryologists Day!

On world's IVF and world embryologists day, let's thank to poineers in IVF who took efforts to make it a reality and lets thanks to all those patients who believed in miracle and make it happen by constant trust and persistence understanding limitations and blessings both

We thank all embryologists who tirelessly work in embryology labs creating dreams (embryos) of couples like brahma. They work behind screens but are lifeline of any IVF centre 

Let's hope new innovations to come up to make it with in reach of everyone and making consistent endeavors to spread joy of parenthood!

Three Person IVF - Certain Questions That Need Answers!

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
Three Person IVF - Certain Questions That Need Answers!

Diseases which are caused by some sort of genetic mutations in the mitochondria, can be quite deadly. This is the reason why Mitochondrial Replacement Therapy, also known as Three-Person IVF is being seen as a much more desired option for those women, who carry mitochondrial mutations.

Almost all the genes in a cell remain trapped in the nucleus but a small fraction of them remain present in the mitochondria as well. During the fertilisation of eggs, the genes in the egg’s nucleus get combined with the genes in the nucleus of the sperm, which in turn creates a new cell. On the other hand, mitochondrial genes are involved in this mixing. Rather they are passed on from mother to child.

The main reason behind three-person IVF is to help find a way, so that the mitochondrial genes can be replaced in an affected cell of the egg prior to the time they get passed on to the child. This is carried out when the egg cell of the donor gets acquired and the nucleus is removed from the cell, hence leaving the cell with healthy mitochondria. After that, the mother’s nucleus, which stays unaffected, is removed and gets placed in the donor’s egg cell, thereby creating an egg cell which must contain healthy genes not only in the nucleus but also in the mitochondria.

Genes Are Complex in Nature

  • Genes communicate with one another. Cells get engaged in a variety of complex processes like division of cells or respiration, which are highly unlikely to be performed only by single genes acting in an isolated manner. So a network of genes works together, with each one making a contribution of certain particular components.
  • Genes tend to be variable in nature, which basically means that no two genomes are similar. Due to this reason, the result of a typical pair of genes interacting with one another will at times be different for different individuals. This is the dark side of genetics, which has not been studied in a comprehensive manner and experts are not aware of exactly how widespread this might be.
  • Experts call this type of effect as Epistasis, which can occur between individual genes, between two or more sets of genes or even between whole genomes. The one occurring between whole genomes, has relevance to discuss about the safety and ethics of MRT. The reason is that, when a mitochondrial genome from a donor replaces the affected mitochondria, the parents’ nuclear DNA must communicate with a completely new genomic partner. The ethical implications related to the epistasis getting changed between nuclear DNA and mitochondrial have thus far been completely ignored.

Ethics Comes First
The review of the ethics related to MRT or Three-Person IVF came up with the conclusion that if the procedure was safe, then it could be considered as ethical. In other words, they concluded that if the trials carried out on humans showed that the treatment undertaken was safe, then it could also be considered as ethical as well.

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

6288 people found this helpful

How Natural IVF Differs From Mini IVF?

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
How Natural IVF Differs From Mini IVF?

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!​

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Different Techniques That Can Be Used For Egg Freezing!

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
Different Techniques That Can Be Used For Egg Freezing!

Egg Freezing, which is also known as mature oocyte cryopreservation, refers to the method through which reproductive potential is restored among women. Eggs get harvested from the ovaries, frozen and in an unfertilized manner and are stored for purpose of using them later on. The egg freezing procedure is recommended for those women, who would like to delay conceiving baby due to various kinds of reasons.

Before the freezing of eggs, it is important to first retrieve the eggs. Let us look at how the eggs are retrieved, followed by the procedure of egg freezing through two different ways.

Retrieval of Egg

Egg Retrieval takes place just like it is done in case of in vitro fertilization (IVF). Women would need to be put under medication for hormones or through injections, which shall lead to the stimulation of ovaries, leading to more eggs getting matured. After this women would receive the necessary medication to stimulate ovulation and then the extraction of eggs takes place through the use of a needle. Specialists perform this whole procedure by putting women under the effect of anaesthesia and are also guided by ultrasounds. Once the extraction is completed, the freezing takes place.

There are two different techniques involved in the egg freezing process. They include:

Slow Egg Freezing Method

A substance called cryoprotectant is used in order to protect the biological tissues from getting damaged out of freezing. This slow freezing method of getting eggs frozen relies on low initial concentrations of cryoprotectant. The cryoprotectant in low concentration is introduced when the egg is at a relatively warm temperature and still continues to experience the usual functions of a living cell. Then the cryoprotectant would spread all throughout thus fill the egg, hence replacing most of the water inside the egg. The egg is then inserted into a small container made of plastic and ultimately get placed inside a cooling chamber. The lowering of temperature, to around -6 degree centigrade, takes place through injecting very tiny amounts of liquid nitrogen into the cooling chamber. The cooling process is controlled by a computer.

