Common Specialities
Common Issues
Common Treatments


Infertility: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Infertility refers to a condition when a woman cannot conceive even after having carefully timed and unprotected sex for over a year. It is difficult to pinpoint the exact cause of infertility. However, it may occur due to inadequate levels of some hormones in both men and women and also due to trouble with ovulation in women. A man suffers from infertility if the semen that he ejaculates contains less number of sperms and if the sperm is of low quality. In such a scenario, a man will not be able to reproduce.

There are different factors which can contribute to a man getting infertile. A man can suffer from infertility if he suffers from a condition called varicoceles, or from diseases or conditions like diabetes, cystic fibrosis, trauma, infection, testicular failure or has been exposed to chemotherapy or radiation. Other causes may include alcohol addiction, smoking, use of anabolic steroids and exposure to environmental toxins. A woman can suffer from infertility if any of the organs such as the ovaries, fallopian tubes or the uterus gets damaged.

Treating infertility in men involves treatment for premature ejaculation, varicoceles, blockage of the ejaculation duct, retrograde ejaculation and also surgery for epididymal blockage. A woman may have to take some medications if she is suffering from ovulation disorders. Other treatments for women include intrauterine insemination and even surgery to restore fertility.

How is the treatment done?

A doctor may advise a couple to have more sex per week so as to enable the woman to conceive. However, infertility in men can be due to a number of different reasons and their treatments differ too. Medication and behavioral therapy can help a man to overcome general sexual problems like premature ejaculation and erectile dysfunction. A varicose vein in the scrotum, which can cause infertility, can be surgically removed. In case of blockage of the ejaculatory duct, sperm can be injected into an egg in the laboratory after it has been extracted directly from the testicles. Retrograde ejaculation is treated by taking sperm directly from the bladder and later injected into eggs. The epididymis is a coil-like structure in the testicles that help to store and transport sperm. Surgery can help to remove the blockage if it gets blocked.

A woman suffering from ovulation disorders will be prescribed fertility drugs like clomifene, metformin, human menopausal gonadotrophin, human chorionic gonadotrophin, bromocriptine and follicle stimulating hormone. In addition to these, there are surgical procedures for women. Fallopian tube surgery helps to repair damaged or scarred fallopian tubes and makes it easier for eggs to pass through them. Laparoscopic surgery also helps to increase fertility.

There are some methods which help in assisted conception like intrauterine insemination, in vitro fertilization, intracytoplasmic sperm injection, donating sperm or egg, assisted hatching and surgical sperm aspiration.

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

A man should becomes eligible for treatment after he has been diagnosed as suffering from such by a doctor. This is because there are no apparent signs or symptoms of infertility in men. The quantity and quality of the semen also appear normal to the naked eye. Therefore the tests that can identify infertility in men are semen analysis, hormone testing, genetic testing, testicular biopsy, imaging and other specialty testing. In case of women, some of the conditions that may make them infertile are irregular or no menstrual periods, endometriosis, pelvic inflammatory disease, very painful periods or multiple miscarriages. Some of the specific fertility tests that help to understand whether a woman is infertile are ovulation testing, hysterosalpingography, ovarian reserve testing, hormone testing and imaging tests.

Who is not eligible for the treatment?

A person is known to be infertile if he/she has not being able to have a baby even after having frequent and unprotected sex for a year. A man or woman is not eligible for treatment if he/she has been able to make the partner conceive/ conceive herself after having unprotected sex. A person is also not eligible if none of the tests have been able to diagnose him/her as suffering from the condition.

Are there any side effects?

Oral fertility drugs produce milder effects than injectable fertility drugs. The most common side-effects of fertility drugs are bloating, breast tenderness, upset stomach, hot flashes, mood swings and headache. The side effects of gonadotrophins are headache, upset stomach, mood swings, acne, weight gain, abnormal menstrual bleeding, dizziness and even upper respiratory tract infection. Some of the serious side effects of fertility drugs are changes in vision, ectopic pregnancy, ovarian torsion, ovarian hyperstimulation syndrome and allergic reactions. However, the most common side-effect of infertility treatment is a multiple pregnancy.

