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Overview

Infertility Treatment - Procedure, Cost And Side Effects

What is the treatment?

Infertility refers to the condition where a couple is unable to become parents even after unprotected sex for almost a year. It could be due to certain medical conditions that the woman is affected, conditions related to menstruation, problems in the fallopian tube or the inability of the ovaries to produce an egg. At times, the problem could be in the men's reproductive system, like low sperm count. The risk of infertility is more in:

  • People who have been diagnosed with certain cancers or other medical conditions like lupus (a condition where the immune system will attack its own tissues) that can affect fertility.
  • People who are addicted to smoking as it reduces the chances of pregnancy.
  • Alcohol may be a contributing factor for infertility.
  • Obesity, due to an unhealthy lifestyle. The sperm count of a man is affected if he is overweight.
  • Women who are underweight due to a restrictive or low-calorie diet.

There are a number of therapies that are safe as well as effective that in improving your chances of conceiving, ensuring that you have a biological child of your own. The treatment for infertility basically depends on certain factors like:

  • The reason that is causing the problem of infertility.
  • The duration of the time of you being infertile.
  • The ages of both you and your partner.
  • Your personal preferences.

How is the treatment done?

Infertility treatments among men would include:

  • A change in the lifestyle like discontinuing certain medications, regular exercise or improving the frequency of sex.
  • Following proper medications for increasing the testicular function, thus improving the sperm quality and count.
  • Surgery for getting rid of sperm blockage to restore fertility.
  • Sperm retrieval method when the ejaculated fluid does not contain any sperm.

For women, it could be any of the following treatments:

  • Fertility drugs which help in regulating or inducing ovulation.
  • Hysteroscopic surgery to treat endometrial polyps, uterine septum and other uterine problems that could be a hindrance to pregnancy.
  • Intrauterine Insemination (IUI) method, where healthy sperms will be placed in the uterus directly during the same time when the ovary releases the eggs that need to be fertilized. It is done so that the count of the number of sperms that is supposed to reach the fallopian tubes increases, which can eventually increase the chances of fertilization.
  • In vitro fertilization (IVF), where numerous mature eggs are stimulated and retrieved from the female partner, and fertilized with a sperm of a man in a lab. The embryos are then implanted in the woman’s uterus 3 to 5 days after fertilization. There are other techniques in IVF too like Intracytoplasmic sperm injection (ICSI) where one healthy sperm will be directly injected into a mature egg and Assisted hatching where the embryo is implanted in the uterus lining.

Who is eligible for the treatment? (When is the treatment done?)

People who would be eligible for an infertility treatment would be:

  • Women below the age of 35 who have not conceived even after unprotected intercourse for almost a year
  • Women who have undergone three or more miscarriages
  • Women with a scar or blockage in their fallopian tube
  • Women experiencing irregular ovulation, without any results from the previous medications
  • Men who have the condition of low sperm count, poor sperm morphology and asthenozoospermia (improper swimming and movement of sperms)
  • Couples who have a history of certain genital infections
  • Couples who fail to conceive even if their primary test results were normal

Who is not eligible for the treatment?

Infertility treatments are not recommended in the following conditions:

  • If the fallopian tubes of a woman is damaged
  • If the quality of the ovarian egg is poor
  • Women above the age of 40
  • Women who are menopausal

Are there any side effects?

The side effects of an infertility treatment could be any of the following:

  • One of the common side effects is a greater number of foetuses, twins, triplets and sometimes even more. The more the number of foetuses will be, the greater are the chances of complications like premature delivery or gestational diabetes. Prematurely born babies are more prone to health and developmental problems.
  • Ovarian Hyper Stimulation Syndrome (OHSS), a condition where the ovaries can become painful and swollen. It can cause abdominal pain, feeling of nausea, constipation, dark urine bloating or sudden weight gain.
  • In rare cases, there is a risk of developing an infection or bleeding with these methods.
  • Mood swings and temporary depression.

