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Overview

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

Donor Sperm

Dr. Richika Sahay Shukla 88% (182 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Donor Sperm
Donor Sperm Couples use donor sperm (DI) when the husband/partner has no sperm or a very poor semen analysis (azoospermia, oligospermia, poor motility), or when there is a genetic problem which could be inherited from the male. Single women who want a biological child also use DI. One must be psychologically ready to proceed with DI. Most doctors recommend that any patients considering DI see a counselor who is skilled at clarifying feelings about infertility, and about trying DI. It is essential that both partners feel comfortable with the decision and that all fears and questions be openly discussed. For some, it may mean dealing with various moral and ethical questions; for others, exploring questions about donor selection and whether to be open about the decision to do DI and whether to tell a child conceived by DI how they were conceived.

Infertility - Why It Is More Of A Social Problem?

Dr. Shweta Goswami 92% (43 ratings)
MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Delhi
Infertility - Why It Is More Of A Social Problem?
Infertility is a condition that can be caused due to a variety of reasons, for both males as well as females. Yet, it also comes with plenty of emotional baggage because there is a great deal of social stigma attached to childless parents, especially in the developing countries like India, where we still hold on to traditional thinking which does not really justify modern day realities. Understanding Infertility in the Developing World: As per medical science, infertility is defined as a problem that is faced by couples who do not manage to conceive even after a year of trying without any birth control measures. In countries like ours, there is a great social stigma that is attached to being childless. As per many studies by the World Health Organization (WHO), about 15% of couples the world over are affected by infertility. Also, such cases go undetected because there is a great social stigma attached to the same. Further, there may be underlying conditions like Tuberculosis which may have been undiagnosed because people do not like to talk to doctors about the symptoms. The main problem in countries like India, and others areas is that people do not open up about such problems and they consider doctors and other medical practitioners as strangers. Still in the Dark Ages: Even though we have made the transition from an agricultural country where we would pray to the elements and wait for signs for all our everyday activities from harvesting to childbirth, to an industrial country we are still in the dark ages as far as our social setup goes. There are many educated and well-heeled families where being childless is considered as an issue. And many people tend to go to astrologers and temples to change their fate, where a simple visit to a doctor and procedures like IVF, or adoption as the last resort, can also work out. Infertility Stigma for Males and Females: For an infertile couple, the problem may stem from the male, or the female or both partners. There are still many social stigmas that are attached to this and many people in countries like India tend to call the woman barren, if she is unable to bear a child. In many cases, the male partner does not even go in for a check up as it is not even considered as an option that the problem might lie with him. Male erectile dysfunction, ejaculation problems, and general infertility can cause a range of issues for the couple when it comes to conception. So it is imperative to have the same checked by the doctor so that a sperm test can also be conducted and the treatment can carry on accordingly with the help of IUI or IVF.
2 people found this helpful

Healthy Diet Regime For PCOS & Infertility!

Dr. Vandana Jain 89% (39 ratings)
Certified IVF Specialist, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Healthy Diet Regime For PCOS & Infertility!
PCOS (Polycystic Ovarian Syndrome), a medical condition that mainly affects women of reproductive age makes it difficult for them to conceive. In PCOS, there is an elevated production of androgen (especially testosterone) by the ovary. This hormonal imbalance often interferes with the ovulation process (the eggs either don't mature or are not released from the ovary) triggering infertility in the affected woman. While lifestyle changes and timely medical assistance can bring about improvement, switching to a healthy diet is often known to produce fruitful results. In this article, we will discuss the healthy dietary options to deal with PCOS and infertility. Healthy Diet for PCOS and Infertility There can be a host of factors that trigger the hormonal imbalance, one being your choice of foods. Low Glycemic Foods: Foods that come with a high glycemic Index (a glycemic index is a number that determines how rapidly the carbohydrates in our foods are broken down triggering a rise in the blood sugar level) of 70 or more can be extremely harmful. The higher the glycemic index, more will be the blood sugar and level of insulin in the body. The elevated insulin level can wreak havoc, disrupting the hormonal balance to a great extent. Thus, women with PCOS and fertility problems should consume foods that come with a low glycemic index (55 or less). Some of the healthy low glycemic foods include apples, cherries, plums, dried apricots, oranges, grapefruits, pear, almonds, yogurt (low-fat), non-starchy vegetables, whole grains, sesame seeds, flax seeds, pumpkin seeds, oats, brown rice, and quinoa, to name a few. Maintaining a healthy body weight can go a long way to improve the symptoms and complications associated with PCOS. Overeating should be strictly avoided. Instead, opt for smaller meals at regular time intervals. Include high-fiber foods (broccoli, cauliflower) in the diet. Foods rich in minerals (potassium, calcium, magnesium, iron, zinc, selenium) and vitamins (Vitamin B, C, E, and K), folic acid, can work wonders to alleviate the symptoms of PCOS. Enrich your diet with green leafy vegetables and foods that are rich in antioxidants and omega-3 fatty acids. While consuming carbohydrates, make sure your diet also contains protein. Carbohydrates, when taken along with proteins, can avert a sudden rise in the blood sugar level. Foods to avoid In women with PCOS, the testosterone level is relatively higher. Drinking milk will only elevate the testosterone level further with deleterious consequences and is best left avoided. Foods that are rich in saturated and Trans fats (BAD FATS) such as meat, processed foods, margarine, doughnuts, dairy products (cream, cheese, butter), cooking oil (coconut oil, palm oil), aerated drinks and beverages, can aggravate the condition of PCOS and should be avoided. Soy milk is another unhealthy dietary option for women suffering from PCOS and infertility. Soy milk is known to cause a delay in the ovulation affecting the fertility.
3 people found this helpful

Infertility

Dr. Sanjay Singh 91% (68 ratings)
BHMS
Homeopath, Lucknow
Infertility
Reasons Behind Infertility
1 person found this helpful

How To Manage Honeymoon Impotence?