What are the post-treatment guidelines?

A person should adopt a healthy lifestyle to make sure that he/she does not get affected by this condition. Smoking and consumption of alcohol increases the risks of infertility and should be avoided. It is of utmost importance for an overweight man to lose some weight. Both men and women should exercise as a sedentary lifestyle increases the risks of infertility. Furthermore, a healthy diet containing adequate quantities of folic acid, iron, zinc and vitamin B-12 should be adopted. A person should also reduce stress as it reduces the chances of conception.

How long does it take to recover?

A woman who has undergone laparoscopic surgery can probably go home on the day of the surgery itself. However, a woman will take about 2-3 weeks to recover from the surgery. Research has shown a person can again reproduce within a time span of 2 months- 2 years after successful treatment. A lot of factors determine how soon a person will recover after taking infertility drugs. Some of the factors are the person’s age, health, medical issues and others. A person taking clomiphene will normally see positive results after 5-12 days of taking the last clomiphene pill.

What is the price of the treatment in India?

The cost of laparoscopic surgery in India generally ranges between Rs 1 lakh to Rs 2 lakhs. The surgery to remove the varicose vein in the scrotum of a man may cost something between Rs 90,000 and Rs 1,50,000. Clomephene, used to treat infertility in women, costs around Rs 650 per cycle. The prices may vary with other variations of this drug. An ICSI treatment costs between Rs 1,50,000 to RS 2,50,000 while Frozen Embryo Transfer procedure will cost a patient an additional Rs 1,20,000.

Are the results of the treatment permanent?

A person who has undergone successful treatment for infertility is generally able to reproduce within 2 years. However, this is not a permanent result. A person may again have infertility problems due to leading an unhealthy lifestyle like smoking, drinking or by not being active. Some health issues also may have an effect on the fertility of men and women.

What are the alternatives to the treatment?

When infertility issues come up due to hormonal problems, using a natural progesterone cream can help a person to address it. Consumption of herbs like red raspberry leaf, nettle leaf, dandelion, alfalfa, red clover, maca and chaste tree berry also help to cure infertility. Getting enough sleep has also proved to play an important part in treating infertility problems.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

1 lakhs to 3.7 lakhs

Popular Health Tips

Understanding The Role Of Hormones In Infertility!

Dr. Abhay Ahluwalia 88% (53 ratings)
MBBS, MD - General Medicine, DNB, DM - Endocrinology
Endocrinologist, Gurgaon
Understanding The Role Of Hormones In Infertility!
Ever wondered how your body releases an egg each month or how the uterus wall thins and thickens at different times of the month? It is the job of your body s chemical messengers hormones, which manage the various processes involved in preparing your body for fertilization. Hormones and Fertility A subtle balance of different hormones, involved in managing the reproductive organs, enables and maintains fertility. These hormones regulation changes like the discharge of an egg from the ovary and thickening of the uterine wall lining (endometrium). Infertility results if this balance is disrupted. Roles of hormones in making a woman infertile Knowing the role of a hormone in making a woman infertile will be easier if you know its role in making the same woman fertile. Here is the role of the five most important hormones that encourage fertility in women- FSH or Follicle-stimulating hormone - The pituitary gland in the brain releases the Follicle-stimulating hormone. The major role of this hormone is to allow a woman to have better control over her menstrual cycle and production of an egg in her ovary. The levels of this hormone designate the proper functioning of the ovary as well as the quality of the produced egg. When there is an imbalance in this hormone, the ovary of the woman will not function properly to produce eggs, thus creating infertility in women. LH or Luteinizing hormone - The pituitary gland releases this hormone. It plays a vital role in stimulating the ovary of a woman to discharge eggs. It instigates the manufacturing of progesterone to prepare the uterus of a woman to accept a fertilized egg. When the level of this hormone is disturbed, it will not stimulate the ovary to release eggs. Estradiol Hormone - This is a vital form of the oestrogen hormone. When the levels of this hormone become irregular, it will reduce the chances of making a woman conceive. Thyroid hormones - This hormone assists greatly in making the ovulation as well as the ovary of a woman to function normally by interacting with the progesterone and oestrogen hormones. Progesterone hormone - This hormone plays an important role in making a fertilized egg to continue as well as to develop in the uterus of a woman. Any imbalance in the level of this hormone will not allow the egg in the uterus to grow.
3 people found this helpful