What are the post-treatment guidelines?

After an infertility treatment, the following guidelines should be followed:

  • Complete bed rest for 3 to 4 days.
  • No heavy exercise except light walking.
  • Drink plenty of water.
  • Foods rich in protein must be included in diet like soya, eggs, chicken, milk, nuts, etc. The protein is required by the body to aid in the fertilization process as well as helps the egg to implant properly in the uterus.
  • The stomach needs to be covered and protected for at least a week. The womb has to be warm which helps in conception
  • Meditation and breathing exercises are recommended
  • It is important to be in a positive frame of mind

How long does it take to recover?

The procedures for infertility treatment like IUI does not take much time. It takes around an hour for processing the sperm and then the IUI just take a few minutes. It will take four to six week for completing one cycle of IVF. Once the embryo is transferred, you can go back to your daily activities. However, the enlarged ovaries may cause a little discomfort. It is better to avoid any vigorous activity for a few days.

What is the price of the treatment in India?

In India, the cost of basic infertility treatment varies from Rs. 2, 50,000 to Rs. 4, 50,000. In the case of advanced treatment, it can go up to Rs. 5, 70,000.

Are the results of the treatment permanent?

You may have to undergo several cycles of infertility treatments like IUI and IVF before the occurrence of pregnancy. At times, couples get success in the first cycle while in some cases; it takes quite a number of cycles before you get pregnant. There can also be a chance when you do not get pregnant at all, and you have to stop the process.

What are the alternatives to the treatment?

The alternate options that you can choose would be:

  • Ayurvedic treatment
  • Homeopathic remedies
  • Surrogacy
  • Adoption
Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: Rs. 2,50,000 - Rs. 5, 70,000

Popular Health Tips

Complete Infertility Investigation - Why is It Important?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Complete Infertility Investigation - Why is It Important?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term.

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

  1. Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
  2. Tests for women: 
    1. Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
    2. Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
    3. Laparoscopy / hysteroscopyThis is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
    4. Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
  3. Tests for men
    1. Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man’s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
    2. Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.

Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3886 people found this helpful

Fertility Improvement Tips!

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Fertility Improvement Tips!

“Your ovaries and your fat cells regulate estrogen, which affects ovulation. If you’re too thin, you may not be producing enough estrogen, and if you’re overweight or obese, you may be producing too much,”.

Nutrition is a key component of reproduction and pregnancy. Reproductive organs need to be healthy to initiate and maintain a pregnancy to full term. There is a constant requirement for nutrients at each stage of reproduction and the best source of these nutrients is from food. Supplementation can be useful if meeting these nutrients requirements is compromised in any way.

What to eat to make you more fertile?

For a fertility, diet to improve egg quality, load your plate with fruits & veggies. As per few studies, there is higher incidence of ovulation disorder in women who consume more of trans fats, carbs & animal protein.  Watermelon & asparagus, along with other fruits & vegetables give body a rich supply of glutathione, which is important for egg quality.

How can I boost my fertility?

Fresh vegetable juices and fruit juices contain phytochemicals which are beneficial for fertility. Taking plant-based fats & proteins in moderation is healthy in couples with fertility concerns. Bad carbs like cookies, cakes, white bread, and white rice should be avoided. Good carbs like containing fiber such as fruits, veggies, beans, whole grains can be taken.

Cutting back on gluten may be necessary for some suffering from PCOS. As gluten create an inflammatory response in body which heightens C-reactive protein & send signals that it's not an ideal time to conceive. It makes ovulation inhibited and implantation more difficult.

            If you’re having continued trouble conceiving, you need to consider limiting dairy.

            For men – More veggies and fruit for him too. Foods rich in zinc is helpful. Encourage him to take daily vitamins especially vitamin C, E, Selenium, Zinc & Lycopene.  

3 people found this helpful

Infertility In Women - What Homeopathy Can Do To Help You?

