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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

Infertility - How Does Stress Trigger It?

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Infertility - How Does Stress Trigger It?

In today’s modern era, fast paced society, it is very very common for people to become stressed. In fact, one would almost think that if you aren’t stressed out, there is something wrong with you! Realistically its not a good thing for our bodies in general, and has a major impact on your fertility potential. One may or may not realize the stress factor.

How can Stress affect your Fertility?

Research tells us that stress boosts levels of stress related hormones, such as adrenaline and cortisol, which can inhibit the release of the body’s main reproductive hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men. Adrenaline,which is a stress relieving hormone and gives your body the rush to face the stress. This hormone alters progesterone levels, which is essential for fertility. Caffeine reduces Prolactin hormone levels, which interferes with ovulation and fertilization. Hence its essential that your stress & anxiety levels are under control.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become so common that ,it has been specially termed as 'Stress Induced Reproductive Dysfunction'. Every couple should try to work towards reducing stress levels at work place and home, while going for fertility treatment.

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you evaluate your lifestyle and look for the stress factors. Remember defeating the stress may be the solution to your worries.

  1. Reduce stress : The issues in your life may be work or relationship related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.

  2. Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering about every small thing in life.

  3. Let few things be the way they are: Stop getting bothered about people who matter the least in life. Remember, most of the things will fall in place. Let few things be the way they are.

  4. Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose practical and possible solutions which will be less stressfull..

  5. Sleep well: Sufficient rest is essential for a healthy mind and body. Meditation or yoga or counseling can work wonders.

Please note that if your fertility reports are normal, then it's just a matter of time. Be calm and composed so that you are able to face the rough waters clearly with your partner. Finally, follow advice of your Fertility Specialists with sincerity & determination.

IVF - What Advantages Does It Has In Relation To Some Common Problems?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Obstetrtics & Gynaecology, Dip.Obstetrtics, FICOG
IVF Specialist, Delhi
IVF - What Advantages Does It Has In Relation To Some Common Problems?

In vitro fertilization (IVF) is continually helping many infertile couples achieve their goal of conception. It has the highest success rate of Assisted Reproductive Technologies (ARTs). Along with helping the parents overcome diseases in their bodies, they help prevent predicted diseases in the offspring by offering the option to pick and choose healthy and improved embryos. Needless to say, it is both a biological and social breakthrough.

There are several diseases in the parent body that IVF can help successfully bypass. They are:

Low Sperm Count
This condition occurs when the man produces healthy, normal sperm but produces it in very low quantities. As a result, fertilization cannot properly occur. IVF can help in this regard. The healthy sperm is obtained, and procedures are carried out in the laboratory to make it suitable for fertilization.

Fallopian Tube Damage
This occurs due to permanent and irreversible scarring of the Fallopian tubes in the female partner. Sometimes, the tubes are so damaged that surgery fails to bring it back to normal, or surgery is not feasible without harming the woman’s health farther. In such cases, IVF is very helpful as it discards the use of the Fallopian tubes in reproduction by bypassing them.

Ovulation Issues
IVF can help a couple conceive in spite of ovulatory difficulties the woman might have. Ovulatory difficulties involve infrequent ovulation of the female More Than One Cause of Infertilityor irregular ovulation. Both these cases make it very difficult, if not impossible, for the couple to conceive.

Inexplicable Infertility
IVF aids a lot in these cases too. In some cases, causes of infertility cannot be pinpointed after several diagnostic tests. The processes are both money and time to consuming and leaves the patients frustrated if the process fails. IVF can come to the rescue then. It has a proven track record of success aiding couples with undiagnosable infertility issues.

More Than One Cause of Infertility
When there are several causes of infertility in both the male and female bodies, or if there are several problems with the body of an individual partner. IVF can aid successful conception.

IVF is a breakthrough biological and scientific procedure that is helping people conceive in spite of several fertility issues in their bodies. There are various debilitating reproductive disorders that IVF has helped overcome in recent years. The most major ones are listed above, and you can also benefit from IVF if you have those!
 

7 people found this helpful

IVF - What Makes It So Popular?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Obstetrtics & Gynaecology, Dip.Obstetrtics, FICOG
IVF Specialist, Delhi
IVF - What Makes It So Popular?

In vitro fertilization or IVF technology assists millions of infertile women and couples worldwide to have babies of their own. fertility problems can be of various types and origins can be congenital, acquired or accidental. However, they come as a great deterrent and source of unhappiness in the lives of people. To overcome that deficit, assisted reproductive technologies (ARTs) were developed.