Infertility - Homeopathic Treatment For It!

Dr. Chandra Bhusan Mishra 92% (2275 ratings)
Homeopath, Kolkata
Infertility - Homeopathic Treatment For It!
For most people, the natural progression of life includes meeting a suitable partner, getting married and having children. However, for some people, this last part can be tricky. The inability to conceive children after having well timed, unprotected intercourse for a year is known as infertility. Infertility is not a disease, but can be managed in a number of ways, including hormonal treatment, in vitro fertilization, surgery and homoeopathy. Homoeopathy is a holistic form of treatment that addresses the root of the problem and hence is a viable form of treatment for this condition. It treats the physical, emotional, mental and spiritual needs of a person. Homoeopathy treats infertility by: Regulating ovulation cycles Balancing hormones Increasing sperm count Reducing stress Dealing with anxiety and depression Reducing negative thoughts and emotions The key to treating infertility is to determine the cause of this condition. To this effect you and your partner may need to be tested for hormonal problems, the condition of your fallopian tubes, uterine fibroids and sperm density. The results of these tests and your constitution will determine the best form of homeopathic treatment for you. Some homeopathic remedies used to treat infertility are: Sepia: This homeopathic remedy is useful in cases where the woman has a tendency to miscarry the fetus. It can also be used to treat a prolapsed uterus and vagina and to regulate ovulation. It can also be prescribed to enhance a man s libido. Sabina: Women suffering from recurrent miscarriages may be treated with Sabina especially in cases where the miscarriage occurs in the third month of pregnancy. It is also prescribed in cases where periods are profuse and bright red in colour, and for women who suffer from inflammation of the ovaries and uterus after an abortion. Aurum: Infertility triggered by depression, and negativity can be treated with this homeopathic medicine. It is also beneficial in cases where an increased blood pressure is responsible for infertility. Additionally, it can help treat an enlarged or prolapsed uterus and painful swelling of the testicles. Phosphorus: If uterine polyps are the root cause of your infertility, phosphorus biochemic supplements can be beneficial. This supplement is also used in cases where anxiety and stress cause infertility. These homeopathic remedies can be used on their own or in combination with other medicines. When it comes to homoeopathy, there is no one-size-fits-all remedy. Although it has negligible side effects, you should not self medicate to treat infertility.
686 people found this helpful

IVF - Can It Solve All Your Infertility Woes?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF - Can It Solve All Your Infertility Woes?
Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of a fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues. When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance. In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle. Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator. Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it). Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place. Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some.The failure of IVF treatment in some patients can be attributed to The embryo not being healthy enough to undergo the implantation Problems or severe damages to the uterine cavity. Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations). Can IVF solve all infertility problems? Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for Males with a low sperm count Tubal damage in women. There may also be problems affecting the cervix and the vagina Women with ovulation problems (can be due to Hormonal Imbalance, PCOS, Endometriosis) or those who are above 35 years In unfortunate cases, where IVF fails to produce the desired result, there are other fertility treatments available such as Intrauterine insemination, Gamete or Zygote Intrafallopian Transfer, Intracytoplasmic sperm injections, to put an end to the infertility problems.
8 people found this helpful

Top Homeopathic Remedies for Female Diseases!