FMC (Fellow in Med.Cosmetology), BHMS, MO (SH), Certification for Professional Chemical Peel Workshop, CERT (RBSK), CERT (ARSH), LT
Homeopath, Kolkata
Infertility In Women - What Homeopathy Can Do To Help You?

For a married couple, having a child is the next step towards completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep rooted causes for this issue and homeopathy aims at treating the root cause and not just infertility. A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc. and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.



Infertility in females is often caused by the following reasons:

  1. Irregular menstruation
  2. Hormonal imbalance
  3. Advancing age
  4. Emotional stress
  5. Obesity
  6. Excessive smoking
  7. Alcohol consumption
  8. Sexually transmitted diseases (Chlamydia, gonorrhoea)
  9. Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
  10. Endometriosis
  11. Polycystic Ovarian Syndrome (PCOS)
  12. Pelvic Inflammatory disease
  13. Thyroid disorders
  14. Diabetes

With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with your doctor to identify what would work best for you. Self-medication is best avoided.

  1. In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
  2. In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
  3. In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
  4. In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
  5. In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.

These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.

3 people found this helpful

6 Causes Behind Infertility In Women

Ms - Gynae & Obs, MBBS
Gynaecologist, Jaipur
6 Causes Behind Infertility In Women

Female infertility affects nearly 40 million women world over, as per medical studies. If the female patient is not able to conceive after trying for a period of over six months without the use of any protection or contraception, there are chances that she may be suffering from infertility. This condition must be checked and treated at the earliest. Read on to know more about the various causes behind female infertility.

  1. Fallopian Tubes: When the fallopian tubes undergo any kind of damage, it may lead to infertility for the woman in question. These tubes are used by the eggs as they travel from the ovaries to the uterus. The eggs meet the sperm in order for the baby to be conceived and to develop. Pelvic infections and pelvic surgery can cause scarring and bleeding which can stop the sperm and the egg from meeting. This scarring may also come about as a result of endometriosis.
  2. Hormonal Issues: There are a variety of hormones at play within one's body at any given point of time, and a balance of these hormones is absolutely essential for the various functions of the body to be carried out in a normal manner. When the body does not go through proper hormonal changes that are required for the release of the egg, this can prevent the pregnancy from happening. This can also lead to a thickening of the uterine lining which can stop the egg from travelling from the ovaries.
  3. Cervical Problems: The cervix is one of the most important parts of the female reproductive system. It is a passage that can be found at the lower end of the womb. When there is a condition that may affect the cervix of the female patient, it can also prevent the sperm from travelling through the cervical canal in order to reach the egg. This comes about as a symptom of a cervical problem.
  4. Uterine Problem: One may develop polyps or fibroids within the uterus, thus giving rise to difficulties when it comes to getting pregnant. These growths can usually be found when there are too many cells thriving in the endometrium, which is basically the lining of the uterus.
  5. Unexplained Reasons: There are a number of 'unexplained' reasons that can prevent pregnancy. These reasons plague almost 20% of the couples who are suffering from infertility or the inability to conceive a baby.
  6. Tests: While the diagnosis of the condition can be done with the help of an HSG test using an ultrasound, the doctor can also use this method to check for fallopian tube blockages. A laparoscopy may also be used for diagnosis. If you wish to discuss any specific problem, you can consult a gynaecologist.
2527 people found this helpful

Infertility In Men & Women - How Homeopathy Can Help Cure It?

BHMS
Homeopath, Mumbai
Infertility In Men & Women - How Homeopathy Can Help Cure It?

Homeopathy believes that infertility is just a manifestation of a deep, underlying body symptom. So while conventional medicines try to treat infertility by just looking at the reproductive system, homoeopathy looks at the body as a whole.  The doctor will try to understand the couple’s underlying problems and then come up with a cure.  Male and female infertility is addressed separately and the most common remedies are listed below. 
It is extremely important to note that self-medication is not advised, and each couple and individual would need proper assessment and treatment.