IVF is one of the most popular, with one of the highest success rates, and here are 4 of its primary benefits:

It Provides Couples Relief from Infertility

There are a lot of couples who are unable to conceive and start a family of their own due to problems in either the man or the woman’s body. As a result of disease or injury, fallopian tubes may be blocked, sperm count may be low or uteruses may be damaged. IVF helps couples bypass these difficulties smoothly.

It Provides Great Support to Single Mothers

There is a lot of social stigmas associated with single motherhood, and the question of conceiving just adds to their troubles. There are many reasons a woman may choose to embark on single motherhood. She may have been constrained financially or emotionally, too much for taking on a partner, or she may just choose to live a life that way. Society doesn’t empathise, but IVF makes their job of conception much easier and absolves them of the need to find a male.

High Chances of Achieving Objectives

Translated to simpler language, this means high success rates. In fact, the success rates of IVF procedures are the highest among all ARTs. Granted, it does not work in all cases and some people routinely report failure. To fix this, the therapist and the patients themselves have to ensure the entire cycle is completed and is carried out under textbook conditions.

The Ability to Pick and Choose, and a Cheaper Option

This is a medical procedure which actually gives one the option to pick and choose future children. Tests are run to determine whether life-threatening conditions like genetic anomalies are present in the embryo the couple has conceived. If any are detected, they are immediately arrested and a healthier embryo is set up for growth. Moreover, in many cases, your health insurance will pay for your IVF, making it incredibly cheap.

IVF is a much-needed boost to the medical industry in the form of helping infertile couples to give birth to healthy babies. It takes place in a laboratory under controlled conditions and has a host of benefits even above and beyond helping people conceive. 
 

5 people found this helpful

Hysterolaparoscopy In Infertility - What Should You Know!

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Hysterolaparoscopy In Infertility - What Should You Know!

Infertility is a emerging health concern today. According to the Indian Society of Assisted Reproduction, around 10-15% of Indian women are affected by infertility. The rate goes up in urban areas where every one in six women is diagnosed infertile. Around 27 million couples in India require assistance to reproduce.

What is hysterolaparoscopy?

This is an endoscopic procedure, where small telescope is introduced in abdominal cavity. Reproductive organs like uterus, ovaries, fallopian tubes, pouch of douglas are examined under magnified view. It can be diagnostic or operative scopy in case of any pathologies. Tubal patency can be confirmed using methylene blue dye (diluted one).

Just one session can clear questions relating to tubal patency, ovarian morphology, uterine abnormalities and undetected pelvic pathology. Moreover, other procedures like hysteroscopy guided tubal cannulation, lateral or fundal metroplasty, biopsy, polypectomy, adhesiolysis, septal resection and myomectomy can all be performed in the same sitting.

Which infertility patients benefit from Hystero laparoscopy?

Common indications-

  • Fibroids

  • Endometriosis

  • Unilateral or bilateral tubal block

  • Hydrosalpinx/ pyosalpinx

  • Pelvic inflammatory diseases

  • Septate uterus

  • Asherman's syndrome

  • T shaped cavity

Hysterolaparoscopy is an efficient way to optimize fertility. It is usually done when simple treatment modalities fails to achieve pregnancy or when SSG (Sono salpingo graphy)/HSG(hystero salpingo graphy) suggests tubal block or for other associated pathologies listed above or in cases of unexplained infertility.

Hysteroscopy deals with pathologies in uterine cavity, so plays vital role for women going for IVF, especially those with recurrent miscarriages, thin endometrium, h/o recurrent implantation failures, submucous myomas. Cases with Asherman's Syndrome or big submucous myomas may need second look hysteroscopy. This is a daycare procedure, whereas Laparoscopy needs at least 24 hour hospital stay. The procedure requires advanced equipments & skilled surgeon. It offers speedy recovery and minimum number of stitches on the abdomen. All this has made hysterolaparoscopy, an important tool in the evaluation of infertility.

Donor Egg Or Own Egg - Which Process Is Better For You?

DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Donor Egg Or Own Egg - Which Process Is Better For You?

Egg donation helps the other women to conceive, if she is not able to produce healthy eggs, the chances are high in case of donor egg with minimum risk of genetic complication. This process is best for the women above 40 years who have tried IVF and other infertility treatment without success. IVF treatment with donor eggs, success rate is higher if compared to cycle where own eggs are used. This is due to the fact that the donors are young and live a healthy life, they don’t have any sort of abnormalities or disease which can affect their fertility. Hospitals checks the donors before recruiting them with various diseases, hospitals prefer the donor to be below 36 years of age. Hence, with all these precautions the rate of success becomes higher.