Dr. Sarfaraz Alam 91% (296 ratings)
DHMS (Diploma In Homeopathic Medicine & Surgery)
Homeopath, Dhanbad
Top Homeopathic Remedies for Female Diseases!
Being a woman has its own set of physical challenges. With the different anatomical and physiological features, the problems that women face also are different. Three out of four patients with hypothyroidism are women. Male to female ratio of migraine patients is also 3:1. These and various other diseases are predominantly seen in women. In addition to this, there is also the highly sophisticated gynecologic system. This brings its own unique set of diseases like dysmenorrhea, cysts, fibroids, menstrual problems. Given that a woman s body is quite unique and sophisticated with various organs working in close coordination with each other, let us take a look at how homoeopathy which usually tries to get to the root of the problem and correct the whole system as a whole. Polycystic ovarian syndrome (PCOS): PCOS has a strong genetic predisposition along with obesity and type 2 diabetes. There are often multiple cysts in the ovaries with irregular menstruation, a higher amount of testosterone, and fertility issues. In homoeopathy, Apis Melllfica, Pulsatilla, Lachesis, Graphites, and Sepia are frequently used based on patient s symptoms. Irregular menses: What needs to be understood is irregular menses is a symptom of an underlying disease and a detailed history and clinical examination (including ultrasound scanning) are required to nail down the underlying reason. Natrum Muriaticum, Sepia, Pulsatilla, Senecio Aureus, Staphysagria, Cimicifuga, Euphrasia, and Magnesium Carbonicum are some common agents used to manage irregular menses based on underlying causes. Dysmenorrhea: Menstruation is associated with pain in the abdomen, hips, and thighs in a lot of women. However, this should ideally be a painless process as it is physiologic. In some women, it is also associated with severe cramping, diarrhea, and pain that is relieved with warmth. Pulsatilla, Belladonna, Mag Phos, Nux Vomica, and Cimicifuga are some commonly used agents to help women reduce the pain and relax. Infertility: Again, like irregular menses, there is a strong reason contributing to infertility which needs to be identified and addressed. Given the social nature of the issue, there is a strong psychological component, and so the couple should engage in a detailed mental and physical constitutional discussion to arrive at a customised regimen. Calcarea Carb, Borax, Aletris Farinosa, Natrum Phos, Pulsatilla, Sepia, Natrum Carb, Agnus Castus, Sabal, Conium are used for managing infertility based on accompanying symptoms. Thyroid problem: As noted earlier, hypothyroidism is extremely common in women. There is also a strong linkage between infertility, repeated miscarriages, irregular menses, etc. with the thyroid hormone levels. Calcarea Carbonica, Sepia Officinalis, Graphites, Lycopodium clavatum, and Nux Vomica are some commonly used homoeopathy products in hypothyroid women. Migraine: Another problem seen predominantly in women with strong linkage to menstruation cycles and hormones. Belladonna, Natrum Mur, Sanguinaria, Spigelia, and Glonoine are commonly used. For these common medical conditions, especially in women, homoeopathy offers more holistic treatment with minimal side effects. It may take a while for the body to respond, but it is definitely advisable. Self-medication is best avoided as each woman is unique.
1754 people found this helpful

Why It Is mandatory To Go For Infertility Investigation?

Dr. Rajan Joshi 89% (164 ratings)
MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Why It Is mandatory To Go For Infertility Investigation?
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. 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. Tests for women: 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. Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids. Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system. 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. Tests for men 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. 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.
2629 people found this helpful

Popular Questions & Answers

Hi, Mujhe Pehle tuberculosis huya tha abdomen me bad me cyst pata chala and then laparoscopic surgery lari jo tb ka pani the vo nikal diya to main conceive karne Ke liye to try karti hu but result nahi mila baad me pata chala tube block hai to Dr. ne bola Mujhe Ivf karne Ke liye to mai afford nahi kar sakti please kuch suggest kare please.

