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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

Diabetes And Infertility In Females - Understanding The Relation!

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
IVF Specialist, Gurgaon
Diabetes And Infertility In Females - Understanding The Relation!

Diabetes is often associated with heart diseases. In fact, many people do not know that their kidneys and eyes, too, can be affected due to the increased blood sugar levels. Fertility is often forgotten in this list. Yes, diabetes can lower the fertility rates. In men, it can cause erectile dysfunction and decrease libido. In women, the issues are different. But you should not lose hope if you are a diabetic and want to get pregnant. Controlled sugar levels and healthy body weight can help you become a mother. It should also be understood that diabetes alone cannot be the reason for you not getting pregnant. Several underlying factors such as obesity, polycystic ovary syndrome (PCOS), and irregular periods can be responsible as well.

Diabetes and hormonal disturbances: PCOS results in higher amounts of testosterone, which is the male hormones. This leads to abnormal periods, or at times, the periods are absent in women affected with this disorder. PCOS is often associated with obesity and type 2 diabetes. In women affected by diabetes, the fertility period is lowered. For instance, if a woman without diabetes can conceive up to 40 years, the diabetic woman can conceive up to 34 to 36 years only. This also means that menopause occurs early in such women. Oligomenorrhea and secondary amenorrhea are often connected to type 2 diabetes. It is also seen when these women have a control over their sugar levels, their fertility rate improves.

Type 1 diabetes and fertility: When a woman is affected by type 1 diabetes, mensuration ceases in most cases. Studies indicate that only 2 percent of the women who are affected by type 1 diabetes are able to conceive. While treatment can bring back mensuration in these women, irregular periods cannot be treated successfully. With controlled sugar levels, one can find chances of improved fertility rates. For this, even during the planning period, the woman has to control sugar levels. You can still become pregnant even when you are dependent on insulin. Your requirement dosage can differ. So, check with your primary care provider and gynecologist on the same. Your sugar levels should also be under control throughout your pregnancy.

Type 2 diabetes and fertility: In case of type 2 diabetes, which has begun to develop even in young women, there is a negative impact on the fertility rates. In the past, type 2 diabetes, also known as diabetes mellitus, was common only in the age group of 45 and above. But, lifestyle modifications and food habits have made it common even in the younger age group recently. This has resulted in the lowering of the fertile years and an early advancement of menopause. In women who have hormonal imbalance and diabetes, the combo paves the way to PCOS. Obesity is one of the reasons that trigger both diabetes and PCOS. With additional healthcare, you can become pregnant with diabetes mellitus. A healthy diet plan and exercise routine are recommended by the doctors.

If you are diabetic and planning for pregnancy, ensure that you take proper care to manage blood sugar levels. Enhanced glucose levels can only increase the risk for diabetes in the child. A healthy pregnancy is assured with controlled diabetes.

PCOS - How It Can Result In Infertility?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Physician, Certificate Course In Reproductive Medicine & Ivf, Basic Life Support (B.L.S), Advanced Infertility Management Training, ivf training in NUH singappre, masters in Reproductive Medicine
IVF Specialist, Gurgaon
PCOS - How It Can Result In Infertility?

For most women, the ultimate feeling is bringing their bundle of joy into this world. However, as much as you want, getting pregnant is not always in your hand. Infertility among women has seen an exponential growth in the last decade or so. In this article, we will limit our discussion to the factors responsible for female infertility.

In many women of reproductive age, PCOS (Polycystic Ovarian Syndrome) is found to be one of the common underlying factors making it difficult for the affected female to conceive. PCOS, as indicative of the name, is a condition whereby cyst formation takes place in the ovary or the ovaries. PCOS triggers a hormonal imbalance with increased production of androgen by the ovary interfering with the ovulation process. The mature eggs either don't get released from the ovary or in some cases, the eggs may not mature at all. Infertility can be one of the many depressing complications associated with the disorder.

Primary Ovarian Insufficiency can also be responsible for female infertility. True to its name, the disorder is an autoimmune condition resulting in the loss of eggs prematurely (from the ovary). The condition can be a genetic predisposition or at times may be a consequence of chemotherapy.

The hormones Follicle Stimulating Hormone (FSH) and Luteinizing hormone (LH) play a pivotal role in ensuring a healthy ovulation process. However, certain factors including obesity, drastic changes in the body weight (gain or loss) or stress (physical, mental, or emotional) can spell doom inhibiting the production of FSH and LH. In the absence of these two hormones, the ovulation process will also be affected, often giving rise to female infertility. The increased production of another hormone, Prolactin can also act as the trigger resulting in infertility. Proper treatment and medications can go a long way to reverse the condition.