Donor eggs is the best solution and is recommended in the following cases

  • Women who have suffered from any inherited condition, this process will remove the risk of passing it on.

  • If you are a premature child.

  • If you are above 50 and have reached menopause.

  • If you have undergone chemotherapy or radiotherapy. All these cases lead to low egg production or no egg, so in such cases going for donor egg process is best solution.

Above points clears that donor egg process is better than own egg.

When to go for donor egg process

  • If someone has already witnessed failed treatment like IVF, donor egg process can show some ray of hope.

  • Donor egg process is best for ladies above 40 years. At this age the own egg production is low and hence chances of conceiving is negligible.

  • When the women experience low egg production because of any reason.

  • If chances of passing disease to the child from mother is high, one should opt for donor egg process.

Own egg process

In this process the eggs are of the woman who wants to conceive. Sometimes there are cases that the egg production is fine but the woman is not able to conceive due to some other reason, like for example if the male is handicapped and not able to make the woman conceive naturally, so in that case IVF treatment is done using own egg process.

This process is generally recommended only if the woman has good and healthy egg production and if these two criteria are not fulfilled, doctors mostly ask to go for donor eggs. In such case, the process has low rate of success and the possibilities of transfer of genetic disease is high if the mother is suffering from any. This method is time consuming as well as the success rate is low.

The success rate of donor egg process is 40% higher than normal standard IVF treatment, because the eggs are retrieved from young and healthy women. Women with no egg production should not only go for this process but women with low eggs should also consider this. Hence, donor egg process is better than own egg process.

2 people found this helpful

Popular Questions & Answers

Hello mam, I am taking daily susten 400 mg for pregnancy treatment advised by Dr. is it good for me and my pregnancy plan?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
yes, susten can be taken in pregnancy. it is also given for luteal phase support in case you are planning for a pregnancy.
2 people found this helpful

I am taking letoval 2.5 mg tables from todays. Today is my 3rd day. My weight is 73 with height 5.3.is there any chances to get pregnant this time? And my health is normal excluding weight.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
There is chance if drug is effective to bring about ovulation. Chance does not mean certainity. Any couple desirous of pregnancy and not getting same naturally must meet gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for long time.
2 people found this helpful

My wife amh level very low 0.86 Dr. suggest grofer sr tab and multivitamin please suggest treatment and chance for pregnancy.

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Since your wife amh is quite low as compared to normal value between 2.5 to 4, it shows her capacity to produce eggs has decreased prematurely and you need to consult an infertility expert for your treatment as chances of conception are very low naturally and you need to take up this issue at priority as this level further decreases with increasing time and age and then it will be difficult to concieve on assisted conception also .apart from that there are other few blood tests as well to know whether it's an isolated decrease in reserve or combined with others suggestive of primary ovarian insufficiency.
1 person found this helpful

I have vaginal bacteria for couple months untreated but I got it treated couple Days ago, can it cause infertility Caz I was told since night and I'm really planning on getting pregnant.

MBBS, MS - Obstetrics and Gynaecology, Advanced Laparoscopy & Hysteroscopy Training Programme, Diploma In Ultrasound, Fellowship In Reproductive Medicine & ART
Gynaecologist, Delhi
Any kind of prolonged infection, esp. In pelvic/genital region might be a cause of infertility in future. Please be vigilant & get urself treated at the earliest.
2 people found this helpful

Hi. Dr, Had prescribed me to take stimulet tab from 2nd day of my period. But I am taking it from 3rd day of my period. Can it cause huge change? Or please tell should I take it or not. It will not cause any problems. Please reply me.

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. Talk to a gynecologist for advice. Take care.
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
Male Infertility
Male infertility is when the male is not able to get a fertile female pregnant. Though not openly admitted, it is an extremely common condition. For a man, it is highly hurting to the ego when it is identified. Given the discrete nature of the topic, it is difficult both for a man to admit that he could possibly be the reason the couple is not able to conceive. If that happens, the next challenge is to get them to undergo treatment.
Play video
Infertility - Know How It Can Be Treated
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.
Play video
Infertility
Infertility is a medical condition in which the patient fails to conceive after one year of having unprotected sex. It is advisable that women who are above 35 years of age and often experience irregular menstrual cycles should consult a doctor on being unable to conceive within six months.
Play video
Infertility
Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and are present in 30% of women suffering from infertility.
Play video
How To Treat Infertility?
Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and presen in 30% of women suffering from infertility.
Having issues? Consult a doctor for medical advice