Dr. Bhavana R Madhusudhan 90% (89 ratings)
Ayurveda, Mysore
Hello, Agar Tuberculosis sirf abdomen mein Tha tho sirf medicine se conceive Kar sakthe ho, lekin Ek baar check karva Lena ki TB ka infection fallopian tube Tak faila hua Tha ya nahi, kyunki isme dubara anti TB me saath dawayiya Lena zaroori hai.
1 person found this helpful

I am 27 years old female and I have a problem of obesity and harmonica imbalance is there is any solution for the same? Even 4 years has been already for my marriage but I am not able to conceive I have done all the test aof mine and husband everything is fine now please tell me the solution for the same.

Dt. Vishal Wadi 93% (1567 ratings)
Diploma in Clinical Nutrition, Certified Diabetes Educator, Diploma in Sport & Exercise Nutrition, Diploma in Human Nutrition, Lifestyle Medicine, BSC IN LIFE SCIENCES
Dietitian/Nutritionist, Bangalore
Looks like you have PCOD. This is a common female hormonal issue these days which does not allow conceiving. Wrong lifestyle and eating unnatural and processed food causes this imbalance. You need to avoid processed and packed food and eat more natural food like fruits, vegetables, sprouts, nuts & seeds.
1 person found this helpful

I'm having secondary infertility. My amh is 1.46.had failed ivf. Now I'm on ovigyn d3 along with trufol for three months. Can it help me conceive naturally. please guide.

Dr. Kaushal Samir Kadam 95% (674 ratings)
MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Please note Ovigyn D3 is prescribed to you for your low AMH and Trufol is a prenatal vitamin. While continuing these medicines you can try naturally. Have you done your other hormonal tests like Sr TSH and Sr Prolactin.

My sperm count is 80 million and Motility rapidly progressive are 20% Head defect - 15% and body defect 8%..I am taking paternia+,Vigorex-SF and Fertyl-M to increase motility, is this fine?

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to I have evaluated your query thoroughly. These medicine are perfectly fine sir for your issue. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance.

I am 17 years old recently I had undergone an ultrasound in which it was revealed that my endometrial echo complex is just 6.7 mm thick on 20th day but my uterus size, ovaries and rest are normal I always have regular periods lasting for 4 days .Am I infertile.

Dr. Ashwini Talpe 94% (3425 ratings)
MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi this could be due to hormonal variations or any infection of the uterus. better to repeat ultrasound after 1month because endometrium thickness varies every cycle and each cycle is not the same.

Health Quizzes

How To Treat Infertility With Homeopathy?

Dr. Shriganesh Diliprao Deshmukh 88% (1748 ratings)
International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
There is no homeopathic remedy available for women whose infertility is caused by period problems. True or False. Take this quiz to know now!
Start Quiz

Infertility in men - Types and causes

Dr. Karun Singla 95% (70 ratings)
MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Mohali
Improving overall quality of life can help in treating male infertility issues too. True or False. Take this quiz to know now!
Start Quiz
44 people took this quiz

Infertility - What Can Be The Possible Reasons Behind It?

Dr. Seema Jain 92% (55 ratings)
MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
Bananas can cause infertility. True or False. Take this quiz to know now!!
Start Quiz

Treating Infertility - Know How Homeopathy Can Help You!

Dr. Manish Satsangi 86% (45 ratings)
Diabetes can cause infertility in men. True or false? Take this quiz to find out!
Start Quiz
68 people took this quiz

Essential facts about female infertility that you must know!

Dr. Jasmine Kaur Dahyia 90% (193 ratings)
MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
One of the highly recommended tests of infertility is hysterosalpingography (HSG). True or False. Take this quiz to know now!
Start Quiz
65 people took this quiz

Popular Health Packages

90 Days validity  •  Medicines included
30 Days validity  •  Medicines included
30 Days validity  •  Medicines included
15 Days validity  •  Medicines included
90 Days validity  •  Medicines included