Male:

  1. Agnus Castus:
    • This is used in males where infertility is associated with erectile dysfunction
    • It helps improve sexual desire and physical ability to perform
    • The patient would have cold, relaxed, flaccid genitals
  2. Caladium:
    • Impotency in these men is also associated with mental depression
    • Though desire is present, the erections are generally weak and not 
  3. Selenium:
    • These men also may have erectile dysfunction with weak and delayed erections.
    • Emissions may be rapid and involuntary. 
  4. X-Ray:
    • Reduced sperm count
    • Improves both quantity and quality of sperms 
  5. Conium:
    • Useful in males with orchitis
    • The testicles are hard, swollen, and enlarged
    • History of suppressed desire
  6. Sabal Serrulata
    • Associated with wasting of testes
    • Also useful where there is prostate enlargement or prostatitis

Female infertility

  1. Borax
    • Useful in women who have acidic vaginal discharge.  This kills the sperms and could cause infertility.
    • Borax is useful when the discharge is similar to egg white, copious, and warm. Altering the pH can improve successful conception
  2. Natrum Phos:
    • Discharge is honey coloured, sour smelling, and irritating
    • This discharge is also acidic, reducing sperm life
  3. Pulsatilla:
    • Useful in women who have scanty periods that do not last long and never appear on the due date
    • These women have a history of irregular menses since the onset of menarche
    • Also useful in women who have polycystic ovarian disease
  4. Aletris farinose
    • Early and copious menstruation in addition to white discharge
    • Anaemia, weakness, fatigue, and tiredness
    • Useful in women who have had recurrent abortions.
  5. Sepia
    • These women present with menstrual cycles that are short, suppressed, and not regular in the flow.
    •  There is also a bearing down sensation where the patient feels the uterus is going to slide down
    • It is also possible these women have reduced drive
  6. Natrum carb
    • These women have difficulty retaining sperms
    • The vaginal discharge could also be offensive and irritating 
  7. Calcarea Carb:
    • This is another remedy used when there is profuse bleeding during the menstrual cycles 
    • The periods also tend to appear before their due date and tend to last longer than usual. If you wish to discuss about any specific problem, you can consult a Homeopath.
3483 people found this helpful

Popular Questions & Answers

CLOMI 50. Is this tablet prescribed for Males? I am married for 5 years. No children yet. What are the uses of this tablet?

MBBS, Diploma In Ultrasound, Fellowship in Reproductive Medicine
IVF Specialist, Bangalore
There are many uses of this tablet. It increases FSH level. A hormone for development of sperms. Both couple need to get evaluated.
14 people found this helpful

I am 24 years old and trying to convince from past 5 years. I have gone through ssg and laparoscopy also. In that test my both tubes are healthy and open. My amh level is 1.78 ng/ml. My periods are regular. Now we are using evaserve and evion forte tablets from past 3 month. Pls help me can I get natural pregnancy with this amh level. My egg size is 18-20 mm on cycle 14 day. My triple line is 6 mm. My husband seen analysis report is normal. Can I conceive this amh level?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS, DOMS, MS - Ophthalmology
Endocrinologist, Bangalore
Yes you can concieve with an AMH level of 1.78 ng/ml. For improving chance of successful conception naturally or assisted in a case where the tubes are "healthy and open" my BHRT protocol focuses on optimizing metabolic and hormonal imbalances. All other parameters that you have stated appear to be satisfactory.
6 people found this helpful

Hi doctor. I am 30 years old. Got married on 2015 May and Still we didn't get baby. Done semen test and follicular study. All are normal. Also did HCG test. Doctor said minor block is there. Do I need to do laparoscopic surgery to see the exact block or IUI method. But I don't want all these surgeries or IUI .please provide your inputs on this.