Under certain conditions, the tissues that are supposed to line the inside of the uterus (a term called endometrium) grows outside it (often in the fallopian tubes, or ovaries) a condition termed as Endometriosis. While the painful condition in itself can lead to female infertility (can damage the implanted fertilized egg), removing the tissues through surgery can also damage the fallopian tube. With a damaged fallopian tube, infertility is the obvious consequence.

Certain medical conditions such as pelvic tuberculosis, STDs that triggers inflammation and infection of the fallopian tube and the uterus, women having undergone surgery for ectopic pregnancy, or the inflammatory diseases of the pelvis can also damage the fallopian tube

Infertility in females can also be an outcome

  • Cervical stenosis (the cervix narrows down to a great extent).
  • Congenital uterine disorders and abnormalities.
  • The formation of noncancerous tumors and polyps in the uterus can trigger infertility in some females only.
  • In some rare cases, the exact cause of infertility may be hard to explain (Unexplained Infertility).

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

2800 people found this helpful

IVF: A Blessing To Infertile Couples!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF: A Blessing To Infertile Couples!

What is In vitro fertilization?

In vitro fertilization (IVF) is a process of fertilization where an egg is combined with sperm outside the body. This involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (eggs) from the woman's ovaries and then letting sperm fertilize them in a liquid in a laboratory. The fertilized egg (zygote) undergoes embryo culture for 2–6 days.It is then transferred to the same or another woman's uterus, with the intention of establishing a successful pregnancy.

What is the success rate of it?

The success rate depends on factors such as, maternal age, cause of infertility, embryo status, reproductive history and lifestyle factors.

  1. Maternal age: Younger candidates of IVF are more likely to get pregnant. Women older than 41 are more likely to get pregnant with a donor egg.
  2. Reproductive history: Women who have been previously pregnant are in many cases more successful with IVF treatments than those who have never been pregnant.

How is it a Blessing?

  1. Chemotherapy: IVF allows women who are being treated for cancer with chemotherapy to be able to have children. Chemotherapy can destroy or damage the eggs within the ovary. Prior to undergoing chemotherapy treatment, some women may elect to have eggs harvested, frozen, and saved for possible subsequent attempts to have a child after the cancer treatment is completed.
  2. Absent Uterus: IVF treatment can allow a woman to have a child if she does not have a uterus. The eggs must be harvested from the patient’s ovaries and are then placed inside another woman’s uterus.
  3. Low Sperm Count: When sperms are defective or counts are extremely low, IVF can be used to become pregnant. IVF can work for these conditions because sperm is  placed directly next to the egg, and, in some cases, sperm is injected into the egg (ICSI) to allow the pregnancy to occur.
  4. Absent Ovaries: IVF can be used for a woman without ovaries. The eggs must be donated from another woman.
  5. Older Age: IVF can be used for women over the age of 42 to become pregnant. To obtain this reproductive advantage, donated eggs (eggs from another woman younger than 30) must be used
  6. Unexplained Infertility: Some couples do not have a diagnosed reason for their infertility. This is called unexplained infertility. IVF allows egg and sperm to join together outside of the woman’s body.
  7. Severe Tubal Disease: Some women have extensively damaged fallopian tubes from pelvic inflammatory disease (PID) or from severe intra-abdominal infections. IVF is designed to bypass the tubes by allowing conception to occur outside the body.The fertilized eggs are then introduced into the uterus in the hope of pregnancy.

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

4191 people found this helpful

PCOS - How It Can Result In Infertility

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
IVF Specialist, Gurgaon
PCOS - How It Can Result In Infertility

PCOS tops the list of reasons for female infertility. A few women manage to conceive with PCOS but the pregnancy could be full of complications. Chances of miscarriages even during the 28th week are possible if a woman suffers from PCOS. This is also called as PCOD, which is an endocrine disorder. In this condition, the hormone levels are imbalanced and inflammation also occurs. This results in disruption of ovulation, and getting pregnant becomes a Herculean task. PCOS is not only the reason for infertility but also results in other discomforting symptoms such as weight gain, acne, hair fall, and skin darkening.

Ovulation problems in PCOS: PCOS results in anovulation, which is the lack of ovulation or irregular ovulation. This can be due to various reasons. Estrogen is not produced adequately by the ovaries, hypothalamus does now secrete the gonadotropin-releasing hormone, and there is hypothyroidism or the excess of testosterone in the adrenal glands. PCOS can occur due to various reasons ranging from wrong food habits, inadequate sleep, fatty liver, negative thoughts, stress, no detoxification, poor fat metabolism, and genetic reasons. Women who have mother or sister suffering from PCOS have an increased risk of being affected by this disorder. Women who have excess insulin in their body, too, can develop this disorder. Insulin resistance can trigger high blood sugar levels, and this means pancreas keeps producing more insulin. This can also lead to PCOS.