Dr. Shyam Mithiya 90% (653 ratings)
MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist, Mumbai
How To Manage Honeymoon Impotence?
Honeymoon impotence is quite common in orthodox societies where pre-marriage sex is considered more or less a taboo. It is a common scene in such areas where newlyweds arrive at a sexologist s cabin, complaining about their inability to perform sexual intercourse on their first night. The idea of First time sex itself gives goosebumps to most men and women. All the anxieties and worries can lead to either male s erection droop or female s vaginal contraction. Reason behind Honeymoon Impotence In most of the cases, ignorance and lack of awareness form the basic reason behind honeymoon erectile dysfunction. Especially in societies where sex education is not that common, it is likely that men and women are even unaware of common sexual positions. Family pressure, fear of displeasing the newlywed partner may get so overpowering that it may lead to erectile droop among men. Failure at the first instance may also create psychological pressure on the couple and as a result may lead to a series of impotence. The more the man is frantic to perform, the more are the chances that his erection shrivels. Similarly, the woman can also suffer from vaginismus. This is a condition in which out of anxiety and fear, the vagina of a female contracts so much that the penis can t penetrate. All such scenes must be handled with patience and by consulting a sexologist before the things start getting worse. Remedy Education is bliss: The first and the foremost remedy is educating oneself about male and female genital parts, normal sex positions which are easy to carry out etc. A brief illustration with the help of any video before performing actual sex may prove quite fruitful. Mutual Stimulation: It is not advisable to get obsessed only at penetrating the penis inside women s vagina. The newlywed should first prefer to get comfortable with each other while making love. Try to find pleasure in the sexual act rather than ruining things by getting anxious at the inability to penetrate at the first instant. The couple can also try masturbating each other. The male can make the female genital parts familiar to his penis by bringing it near to vagina. Some sexologists even advise to make use of sex toys like vibrator so that female vagina can get used to of infusing penis in it. Even some prescribed erection enhancing medicines can solve your case. Master your Brain: In most of the cases, it is the brain that plays the trick. So it is better not to hesitate. Share all your anxieties and worries with your partner. Get comfortable with each other and do not let the psychological factors to control your sexual act. Patience is definitely a deciding factor. Give time and open up with your partner and this will help in abating all your fears.
5 people found this helpful

Popular Questions & Answers

I dropped my child 17 days. By this medicine (gestapro-Mifepristone and Misoprostol) That time red spot on my full body. I want to be pregnant again But pregnant wapas nhi ho rhi hu Time - 2 years Please help me.

Dr. Potnuru Srinivaasa Sudhakar 88% (1832 ratings)
M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
If you're not ovulating, you won't be able to get pregnant. Anovulation is a common cause of female infertility and it can be triggered by many conditions. ... Most women who are experiencing ovulation problems have irregular periods. However, regular menstrual cycles don't guarantee that ovulation is occurring. Less common causes of fertility problems in women include: Blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy. Physical problems with the uterus. Uterine fibroids, which are non-cancerous clumps of tissue and muscle on the walls of the uterus.

Hi doctor. We are planning for baby since 1 yr. My husband sperm count is 27. My all reports are normal but periods is not regular. Our. Doctor told us that you can't conceive in normal way. For baby you have to accept IVF. And he has given CCQ 25 to my husband is it correct medicine. Becz CCQ 25 shows infertility treatment for women in Internet .can you suggest what we will do now.

Dr. N S S Gauri 94% (9368 ratings)
Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
leave ccq immediately vrihad poorna chandra ras veerya shodhan vati kamdev awleh these medicines are sufficient for sperm count you can take rati modak awleh 10 gm twice a day to strengthen conceiving power

Meri sadi ko 2 year hone vale h.mere bache nhi ho rhe h.mere dono andkos nhi h by sex me koi kmi feel nhi hoti h.liquied bhi aata h.bt kya problem h.suggestion me.

Dr. Vd Hemal Dodia 92% (1639 ratings)
MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhavnagar
Hello. Dono andakosh ki kya sthiti he wo dekhani chaahiye. 1 bar report karva lo. Sonograpphy se andkosh ki andaruni sthiti bhi check karlo. Jo and kosh hi nahi he to shukranu ban hi nahi sakege. Agar report me thode bhi sukranu aa rahe he to hum use bbadha sakte hhe.
2 people found this helpful

Health Quizzes

Infertility - How You Can Take Benefit From IVF?

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IVF is not applicable to the same-sex couples or single mothers. True or false. Take this quiz to know more.
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Dr. Alok Kumar 93% (748 ratings)
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You might be infertile if you suffer from irregular periods. True or false? Take this quiz to find out!
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PCOS and Infertility - Are They Related?

Dr. Sagar Bumb 86% (16 ratings)
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Poly cystic ovarian syndrome can lead to infertility. True or false. To know more, take this quiz now!
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Yoga For Weight Loss

Dr. Vijay Kumar Aware Patil 90% (1093 ratings)
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Yoga is not suitable for pregnant women. True or False? Take the quiz to know about it.
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Homeopathic Treatments for Polycystic Ovary Syndrome

Dr. Rushali Angchekar 94% (51868 ratings)
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PCOS is the most common cause of female infertility which also increases the chances of heart disease. True or false? Take this quiz to know now.
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