MBBS, MS - General Surgery
General Surgeon, Hyderabad
At times there may be blocks in Fallopian tubes, if both are blocked then you need to undergo surgery. There are 50% chances of you becoming pregnant if one tube is blocked. Suggestion; consultant an experienced Gynecologist.
2 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About Infertility
Infertility Factors And Treatment
Play video
Infertility
Infertility: Causes and Treatment

Hello friends I am dr bhavna mittal , I am an infertility and ivf specialist . I am running my own ivf centre by the name of shivam IVF and infertility in east delhi . The problem of infertility is huge almost 10 15 % of married couples suffer from infertility , so what is this infertility if any married couple has been trying to get pregnant for more than a year and they have not succeeded that means they have some kind of fertility issues and we level them as infertile . the chance of normal conception in any married couple in a month is around 3% , so there s a chance that over 12 months 90% of the couples who don t have any problem would conceive . the remaining 10% are sub fertile that means they require further investigations . you yourself or many of your friends , family members may be suffering from this problem and you can guide them that you do need further help . this is the time that you should visit a infertility specialist .

The first visit is the foremost important visit in a infertility problem both the partners husband and wife should be visiting the doctor together that is the time that the doctor will ask your problem go into details of your history regarding your menses your sexual life and other things . there after the doctor might advice you some test related to ultra sound semen analysis some hormonal test tube test and test to rule out infections . now depending on what the problem comes out the further treatment will be done . sometimes the treatment may be as simple as giving a hormonal tablet and that might solve the problem or sometimes the treatment may be more expensive if you have a tubal block and you need further treatment like ivf . the range of treatment available nowadays is vast so there is a treatment for every problem . every couple has the dream of having a child there own natural genetic child and today science has the means to make that dream come true .

the treatments which are done are in the form of hormonal tablets given to induce ovulation , ultra sound follicular monitoring and thereafter timed intercourse to conceive the other treatments which are done are iui ie. The husbands semen is taken washed and inserted into the ladies tract . also some higher treatments like ivf may be required for couples who have either long stranding unexplained infertility severe hormonal problems or severe problems in the male partner or bilateral tubal block . some times you may require surgery suppose you have a small cist or a fibroid coming the way of pregnancy you may require even surgery for that so the doctor will advise you accordingly also some party require third party options like taking semen of another person donor semen or taking the eggs of another person . apart from these medical treatments there are certain things which are important gets ignored that is lifestyle .

The basic reason why people are landing up by infertility today is because of poor lifestyle changing social values delayed age at marriage delayed child baring more focus on career less focus on completing family . even if you are health conscious directly or indirectly you are consuming chemicals in form of pollution environmental pollution pesticides coated with our vegetables foods so all of us are consuming chemicals and pesticides indirectly and this is having an impact on our whole body including our eggs and sperms . one should deliberately try and have a healthy lifestyle if you wanting to conceive your daily routine should include at least 20- 30 mins exercise in fresh air that is god for both the partners husbands and wife the diet should also be healthy less consumption of junk food and outside food more of natural things with antioxidants like fruits vegetables soups and salads should be taken also if you are consuming any harmful thing like smoking alcohol tobacco any kind of gym medicines Ayurvedic medicines of which you are not sure of the content and the affect that should be discontinued also one should seek help timely because as the age advances the chances of conception goes down .

Friends this problem is there this problem of infertility is increasing but yes as much the problem is there prevention is important and cure is also there . so please if you yourself suffer from this problem or if any of your friend suffer from this problem please guide them to take further help a specialist can definitely make you realize your dream . so friends I am available on lybrate if have any queries any questions please feel free to post them lybrate and I would be happy to get back to you thank you
Play video
Infertility
Causes of Male and Female Infertility

Hi friends, I m doctor Hema Parashar. I m ayurvedic gynecologist for Jay Hospital Najafgarh, New Delhi. I ll be discussing today Infertility which is very common. I won t be discussing all the topics of infertility, I ll discuss some of the topics only which are usually unseen by most if the doctors. Some causes like fear, disharmony of marriage causing tubal spasm, less knowledge about sex. Besides that anemia, tuberculosis, thyroid, that is hyperthyroid or hypothyroid, either of the two and PCOD.