Managing PCOS: PCOS can affect fertility in multiple ways. The major problem is irregular ovulation. Ovulation may not occur because the follicles are not mature or when the woman has more testosterone. The hormonal imbalance does not let pregnancy happen even if there is ovulation. This is because the uterus is inefficient to develop the lining, which is vital for implantation to occur. The menstrual cycle is irregular, and it is unpredicted. PCOS can only be managed but the good news is that one can increase the chances of fertility with medications. The symptoms vary from woman to woman, so doctors give treatment options to suit the specific requirements. The hormonal imbalance is corrected with birth control pills. But if you are looking forward to a child, these pills should be the last thing you need. The doctor comes up with other options in such cases.

Medications: PCOS also needs medication to control the blood sugar levels. Often, one can see the dietary changes are recommended when getting treated for PCOS. An exercise routine is emphasized and such women also advised to maintain a healthy weight. This is to ensure that the insulin levels and the testosterone levels are under control. Medications to regulate the menstrual cycle is also prescribed to women who want to improve their fertility and chances of conception. Based on the scenario, a surgery may be on the cards. Laparoscopic ovarian drilling is a procedure performed by a team of medical professionals to treat PCOD.
Chances are there that PCOS isn’t the only reason for you to not get pregnant. So, a complete checkup to diagnose and analyze the problems for infertility is done by the doctor. You may need a combination of medications so that your chances of becoming a mother are heightened.

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

3014 people found this helpful

Treatment Options For Female Infertility!

MBBS , DGO , FIMAS
Gynaecologist, Delhi
Treatment Options For Female Infertility!

A number of different factors can cause the problem of infertility in women. The issue of infertility is not new to the medical world. Various medications and treatments have come up with the advancement of science and this has helped cure the problem of infertility over time. Although infertility can have a severe impact on your mental health, it is still not impossible to cure. There are multiple medications and treatments which can still give you a healthy chance of having a baby. Age is one of the major factors which cause the problem of infertility in women as women are born with a finite number of eggs and with increasing age, the number of eggs automatically reduce. Therefore, to avoid infertility, opting for an early pregnancy can also be suggested.

Start With a Thorough Diagnosis
A number of blood tests are carried out to determine the cause of infertility, like the presence of cystic ovaries, abnormal hormonal levels or any other cervical problem. Apart from that, the procedure of Laparoscopy is also carried out to look at the outer lines of the fallopian tube, ovaries, and uterus as well. This procedure helps the doctors in identifying any abnormal growth in the pelvic region. The next procedure which is carried out is HSG or Hysterosalpingography which involves the insertion of a dye or a saline into the cervix through ultrasound or X-ray to check for any kind of blockage in the fallopian tube.

Various Treatments for the Problem of Infertility

  1. IVF or In Vito Fertilization is the most advanced procedure which is used to help the sperms and eggs. This artificial technique of fusing the sperms and the eggs outside the body and placing it in the uterus after the formation of the embryo is one of the most used procedures in the case of infertility.
  2. Another alternative treatment which can be chosen is the Assisted Reproductive Technology. Hormonal therapy along with the combination of fertility drugs are two procedures which are used in this technology. Other types of tests which are carried out are intrauterine insemination and zygote intra fallopian transfer among others.
  3. Egg donation is another popular method which is used during infertility. This process involves the removal of Oocytes from the ovary of women who have taken fertility drugs.
  4. A small amount of concentrated sperm cells is used in another method called Intrauterine
  5. Insemination which only requires a few minutes to be completed and is an extremely painless process.

Along with these other alternative methods of surrogacy, ZIFT or Zygote Intrafallopian Transfer and special medical therapies can also be used to increase the fertility rate.

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

3767 people found this helpful

Popular Questions & Answers

I am 28 years old nd planing for baby last 2 month but can not conceive can you give me some advise please Nd I am also taking folvite 5 mg.

