Infertility

Infertility: Causes and Treatment

I am Dr. K.D. Nayar. I’m a senior consultant and head of the department at Akanksha IVF center, Mata Chanan Devi Hospital. This center is there since 2002, more than 15 years. Right now we’re doing almost 700 to 800 IVF cycle every year with the success rate of 40 to 45 percent. Basically, infertility is affecting nearly 15 percent of the population that means one in every six couples is infertile and when we look at the causes of infertility 30 percent is reason because is in the wife, 30 percent is in the husband and 30 percent causes are in both the husband and wife and 10 percent are unexplained. Whenever we get a patient with infertility we have to first investigate them and find out what is the cause of infertility.

Generally speaking 5 percent of the patients land up in the IVF cycle. In a IVF cycle, before starting IVF cycle we have to check the husband’s profile, husband’s seminal traces, whether the husband got any problem in ejaculation or erection. He must be able to produce a normal semen sample. Once we have the husband’s profile then we will investigate along with that we investigate the wife and then we start the IVF treatment.
IVF treatment, basically we give injection to the wife, around 10 to 12 days to produce more number of eggs. We monitor her with ultrasound; see how the follicles are growing. Once the eggs are ready we take out this eggs through a very small procedure through vagina only, no cuts. We take out the eggs at the same time we take the husband’s semen, put them together in a dish, fertilize it. All this process is being done in our IVF labs.

If the husband’s semen count or motility is poor then we can catch hold of one sperm individually and inject into egg itself this is called ICSI. Once we have mixed these sperms and eggs, we leave it in the incubator and observe the further process of fertilization. We check next day they become two cell, day two they should become four cell and so on, they’re growing.

Generally speaking, we like to take them to day five when they become blastocyst and then we have the transfer. Embryo transfer is also a very simple procedure, done without anesthesia. It hardly take 3 to 4 minutes. So, that will be the most vital step in the procedure and patient has to be reassured that there is no pain limitation. There is no obligation to the patient, there is no side effect to the patients general health. Once we do embryo transfer there after 15 days we check whether this embryo is implanted or not. That is a brief summary of the ideal procedure IVF or ICSI which we are doing generally in our center.

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