PCOD, Polycystic Ovarian Disease is among one of the most common reasons for infertility these days and very, unfortunately, though it comes in unmarried females, it is usually unlooked upon by parents. Parents should always take care that their daughters are getting their menstrual regularly and not having any other sort of problem which could be PCOD and thus can be treated as marriage itself so that the females don t suffer infertility after marriage.

Besides that in secondary infertility in males are, there could be coverage, it could be diabetic militias, it could be a smoker or drug abuse or alcoholic. In female s most common cause are post child birth and post abortion pelvic infections. Besides that, it is viral infections and over here in my case I give Ayurvedic treatment to the patients, to the couples besides the social and physiological support which is, which is desperately and very much needed today in infertility patients. I have taken a lot of care to give social and physiological support along as much as possible.

In patients who come to me are usually those who have suffered infertility for years together and got treated from all various places and thus they are usually overloaded with aliphatic drugs, generic sorta hormones and ayurvedic treatment which is far from side effects usually gives excellent results. Besides that in males who suffer from Oligospermia, Oligozoospermia, even Azoospermia, premature ejaculation ayurvedic treatment gives excellent results.

If you suffer from any diseases of this sort or if anybody near you or known to you suffers from any diseases of this sort, you may contact me through lybrate or you may come directly to my hospital, Jay hospital in Najafgarh. Thank you.
Play video
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.

You can contact me through lybrate. Our whole team is there to help you in your endeavor to achieve pregnancy.
Play video
Know More About Infertility
Causes, symptoms and treatment of Infertility

Hi, I am Dr. Jayanti Kamany. I am an IVF Consultant practicing at Srishti Fertility Centre and Women's Clinic in Mumbai. So, today i'll be talking about Infertility. The problem of infertility is on a steep rise. Some of the causes for the rise in inferility are increased age at the time of marriage for women, postponement of child bearing. Even if a women gets married earlier she postpones her child bearing for various purposes like her career.

Increased stress levels today, increased levels of sexually transmitted diseases and of course Tuberculosis, which is a very common disease in our country. So, who is to be blamed for the infertility. We have found that 3 out of 10 couples are battling with this problem of infertility. 30% of the faults is found in the female, another 30% is found in the male partner, again 30% is found in both partners and about 10-15% cannot be explained because inspite of all the tests being normal, there is no problem which can be found and we call it unexplained infertility.

There are two types of infertility:

1. Primary infertility- Primary infertility is when the couple has never conceived

2. Secondary infertility- Secondary infertility is when the couple had a child but cannot conceive again, or the couple has conceived, has had an abortion but there is no conception again.

When should a couple consult or take treatment for infertility?

Usually if the ovum is young, if she is below 28 years she can wait for one year after trying to consult an Infertility Specialist. Even after one year if the couple doesn't conceive inspite of having regular sexual intercourse without having birth control measures they should see an Infertility specialist.

Now there are certain conditions where a couple irrespective of the duration of marriage or age should see a doctor immediately. So, what are those conditions? In the female, if she is having any problems regarding her menstrual cycle, suppose her menstrual cycles are irregular or she is getting very scanty bleeding or scantimensis or she has very severe pain during mensis or otherwise if she had a surgery where her one ovary is removed or a problem of polycystic ovarian disease which is very common today the she needs to see a Gynaec immediately. If she has recurrent abortions, that is, she can conceive but cannot carry the pregnancy to 9 months then definitely there is something wrong with her so she has to consult an Infertility specialist.

What are the causes in a male?

A male, if he has had a surgery in the testes or if he has a history of a disease called mumps in his childhood, or if he has a low sperm count or he cannot feel his testis in his scrotum then he needs to see a Fertility specialist.

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Having issues? Consult a doctor for medical advice