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Please note its being only 2 months that you have been trying, so try for another 8-10 months and if you do not conceive then get your basic fertility investigations done like your hormonal tests and your husband semen analysis. All the Best!
16 people found this helpful

I am having TSH of 14.48 missed my periods this month and got UPT Positive I was advised by my doctor to take a scan but nothing was observed in it, I have a doubt so I took UPT again But it was positive I am very confused that I am pregnant or not please could you clarify.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Get blood test sewrum HCG-Beta done and meet Gynecologist. Also important to start treatment for thyroid if not started.
3 people found this helpful

Hi last month I used goodva 100 mg tablets, after 15 days gg is released but fail to ovulation, so can I use goodva 100 mg again this month?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. TO CAUSE PREGNANCY on a woman, sperm should be ejaculated inside the vagina or fresh sperm should be inseminated inside the vagina with some means during the fertility period of the woman. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Her egg and your sperm cells should be healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Semen do not pass through clothes to make pregnancy. Sex during periods does not cause pregnancy. Usually precum do not contain any sperm cells. Period means disintegration of the uterus membrane which is meant to be for the child. Swallowing male sperm cannot cause pregnancy. If you have taken unwanted 72 within 72 hours of intercourse, the chances of pregnancy is low.In the given case, there are less chances of pregnancy. Take care.
1 person found this helpful

Hi, I am married for almost a year now. We have been trying to conceive since day 1 of marriage. We have not been able to successfully conceive. I am overweight by 20 kgs. I smoke 10 ciggerrates a day. Will I ever be able to make my wife conceive. I am thinking of visiting a doctor. How to chose a right doctor.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
You need to stop smoking and reduce weight. But along with that you need to visit a good fertility specialist to get you semen examination done.
2 people found this helpful

I have a problem of infertility all my tests gave good results but I can't conceive? My doctor suggested ivf but I want to conceive naturally. please help me to conceive naturally am depressed day by day please help me.

MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Lybrate-user, if your and your husband reports are normal and you r married fr more than 1 yr, you might have unexplained infertility. First go for iui and then proceed for ivf after few cycle of iui.
1 person 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
In-Vitro Fertilisation (IVF)
Hello everyone.

I am Dr. Madhu Garg. I am working as consultant in Miracles IVF and Fertility Unit and today we will be discussing something about IVF. IVF is In-vitro Fertilization and in common language it is also known as a test tube baby. In IVF, what we do is we take out both the gametes the female gametes and the male gametes and they are fertilized outside the body and then the resulting embryo is placed inside the female uterus which results into pregnancy. So the first question arises is who all need IVF? Couples who usually need IVF have problem in conceiving of long standing that could be because of female factors or male factors. The male factors include a less count, when the sperms are not normal of morphology or their motility is less, or there is complete of sperms in ejaculate and in female factors when the female is having a high age which is more than 35 years and she is having less egg count and there are problems in the tube. The tubes are the structure which transport the eggs from the ovaries inside the uterus and then the eggs meet the sperms and result in fertilization. If there is some kind of blockage in the tube, the egg is not able to meet with the sperm and the pregnancy is not happening, so these couples they always require some king of assistance which is usually IVF. In IVF the process starts from your menstrual cycle. We do basic test involves the hormonal evaluation, ultrasound scan, the semen analysis and after going through all of your reports, we start you on hormonal injections. These usually start from day tow or day three of your periods and they are given regularly for the next nine to ten days on a daily basis. During these nine to ten days of hormonal injections we evaluate you after 4 to 5 days and then every alternate day to see how your body is responding to these injections and to titrate the dose of these injections, so during these nine to ten days your follicles grow and when the follicles are mature enough then on the last day we give you a trigger injection and after the trigger injection, 35 to 36 hours after this injection we schedule your ovum pickup. For this pickup you are admitted to the hospital for a daycare. That means you are not having a night stay in the hospital. The stay is only for two to four hours and you have to come fasting 5 to 6 hours and under general anesthesia, we do a transvaginal ultrasound guided pickup. So the needle is passed through vagina and there is no cut or mark in the abdomen. All the eggs and the ovaries are aspirated outside and then the embryologist examines all the fluid which is aspirated and he checks whether how many eggs are present, what is the quality of these eggs and then he takes the decision of performing IVF or ICSI (Intracytoplasmic Sperm Injection) with male sample. In IVF what is done the eggs are placed with healthy sperms and then a natural process of fertilization is allowed. But in patients where the semen factor is less and morphology is less, the motility is less even, even a high-grade, a higher version of IVF is required which is called ICSI. In ISCI, every egg is injected in one sperm in the cytoplasm and not all patients need ICSI that is the decision of embryologist after seeing the semen sample. So these embryos which are formed after fertilization. They are left in laboratory for 3 to 5 days and after their growth in the laboratory they are transferred back to the uterus of the female and that transfer is very simple procedure which doesn t require any hospital admission and not does it require any anesthesia. After getting the embryos transferred you need to get hormonal support for the next 15 to 16 days and then the pregnancy test is done. So IVF pregnancy is equally as good as an actual pregnancy. You don t need any extra care, neither any cesarean delivery is required nor no special care is required during the pregnancy also.