The main purpose of these techniques is to avoid ice crystals from getting formed in the egg. During the spreading of the cryoprotectant, if the ice crystals are still present, they can cause damage to the egg and hence the egg may not survive the process of thawing. Then the temperature is lowered further to around -32 degree centigrade. By this time, the egg’s metabolic rate becomes slow. The container where the egg was placed, is then dipped inside the liquid nitrogen, forming a solid.

Rapid Egg Freezing Method or Vitrification

At the time of rapid freezing method, there is high concentration of initial cryoprotectant whereas the cell remains at room temperature. The egg is unable to stay for long in this temperature and thus gets poured immediately onto the liquid nitrogen. Cryoprotectant spreads at a rapid rate so as to avoid ice-crystal from getting damaged. Vitrification is a very new method for freeing eggs. Recent research has shown that vitrification of eggs largely improves the possibility for survival after thawing and the rates of pregnancy.

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Importance Of IVF!

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
Importance Of IVF!

IVF treatment is important as it helps many patients who would be otherwise unable to conceive. There are many reasons why IVF treatment is necessary. They are as follows.

  • It helps patients who are unable to conceive: Patients who are unable to conceive normally have to undergo IVF to be able to conceive.  IVF helps such patients to be able to have children. Women who have blocked fallopian tubes or damaged fallopian tubes can greatly increase their chances of having a baby via IVF.
  • It is also the best option for them Male infertility: Those couples who have a male infertility problem will have a much higher chance of conceiving with IVF. The chances of conceiving naturally for such couples are low. They have to depend on IVF as this is their best option.
  • Patients who are older: Patients who are older or have low ovarian reserves can maximise their chances of having a baby through IVF.
  • Safe track record: IVF has been used for a really long time and it has proved not only to be successful but also safe. Advancements in technology have further made the process safer. It has a great track record for safety. Women undergoing IVF do not face any health risks at all.
  • It can be more successful than IUI: IVF success rates have kept on increasing over the years and it will increase even more in the future. The success rate of IVF has kept on going high. Though there are other forms of assisted reproduction technology and IUi, IVF has been more successful than them.  The other forms of conceiving have not achieved as much success as IVF has achieved.
  • Unused embryos can be donated to another couple pr used for research: The unused embryos do not go to waste. They can be used for research purposes which helps in the advancement of medical science. They can also be donated to another couple and this will allow them to have a baby. Either way it is a win win situation.
  • Embryos can be screened to detect inherited diseases: IVF is a very useful and reliable way to ensure that inherited diseases are not passed onto the child. This process is very helpful for people who are known carriers of genetic disorders. This process makes sure that their disorders are not passed onto their children. Pre-implantation genetic screening is known to improve the chances of a successful result. In this process the embryos are screened to detect disorders like chromosomal disorders like Down’s syndrome.

We hope this article has been helpful in addressing your queries regarding IVF treatment and the need for it. In case you have a concern or query you can always consult an expert & get answers to your questions!

6493 people found this helpful

IVF - How Different It Is From Tubal Ligation Reversal?

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
IVF - How Different It Is From Tubal Ligation Reversal?

There are many different modes of contraception available to women today. Tubal ligation is considered the most effective amongst these. This involves permanently blocking the fallopian tubes by clipping, cutting or burning them. The only downside to this form of contraception is its permanence. Conceiving a child after tubal ligat ion is difficult but not impossible. The two modes of treatment available to women who have undergone this procedure are tubal ligation reversal and IVF.

As the name suggests, a tubal ligation reversal procedure reconnects the fallopian tubes. This procedure involves making a 10-15cm incision in the lower abdomen. Tiny stitches are then used to reconnect the two blocked ends of the fallopian tubes. This procedure is usually performed while the patient is under general anaesthesia and could involve a few days hospital stay. A tubal ligation reversal procedure can also be performed as a keyhole procedure. This procedure gives a woman a chance to conceive naturally. The younger the woman is, the higher are her chances of conception after this procedure. In the case of patients over the age of 40 years, the chances of a successful conception after this procedure are very slim.

IVF or In vitro fertilization involves harvesting the eggs from the patient’s ovaries, fertilizing them in a lab and then reintroducing the embryo into the patient’s uterus. When it comes to assisted reproductive therapy, IVF is more successful than a reverse tubal ligation. Another advantage of IVF over reverse tubal ligation is the fact that with IVF the woman will still have an efficient form of birth control even after the pregnancy. IVF also does not need any hospitalization. One of the downsides of a reverse tubal ligation is the high risk of a tubal ectopic pregnancy. In this case, the fertilized egg is implanted outside the uterus. This type of pregnancy cannot usually be taken to full term and can be life-threatening for the woman.

On the flip side, IVF can often need repeat cycles which often works out to be quite expensive. These costs can be an issue for a woman who wants more than one child. In the case of reverse tubal ligation, the costs are a one-time investment.

One of the other common side effects of IVF is multiple pregnancy. For women who do not want more than one child, this can again be a problem. Thus, both forms of treatment have their advantages and disadvantages.

The best form of treatment for you can be decided only by a fertility expert. In case you have a concern or query you can always consult an expert & get answers to your questions!

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