So this is the basic what IVF is, who all need IVF and that is done under the cycle so the procedure is different according to your requirement and what you need and what is the best produce so you have to consult the doctor then you have to decide. So thank you everyone.
Play video
Know More About Infertility
Hi,

I am Dr. Jayanti Kamat. I am an IVF consultant, obstetrician and gynaecologist practising for the last 20 years, I am practicing at Shrishti Fertility Care Centre and women's clinic. So today I will be talking about what to do if you are planning to have a baby, but have a difficulty in conceiving. If you're married for more than 1 year you are being tried for a baby for more than 1 year having regular sexual intercourse and not using any contraceptive then it is defined as infertility, at that time you should seek the help of infertility specialist or if the women s age is more than 35 years and if she is married for 6 months she should seek the services of an infertility specialist. So why do we say the age of 34 years or 35 years is important that is because after the age of 30 a woman's reproductive capacity keeps on declining, so when the woman who is over 35 years it will affect her quality of oocytes, the quantity of oocytes and even if she gets pregnant there are more chances of genetic abnormalities in the baby like down syndrome, besides this she can have complications in pregnancy like pregnancy-induced hypertension, gestational diabetes, preterm delivery, premature rupture of membranes and difficult labour. So age is very important as far as infertility management is concerned. Now, why is infertility increasing has of today that is because of increasing age of marriage, postponement of childbearing, increased incidence of sexually transmitted diseases? Women today are very much into the workforce and they want to settle their career before they are planning to marry or even have a baby. Now there are two types of infertility that is one is primary infertility when the couple has never conceived and secondary infertility when the couple has conceived a child maybe it could be an abortion, it could be a miscarriage but they cannot conceive again. So when you go to an infertility specialist what do you expect firstly the doctor will take a detailed history, history of your age, your lifestyle habits and the number of times you have relations in a week, any previous treatment, any previous illnesses etc for the women a detailed menstrual history will be taken. So menstrual history like the date when you had the last menses whether your periods are regular. What is the interval between the periods, what is the blood flow during the periods is it less, scanty or excessive or is it painful or do you have pain before menses, all these things will be asked. It s very important for a woman who is planning to conceive to keep a detailed menstrual calendar. So today we have a lot of apps on your mobile so it's very easy to keep track of your menstrual cycle. Then the doctor will ask you about the number of times you have relations in a week then about your lifestyle habits, diet etc. The next will be a physical examination, now in this physical examination we have a general examination and your specific examination so general examination will be the doctor will examine your blood pressure, pulse, whether you have anaemic or whether you are in a best of health, then a specific examination will be a per vaginal examination. So after finishing this she may advise you ultrasonography, ultrasonography is to know the structural defect in the uterus and as we all know the tubes, the reproductive system in a woman consists of a uterus, the tubes and the ovaries at the sides. Now all of us know that these tubes play a role in reproduction because they are the ones who which transport the oocytes and a fertilization takes place inside the tubes the tubes are very important so we cannot take out whether there is a block in the tubes or not just by doing a play ultrasonography. So there a specific test for that and those test are one is hysterosalpingography, where a die is injected inside the uterus and then an x-ray is taken to know whether the tubes are blocked, whether they are patent or not. In some certain cases when the doctor feels that they need more information about this, he may advise you a history of hysterolaparoscopy. Hysteroscopy is when we put an endoscope inside the uterus through the mouth of the uterus and see the inside part of the uterus, so what do we see when we first see the opening of the tubes, whether the uterus is normal, whether it has a symptom, whether it has a polyp, whether it has a fibroid so all these things can be seen. Laparoscopy is we put in another endoscope through the umbilicus of the women to see whether the tubes are patent, whether the shape of the uterus is normal, whether the surrounding organs are normal. Now this procedure of hystrolaparoscopy is preferably done under general anesthesia, at the most a woman will have to stay for few hours in the hospital or she can stay for the one whole day based on a comfort level. Then the doctor will also advise certain blood, certain blood test one are the general blood test that is the haemoglobin, the urine routine micro examination and the few other test and the specific blood test such as FSH, LH, serum prolactin, your thyroid relating hormone then AMH, so all these tests tell us the capacity of the women to produce eggs and the hormonal status in our body.

If you need any help in trying to conceive, you re planning to conceive, you're trying to conceive for more than one year but you have not gained any success please contact me at lybrate.com.
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